Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Commercial Park Unit Pad Requirements – Information Checklist Modified 2900 483 0 Form and Instruction FF-104-FY-21-195 (formerly 009-0-137)
Direct Temporary Housing Assistance Recertification Worksheet Modified 2900 967 0 Form and Instruction FF-104-FY-21-193 (formerly 009-0-134)
Direct Temporary Housing Assistance Temporary Housing Agreement Modified 2500 625 0 Form and Instruction FF-104-FY-21-194 (formerly 009-0-135)
Sales Calculation Worksheet Modified 1000 500 0 Form and Instruction FF-104-FY-21-192 (formerly 009-0-131)
Transportable Temporary Housing Unit Inspection Report New 2900 483 0 Form and Instruction FF-104-FY-21-111 (formerly 009-0-138)
Transportable Temporary Housing Unit Installation Work Order New 2900 483 0 Form and Instruction FF-104-FY-21-112 (formerly 009-0-136)
Transportable Temporary Housing Unit Landowner's Authorization Ingress-Egress Agreement New 2100 350 0 Form and Instruction FF-104-FY-21-110 (formerly 010-0-10)
Form and Instruction FF-104-FY-21-110-A (formerly 010-0-10S)
Transportable Temporary Housing Unit Maintenance Work Order New 2900 483 0 Form and Instruction FF-104-FY-21-113 (formerly 009-0-130)
Transportable Temporary Housing Unit Ready for Occupancy Status Modified 2900 967 0 Form and Instruction FF-104-FY-21-191 (formerly 009-0-129)
Transportable Temporary Housing Unit Request for the Site Inspection New 2900 483 0 Form and Instruction FF-104-FY-21-109 (formerly 010-0-9)
Total burden requested under this ICR: 25900 5824 0  
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