Information Collection

Follow-up Evaluation Survey

IC 21114 under ICR 200805-1660-005 · OMB 1660-0044.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1660-0044 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FEMA Form 95-96 Follow-up Evaluation Survey	Form
FEMA Form 95-96 Follow-Up Evaluation Survey FEMA Form 95-56.pdf	Form

IC Title:

Follow-up Evaluation Survey

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 44 CFR 360

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	FEMA Form 95-96	Follow-Up Evaluation Survey	FEMA Form 95-56.pdf		Yes	No	Fillable Printable

Line of Business: Disaster Management

Subfunction: Disaster Preparedness and Planning

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 3,800

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	3,800	1,500	2,300
Annual IC Time Burden (Hours)	950	350	600
Annual IC Cost Burden (Dollars)	0	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.