Information Collection Request

Direct Housing Assistance Forms

ICR 202112-1660-002 · OMB 1660-0138 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form FF-104-FY-21-113 ( Transportable Temporary Housing Unit Maintenance Work Order Form and Instruction New Available
Form FF-104-FY-21-113 ( Transportable Temporary Housing Unit Maintenance Work Order Form and Instruction New Repair queued
Form FF-104-FY-21-112 ( Transportable Temporary Housing Unit Installation Work Order Form and Instruction New Available
Form FF-104-FY-21-112 ( Transportable Temporary Housing Unit Installation Work Order Form and Instruction New Repair queued
Form FF-104-FY-21-111 ( Transportable Temporary Housing Unit Inspection Report Form and Instruction New Available
Form FF-104-FY-21-111 ( Transportable Temporary Housing Unit Inspection Report Form and Instruction New Repair queued
Form FF-104-FY-21-110-A Autorización del Propietario/Acuerdo de Entrada y Salida Form and Instruction New Available
Form FF-104-FY-21-110 ( Transportable Temporary Housing Unit Landowner’s Authorization Ingress-Egress Agreement Form and Instruction New Available
Form FF-104-FY-21-110 ( Transportable Temporary Housing Unit Landowner's Authorization Ingress-Egress Agreement Form and Instruction New Repair queued
Form FF-104-FY-21-109 ( Transportable Temporary Housing Unit Request for the Site Inspection Form and Instruction New Available
Form FF-104-FY-21-109 ( Transportable Temporary Housing Unit Request for the Site Inspection Form and Instruction New Repair queued
Form FF-104-FY-21-194 ( Direct Temporary Housing Assistance Temporary Housing Agreement Form and Instruction Modified Available
Form FF-104-FY-21-194 ( Direct Temporary Housing Assistance Temporary Housing Agreement Form and Instruction Modified Repair queued
Form FF-104-FY-21-193 ( Direct Temporary Housing Assistance Recertification Worksheet Form and Instruction Modified Available
Form FF-104-FY-21-193 ( Direct Temporary Housing Assistance Recertification Worksheet Form and Instruction Modified Repair queued
Form FF-104-FY-21-191 ( Transportable Temporary Housing Unit Ready for Occupancy Status Form and Instruction Modified Available
Form FF-104-FY-21-191 ( Transportable Temporary Housing Unit Ready for Occupancy Status Form and Instruction Modified Repair queued
Form FF-104-FY-21-192 ( Sales Calculation Worksheet Form and Instruction Modified Available
Form FF-104-FY-21-192 ( Sales Calculation Worksheet Form and Instruction Modified Repair queued
Form FF-104-FY-21-195 ( Commercial Park Unit Pad Requirements – Information Checklist Form and Instruction Modified Available
Form FF-104-FY-21-195 ( Commercial Park Unit Pad Requirements – Information Checklist Form and Instruction Modified Repair queued
NOC - FF-104-FY-21-113_TTHU Maintenance Work Order_REVISED.docx Supplementary Document Uploaded 2021-12-23 Repair queued
NOC - FF-104-FY-21-112_TTHU Installation Work Order_REVISED.docx Supplementary Document Uploaded 2021-12-23 Repair queued
NOC - FF-104-FY-21-111_TTHU Inspection Report_REVISED.docx Supplementary Document Uploaded 2021-12-23 Repair queued
NOC - FF-104-FY-110-A_Autorizacion del Propietario_REVISED.docx Supplementary Document Uploaded 2021-12-23 Repair queued
NOC - FF-104-FY-21-110_Landowners Authorization_REVISED.docx Supplementary Document Uploaded 2021-12-23 Repair queued
NOC - FF-104-FY-21-109_Request for the Site Inspection_REVISED.docx Supplementary Document Uploaded 2021-12-23 Repair queued
NOC - 009-0-137_Unit Pad Requirements_REVISED.docx Supplementary Document Uploaded 2021-12-23 Repair queued
NOC - 009-0-135_Temporary Housing Agreement_REVISED.docx Supplementary Document Uploaded 2021-12-23 Repair queued
NOC - 009-0-134_Recertification Worksheet_REVISED.docx Supplementary Document Uploaded 2021-12-23 Repair queued
NOC - 009-0-129_Ready for Occupancy Status_REVISED.docx Supplementary Document Uploaded 2021-12-23 Repair queued
1660-0138 Published 30-Day Revision FRN - 2021 12 30.pdf Supplementary Document Uploaded 2021-12-30 Repair queued
1660-0138 Published 60-Day Revision FRN - 2021 10 13.pdf Supplementary Document Uploaded 2021-12-06 Repair queued
CFR-2003-title44-vol1-sec206-117.pdf Supplementary Document Uploaded 2021-12-06 Repair queued
Disaster Mitigation Act of 2000 (PL 106-390).pdf Supplementary Document Uploaded 2021-12-06 Repair queued
Stafford Diaster Relief and Emergency Assistance Act (PL 100-707).pdf Supplementary Document Uploaded 2021-12-06 Repair queued
1660-0138 Supporting Statement A - 2021 12 30 clean.docx Supporting Statement A Uploaded 2021-12-30 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
250693 Transportable Temporary Housing Unit Maintenance Work Order Form and Instruction NewTransportable Temporary Housing Unit Maintenance Work Order
250693 Transportable Temporary Housing Unit Maintenance Work Order Form and Instruction New
250692 Transportable Temporary Housing Unit Installation Work Order Form and Instruction NewTransportable Temporary Housing Unit Installation Work Order
250692 Transportable Temporary Housing Unit Installation Work Order Form and Instruction New
250691 Transportable Temporary Housing Unit Inspection Report Form and Instruction NewTransportable Temporary Housing Unit Inspection Report
250691 Transportable Temporary Housing Unit Inspection Report Form and Instruction New
250689 Transportable Temporary Housing Unit Landowner's Authorization Ingress-Egress Agreement Form and Instruction NewAutorización del Propietario/Acuerdo de Entrada y Salida
250689 Transportable Temporary Housing Unit Landowner's Authorization Ingress-Egress Agreement Form and Instruction NewTransportable Temporary Housing Unit Landowner’s Authorization Ingress-Egress Agreement
250689 Transportable Temporary Housing Unit Landowner's Authorization Ingress-Egress Agreement Form and Instruction New
250688 Transportable Temporary Housing Unit Request for the Site Inspection Form and Instruction NewTransportable Temporary Housing Unit Request for the Site Inspection
250688 Transportable Temporary Housing Unit Request for the Site Inspection Form and Instruction New
216403 Direct Temporary Housing Assistance Temporary Housing Agreement Form and Instruction ModifiedDirect Temporary Housing Assistance Temporary Housing Agreement
216403 Direct Temporary Housing Assistance Temporary Housing Agreement Form and Instruction Modified
216401 Direct Temporary Housing Assistance Recertification Worksheet Form and Instruction ModifiedDirect Temporary Housing Assistance Recertification Worksheet
216401 Direct Temporary Housing Assistance Recertification Worksheet Form and Instruction Modified
216400 Transportable Temporary Housing Unit Ready for Occupancy Status Form and Instruction ModifiedTransportable Temporary Housing Unit Ready for Occupancy Status
216400 Transportable Temporary Housing Unit Ready for Occupancy Status Form and Instruction Modified
216399 Sales Calculation Worksheet Form and Instruction ModifiedSales Calculation Worksheet
216399 Sales Calculation Worksheet Form and Instruction Modified
216398 Commercial Park Unit Pad Requirements – Information Checklist Form and Instruction ModifiedCommercial Park Unit Pad Requirements – Information Checklist
216398 Commercial Park Unit Pad Requirements – Information Checklist Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
07/31/2025 36 Months From Approved 07/31/2022
25,900 0 25,000
5,824 0 7,917
0 0 0





