Information Collection

Initial Survey Electronic

IC 226842 under ICR 201705-1660-004 · OMB 1660-0143.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FEMA Form 519-0-37 Initial Survey Electronic	Form and Instruction
FEMA Form 519-0-37 Initial Survey (Electronic) IA-Initial Survey-Electronic Draft 8-10.docx	Form and Instruction
IA-Initial Survey-Electronic Draft 8-10.docx FEMA Form 519-0-37	IC Document

IC Title:

Initial Survey Electronic

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 and Instruction	FEMA Form 519-0-37	Initial Survey (Electronic)	IA-Initial Survey-Electronic Draft 8-10.docx		Yes	Yes	Fillable Fileable

Line of Business: Disaster Management

Subfunction: Disaster Preparedness and Planning

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,536

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,536	1,536
Annual IC Time Burden (Hours)	204	204
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
FEMA Form 519-0-37	IA-Initial Survey-Electronic Draft 8-10.docx	05/15/2017

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