State of Hawaii Hurricane Behavioral Survey

Hurricane Evacuation Behavioral Survey

Documents and Forms

Document Name Document Type
0710-0016_Hawaii_Instrument.docx Other-Survey
0710-0016_Hawaii_Instructions.docx Instruction
0710-0016_Hawaii_One Pager.docx Request for Approval IC Document
0710-0016_Hawaii_Phone Script.docx Telephone Script IC Document
0710-0016_Hawaii_Coverletter_Mail.docx Cover Letter IC Document

Information Collection (IC) Details

IC Title:	State of Hawaii Hurricane Behavioral 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-Survey			0710-0016_Hawaii_Instrument.docx		No		Paper Only
Instruction			0710-0016_Hawaii_Instructions.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: 2,200	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	2,200	2,200
Annual IC Time Burden (Hours)	1,100	1,100
Annual IC Cost Burden (Dollars)	7,986	7,986

Documents for IC

Title	Document	Date Uploaded
Request for Approval	0710-0016_Hawaii_One Pager.docx	11/19/2018
Telephone Script	0710-0016_Hawaii_Phone Script.docx	11/19/2018
Cover Letter	0710-0016_Hawaii_Coverletter_Mail.docx	11/19/2018

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