NOC 009-0-1T (English)

Narrative of Changes Table

The purpose of the Narrative of Changes Table is to demonstrate changes to a collection since the previous approval.

Collection Title: Disaster Assistance Registration

OMB Control No.: 1660 – 0002

Current Expiration Date: 8/31/2022

Collection Instrument(s):

FEMA Form 009-0-1T (English) Tele-Registration, Disaster Assistance Registration

Location	Current version	Proposed Revision	Justification
Language Needs/Preferences screen (new screen immediately following Personal Information screen)	N/A	Do you have a disability or language need that requires an accommodation to interact with FEMA staff and/or access FEMA programs?   Yes No   (If Yes) What do you need? (please select all that apply) Sign language interpreter CART (Communication Access Real-time Translation) (in person or remote) Text messages to communicate Assistive listening device Braille Large print Face-to-face assistance (reader or writer) Wheelchair access Language other than English Spanish Arabic Haitian Creole Russian Vietnamese Samoan Mandarin Other (If selected, entry box will generate) Other (If selected, Enter Language Preference entry box generates)	Accommodation question added to capture applicants with disabilities or people with limited English proficiency who may self-identify and need additional assistance accessing FEMA programs
Language Needs/Preferences screen Help Text	N/A	ACCOMMODATION/ACCESS ASSISTANCE Accommodation or assistance may include, but is not limited to, sign language interpreter, Braille, large print, accessible electronic format, or materials in a language other than English. FEMA programs may include, but are not limited to, your home inspection, town hall meetings, access to a Disaster Recovery Centers, or accessible temporary housing (if eligible).	Help text added so applicant can better understand what is meant by “accommodation” and “FEMA Programs” if necessary.
Other Needs screen (new screen immediately following Language Needs/Preferences screen)	N/A	Do you or anyone in your household have a disability that affects your ability to perform activities of daily living or requires an assistive device? (NOTE: An assistive device can include wheelchair, walker, cane, hearing aid, communication device, service animal, personal care attendant, oxygen, dialysis, etc.) Yes No (If Yes) Please select from the following the disability that affects your ability to perform activities of daily living (select all that apply): Mobility Cognitive/Developmental Disabilities/Mental Health Hearing or Speech Vision Self-Care Independent Living Other (If selected, entry box generates) Prefer Not to Answer Did you have any disability-related assistive devices or medically required equipment/supplies/support services damaged, destroyed, lost, or disrupted because of the disaster? Yes No (If YES) What was damaged, destroyed, lost, or disrupted because of the disaster? (select all that apply) Power or manual wheelchair Scooter Prosthesis Oxygen or respiratory equipment Medical equipment that depends on electricity Assistive technology device for hearing or vision, such as hearing aid, screen enlarging software, etc. Personal-care devices such as shower bench, bedside commode, Hoyer lift, or lift chair Environmental control or alerting devices Adaptive van or vehicle Walker, cane, or crutches Medication or medical supplies including adult diapers and catheters Service animal Personal assistance services/in-home care Dialysis Other (If selected, generate entry box)	Disability-related needs questions combined into one screen and relocated closer to the beginning of the RI script. Response options updated to provide clarity/more inclusive options.
Disaster Related Losses Screen	Did you have any of the following losses? Was your home damaged by the disaster? Yes No Unknown Was any of your personal property not including vehicles damaged by the disaster? Yes No Unknown Have you been without your essential utilities for 5 consecutive days or more? Yes No Were all of the vehicles in your household made undrivable due to the disaster? Yes No As a result of the disaster, do you have any new or additional child care costs OR has your household income been reduced, increasing your financial burden to pay for child care? Yes No Did you or anyone in your household use any type of mobility or assistive device such as a wheelchair, walker, cane, hearing aid, communication device, service animal, personal care attendant, or other similarly medically-related devices or services that assist with disabilities or activities of daily living?  Yes No	Did you have any of the following losses? Was your home damaged by the disaster? Yes No Unknown Was any of your personal property, not including vehicles, damaged by the disaster? Yes No Unknown Have you been without your essential utilities (electricity, gas, water) for 5 consecutive days or more? Yes No Were all of the vehicles in your household made undrivable due to the disaster? Yes No As a result of the disaster, do you have any new or additional child care costs OR has your household income been reduced, making it financially harder to pay for child care? Yes No	Removed disability-related question from this screen to combine into one screen.
Special Needs General Categories Screen	You stated that you or a household member has a disability.  Please choose from the following: Mobility Yes No Cognitive/Developmental Disabilities/Mental Health Yes No Hearing or Speech Yes No Vision Yes No Other Yes No (If Yes, generate entry box)	Remove screen	Screen removed to combine disability-related needs questions into one screen
Special Needs Specific Categories Screen	Based on the general categories of disability you have given, please select from the following list of specific categories related to those disabilities that have been affected by the disaster. Mobility Wheelchair Walker Cane Lift Bath Chair Personal Care Attendant Cognitive/Developmental Disabilities/Mental Health Personal Care Attendant Other (enter text) Hearing or Speech Hearing Aid Sign Language Interpreter TDD/TTY Text messaging and/or other communication device Vision Glasses White Cane Service Animal Braille or other accessible communication device Magnifier Other Other (If selected, generate entry box)	Remove screen	Screen removed to combine disability-related needs questions into one screen