Information Collection

Direct Temporary Housing Assistance Temporary Housing Agreement

IC 216403 under ICR 202112-1660-002 · OMB 1660-0138.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FF-104-FY-21-194 ( Direct Temporary Housing Assistance Temporary Housing Agreement	Form and Instruction
Form FF-104-FY-21-194 ( Direct Temporary Housing Assistance Temporary Housing Agreement Direct Temporary Housing Assistance Temporary Housing Agreement	Form and Instruction
FF-104-FY-21-194 ( Direct Temporary Housing Assistance Temporary Housing Ag FF-104-FY-21-194 (formerly 009-0-135).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-21-194 ( Direct Temporary Housing Assistance Temporary Housing Ag FF-104-FY-21-194 (formerly 009-0-135).pdf usfema.sharepoint.com/sites/ORR/orr_programs/recovery_programs/ia_programs/Pages/IHP-Office-of-Management-and-Budget-(OM	Form and Instruction

IC Title:

Direct Temporary Housing Assistance Temporary Housing Agreement

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 44 CFR 206.117

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
Form and Instruction	FF-104-FY-21-194 (formerly 009-0-135)			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 â Department of Homeland Security Accounts Receivable System of Records

FR Citation: 78 FR 25282

Number of Respondents: 2,500

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	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	2,500	-2,500	5,000
Annual IC Time Burden (Hours)	625	-625	1,250
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.

Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].