Information Collection

Individual and Households Program Application for Continued Temporary Housing Assistance

IC 185595 under ICR 202503-1660-004 · OMB 1660-0061.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FEMA Form FF-104-F Individual and Households Program Application for Continued Temporary Housing Assistance	Form and Instruction
Form FEMA Form FF-104-F Application for Continued Temporary Housing Assistance (Request for Continued Asisstance) Individual and Households Program Application for Continued Temporary Housing Assistance	Form and Instruction
FEMA Form FF-104-F Application for Continued Temporary Housing Assistance ( FEMA Form FF-104-FY-21-115_DRAFT.pdf	Form and Instruction
FEMA Form FF-104-F Application for Continued Temporary Housing Assistance ( FEMA Form FF-104-FY-21-115_DRAFT.pdf	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 206.114

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	FEMA Form FF-104-FY-21-115 (formerly 010-0-12)				Yes	No	Fillable Printable

Line of Business: Disaster Management

Subfunction: Disaster Repair and Restore

Privacy Act System of Records

Title: DHS/FEMA 008 Disaster Recovery Assistance Files

FR Citation: 78 FR 25282

Number of Respondents: 13,110

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	52,440	52,440
Annual IC Time Burden (Hours)	21,852	21,852
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.

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