Information Collection

Pre-workshop Survey

IC 211547 under ICR 201405-0920-006 · OMB 0920-1022.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1022 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Pre-workshop Survey	Form
Pre-workshop Survey Attachment M_Pre-Workshop Survey Screen Shot.docx	Form
Attachment C_Pre-Workshop Survey.docx Pre-workshop Survey - word	IC Document
Attachment I_Pre Workshop Survey Email.docx Pre-workshop Survey Email	IC Document

IC Title:

Pre-workshop Survey

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	none	Pre-workshop Survey	Attachment M_Pre-Workshop Survey Screen Shot.docx		Yes	Yes	Fillable Fileable

Line of Business: Disaster Management

Subfunction: Disaster Preparedness and Planning

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 600

Number of Respondents for Small Entity: 0

Affected Public: Federal Government

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	600	600
Annual IC Time Burden (Hours)	200	200
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Pre-workshop Survey - word	Attachment C_Pre-Workshop Survey.docx	05/08/2014
Pre-workshop Survey Email	Attachment I_Pre Workshop Survey Email.docx	05/08/2014

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