OMB control number
FEMA-Administered Disaster Case Management (DCM)
OMB 1660-0152 ยท DHS/FEMA.
OMB 1660-0152
This collection tool will primarily be used as a guide to support FEMA-administered Disaster Case Management (DCM) case managers by outlining the allowable data elements they can collect from survivors on behalf of FEMA. While there will be a paper collection tool, the case managers will primarily be using the tool as a reference of data elements they can collect, and using their own case management database systems to guide the order in which the elements are collected. The elements within the tool are used to assess, screen, and refer disaster survivors to available resources that address their specific disaster-related unmet needs. Case managers then take the information from the intake form and manually upload the data into their secured case management database. Prior to any data collection, survivors will complete and sign a FEMA-administered DCM Consent Form, authorizing FEMA, or its agent, to collect data from the survivor in order to effectively provide case management services.
The latest form for FEMA-Administered Disaster Case Management (DCM) expires 2029-04-30 and is listed under ICR 202602-1660-001.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form FEMA Form FF-104-F FEMA-Administered DCM Concent Form (document unavailable) | Form |
 Form FEMA Form FF-104-F FEMA-Administered DCM Intake Form | Form |
| SORN, DHS-FEMA-016 Disaster Case Management (DCM) Files (87 FR 1171).pdf | Supplementary Document |
| privacy-pia-fema056-adcmp-june2022.pdf | Supplementary Document |
| 1660-0152 Public Comment FEMA-2025-0047-0002.pdf | Public Comments |
| PTA, FEMA - FEMA-Administered Disaster Case Management Consent Form, 20230427, PRIV Final.pdf (document unavailable) | Supplementary Document |
| PTA, FEMA - FEMA-Administered Disaster Case Management Intake Form, 20230501, PRIV Final.pdf (document unavailable) | Supplementary Document |
| 1660-0152 - Published 30-Day Reinstatement FRN - 2026 02 11.pdf (document unavailable) | Supplementary Document |
| 1660-0152 - Published 60-Day Reinstatement FRN - 2025 08 01.pdf (document unavailable) | Supplementary Document |
| USCODE-2019-title42-chap68-subchapIV-sec5189d.pdf | Supplementary Document |
 1660-0152 - Supporting Statement A - 2026 02 11 clean.docx (document unavailable) | Supporting Statement A |
 FEMA-Administered DCM Consent Form |
Form |
| FEMA-Administered DCM Consent Form |
Form |
| FEMA-Administered DCM Intake Form |
Form |
| FEMA-Administered DCM Intake Form |
Form |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202602-1660-001 | Reinstatement without change of a previously approved collection | 2026-02-13 | ||
| 202111-1660-002 | New collection (Request for a new OMB Control Number) | 2021-12-07 | Approved with change |
OMB Details
FEMA-Administered DCM Intake Form
Federal Enterprise Architecture: Disaster Management - Disaster Repair and Restore
| Form | Name | Electronic access | Type |
|---|---|---|---|
| Form FEMA Form FF-104-FY-21-146 | FEMA-Administered DCM Intake Form | Paper Only | Form |
Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.