Notice2026-02685
Agency Information Collection Activities: Submission for OMB Review, 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
February 11, 2026
Issuing agencies
Homeland Security DepartmentFederal Emergency Management Agency
Abstract
The Federal Emergency Management Agency (FEMA) will submit the information collection abstracted below to the Office of Management and Budget (OMB) for review and clearance in accordance with the requirements of the Paperwork Reduction Act of 1995. FEMA 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 requirements of 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 91 Issue 28 (Wednesday, February 11, 2026)</title>
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[Federal Register Volume 91, Number 28 (Wednesday, February 11, 2026)]
[Notices]
[Pages 6236-6237]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2026-02685]
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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: Submission for OMB
Review, Comment Request; FEMA Reasonable Accommodation Medical Request
Form
AGENCY: Federal Emergency Management Agency, Department of Homeland
Security.
ACTION: 30-Day Notice of New Collection and Request for Comments.
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SUMMARY: The Federal Emergency Management Agency (FEMA) will submit the
information collection abstracted below to the Office of Management and
Budget (OMB) for review and clearance in accordance with the
requirements of the Paperwork Reduction Act of 1995. FEMA 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 requirements of 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 March 12, 2026.
ADDRESSES: Written comments and recommendations for the proposed
information collection should be sent within 30 days of publication of
this notice to <a href="http://www.reginfo.gov/public/do/PRAMain">www.reginfo.gov/public/do/PRAMain</a>. Find this particular
information collection by selecting ``Currently under 30-day Review--
Open for Public Comments'' or by using the search function.
FOR FURTHER INFORMATION CONTACT: Requests for additional information or
copies of the information collection should be made to Director,
Information Management Division, 500 C Street SW, Washington, DC 20472,
email address FEMA-Information-Collections-
[[Page 6237]]
<a href="/cdn-cgi/l/email-protection" class="__cf_email__" data-cfemail="9dd0fcf3fcfaf8f0f8f3e9ddfbf8f0fcb3f9f5eeb3faf2eb">[email protected]</a> or Mr. Michael Butkovich, Senior Director,
Office of the Chief Administrative Officer, Integration and
Coordination Division, (202) 919-1589 or
<a href="/cdn-cgi/l/email-protection#226f4b414a43474e0c605756494d544b414a6244474f430c464a510c454d54"><span class="__cf_email__" data-cfemail="165b7f757e77737a385463627d79607f757e5670737b7738727e6538717960">[email protected]</span></a>.
SUPPLEMENTARY INFORMATION: FEMA is making a submission to 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 two (2) hours per form (including
analyzing the form and saving the form in the approved recordkeeping
system).
This proposed information collection previously published in the
Federal Register on August 15, 2025, at 90 FR 39411 with a 60-day
public comment period. No comments were received. The purpose of this
notice is to notify the public that FEMA will submit the information
collection abstracted below to OMB for review and clearance.
Collection of Information
Title: FEMA Reasonable Accommodation Medical Request Form
Type of Information Collection: Existing information collection in
use without an OMB control number.
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.
Nigel S. Allicock,
Records Management Branch Chief, Office of the Chief Administrative
Officer, Mission Support, Federal Emergency Management Agency,
Department of Homeland Security.
[FR Doc. 2026-02685 Filed 2-10-26; 8:45 am]
BILLING CODE 9111-19-P
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</html>Indexed from Federal Register on February 11, 2026.
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