FEMA SUMMER SHELTER SURVEY EMPLOYMENT QUESTIONNAIRE

ICR 198410-3067-003

OMB: 3067-0011

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
151756 Migrated
ICR Details
3067-0011 198410-3067-003
Historical Active 198309-3067-004
FEMA
FEMA SUMMER SHELTER SURVEY EMPLOYMENT QUESTIONNAIRE
Revision of a currently approved collection   No
Regular
Approved without change 10/26/1984
Retrieve Notice of Action (NOA) 10/03/1984
  Inventory as of this Action Requested Previously Approved
11/30/1985 11/30/1985 11/30/1984
1,000 0 1,500
110 0 220
0 0 0

FORM IS USED TO GET PERTINENT INFORMATION, I.E., PHONE NUMBERS, VETERAN'S PREFERENCE STATUS AND THEIR CHOICE OF AREAS FOR EMPLOYMENT IN THE SHELTER SURVEY PROGRAM. UPON RECEIPT OF THE COMPLETED QUESTIONNAIRE SELECTIONS ARE MADE ON THE BASIS OF THE INFORMATION SUPPLIED AND THE FINAL EXAMINATION SCORE RECEIVED ON THE SST COURSE.

None
None


No

1
IC Title Form No. Form Name
FEMA SUMMER SHELTER SURVEY EMPLOYMENT QUESTIONNAIRE FEMA FL-1

  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 1,000 1,500 0 0 -500 0
Annual Time Burden (Hours) 110 220 0 0 -110 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
10/03/1984


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