Information Collection List

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