Information Collection

Helpline/Contact Survey

IC 194929 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 007-0-5 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

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 007-0-5	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 %

table that charts list of burden
	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

table that charts IC Documents
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.