Information Collection

One-year Post-Fire Survey of Emergency Communications and Public Response to the Chimney Tops 2 Fire in Sevier County, TN

IC 231694 under ICR 201605-0693-004 · OMB 0693-0078.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0693-0078 can be found here:

Documents and Forms

Document Name Document Type
0693-0078_Wildfire Survey_SurveyMonkey.PDF Other-Survey Monkey
0693-0078_Wildfire SurveyPhoneScript and SkipLogic for SurveyMonkey .docx Other-telephone script
0693-0078_SupportingStatement_Chimney Tops2 6-1.docx 0693-0078 Wildfire Survey Supporting Statement IC Document
0693-0078_Initial mail notification.docx 0693-0078 Initial Notification IC Document
0693-0078_Informed Consent form (2016 TN Fire) V2 Web.docx 0693-0078 Informed Consent: Web IC Document
0693-0078_Informed Consent form (2016 TN Fire) V2 telephone.docx 0693-0078 Informed Consent: Telephone IC Document
0693-0078_Wildfire SurveyPhoneScript and SkipLogic for SurveyMonkey .docx 0693-0078: Telephone Script and Skip Logic for Web IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	One-year Post-Fire Survey of Emergency Communications and Public Response to the Chimney Tops 2 Fire in Sevier County, TN	Agency IC Tracking Number:	ER

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
Other-Survey Monkey			0693-0078_Wildfire Survey_SurveyMonkey.PDF		Yes	Yes	Fillable Fileable
Other-telephone script			0693-0078_Wildfire SurveyPhoneScript and SkipLogic for SurveyMonkey .docx		No		Paper Only

Line of Business: Disaster Management

Subfunction: Emergency Response

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 380	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 40 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	380	380
Annual IC Time Burden (Hours)	127	127
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
0693-0078 Wildfire Survey Supporting Statement	0693-0078_SupportingStatement_Chimney Tops2 6-1.docx	06/11/2018
0693-0078 Initial Notification	0693-0078_Initial mail notification.docx	06/11/2018
0693-0078 Informed Consent: Web	0693-0078_Informed Consent form (2016 TN Fire) V2 Web.docx	06/11/2018
0693-0078 Informed Consent: Telephone	0693-0078_Informed Consent form (2016 TN Fire) V2 telephone.docx	06/11/2018
0693-0078: Telephone Script and Skip Logic for Web	0693-0078_Wildfire SurveyPhoneScript and SkipLogic for SurveyMonkey .docx	06/11/2018

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