Sandy Focus Group Recruit / Screener

Post Hurricane Sandy Survivor Research

Documents and Forms

Document Name Document Type
Form FEMA Form 008-0-10 Sandy Focus Group Recruit / Screener Form
FEMA Form 008-0-10 Sandy Focus Group Recruit / Screener 20130411_FINAL Sandy Recruit Screener_FEMA Form 008-0-10_ (script)_edited 9-20-2013.docx Form

Information Collection (IC) Details

IC Title:	Sandy Focus Group Recruit / Screener	Agency IC Tracking Number:

Is this a Common Form? No		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	FEMA Form 008-0-10	Sandy Focus Group Recruit / Screener	20130411_FINAL Sandy Recruit Screener_FEMA Form 008-0-10_ (script)_edited 9-20-2013.docx		No		Fillable Fileable

Line of Business: Disaster Management

Subfunction: Disaster Preparedness and Planning

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,260	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,260	1,260
Annual IC Time Burden (Hours)	63	63
Annual IC Cost Burden (Dollars)	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.