FEMA Public Assistance Program Evaluation and Customer Satisfaction Survey

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form FEMA Form 519-0-1 FEMA Public Assistance Program Customer Satisfaction Survey	Form and Instruction	Modified	Available
DHS_PTA_Update_20100610_-_Final.docx	Supplementary Document	Uploaded 2011-06-17	Available
1660-0107 Change Request 83C.pdf	Justification for No Material/Nonsubstantive Change	Uploaded 2011-03-31	Available
LetterPublicRequestforICRs 08-11-09_1660-0054.doc	Supplementary Document	Uploaded 2008-11-06	Available
PA Supporting_Statement_Part_B_1660-0170_4-18-11-New Changes.doc	Supporting Statement B	Uploaded 2011-04-21	Available
PA Supporting_Statement_Part A_1660-0107_4-18-11 no change in burden.doc	Supporting Statement A	Uploaded 2011-04-21	Available
Executive Order 12861.doc	Supplementary Document	Uploaded 2008-10-23	Available
Published 30_day FRN 1660-NW32 10-15-08.pdf	Supplementary Document	Uploaded 2008-10-23	Available
PUBLISHED-60-Day FRN 8-6-08.pdf	Supplementary Document	Uploaded 2008-10-23	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
187122	FEMA Public Assistance Program Customer Satisfaction Survey	Other-Focus Group on This Form	Modified
187000	FEMA Public Assistance Program Customer Satisfaction Survey	Form and Instruction	Modified

ICR Details

OMB Control No: 1660-0107	ICR Reference No: 201103-1660-001
Status: Historical Active	Previous ICR Reference No: 200810-1660-007
Agency/Subagency: DHS/FEMA	Agency Tracking No:
Title: FEMA Public Assistance Program Evaluation and Customer Satisfaction Survey
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 06/17/2011
	Date Received in OIRA: 04/25/2011
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2012	03/31/2012	03/31/2012
Responses	3,360	0	3,360
Time Burden (Hours)	1,920	0	1,920
Cost Burden (Dollars)	0	0	0

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Abstract: The purpose of the FEMA Public Assistance Program Customer Satisfaction Survey is to measure program performance against standards for performance and customer service: measure achievement of Government Performance and Results Act (GPRA) objectivities and generally gauge and make improvements to disaster services that increase customer satisfaction and program effectiveness.

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Authorizing Statute(s): EO: EO 12862 Name/Subject of EO: Setting Customer Service Standards
  

Citations for New Statutory Requirements: None

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

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 152	08/06/2008
30-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 200	10/15/2008
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
FEMA Public Assistance Program Customer Satisfaction Survey	FEMA Form 519-0-1, FEMA Form 519-0-1INT	Public Assistance Customer Satisfaction Survey ,   Public Assistance Customer Satisfaction Survey (Internet)
FEMA Public Assistance Program Customer Satisfaction Survey

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ICR Summary of Burden

table that charts list 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	3,360	3,360	0	0	0	0
Annual Time Burden (Hours)	1,920	1,920	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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

Burden Increase Due to:

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

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $414,940

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? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

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

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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: 04/25/2011

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