New York Hurricane Evacuation Survey

Hurricane Evacuation Behavioral Survey

Documents and Forms

Document Name Document Type
0710-0016 New York Hurricane Evacuation Survey Questionnaire.docx Other-Telephone survey questionnaire
One Pager 0710-0016 New York Hurricane Evacuation Survey.doc One Pager IC Document

Information Collection (IC) Details

IC Title:	New York Hurricane Evacuation Survey	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
Other-Telephone survey questionnaire			0710-0016 New York Hurricane Evacuation Survey Questionnaire.docx		No		Paper Only

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,500	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,500	1,500
Annual IC Time Burden (Hours)	375	375
Annual IC Cost Burden (Dollars)	11,970	11,970

Documents for IC

Title	Document	Date Uploaded
One Pager	One Pager 0710-0016 New York Hurricane Evacuation Survey.doc	05/15/2017

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