Information Collection

FEMA Public Assistance Program Evaluation and Customer Satisfaction Survey

IC 181979 under ICR 200709-1660-003 · OMB unassigned.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FEMA Form 90-152 FEMA Public Assistance Program Evaluation and Customer Satisfaction Survey	Form and Instruction
FEMA Form 90-152 FEMA Public Assistance Progam Evaluation and Customer Sa FF 90-152.pdf www.paprogramsurvey.com	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 44 CFR Part 206 (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	FEMA Form 90-152	FEMA Public Assistance Progam Evaluation and Customer Satisfaction Survey	FF 90-152.pdf	http://www.paprogramsurvey.com	Yes	Yes	Fillable Fileable

Line of Business: Disaster Management

Subfunction: Disaster Repair and Restore

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,500

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 21 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,500	2,500
Annual IC Time Burden (Hours)	833	833
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.