NORTH CAROLINA DEPARTMENT OF PUBLIC SAFETY
DIVISION OF EMERGENCY MANAGEMENT
AUTHORITY: The North Carolina Department of Public Safety, Division of Emergency Management (NCEM), collects, uses, maintains, retrieves, and disseminates any records for recovery programs under the authority of the North Carolina Emergency Management Act, Chapter 166A of the North Carolina General Statutes.
The Federal Emergency Management Agency (FEMA) collects, uses, maintains, retrieves, and disseminates the records within this system under the authority of the Robert T. Stafford Disaster Relief and Emergency Assistance Act (the Stafford Act), Pub. L. No. 93-288, as amended (42 U.S.C. §§ 5121-5207); 6 U.S.C. §§ 776-77, 795; the Debt Collection Improvement Act of 1996, 31 U.S.C. §§ 3325(d), 7701(c)(1); the Government Performance and Results Act, Pub. L. No. 103-62, as amended; Reorganization Plan No. 3 of 1978; Executive Order 13411, “Improving Assistance for Disaster Victims,” August 29, 2006; and Executive Order 12862 “Setting Customer Service Standards,” September 11, 2003, as described in this notice.
PRINCIPAL PURPOSE(S): This information is being collected for the primary purpose of determining eligibility and administrating financial assistance under a Gubernatorial or Presidentially-declared disaster. Additionally, information may be reviewed internally within NCEM, the Small Business Administration (SBA) or FEMA for quality assurance purposes and used to assess customer service to disaster assistance applicants. NCEM, SBA or FEMA collects the social security number (SSN) to verify an applicant's identity and to prevent a duplication of benefits.
ROUTINE USE(S): FEMA may share the personal information of U.S. citizens and lawful permanent residents contained in their disaster assistance files outside of FEMA as generally permitted under 5 U.S.C. § 552a(b) of the Privacy Act of 1974, as amended, including pursuant to routine uses published in DHS/FEMA-008 Disaster Recovery Assistance Files Notice of System of Records, 78 Fed. Reg. 25,282 (Apr.30, 2013) and upon written request, by agreement or as required by law. FEMA may share the personal information of non-citizens, as described in the following Privacy Impact Assessments: DHS/ FEMA/PIA-012(a) Disaster Assistance Improvement Plan (DAIP) (Nov. 16, 2012); DHS/FEMA/PIA-027 National Emergency Management Information System- Individual Assistance (NEMIS-IA) Web-based and Client-based Modules (June 29, 2012); DHS/FEMA/PIA-015 Quality Assurance Recording System (Aug. 15, 2014). NCEM, SBA or FEMA may share your personal information with federal, state, tribal, local agencies and voluntary organizations to enable individuals to receive additional disaster assistance, to prevent duplicating your benefits, or for NCEM, SBA or FEMA to recover disaster funds received erroneously, spent inappropriately, or through fraud.
The personal data shared with NCEM in this Agreement may not be public record pursuant to N.C.Gen. Stat. § 132-1.10. Furthermore, the information shall be protected in accordance with the Privacy Act of 1974.
CONSEQUENCES OF FAILURE TO PROVIDE INFORMATION: The disclosure of information, including the SSN, on this form is voluntary; however, failure to provide the information requested may delay or prevent the individual from receiving disaster assistance.