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FEMA-Administered DCM Intake Form
FEMA-Administered Disaster Case Management (DCM)
OMB: 1660-0152
IC ID: 250277
OMB.report
DHS/FEMA
OMB 1660-0152
ICR 202602-1660-001
IC 250277
( )
Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
FEMA-Administered DCM Intake Form
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
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-21-146
FEMA-Administered DCM Intake Form
FEMA Form FF-104-FY-21-146-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:
18,450
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Requested
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
18,450
0
0
-26,550
45,000
0
Annual IC Time Burden (Hours)
18,450
0
0
-26,550
45,000
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.
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