Online Survey Assessing Representatives of Organizations Serving Individuals with Limited English Proficiency Emergency Management Needs and Preferences

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1660-0130 can be found here:

Documents and Forms

Document Name Document Type
Form FEMA Form 519-0-13 Online Survey Assessing Representatives of Organizations Serving Individuals with Limited English Proficiency Emergency Management Needs and Preferences Form
FEMA Form 519-0-13 Survey Questions for Organizations Serving Individuals w FEMA Form 519-0-13, final version, 10-5-2015.pdf Form
Generic Clearance Submission OEA Dis Ops 04-08-2014 doc.pdf Generic Clearance Application IC Document
PTA FEMA - EA Disaster Operations Survey Contacts 20140402 PRIV FINAL.pdf Privacy Threshold Analysis (PTA) IC Document
privacy_PIA_dhs all_contacts lists_20130321.pdf Privacy Impact Assessment (PIA) IC Document
SORN, DHS-2008-0092-0001.pdf System of Records Notice (SORN) IC Document

Information Collection (IC) Details

IC Title:	Online Survey Assessing Representatives of Organizations Serving Individuals with Limited English Proficiency Emergency Management Needs and Preferences	Agency IC Tracking Number:

IC Status: New

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 519-0-13	Survey Questions for Organizations Serving Individuals with Limited English Proficiency (LEP)	FEMA Form 519-0-13, final version, 10-5-2015.pdf		No		Paper Only

Line of Business: Disaster Management

Subfunction: Disaster Preparedness and Planning

Privacy Act System of Records
Title: DHS/ALL-002 - Department of Homeland Security (DHS) Mailing and Other Lists System	FR Citation: 73 FR 71659

Number of Respondents: 500	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	500	500
Annual IC Time Burden (Hours)	84	84
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Generic Clearance Application	Generic Clearance Submission OEA Dis Ops 04-08-2014 doc.pdf	10/05/2015
Privacy Threshold Analysis (PTA)	PTA FEMA - EA Disaster Operations Survey Contacts 20140402 PRIV FINAL.pdf	10/05/2015
Privacy Impact Assessment (PIA)	privacy_PIA_dhs all_contacts lists_20130321.pdf	10/05/2015
System of Records Notice (SORN)	SORN, DHS-2008-0092-0001.pdf	10/05/2015

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