Immediate Disaster Case Management Intake Assessment

ICR 201806-0970-004

OMB: 0970-0461

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Removed
Supporting Statement A
2018-11-02
Supplementary Document
2015-06-23
ICR Details
0970-0461 201806-0970-004
Historical Active 201709-0970-005
HHS/ACF OHSEPR
Immediate Disaster Case Management Intake Assessment
Reinstatement with change of a previously approved collection   No
Regular
Approved with change 11/09/2018
Retrieve Notice of Action (NOA) 06/29/2018
Agency will display the OMB Control Number, Expiration Date, and PRA Burden Statement on ECMRS screens by 5/31/19 and will supply screenshots to OIRA Desk Officer demonstrating compliance by that date. If the Agency chooses to extend/revise this ICR, the Agency will also supply screenshots of the ECMRS (or subsequent online system) as collection instruments in future submissions.
  Inventory as of this Action Requested Previously Approved
05/31/2020 36 Months From Approved 03/31/2018
630,000 0 3,500
630,000 0 2,333
0 0 0

The Office of Human Services Emergency Preparedness and Response (OHSEPR), within the Administration for Children and Families (ACF) seeks to improve the collection and storage of client data and optimize transfer of case files to State, Tribal, or Territorial partners upon Immediate Disaster Case Management (IDCM) program closure. The information collection will serve to optimize services delivered to individuals and households impacted by a disaster. In addition, it will better support State/Tribal/Territorial and Federal planning for disaster survivors' human service needs.

US Code: 42 USC 5189d Name of Law: Robert T. Stafford Disaster Relief and Emergency Assistance Act
  
None

Not associated with rulemaking

  83 FR 6852 02/15/2018
83 FR 25463 06/01/2018
No

1
IC Title Form No. Form Name
IDCM Intake Assessment 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1 Senior Services Assessment ,   Access to Behavioral Health Assessment ,   Child and Youth Services Assissement ,   Client Intake Demographic Information ,   Clothing Assessment ,   Family Financial Evaluation ,   Food Assessment ,   Furniture and Appliances Assessment ,   Health Insurance and Access to Health Care ,   Housing Assessment ,   Lanaguage Assessment ,   Legal Referral Services ,   Post-Disaster Financial Assessment ,   Pre-Disaster Financial Assessment ,   Transportation Assessment
Case Session and information collection and assessments in English and Spanish, of Disaster Survivors immediate unmet needs 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 630,000 3,500 0 626,500 0 0
Annual Time Burden (Hours) 630,000 2,333 0 627,667 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
Yes
Miscellaneous Actions
The Spanish language version of the ECMRS was created to support the Hurricane Maria response in the Commonwealth of Puerto Rico. This reasonable accommodation was based on the need to provide services to a vast amount of respondents that did not speak, write, or read English or had limited to no comprehension of the language, or from a cultural standpoint, wanted to be spoken to in the Spanish language. Because the IDCM worker completes the assessments electronically through the ECMRS and the system automates the creation of a disaster recovery plan, translating the assessment forms into Spanish was a necessity. Therefore, this submission is requesting a review of the Spanish language standard assessment forms that supplement the English forms. The assessment questions have been translated in to Spanish and are identical to the English language version. Data points collected in the English and Spanish assessment versions are used for the same identical purpose. There is no difference or change to the electronic completion of assessment forms and automation processing of an IDCM data file within the ECMRS. This way, respondents can be processed through the IDCM program services using Spanish and will receive a Spanish language recovery plan. The addition of these alternate assessment forms in Spanish also provides opportunity for the provision of culturally and linguistically sensitive IDCM services for States where the primary language spoke is Spanish. A recent increase in disaster responses, improved data from the responses to Hurricanes Harvey and Maria, and increased technological efficiencies have prompted ACF to increase the estimated number of respondents from 3,500 to 630,000 and the corresponding burden from 2,333 hours to 630,000 hours. When ACF made its 2015 submission, there was no electronic system for processing intake information. Additionally, the estimate of the burden underestimated the time necessary for hand processing the intake information. With the move to the electronic system, ACF is able to provide relief services to a much larger population in a much more efficient manner. The increased service provision and improved efficiency, in combination with the improved data and the recent increase in disaster responses is the source of the increase in the burden associated with this submission.

$18,459,000
No
    No
    No
No
No
No
Uncollected
Robert Sargis 202 690-7275 rsargis@acf.hhs.gov

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
06/29/2018


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