Initial Survey (Phone)

Federal Emergency Management Agency Individual Assistance Customer Satisfaction Surveys

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1660-0143 can be found here:

Documents and Forms

Document Name Document Type
Form FEMA Form 519-0-36 Initial Survey (Phone) Form and Instruction
FEMA Form 519-0-36 Initial Survey (Phone Survey) FEMA Form 519-0-36 Phone.pdf Form and Instruction
FEMA Form 519-0-36 Phone.pdf FEMA Form 519-0-36 IC Document

Information Collection (IC) Details

IC Title:	Initial Survey (Phone)	Agency IC Tracking Number:

Is this a Common Form? No		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
Form and Instruction	FEMA Form 519-0-36	Initial Survey (Phone Survey)	FEMA Form 519-0-36 Phone.pdf		No		Paper Only

Line of Business: Disaster Management

Subfunction: Disaster Monitoring and Prediction

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3,264	Number of Respondents for Small Entity: 1

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	3,264	3,264
Annual IC Time Burden (Hours)	434	434
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
FEMA Form 519-0-36	FEMA Form 519-0-36 Phone.pdf	05/15/2017

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