Information Collection

Public Assistance Assessment Customer Satisfaction Survey, FEMA Form 519-0-35 (Internet)

IC 226187 under ICR 201703-1660-002 · OMB 1660-0107.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1660-0107 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FEMA Form 519-0-35 Public Assistance Assessment Customer Satisfaction Survey, FEMA Form 519-0-35 (Internet)	Form
FEMA Form 519-0-35 Public Assistance Assessment Customer Satisfaction Surve PA.AssessmentSurvey.v6.Electronic.519-0-35.docx	Form

IC Title:

Public Assistance Assessment Customer Satisfaction Survey, FEMA Form 519-0-35 (Internet)

Agency IC Tracking Number:

Is this a Common Form? No

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
Form	FEMA Form 519-0-35	Public Assistance Assessment Customer Satisfaction Survey	PA.AssessmentSurvey.v6.Electronic.519-0-35.docx		Yes	Yes	Fillable Fileable

Line of Business: Disaster Management

Subfunction: Disaster Preparedness and Planning

Privacy Act System of Records

Title: Hazard Mitigation, Disaster Public Assistance, and Disaster Loan Programs System of Records

FR Citation: 79 FR 16015

Number of Respondents: 557

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	557	557
Annual IC Time Burden (Hours)	65	65
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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