Information Collection

Casework Representative Survey

IC 194843 under ICR 201402-1660-009 · OMB 1660-0036.

Documents and Forms

Documents and forms in this information collection
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

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.