OMB control number
FEMA-Administered Disaster Case Management (DCM)
OMB 1660-0152 · DHS/FEMA.
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 can be found here.
Document Name |
|---|
Form |
Form |
Supplementary Document |
Supplementary Document |
Public Comments |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supporting Statement A |
| Reinstatement without change of a previously approved collection | 2026-02-13 | ||
|
Approved with change |
New collection (Request for a new OMB Control Number) | 2021-12-07 |
FEMA-Administered DCM Intake Form
Federal Enterprise Architecture: Disaster Management - Disaster Repair and Restore
| 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.