Disaster Recovery Survey for Businesses

Forms and Documents

Document Name	Status
Form DHS Form 801 Recovery Workshop Satisfaction Survey Form and Instruction	Modified
Supporting Statement B 1601-NEW Disaster Recovery Survey ver 2.doc Supporting Statement B	2009-09-16
Supporting Statement 10082009.docx Supporting Statement A	2009-10-08
Domestic Security 6 USC 112_f.doc Supplementary Document	2008-02-29
1601-New Published 30-day FRN.pdf Supplementary Document	2007-01-16
published 60-day notice.pdf Supplementary Document	2007-01-09

IC Document Collections

IC ID	Document Title	Status
46657	Survey Follow-Up Telephone Script Other-Telephone Script	Removed
46656	Recovery Workshop Satisfaction Survey Form and Instruction	Modified

ICR Details

OMB Control No: 1601-0012	ICR Reference No: 200908-1601-001
Status: Historical Active	Previous ICR Reference No: 200809-1601-002
Agency/Subagency: DHS/OS	Agency Tracking No:
Title: Disaster Recovery Survey for Businesses
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 10/13/2009
	Date Received in OIRA: 08/19/2009
Terms of Clearance: This package formerly had a follow-up telephone survey included. The most current version of the ICR indicates that this IC has been removed, but just to be clear, approval of this package is contingent on the removal of the telephone survey -- the only instrument we are approving is the paper survey.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2012	36 Months From Approved
Responses	2,000	0	0
Time Burden (Hours)	500	0	0
Cost Burden (Dollars)	0	0	0

---

Abstract: The primary purpose of this survey is to collect information regarding the economic impacts of a community following a disaster. In order to help these communities with their economic recovery efforts, the PSO plans to host workshops so that we can communicate their options to speed their recovery. Respondents are business owners or managers located in close proximity to a recent natural or terrorist disaster. The information will be used to assess the status of businesses along with their highest priority needs or concerns following the disaster.

---

Authorizing Statute(s): US Code: 6 USC 112 Name of Law: Domestic Security
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	71 FR 47237	08/16/2006
30-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 1755	01/16/2007
Did the Agency receive public comments on this ICR? Yes

---

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Recovery Workshop Satisfaction Survey	DHS Form 801	Recovery Workshop Satisfaction Survey
Survey Follow-Up Telephone Script

---

ICR Summary of Burden

	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	2,000	0	0	2,000	0	0
Annual Time Burden (Hours)	500	0	0	500	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a new collection.

---

Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 08/19/2009

---