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FEMA-Administered DCM Consent Form
FEMA-Administered Disaster Case Management (DCM)
OMB: 1660-0152
IC ID: 250278
OMB.report
DHS/FEMA
OMB 1660-0152
ICR 202111-1660-002
IC 250278
( )
Documents and Forms
Document Name
Document Type
Form FEMA Form FF-104-F
FEMA-Administered DCM Consent Form
Form
FEMA Form FF-104-F FEMA-Administered DCM Concent Form
FEMA Form FF-104-FY-21-147-DRAFT.pdf
Form
FEMA Form FF-104-F FEMA-Administered DCM Concent Form
FEMA Form FF-104-FY-21-147-DRAFT.pdf
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
FEMA-Administered DCM Consent Form
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
FEMA Form FF-104-FY-21-147
FEMA-Administered DCM Concent Form
FEMA Form FF-104-FY-21-147-DRAFT.pdf
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Disaster Management
Subfunction:
Disaster Repair and Restore
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
30,000
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
30,000
0
30,000
0
0
0
Annual IC Time Burden (Hours)
3,000
0
3,000
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
