View Information Collection Request (ICR) Package
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Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View ICR - OIRA Conclusion
OMB Control No:
0970-0461
ICR Reference No:
201806-0970-004
Status:
Historical Active
Previous ICR Reference No:
201709-0970-005
Agency/Subagency:
HHS/ACF
Agency Tracking No:
OHSEPR
Title:
Immediate Disaster Case Management Intake Assessment
Type of Information Collection:
Reinstatement with change of a previously approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved with change
Conclusion Date:
11/09/2018
Retrieve Notice of Action (NOA)
Date Received in OIRA:
06/29/2018
Terms of Clearance:
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
Expiration Date
05/31/2020
36 Months From Approved
03/31/2018
Responses
630,000
0
3,500
Time Burden (Hours)
630,000
0
2,333
Cost Burden (Dollars)
0
0
0
Abstract:
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.
Authorizing Statute(s):
US Code:
42 USC 5189d
Name of Law: Robert T. Stafford Disaster Relief and Emergency Assistance Act
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Not associated with rulemaking
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
83 FR 6852
02/15/2018
30-day Notice:
Federal Register Citation:
Citation Date:
83 FR 25463
06/01/2018
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
1
IC Title
Form No.
Form Name
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
IDCM Intake Assessment
1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1
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
,
Senior Services Assessment
,
Transportation Assessment
ICR Summary of Burden
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
Burden increases because of Program Change due to Agency Discretion:
Yes
Burden Increase Due to:
Miscellaneous Actions
Burden decreases because of Program Change due to Agency Discretion:
Yes
Burden Reduction Due to:
Miscellaneous Actions
Short Statement:
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.
Annual Cost to Federal Government:
$18,459,000
Does this IC contain surveys, censuses, or employ statistical methods?
No
Does this ICR request any personally identifiable information (see
OMB Circular No. A-130
for an explanation of this term)? Please consult with your agency's privacy program when making this determination.
No
Does this ICR include a form that requires a Privacy Act Statement (see
5 U.S.C. §552a(e)(3)
)? Please consult with your agency's privacy program when making this determination.
No
Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]?
No
Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?
No
Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)?
No
Is this ICR related to the Pandemic Response?
Uncollected
Agency Contact:
Robert Sargis 202 690-7275 rsargis@acf.hhs.gov
Common Form ICR:
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:
(a) It is necessary for the proper performance of agency functions;
(b) It avoids unnecessary duplication;
(c) It reduces burden on small entities;
(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
(f) It indicates the retention periods for recordkeeping requirements;
(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
(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;
(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
(i) It uses effective and efficient statistical survey methodology (if applicable); and
(j) It makes appropriate use of information technology.
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.
Certification Date:
06/29/2018
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