Transportable Temporary Housing Unit Landowner's Authorization Ingress-Egress Agreement

Direct Housing Assistance Forms

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1660-0138 can be found here:

Documents and Forms

Document Name Document Type
Form FF-104-FY-21-110 ( Transportable Temporary Housing Unit Landowner's Authorization Ingress-Egress Agreement Form and Instruction
FF-104-FY-21-110 ( Transportable Temporary Housing Unit Landowner’s Authori FF-104-FY-21-110 (formerly 010-0-10).pdf Form and Instruction
FF-104-FY-21-110 ( Transportable Temporary Housing Unit Landowner’s Authori FF-104-FY-21-110 (formerly 010-0-10).pdf Form and Instruction
FF-104-FY-21-110-A Autorización del Propietario/Acuerdo de Entrada y Salida FF-104-FY-21-110-A (formerly 010-0-10S).pdf Form and Instruction
FF-104-FY-21-110-A Autorización del Propietario/Acuerdo de Entrada y Salida FF-104-FY-21-110-A (formerly 010-0-10S).pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Transportable Temporary Housing Unit Landowner's Authorization Ingress-Egress Agreement	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 44 CFR 206.117

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	FF-104-FY-21-110 (formerly 010-0-10)	Transportable Temporary Housing Unit Landowner’s Authorization Ingress-Egress Agreement	FF-104-FY-21-110 (formerly 010-0-10).pdf		Yes	Yes	Fillable Fileable
Form and Instruction	FF-104-FY-21-110-A (formerly 010-0-10S)	Autorización del Propietario/Acuerdo de Entrada y Salida	FF-104-FY-21-110-A (formerly 010-0-10S).pdf		Yes	Yes	Fillable Fileable

Line of Business: Disaster Management

Subfunction: Emergency Response

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,100	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,100	2,100
Annual IC Time Burden (Hours)	350	350
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.