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Direct Temporary Housing Assistance Recertification Worksheet
Direct Housing Assistance Forms
OMB: 1660-0138
IC ID: 216401
OMB.report
DHS/FEMA
OMB 1660-0138
ICR 202312-1660-002
IC 216401
( )
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
View Information Collection (IC)
IC Title:
Direct Temporary Housing Assistance Recertification Worksheet
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Unchanged
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
Federal Enterprise Architecture Business Reference Module
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 New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
2,900
0
0
0
0
2,900
Annual IC Time Burden (Hours)
967
0
0
0
0
967
Annual IC Cost Burden (Dollars)
0
0
0
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.
