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.
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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.
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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 Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Baker, Edward |
File Modified | 0000-00-00 |
File Created | 2021-12-31 |