Document ID: FEMA-2021-0018-0001
Agency: fema
Document Type: Notice
Title: Agency Information Collection Activities: Proposed Collection; Comment Request; FEMAAdministered Disaster Case Management Intake Form
Posted Date: 2021-06-29T04:00Z

[Federal Register Volume 86, Number 122 (Tuesday, June 29, 2021)]
[Notices]
[Pages 34266-34267]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2021-13869]

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DEPARTMENT OF HOMELAND SECURITY

Federal Emergency Management Agency

[Docket ID: FEMA-2021-0018; OMB No. 1660-NW132]

Agency Information Collection Activities: Proposed Collection; 
Comment Request; FEMA-Administered Disaster Case Management Intake Form

AGENCY: Federal Emergency Management Agency, Department of Homeland 
Security.

ACTION: 60-Day notice of new collection and request for comments.

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SUMMARY: The Federal Emergency Management Agency (FEMA), as part of its 
continuing effort to reduce paperwork and respondent burden, invites 
the general public to take this opportunity to comment on a new 
information collection. In accordance with the Paperwork Reduction Act 
of 1995, this notice seeks comments concerning information collected 
during the intake process for a FEMA-administered Disaster Case 
Management (DCM) program implemented following a major disaster 
declaration.

DATES: Comments must be submitted on or before August 30, 2021.

ADDRESSES: Submit comments at www.regulations.gov under Docket ID FEMA-
2021-0018. Follow the instructions for submitting comments.
    All submissions received must include the agency name and Docket 
ID, and will be posted, without change, to the Federal eRulemaking 
Portal at http://www.regulations.gov, and will include any personal 
information you provide. Therefore, submitting this information makes 
it public. You may wish to read the Privacy and Security Notice that is 
available via a link on the homepage of www.regulations.gov.

FOR FURTHER INFORMATION CONTACT: Rebekah Kennedy, Team Lead, Community 
Services Section, Individual Assistance Division, 
rebekah.kennedy@fema.dhs.gov or (202) 212-1175. You may contact the 
Information Management Division for copies of the proposed collection 
of information at email address: FEMA-Information-Collections-Management@fema.dhs.gov.

SUPPLEMENTARY INFORMATION: Pursuant to Executive Order (E.O.) 12148, as 
amended by E.O. 12673 and E.O. 13286, the President of the United 
States has delegated to the Department of Homeland Security (DHS), 
including FEMA, the authority to provide case management services as 
stated in the Robert T. Stafford Disaster Relief and Emergency 
Assistance Act (Stafford Act), 42 U.S.C. 5189d. Under the Stafford Act, 
FEMA may provide DCM services directly to survivors through financial 
assistance to state, tribal, or local government agencies or qualified 
private organizations. DCM services include identifying and addressing 
disaster-caused unmet needs of survivors through identification of, and 
referrals to, available resources. A disaster-caused unmet need is an 
un-resourced item, support, or assistance that has been assessed and 
verified as necessary for a survivor to recover from a disaster. This 
may include food, clothing, shelter, first aid, emotional and spiritual 
care, household items, home repair, or rebuilding.
    When a case manager speaks to a survivor, they will ask the 
survivor to provide information through a series of questions (data 
elements), as outlined within the intake form. This will allow the case 
manager to better understand the survivor's disaster-caused unmet needs 
and to then assist them with obtaining the resources needed. The 
information gathered within this collection tool is used to determine 
the survivor's disaster-caused unmet needs, to identify what types of 
referrals the case manager may provide, and to decide whether there is 
a need to meet again to address continuing disaster-caused unmet needs. 
Case managers then type the responses to the data elements into their 
proprietary electronic secured case management database.

Collection of Information

    Title: FEMA-Administered Disaster Case Management Intake Form.
    Type of Information Collection: New information collection.
    OMB Number: 1660-NW132.
    FEMA Forms: FF-104-FY-21-146 and FF-104-FY-21-147.
    Abstract: This collection tool will primarily be used as a guide to 
support FEMA-administered DCM case managers by outlining the allowable 
data elements they can collect from survivors on behalf of FEMA. While 
there will be a paper collection tool, the case managers will primarily 
be using the tool as a reference of data elements they can collect, and 
using their own case management database systems to guide the order in 
which the elements are collected. The elements within the tool are used 
to assess, screen, and refer disaster survivors to available resources 
that address their specific disaster-related unmet needs. Case managers 
then take the information from the intake form and manually upload the 
data into their secured case management database.
    Prior to any data collection, survivors will complete and sign a 
FEMA-administered DCM Consent Form, authorizing FEMA, or its agent, to 
collect data from the survivor in order to effectively provide case 
management services.
    Affected Public: Survivors of Presidentially declared major 
disasters where a FEMA-administered Disaster Case Management program is 
implemented.
    Estimated Number of Respondents: 75,000.
    Estimated Number of Responses: 75,000.
    Estimated Total Annual Burden Hours: 48,000 burden hours.
    Estimated Total Annual Respondent Cost: $1,746,240.
    Estimated Respondents' Operation and Maintenance Costs: $0.
    Estimated Respondents' Capital and Start-Up Costs: $0.
    Estimated Total Annual Cost to the Federal Government: $51,640,374.

Comments

    Comments may be submitted as indicated in the ADDRESS caption 
above. Comments are solicited to (a) evaluate whether the proposed data 
collection is necessary for the proper performance of the agency, 
including whether the information shall have practical utility; (b) 
evaluate the accuracy of the agency's estimate of the burden of the 
proposed collection of information, including the validity of the 
methodology and

[[Page 34267]]

assumptions used; (c) enhance the quality, utility, and clarity of the 
information to be collected; and (d) minimize the burden of the 
collection of information on those who are to respond, including 
through the use of appropriate automated, electronic, mechanical, or 
other technological collection techniques or other forms of information 
technology, e.g., permitting electronic submission of responses.

Millicent L. Brown,
Senior Manager, Records Management Branch, Office of the Chief 
Administrative Officer, Mission Support, Federal Emergency Management 
Agency, Department of Homeland Security.
[FR Doc. 2021-13869 Filed 6-28-21; 8:45 am]
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