Information Collection

New York Hurricane Evacuation Survey

IC 226841 under ICR 201606-0710-001 · OMB 0710-0016.

Documents and Forms

Documents and forms in this information collection
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

IC Title:

Agency IC Tracking Number:

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
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 %

table that charts list of burden
	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

table that charts IC Documents
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.