Information Collection

Internet Inquiry Phone Survey

IC 210516 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 007-0-19 Internet Inquiry Phone Survey	Form and Instruction
FEMA Form 007-0-19 Internet Inquiry Phone Survey FEMA Form 007-0-19 Internet Inquiry Phone Survey 02252014.docx	Form and Instruction
Nar.Chg.FEMA Form 007-0-19 Internet Inquiry Phone Survey12182012.doc Narrative of Change for FEMA Form 007-0-19	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

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 and Instruction	FEMA Form 007-0-19	Internet Inquiry Phone Survey	FEMA Form 007-0-19 Internet Inquiry Phone Survey 02252014.docx		Yes	Yes	Fillable Fileable

Line of Business: Disaster Management

Subfunction: Disaster Preparedness and Planning

Privacy Act System of Records

Title: SORN-DHS 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: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
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 for FEMA Form 007-0-19	Nar.Chg.FEMA Form 007-0-19 Internet Inquiry Phone Survey12182012.doc	02/25/2014

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