Manufactured Housing Operations Forms

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form FEMA Form 009-0-13 Maintenance Work Order	Form	Unchanged	Available
Form FEMA Form 009-0-13 Unit Installation Work Order	Form	Unchanged	Available
Form FEMA Form 009-0-13 Manufactured Housing Unit Inspection Report	Form	Unchanged	Available
Form FEMA Form 010-0-9 Request for Site Inspection	Form	Unchanged	Available
Form FEMA Form 010-0-10 Landowner's Authorization Ingress-Egress Agreement	Form	Modified	Available
010-0-10 83C - Spanish Translation.pdf	Justification for No Material/Nonsubstantive Change	Uploaded 2018-04-25	Available

IC Document Collections

Information collection document groups

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

ICR Details

OMB Control No: 1660-0030	ICR Reference No: 201804-1660-004
Status: Historical Inactive	Previous ICR Reference No: 201505-1660-002
Agency/Subagency: DHS/FEMA	Agency Tracking No:
Title: Manufactured Housing Operations Forms
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Improperly submitted	Conclusion Date: 12/12/2018
	Date Received in OIRA: 05/01/2018
Terms of Clearance: While we approve the non-substantive change to include a Spanish-language version of the form, this collection was allowed to expire in August 2018. I cannot approve a change because the collection is no longer active.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date		08/31/2018	12/31/2018
Responses	0	0	25,000
Time Burden (Hours)	0	0	4,250
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

table that charts list of burden

IC Title	Form No.	Form Name
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, FEMA Form 010-010S	Landowner's Authorization Ingress-Egress Agreement ,   Landownders' Authorization Ingress-Esgress Agreement (Spanish)
Manufactured Housing Unit Inspection Report	FEMA Form 009-0-138	Manufactured Housing Unit Inspection Report
Maintenance Work Order	FEMA Form 009-0-130	Maintenance Work Order
Unit Installation Work Order	FEMA Form 009-0-136	Unit Installation Work Order

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

Burden Increase Due to:

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

Burden Reduction Due to:

Short Statement:

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

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

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

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: 05/01/2018

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