Casework Representative Survey

Federal Emergency Management Agency (FEMA) Individual Assistance Customer Satisfaction Surveys

Documents and Forms

Document Name Document Type
Form FEMA Form 007-0-6 Casework Representative Survey Form
FEMA Form 007-0-6 Casework Survey FEMA Form 007-0-6 Casework Survey 12182013.docx Form
Nar.Chg.FEMA Form 007-0-6 Casework Survey12182013 .doc Narrative of Change FEMA Form 007-0-6 IC Document

Information Collection (IC) Details

IC Title:	Casework Representative 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	FEMA Form 007-0-6	Casework Survey	FEMA Form 007-0-6 Casework Survey 12182013.docx		Yes	Yes	Fillable Fileable

Line of Business: Disaster Management

Subfunction: Disaster Preparedness and Planning

Privacy Act System of Records
Title: DHS/FEMA-008 Disaster Recovery Assistance Files	FR Citation: 78 FR 25282

Number of Respondents: 5,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	5,000	5,000
Annual IC Time Burden (Hours)	500	500
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Narrative of Change FEMA Form 007-0-6	Nar.Chg.FEMA Form 007-0-6 Casework Survey12182013 .doc	02/25/2014

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