Information Collection

Direct Temporary Housing Assistance Recertification Worksheet

IC 216401 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-21-193 ( Direct Temporary Housing Assistance Recertification Worksheet	Form and Instruction
Form FF-104-FY-21-193 ( Direct Temporary Housing Assistance Recertification Worksheet 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

IC Title:

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:

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-21-193 (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

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: 2,900

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	2,900	2,900
Annual IC Time Burden (Hours)	967	967
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.