Download:
pdf |
pdfPAPERWORK REDUCTION ACT
CHANGE WORKSHEET
Agency/Subagency
OMB control number
Department of Homeland Security (DHS) / Federal Emergency Management Agency (FEMA)
1
6
6
0
0
1
3
8
Enter only items that change
Current record
New record
Agency form number(s)
Not applicable
FEMA Form FF-104-FY-21-194-A
(Spanish)
Annual reporting and recordkeeping hour
burden
Number of respondents
0
0
Total annual responses
0
0
0 %
0%
0
0
Percent of these responses
collected electronically
Total annual hours
Difference
0
Explanation of difference
Program change
0
Adjustment
0
Annual reporting and recordkeeping cost
burden (in thousands of dollars)
Total annualized Capital/Startup costs
0.00
0.00
Total annual costs (O&M)
0.00
0.00
Total annualized cost requested
0.00
0.00
Difference
0.00
Explanation of difference
Program change
0.00
Adjustment
0.00
Other changes**
This new instrument is simply a translation of the current Direct Temporary Housing Assistance Temporary Housing Agreement, FEMA Form
FF-104-FY-21-194 (formerly 009-0-135) into the Spanish language.
Signature of Senior Official or designee:
BRIAN G THOMPSON
Date:
For OIRA Use
Digitally signed by BRIAN G
THOMPSON
Date: 2023.12.18 14:58:39 -05'00'
**This form cannot be used to extend an expiration date.
OMB FORM 83-C, 10/95
Adobe Professional 7.0
| File Type | application/pdf |
| File Title | 1660-0138 - Change Request for Spanish Translation - 2023 12 15.pdf |
| Author | SalBan, Bianca |
| File Modified | 2023-12-18 |
| File Created | 2023-12-18 |