Direct Housing Program Forms

Forms and Documents

Document Name	Status
Form FEMA Form 009-0-13 Temporary Housing Agreement Form	New
Form FEMA Form 009-0-13 Recertification Worksheet Form	New
Form FEMA Form 009-0-12 Ready for Occupancy Form	New
Form FEMA Form 009-0-13 Sales Calculation Worksheet Form	New
Form FEMA Form 009-0-13 Unit Pad Requirements – Information Checklist Form	New
Supporting Statement for OMB Collection 1660-NW90 Part A (Revised).docx Supporting Statement A	2015-07-17
Published 30 Day FRN for OMB Collection 1660-NW90.pdf Supplementary Document	2015-05-15
SORN, DHS-2013-0029-0001.pdf Supplementary Document	2015-05-28
privacy_PIA_fema_nemis_ia_20120629.pdf Supplementary Document	2015-05-05
PTA, FEMA - Direct Housing Program Forms (1660-NW90), 20150430, PRIV Final.pdf Supplementary Document	2015-05-05
Published 60 Day FRN for OMB Collection 1660-NW90, 2-9-2015.pdf Supplementary Document	2015-05-05
44 CFR 206.117.pdf Supplementary Document	2015-05-05
42 USC 5174.pdf Supplementary Document	2015-05-05

IC Document Collections

IC ID	Document Title	Status
216403	Temporary Housing Agreement Form	New
216401	Recertification Worksheet Form	New
216400	Ready for Occupancy Form	New
216399	Sales Calculation Worksheet Form	New
216398	Unit Pad Requirements – Information Checklist Form	New

ICR Details

OMB Control No: 1660-0138	ICR Reference No: 201505-1660-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: DHS/FEMA	Agency Tracking No:
Title: Direct Housing Program Forms
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 08/21/2015
	Date Received in OIRA: 06/10/2015
Terms of Clearance: The Department fixed several errors on FEMA Form 009-0-134 and revised its burden estimates for all forms in the collection.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2018	36 Months From Approved
Responses	25,000	0	0
Time Burden (Hours)	7,917	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The Robert T. Stafford Disaster Relief and Emergency Assistance Act authorizes the President to provide temporary housing units to eligible applicants who require temporary housing as a result of a major disaster. 42 U.S.C. 5174. The information collected provides the information necessary to determine the feasibility of the site for placement of temporary housing and so that FEMA can have access to place temporary housing units as well as retrieve it at the end of the use.

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Authorizing Statute(s): US Code: 42 USC 5174 Name of Law: Robert T. Stafford Disaster Relief and Emergency Assistance Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 7006	02/09/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 27994	05/15/2015
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 5

IC Title	Form No.	Form Name
Temporary Housing Agreement	FEMA Form 009-0-135	Temporary Housing Agreement
Sales Calculation Worksheet	FEMA Form 009-0-131	Sales Calculation Worksheet
Unit Pad Requirements – Information Checklist	FEMA Form 009-0-137	Unit Pad Requirements – Information Checklist
Ready for Occupancy	FEMA Form 009-0-129	Ready for Occupancy
Recertification Worksheet	FEMA Form 009-0-134	Recertification Worksheet

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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	25,000	0	0	25,000	0	0
Annual Time Burden (Hours)	7,917	0	0	7,917	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: For the Direct Housing Program Forms collection, the previously approved burden hours were 0 as this is a new collection and the current estimated annual hour burden is 7,917 hours. Therefore, the burden hours are positive program changes.

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Annual Cost to Federal Government: $2,864,760

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

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? Uncollected

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Common Form ICR:  No

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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: 06/10/2015

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