OMB control number

State, Tribe, and Territory Disaster Case Management Federal Award

OMB 1660-0160 · DHS/FEMA.

OMB 1660-0160

This collection tool will primarily be used as a guide to support state, tribal, and territorial governments (STTs) when applying, requesting a modification, or appealing a FEMA determination for Disaster Case Management Federal funding to supplement and expand their existing capacity. In extraordinary circumstances, the STT may request that FEMA provide an opportunity for a local government agency or qualified private organization to apply for the DCM Federal Award directly. Once awarded, the STT will utilize the monthly reporting form to report aggregate data about the performance of their program. All information collected within these forms will be submitted to FEMA by the STT. When applying for the STT DCM Federal award, the STT will respond to the questions within the application form, developing an overall assessment that details activities that have occurred since the start of the disaster; what resources and capabilities are currently available or anticipated to be available; and the estimated population to be served. The STT will also outline the implementation of their program by detailing their service delivery and work plans. If the STT is awarded a STT DCM Federal award, the STT may need to modify their initial award. In doing so, the STT will utilize the Request for Modification collection instrument to answer questions that will assist them in justifying the need to request additional time or funding to further support their program implementation. If the STT chooses to appeal a FEMA determination, the STT will outline the purpose for their submission and provide new, justifying information that was not included in their initial or modification request by using the Request to Appeal collection instrument. For each of the three forms mentioned above, the STT may also need to request initial or supplemental funding by using the Budget Workbook. This collection instrument enables the STT to outline line items that are necessary to implement the program, including personnel, travel, supplies, and contractual items among others. The STT can use this workbook to detail the request at all levels in program implementation so that it can calculate the total amount of funding needed. Once awarded, the STT will report aggregate data on all aspects of program implementation, including staffing, caseloads, survivor/client needs, and the types of referrals being made, as well as challenges faced during the month and best practices/lessons learned. This information assists FEMA in confirming the effectiveness of the program, providing technical assistance to ensure all survivors are able to receive DCM services, and to continuously evolve programmatic implementation through the collection of best practices/lessons learned

The latest form for State, Tribe, and Territory Disaster Case Management Federal Award expires 2027-02-28 and is listed under ICR 202303-1660-003.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form FEMA Form FF-104-F DCM Federal Award Budget WorkbookForm and Instruction
Form FEMA Form FF-104-F DCM Federal Award Monthly ReportForm and Instruction
Form FEMA Form FF-104-F DCM Federal Award Request for AppealForm and Instruction
Form FEMA Form FF-104-F DCM Federal Award Modification RequestForm and Instruction
Form FEMA Form FF-104-F DCM Federal Award ApplicationForm and Instruction
1660-NW153 Published New 30-Day FRN 2023 04 17.pdf Supplementary Document
1660-NW153 Published New 60-Day FRN 2022 09 19.pdf Supplementary Document
PN, DCM Application Appeal and Modification Forms, 20230216, PRIV Final.pdf Supplementary Document
privacy-pia-fema056-adcmp-june2022.pdf Supplementary Document
privacy-pia-fema-gmm-july2018.pdf Supplementary Document
privacy-pia-fema-049-ia-january2018.pdf Supplementary Document
privacy-pia-fema013-gmp-appendixupdate-march2020.pdf Supplementary Document
SORN DHS-FEMA-016 Disaster Case Management (DCM) Files (87 FR 1171).pdf Supplementary Document
SORN DHS-FEMA-008 Disaster Recovery Assistance Files (78 FR 25282).pdf Supplementary Document
USCODE-2019-title42-chap68-subchapIV-sec5189d.pdf Supplementary Document
1660-NW153 - Supporting Statement A - 2023 04 17 clean.docxSupporting Statement A
DCM Federal Award Budget Workbook Form and Instruction
DCM Federal Award Monthly Report Form and Instruction
DCM Federal Award Request for Appeal Form and Instruction
DCM Federal Award Modification Request Form and Instruction
DCM Federal Award Application Form and Instruction

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202303-1660-003 New collection (Request for a new OMB Control Number) 2023-06-06 Approved with change

OMB Details

DCM Federal Award Application

Federal Enterprise Architecture: Disaster Management - Disaster Repair and Restore

Information collection instruments
FormNameElectronic accessType
Form FEMA Form FF-104-FY-22-204DCM Federal Award ApplicationFillable FileableForm and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.