Notice2025-15516
Agency Information Collection Activities: Proposed Collection; Comment Request; FEMA Reasonable Accommodation Medical Request Form
Primary source
Metadata and text below are from the Federal Register, a public-domain U.S. government work. Always verify the official published version before relying on it for any legal matter.
Published
August 15, 2025
Issuing agencies
Homeland Security DepartmentFederal Emergency Management Agency
Abstract
The Federal Emergency Management Agency (FEMA), as part of its continuing effort to reduce paperwork and respondent burden, invites the general public to take this opportunity to comment on an existing information collection in use without an OMB control number. In accordance with the Paperwork Reduction Act of 1995, this notice seeks comments concerning FEMA's new instrument to collect information to make informed reasonable accommodation decisions.
Full Text
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<title>Federal Register, Volume 90 Issue 156 (Friday, August 15, 2025)</title>
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[Federal Register Volume 90, Number 156 (Friday, August 15, 2025)]
[Notices]
[Pages 39411-39412]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2025-15516]
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DEPARTMENT OF HOMELAND SECURITY
Federal Emergency Management Agency
[Docket ID: FEMA-2025-0015; OMB No. 1660-NW179]
Agency Information Collection Activities: Proposed Collection;
Comment Request; FEMA Reasonable Accommodation Medical Request Form
AGENCY: Federal Emergency Management Agency, Department of Homeland
Security.
ACTION: 60-Day notice of new collection and request for comments.
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SUMMARY: The Federal Emergency Management Agency (FEMA), as part of its
continuing effort to reduce paperwork and respondent burden, invites
the general public to take this opportunity to comment on an existing
information collection in use without an OMB control number. In
accordance with the Paperwork Reduction Act of 1995, this notice seeks
comments concerning FEMA's new instrument to collect information to
make informed reasonable accommodation decisions.
DATES: Comments must be submitted on or before October 14, 2025.
ADDRESSES: Submit comments at <a href="http://www.regulations.gov">www.regulations.gov</a> under Docket ID FEMA-
2025-0015. Follow the instructions for submitting comments.
All submissions received must include the agency name and Docket
ID, and will be posted, without change, to the Federal eRulemaking
Portal at <a href="http://www.regulations.gov">http://www.regulations.gov</a>, and will include any personal
information you provide. Therefore, submitting this information makes
it public. You may wish to read the Privacy and Security Notice that is
available via a link on the homepage of <a href="http://www.regulations.gov">www.regulations.gov</a>.
[[Page 39412]]
FOR FURTHER INFORMATION CONTACT: Mr. Alejandro Ortiz, Disability
Support Branch Chief, Office of Civil Rights, (202) 813-2511 or
<a href="/cdn-cgi/l/email-protection#a7e6cbc2cdc6c9c3d5c889e8d5d3cedde7c1c2cac689c3cfd489c0c8d1"><span class="__cf_email__" data-cfemail="72331e1718131c16001d5c3d00061b083214171f135c161a015c151d04">[email protected]</span></a>. You may contact the Information
Management Division for copies of the proposed collection of
information at <a href="/cdn-cgi/l/email-protection#e3a5a6aea2ceaa8d858c918e82978a8c8dcea08c8f8f8680978a8c8d90ceae828d8284868e868d97a385868e82cd878b90cd848c95"><span class="__cf_email__" data-cfemail="b2f4f7fff39ffbdcd4ddc0dfd3c6dbdddc9ff1dddeded7d1c6dbdddcc19fffd3dcd3d5d7dfd7dcc6f2d4d7dfd39cd6dac19cd5ddc4">[email protected]</span></a>.
SUPPLEMENTARY INFORMATION: FEMA is making a submission to the Office of
Management and Budget (OMB) for this collection of information
requesting medical documentation from a licensed health care provider
about the functional limitations, duration, and need for a reasonable
accommodation that support an employee or applicant's request for
reasonable accommodation in accordance with the Rehabilitation Act of
1973, 29 CFR part 1614, and Executive Order 13163 on Increasing the
Opportunity for Individuals With Disabilities To Be Employed in the
Federal Government.
Consistent with the law, FEMA managers have a right to request
medical documentation when a disability or need for accommodation is
not known or obvious. The intended respondents include primarily
employees and their respective licensed health care providers but may
also include applicants for FEMA employment. Generally, two individuals
will complete each form, the requestor and the licensed medical
professional. An estimated 2,000 individuals will be requested to fill
out this form annually, and an estimated 232 will respond to the
collection of information.
FEMA managers will use the information gathered to inform decisions
about whether to grant an accommodation and determine together with the
employee in an interactive process what accommodations would most
appropriately address the requestor's functional limitations. The
medical data on this form will be considered confidential and will only
be distributed to those in the organization with a need to know. The
data will be saved in an approved system of records (authorized by the
Department of Homeland Security), which will require an additional
recordkeeping burden of approximately 2 hours per form (including
analyzing the form and saving the form in the approved recordkeeping
system).
Collection of Information
Title: FEMA Reasonable Accommodation Medical Request Form.
Type of Information Collection: New Collection.
OMB Number: 1660-NW179.
FEMA Forms: FEMA Form FF-256-FY-25-100, FEMA Reasonable
Accommodation Medical Request Form.
Abstract: FEMA's new form supports a fair, efficient, and
consistent process for evaluating employee requests for reasonable
accommodations. It ensures that medical information is collected by
license health care providers, helping the agency make informed
decisions. FEMA is streamlining the process by ensuring that all
necessary and relevant information is consistently captured. By
providing a clear and uniform structure, it enhances efficiency for
employees and licensed health care providers, while reducing the
potential for delays caused by incomplete or insufficient submissions
of medical documentation.
Affected Public: Business or other for-profit, and not-for-profit
institutions.
Estimated Number of Respondents: 232.
Estimated Number of Responses: 232.
Estimated Total Annual Burden Hours: 116.
Estimated Total Annual Respondent Cost: $7,901.
Estimated Respondents' Operation and Maintenance Costs: $0.
Estimated Respondents' Capital and Start-Up Costs: $0.
Estimated Total Annual Cost to the Federal Government: $469,728.
Comments
Comments may be submitted as indicated in the ADDRESSES caption
above. Comments are solicited to (a) evaluate whether the proposed data
collection is necessary for the proper performance of the Agency,
including whether the information shall have practical utility; (b)
evaluate the accuracy of the Agency's estimate of the burden of the
proposed collection of information, including the validity of the
methodology and assumptions used; (c) enhance the quality, utility, and
clarity of the information to be collected; and (d) minimize the burden
of the collection of information on those who are to respond, including
through the use of appropriate automated, electronic, mechanical, or
other technological collection techniques or other forms of information
technology, e.g., permitting electronic submission of responses.
Russell R. Bard,
Acting Director for Information Management, Office of the Chief
Administrative Officer, Mission Support, Federal Emergency Management
Agency, Department of Homeland Security.
[FR Doc. 2025-15516 Filed 8-14-25; 8:45 am]
BILLING CODE 9111-19-P
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