Manufactured Housing Operations Forms

Forms and Documents

Document Name	Status
Form FEMA Form 009-0-13 Maintenance Work Order Form	New
Form FEMA Form 009-0-13 Unit Installation Work Order Form	New
Form FEMA Form 009-0-13 Manufactured Housing Unit Inspection Report Form	New
Form FEMA Form 010-0-9 Request for Site Inspection Form	Modified
Form FEMA Form 010-0-10 Landowner's Authorization Ingress-Egress Agreement Form	Modified
Supporting Statement for OMB Collection 1660-0030, Part A.docx Supporting Statement A	2015-06-02
Published Correction 60 Day FRN for OMB Collection 1660-0030, 2-18-2015.pdf Supplementary Document	2015-05-05
SORN, DHS-2013-0029-0001.pdf Supplementary Document	2015-05-28
privacy_PIA_fema_nemis_ia_20120629.pdf Supplementary Document	2015-05-05
PTA, FEMA - Manufactured Housing Operations Forms (1660-0030), 20150430, PRIV Final.pdf Supplementary Document	2015-05-05
Narrative of Changes for OMB Collection 1660-0030.docx Supplementary Document	2015-05-05
44 CFR 206-117.pdf Supplementary Document	2015-05-05
42 USC 5174.pdf Supplementary Document	2015-05-05
Published 30 Day FRN for OMB Collection 1660-0030.pdf Supplementary Document	2015-05-15
Published 60 Day FRN for OMB Collection 1660-0030, 2-9-2015.pdf Supplementary Document	2015-05-05

IC Document Collections

IC ID	Document Title	Status
216408	Maintenance Work Order Form	New
216407	Unit Installation Work Order Form	New
216406	Manufactured Housing Unit Inspection Report Form	New
21091	Request for Site Inspection Form	Modified
181549	Landowner's Authorization Ingress-Egress Agreement Form	Modified

ICR Details

OMB Control No: 1660-0030	ICR Reference No: 201505-1660-002
Status: Historical Active	Previous ICR Reference No: 201311-1660-005
Agency/Subagency: DHS/FEMA	Agency Tracking No:
Title: Manufactured Housing Operations Forms
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 08/21/2015
	Date Received in OIRA: 06/10/2015
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2018	36 Months From Approved	04/30/2017
Responses	25,000	0	10,000
Time Burden (Hours)	4,250	0	1,700
Cost Burden (Dollars)	0	0	0

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Abstract: FEMA's Individual and Households Program provides temporary housing to eligible survivors of federally declared disasters in the form of financial payments for rent assistance. When eligible survivors are unable to make use of rental assistance due to a lack of available housing resources, FEMA may provide direct assistance. Manufactured housing units are a form of direct assistance that FEMA may provide. This information is required to determine whether the infrastructure of a site identified by the survivor supports the installation of the unit. This collection also obtains permission for FEMA and its contractors to place the unit on the property. The property owner certifies that they will not obstruct access to the unit nor will they have a lien placed against the unit for their own debts, thus ensuring they will maintain the property so that FEMA can remove the unit when required.

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Authorizing Statute(s): US Code: 42 USC 5174 Name of Law: The Robert T Stafford Disaster Relief and Emergency Assistance Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 8677	02/18/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 27994	05/15/2015
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 5

IC Title	Form No.	Form Name
Maintenance Work Order	FEMA Form 009-0-130	Maintenance Work Order
Unit Installation Work Order	FEMA Form 009-0-136	Unit Installation Work Order
Request for Site Inspection	FEMA Form 010-0-9	Request for the Site Inspection
Landowner's Authorization Ingress-Egress Agreement	FEMA Form 010-0-10	Landowner's Authorization Ingress-Egress Agreement
Manufactured Housing Unit Inspection Report	FEMA Form 009-0-138	Manufactured Housing Unit Inspection Report

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	25,000	10,000	0	15,000	0	0
Annual Time Burden (Hours)	4,250	1,700	0	2,550	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: For FEMA Forms 010-0-9 and 010-0-10, there is no change in the annual hour burden for each form. However, the increase in burden hours was caused by the addition of three forms (FEMA Forms 009-0-138; 009-0-136; and 009-0-130) completed by contractors whereas the previous two forms are completed by individuals and households. The addition of three forms to this collection caused an increase in sample size or coverage.

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Annual Cost to Federal Government: $2,076,300

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 06/10/2015

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