Reginfo record details
10
table that charts list of burden
IC Title Form No. Form Name
Commercial Park Unit Pad Requirements – Information Checklist FF-104-FY-21-195 (formerly 009-0-137)
Direct Temporary Housing Assistance Recertification Worksheet FF-104-FY-21-193 (formerly 009-0-134)
Direct Temporary Housing Assistance Temporary Housing Agreement FF-104-FY-21-194 (formerly 009-0-135)
Sales Calculation Worksheet FF-104-FY-21-192 (formerly 009-0-131)
Transportable Temporary Housing Unit Inspection Report FF-104-FY-21-111 (formerly 009-0-138)
Transportable Temporary Housing Unit Installation Work Order FF-104-FY-21-112 (formerly 009-0-136)
Transportable Temporary Housing Unit Landowner's Authorization Ingress-Egress Agreement FF-104-FY-21-110 (formerly 010-0-10), FF-104-FY-21-110-A (formerly 010-0-10S) ,  
Transportable Temporary Housing Unit Maintenance Work Order FF-104-FY-21-113 (formerly 009-0-130)
Transportable Temporary Housing Unit Ready for Occupancy Status FF-104-FY-21-191 (formerly 009-0-129)
Transportable Temporary Housing Unit Request for the Site Inspection FF-104-FY-21-109 (formerly 010-0-9)

table that charts list 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 25,900 25,000 0 900 0 0
Annual Time Burden (Hours) 5,824 7,917 0 -2,093 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No