Information Collection

Sales Calculation Worksheet

IC 216399 under ICR 202312-1660-002 · OMB 1660-0138.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FF-104-FY-21-192 ( Sales Calculation Worksheet	Form and Instruction
FF-104-FY-21-192 ( Sales Calculation Worksheet FF-104-FY-21-192 (formerly 009-0-131).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-21-192 ( Sales Calculation Worksheet FF-104-FY-21-192 (formerly 009-0-131).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:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

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-21-192 (formerly 009-0-131)	Sales Calculation Worksheet	FF-104-FY-21-192 (formerly 009-0-131).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 â Department of Homeland Security Accounts Receivable System of Records

FR Citation: 78 FR 25282

Number of Respondents: 1,000

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	Previously Approved
Annual Number of Responses for this IC	1,000	1,000
Annual IC Time Burden (Hours)	500	500
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.