Information Collection

Follow-up Survey

IC 211550 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⚠️ Notice: This information collection may be referencing outdated material.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
Follow-up Survey	Form
Follow-up Survey Attachment O_Follow-Up Survey Screen Shot.docx	Form
Attachment E Follow-Up Survey.docx Follow-up Survey - word	IC Document
Attachment K_Follow-Up Survey Email.docx Follow-up Survey Email	IC Document

IC Title:

Follow-up 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	Follow-up Survey	Attachment O_Follow-Up 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)	100	100
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Follow-up Survey - word	Attachment E Follow-Up Survey.docx	05/08/2014
Follow-up Survey Email	Attachment K_Follow-Up Survey Email.docx	05/08/2014

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