DisasterAssistance.gov Satisfaction Survey

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1660-0130 can be found here:

Documents and Forms

Document Name Document Type
Form 519-0-17 DisasterAssistance.gov Satisfaction Survey Form
DAIP_Feedback Survey Questions.pptx Other-Screen Shots
519-0-17 DisasterAssistance.gov Satisfaction Survey DisasterAssistance.gov-SMQuestions.docx DisasterAssistance.gov Form
Generic Clearance Application 2012 - DAIP.doc Generic Clearance Application IC Document

Information Collection (IC) Details

IC Title:	DisasterAssistance.gov Satisfaction Survey	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	519-0-17	DisasterAssistance.gov Satisfaction Survey	DisasterAssistance.gov-SMQuestions.docx	DisasterAssistance.gov	Yes	Yes	Fillable Fileable
Other-Screen Shots			DAIP_Feedback Survey Questions.pptx		Yes	Yes	Fillable Fileable

Line of Business: Disaster Management

Subfunction: Disaster Preparedness and Planning

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 583	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	583	583
Annual IC Time Burden (Hours)	97	97
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Generic Clearance Application	Generic Clearance Application 2012 - DAIP.doc	08/13/2014

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.