Direct Temporary Housing Assistance Recertification Worksheet

Direct Housing Assistance Forms

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1660-0138 can be found here:

Documents and Forms

Document Name Document Type
Form FF-104-FY-21-193 ( Direct Temporary Housing Assistance Recertification Worksheet Form and Instruction
FF-104-FY-21-193 ( Direct Temporary Housing Assistance Recertification Work FF-104-FY-21-193 (formerly 009-0-134).pdf usfema.sharepoint.com/sites/ORR/orr_programs/recovery_programs/ia_programs/Pages/IHP-Office-of-Management-and-Budget-(OM Form and Instruction
FF-104-FY-21-193 ( Direct Temporary Housing Assistance Recertification Work FF-104-FY-21-193 (formerly 009-0-134).pdf usfema.sharepoint.com/sites/ORR/orr_programs/recovery_programs/ia_programs/Pages/IHP-Office-of-Management-and-Budget-(OM Form and Instruction

Information Collection (IC) Details

IC Title:	Direct Temporary Housing Assistance Recertification Worksheet	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 206.117

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	FF-104-FY-21-193 (formerly 009-0-134)	Direct Temporary Housing Assistance Recertification Worksheet	FF-104-FY-21-193 (formerly 009-0-134).pdf	https://usfema.sharepoint.com/sites/ORR/orr_programs/recovery_programs/ia_programs/Pages/IHP-Office-of-Management-and-Budget-(OMB)-Forms.aspx	Yes	Yes	Fillable Fileable

Line of Business: Disaster Management

Subfunction: Emergency Response

Privacy Act System of Records
Title: DHS/ALL-008 – Department of Homeland Security Accounts Receivable System of Records	FR Citation: 78 FR 25282

Number of Respondents: 2,900	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	2,900	-2,100	5,000
Annual IC Time Burden (Hours)	967	-700	1,667
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.