Helpline/Contact Survey

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

Documents and Forms

Document Name Document Type
Form FEMA Form 007-0-5 Helpline/Contact Survey Form
FEMA Form 007-0-5 Helpline Contact Survey FEMA Form 007-0-5, Helpline-Contact Survey 12182013.docx Form
Nar.Chg. FEMA Form 007-0-5 Helpline-Contact Survey12182013.doc Narrative of Change FEMA Form 007-0-5 IC Document

Information Collection (IC) Details

IC Title:	Helpline/Contact 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 007-0-5	Helpline Contact Survey	FEMA Form 007-0-5, Helpline-Contact Survey 12182013.docx		Yes	Yes	Fillable Printable

Line of Business: Disaster Management

Subfunction: Disaster Preparedness and Planning

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

Number of Respondents: 12,800	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	12,800	7,800	5,000
Annual IC Time Burden (Hours)	1,280	780	500
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
Narrative of Change FEMA Form 007-0-5	Nar.Chg. FEMA Form 007-0-5 Helpline-Contact Survey12182013.doc	02/25/2014

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