Notice of Change - FF-104-FY-21-113

NOC - FF-104-FY-21-113_TTHU Maintenance Work Order_REVISED.docx

Direct Housing Assistance Forms

Notice of Change - FF-104-FY-21-113

OMB: 1660-0138

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Narrative of Changes Table

The purpose of the Narrative of Changes Table is to demonstrate changes to a collection since the previous approval.


Collection Title: Direct Housing Assistance Forms

(formerly Manufactured Housing Operations Forms)

OMB Control No.: 1660-0138 (formerly 1660-0030)

Current Expiration Date: 12/31/2021

Collection Instrument(s): FF-104-FY-21-113 (formerly 009-0-130): Transportable Temporary Housing Unit Maintenance Work Order



Location


Current version

Proposed Revision

Justification

Page 1 – Form Title

MANUFACTURED HOUSING UNIT MAINTENANCE WORK ORDER


TRANSPORTABLE TEMPORARY HOUSING UNIT MAINTENANCE WORK ORDER


This form is specific to TTHUs. Changed throughout form.

Page 1 – Privacy Act Statement – PRINCIPLE PURPOSE(S)

PRINCIPAL PURPOSE(S): This information is being collected for the primary purpose of obtaining necessary landowner consent to inspect site, place, maintain, deactivate, and/or remove transportable temporary housing units provided by FEMA to eligible registered disaster survivors as part of its direct housing program under a Presidentially-declared disaster.


PRINCIPAL PURPOSE(S): This information is being collected for the primary purpose of obtaining information specific to a FEMA provided transportable temporary housing unit (TTHU) in order to assess and perform maintenance as part of direct housing assistance under a Presidentially-declared disaster.


Updated purpose to reflect this form specifically. Updated terminology. Direct Housing is a form of assistance under the Individuals and Households Program. Direct Housing is not a program. Survivors are referred to as applicants at this phase of direct housing.


Page 1 – Privacy Act Statement – DISCLOSURE

The disclosure of information on this form is voluntary; however, failure to provide the information requested may delay or prevent the individual from receiving disaster-related temporary housing assistance.

The disclosure of information on this form is voluntary; however, failure to provide the information requested may delay or prevent the applicant from receiving disaster-related temporary housing assistance.

Survivors are referred to as applicants at this phase of direct housing.


Page 1 – 3.:

SITE INFORMATION

Heading

APPLICATION/SITE INFORMATION

Removed APPLICATION

Not Necessary.

Page 1 – 3.:

SITE ADDRESS

(House # and Street Name or Pad #, City, State, County):

(House # and Street Name or Pad #, City, State, County/Parish):

Update to include parishes.

Page 1

W Type:

Work Order Type:

Spelled out

Page 1:

OCCUPANT INFORMATION

N/A

City

Updated to be consistent with other forms.


Page 1:

OCCUPANT INFORMATION

Jurisdiction Parish

County/Parish

Updated to be consistent with other forms.


Page 1:

OCCUPANT INFORMATION

Tribe/Territory

State

Updated to be consistent with other forms.


Page 1:

OCCUPANT INFORMATION

N/A

Zip Code

Updated to be consistent with other forms.


Page 1:

MAINTENANCE REQUEST INFORMATION

Unit Type:

TTHU Type:

Form is specific to TTHUs – corrected acronym.


Page 1:

MAINTENANCE REQUEST INFORMATION

TTHU Unit:

TTHU #:

Form is specific to TTHUs – corrected acronym.


Page 1:

WORK ORDER ISSUE INFORMATION

Issued Date:

Date Issued:

Minor grammar edit

Page 1:

WORK ORDER ISSUE INFORMATION

Issued Time:

Time Issued:

Minor grammar edit

Page 2:

SIGNATURES

Notes: provide copy to occupants

Note: Provide copy to occupants

Minor grammar edit

Page 2:

WORK ORDER SPECIFICATIONS

UOM

Unit of Measure (UOM)

Spell out acronym

Page 2:

LABOR

Total hours worked (24 hour increments)

Total hours worked (24-hour increments)

Minor grammar edit

Page 2:

VERIFICATIONS AND SIGNATURES

The above described work has been verified by:

The above-described work has been verified by:

Minor grammar edit

Page 2:

VERIFICATIONS AND SIGNATURES

Other

Other ______

Minor grammar edit


File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorBaker, Edward
File Modified0000-00-00
File Created2021-12-31

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