OMB control number

FEMA-Administered Disaster Case Management (DCM)

OMB 1660-0152 · 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 can be found here.

Latest Forms, Documents, and Supporting Material
Document
Name
Form FEMA Form FF-104-F FEMA-Administered DCM Concent Form (document unavailable)
Form
Form
Supplementary Document
privacy-pia-fema056-adcmp-june2022.pdf (document unavailable)
Supplementary Document
1660-0152 Public Comment FEMA-2025-0047-0002.pdf (document unavailable)
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
Supplementary Document
1660-0152 - Supporting Statement A - 2026 02 11 clean.docx (document unavailable)
Supporting Statement A
OMB Details

FEMA-Administered DCM Intake Form

Federal Enterprise Architecture: Disaster Management - Disaster Repair and Restore

Form FEMA Form FF-104-FY-21-146FEMA-Administered DCM Intake FormPaper OnlyForm

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