Immediate Disaster Case Management Intake Assessment

Immediate Disaster Case Management Intake Assessment

OMB: 0970-0461

IC ID: 231878

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Document Name
Document Type
Other-Multiple Forms
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Immediate Disaster Case Management Intake Assessment
 
No Modified
 
Required to Obtain or Retain Benefits
 
44 CFR Chapter I, Subchapter D 44 CFR 206.8 44 CFR 206.208(c)(2) 6 CFR 5 44 CFR 206.191 44 CFR 206.64 44 CFR 206.113  (To search for a specific CFR, visit the Code of Federal Regulations.)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Multiple Forms ECMRS Paper Forms 20181227 new PRA Statement.docx Yes Yes Fillable Fileable

Community and Social Services Social Services

 

33,489 0
   
Individuals or Households
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 11,163 0 0 -618,837 0 630,000
Annual IC Time Burden (Hours) 11,163 0 0 -618,837 0 630,000
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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