FEMA Public Assistance Program Customer Satisfaction Survey

Public Assistance Customer Satisfaction Survey

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1660-0107 can be found here:

Documents and Forms

Document Name Document Type
Form FEMA Form 519-0-1 FEMA Public Assistance Program Customer Satisfaction Survey Form and Instruction
FEMA Form 519-0-1 Public Assistance Customer Satisfaction Survey Public Assistance Customer Satisfaction Survey FEMA Form 519-0-1 4-21-11 (Paper-Fill Able).pdf Form and Instruction
FEMA Form 519-0-1I Public Assistance Customer Satisfaction Survey (Internet Public Assistance Customer Satisfaction Survey FEMA Form 519-0-1INT 4-21-11 (Internet).pdf npsc.tx.fema.net/cgi-bin/ezsurvey/publicassistance.html Form and Instruction

Information Collection (IC) Details

IC Title:	FEMA Public Assistance Program Customer Satisfaction Survey	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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 and Instruction	FEMA Form 519-0-1	Public Assistance Customer Satisfaction Survey	Public Assistance Customer Satisfaction Survey FEMA Form 519-0-1 4-21-11 (Paper-Fill Able).pdf		Yes	Yes	Fillable Fileable
Form and Instruction	FEMA Form 519-0-1INT	Public Assistance Customer Satisfaction Survey (Internet)	Public Assistance Customer Satisfaction Survey FEMA Form 519-0-1INT 4-21-11 (Internet).pdf	http://npsc.tx.fema.net/cgi-bin/ezsurvey/publicassistance.html	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: 4,200	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 73 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	4,200	920	3,280
Annual IC Time Burden (Hours)	1,400	416	984
Annual IC Cost Burden (Dollars)	0	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.