Immediate Disaster Case Management Intake Assessment

The primary purpose of the information collection pertains to the implementation of the ACF Office of Human Services Emergency Preparedness and Response's (OHSEPR's) delivery of case management services to individuals and households impacted by a disaster. OHSEPR’s disaster case managers collect information during intake assessments that is utilized to identify a disaster survivor’s unmet needs and connect them with resources. OHSEPR also utilizes this information to target resources and improve its disaster human services operations. The information collection will be used to support ACF/OHSEPR’s goal to quickly identify critical gaps, resources, needs, and services to support State, local and non-profit capacity for disaster case management and to augment and build human service capacity where none exists. All information gathered will be used to (1) provide case management services to survivors and (2) inform the delivery of disaster case management services and programmatic strategies and improvements. The information is collected through an electronic system used by case managers who receive specific training, including use of personal identifying information. The system greatly reduces respondent burden through built-in algorithms that streamlines response options and patterns.

The latest form for Immediate Disaster Case Management Intake Assessment expires 2023-07-31 and can be found here.