Information Collection

Request for Continued Assistance

IC 185595 under ICR 201207-1660-001 · OMB 1660-0061.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1660-0061 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FEMA Form 010-0-12 Application for Continued Temporary Housing Assistance (Request for Continued Asisstance) Request for Continued Assistance	Form and Instruction
44 CFR 206.114.pdf	Other-Regulation
FEMA Form 010-0-12 Application for Continued Temporary Housing Assistance ( FEMA Form 010-0-12, 8-30-2011.pdf	Form and Instruction

IC Title:

Request for Continued Assistance

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 44 CFR 206.114

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Regulation					No		Paper Only
Form and Instruction	FEMA Form 010-0-12				Yes	No	Fillable Printable

Line of Business: Disaster Management

Subfunction: Disaster Repair and Restore

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 76,640

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	306,560	-13,440	320,000
Annual IC Time Burden (Hours)	306,560	-13,440	320,000
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
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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