Pine Bluff Site Survey

Chemical Stockpile Emergency Preparedness Program (CSEPP) Evaluation and Customer Satisfaction Survey

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1660-0057 can be found here:

Documents and Forms

Document Name Document Type
Form FEMA Form 142-1-3 Pine Bluff Site Survey Form
FEMA Form 142-1-3 Pine Bluff Site Survey 1660-0057, 142 1-3.pdf Form

Information Collection (IC) Details

IC Title:	Pine Bluff Site Survey	Agency IC Tracking Number:

Is this a Common Form? Yes		IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 44 CFR 2.42

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FEMA Form 142-1-3	Pine Bluff Site Survey	1660-0057, 142 1-3.pdf		No		Paper Only

Line of Business: Disaster Management

Subfunction: Disaster Preparedness and Planning

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,093	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	1,093	1,093
Annual IC Time Burden (Hours)	273	273
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.