DCM Federal Award Application

State, Tribe, and Territory Disaster Case Management Federal Award

Documents and Forms

Document Name Document Type
Form FEMA Form FF-104-F DCM Federal Award Application Form and Instruction
FEMA Form FF-104-F DCM Federal Award Application FF-104-FY-22-204.docx Form and Instruction

Information Collection (IC) Details

IC Title:	DCM Federal Award Application	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 and Instruction	FEMA Form FF-104-FY-22-204	DCM Federal Award Application	FF-104-FY-22-204.docx		Yes	Yes	Fillable Fileable

Line of Business: Disaster Management

Subfunction: Disaster Repair and Restore

Privacy Act System of Records
Title: DHS/FEMA-016 Disaster Case Management (DCM) Files	FR Citation: 87 FR 1171

Number of Respondents: 14	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 50 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	14	14
Annual IC Time Burden (Hours)	280	280
Annual IC Cost Burden (Dollars)	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.