Information Collection

Transportable Temporary Housing Unit Landowner's Authorization Ingress-Egress Agreement

IC 250689 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⚠️ Notice: This information collection may be referencing outdated material.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-21-110 ( Transportable Temporary Housing Unit Landowner's Authorization Ingress-Egress Agreement	Form and Instruction
FF-104-FY-21-110 ( Transportable Temporary Housing Unit Landowner’s Authori FF-104-FY-21-110 (formerly 010-0-10).pdf	Form and Instruction
FF-104-FY-21-110 ( Transportable Temporary Housing Unit Landowner’s Authori FF-104-FY-21-110 (formerly 010-0-10).pdf	Form and Instruction
FF-104-FY-21-110-A Autorización del Propietario/Acuerdo de Entrada y Salida FF-104-FY-21-110-A (formerly 010-0-10S).pdf	Form and Instruction
FF-104-FY-21-110-A Autorización del Propietario/Acuerdo de Entrada y Salida FF-104-FY-21-110-A (formerly 010-0-10S).pdf	Form and Instruction

IC Title:

Transportable Temporary Housing Unit Landowner's Authorization Ingress-Egress Agreement

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

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-21-110 (formerly 010-0-10)	Transportable Temporary Housing Unit Landownerâs Authorization Ingress-Egress Agreement	FF-104-FY-21-110 (formerly 010-0-10).pdf		Yes	Yes	Fillable Fileable
Form and Instruction	FF-104-FY-21-110-A (formerly 010-0-10S)	AutorizaciÃ³n del Propietario/Acuerdo de Entrada y Salida	FF-104-FY-21-110-A (formerly 010-0-10S).pdf		Yes	Yes	Fillable Fileable

Line of Business: Disaster Management

Subfunction: Emergency Response

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,100

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
Annual Number of Responses for this IC	2,100	2,100
Annual IC Time Burden (Hours)	350	350
Annual IC Cost Burden (Dollars)	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.