Information Collection

DCM Federal Award Modification Request

IC 259336 under ICR 202303-1660-003 · OMB 1660-0160.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FEMA Form FF-104-F DCM Federal Award Modification Request	Form and Instruction
Form FEMA Form FF-104-F DCM Federal Award Modification Request DCM Federal Award Modification Request	Form and Instruction
FEMA Form FF-104-F DCM Federal Award Modification Request FEMA Form FF-104-FY-22-206_draft.pdf	Form and Instruction
FEMA Form FF-104-F DCM Federal Award Modification Request FEMA Form FF-104-FY-22-206_draft.pdf	Form and Instruction

IC Title:

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:

table that charts list of 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-22-206				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: 10

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	10	10
Annual IC Time Burden (Hours)	50	50
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.

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