View Information Collection Request (ICR) Package
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Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View ICR - OIRA Conclusion
OMB Control No:
1660-0138
ICR Reference No:
202312-1660-002
Status:
Historical Active
Previous ICR Reference No:
202112-1660-002
Agency/Subagency:
DHS/FEMA
Agency Tracking No:
Spanish Change Request
Title:
Direct Housing Assistance Forms
Type of Information Collection:
No material or nonsubstantive change to a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
01/29/2024
Retrieve Notice of Action (NOA)
Date Received in OIRA:
12/19/2023
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
07/31/2025
07/31/2025
07/31/2025
Responses
25,900
0
25,900
Time Burden (Hours)
5,824
0
5,824
Cost Burden (Dollars)
0
0
0
Abstract:
This new instrument is simply a translation of the current Direct Temporary Housing Assistance Temporary Housing Agreement, FEMA Form FF-104-FY-21-194 (formerly 009-0-135) into the Spanish language.
Authorizing Statute(s):
PL:
Pub.L. 106 - 390 206
Name of Law: The Disaster Mitigation Act of 2000
US Code:
42 USC 5174
Name of Law: Robert T. Stafford Disaster Relief and Emergency Assistance Act
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Not associated with rulemaking
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
86 FR 56979
10/13/2021
30-day Notice:
Federal Register Citation:
Citation Date:
86 FR 74418
12/30/2021
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
10
IC Title
Form No.
Form Name
Commercial Park Unit Pad Requirements – Information Checklist
FF-104-FY-21-195 (formerly 009-0-137)
Commercial Park Unit Pad Requirements – Information Checklist
Direct Temporary Housing Assistance Recertification Worksheet
FF-104-FY-21-193 (formerly 009-0-134)
Direct Temporary Housing Assistance Recertification Worksheet
Direct Temporary Housing Assistance Temporary Housing Agreement
FF-104-FY-21-194 (formerly 009-0-135), FEMA Form FF-104-FY-21-194-A
Direct Temporary Housing Assistance Temporary Housing Agreement
,
Asistencia Directa Para Vivienda Temporal Acuerdo de Vivienda Temporal
Sales Calculation Worksheet
FF-104-FY-21-192 (formerly 009-0-131)
Sales Calculation Worksheet
Transportable Temporary Housing Unit Inspection Report
FF-104-FY-21-111 (formerly 009-0-138)
Transportable Temporary Housing Unit Inspection Report
Transportable Temporary Housing Unit Installation Work Order
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
FF-104-FY-21-110 (formerly 010-0-10), FF-104-FY-21-110-A (formerly 010-0-10S)
Transportable Temporary Housing Unit Landowner’s Authorization Ingress-Egress Agreement
,
Autorización del Propietario/Acuerdo de Entrada y Salida
Transportable Temporary Housing Unit Maintenance Work Order
FF-104-FY-21-113 (formerly 009-0-130)
Transportable Temporary Housing Unit Maintenance Work Order
Transportable Temporary Housing Unit Ready for Occupancy Status
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
FF-104-FY-21-109 (formerly 010-0-9)
Transportable Temporary Housing Unit Request for the Site Inspection
ICR Summary of Burden
Total Approved
Previously Approved
Change Due to New Statute
Change Due to Agency Discretion
Change Due to Adjustment in Estimate
Change Due to Potential Violation of the PRA
Annual Number of Responses
25,900
25,900
0
0
0
0
Annual Time Burden (Hours)
5,824
5,824
0
0
0
0
Annual Cost Burden (Dollars)
0
0
0
0
0
0
Burden increases because of Program Change due to Agency Discretion:
No
Burden Increase Due to:
Burden decreases because of Program Change due to Agency Discretion:
No
Burden Reduction Due to:
Short Statement:
Annual Cost to Federal Government:
$10,631,850
Does this IC contain surveys, censuses, or employ statistical methods?
No
Does this ICR request any personally identifiable information (see
OMB Circular No. A-130
for an explanation of this term)? Please consult with your agency's privacy program when making this determination.
Yes
Does this ICR include a form that requires a Privacy Act Statement (see
5 U.S.C. §552a(e)(3)
)? Please consult with your agency's privacy program when making this determination.
Yes
Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]?
No
Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?
No
Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)?
No
Is this ICR related to the Pandemic Response?
No
Agency Contact:
Kevin Crosby 202 550-6482 kevin.crosby@fema.dhs.gov
Common Form ICR:
No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
(a) It is necessary for the proper performance of agency functions;
(b) It avoids unnecessary duplication;
(c) It reduces burden on small entities;
(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
(f) It indicates the retention periods for recordkeeping requirements;
(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control number;
(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
(i) It uses effective and efficient statistical survey methodology (if applicable); and
(j) It makes appropriate use of information technology.
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
Certification Date:
12/19/2023
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