Survivor Sheltering Assessment Tool

Survivor Sheltering Assessment

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1660-0142 can be found here:

Documents and Forms

Document Name Document Type
Survey Screen Shots_20170901.pdf Other-Survivor Sheltering Assessment

Information Collection (IC) Details

IC Title:	Survivor Sheltering Assessment Tool	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survivor Sheltering Assessment Tool (App)			Survey Screen Shots_20170901.pdf		Yes	Yes	Fillable Fileable

Line of Business: Disaster Management

Subfunction: Disaster Preparedness and Planning

Privacy Act System of Records
Title: DHS/FEMA-008 Disaster Recovery Assistance Files	FR Citation: 78 FR 25282

Number of Respondents: 31,200	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	31,200	1,200	30,000
Annual IC Time Burden (Hours)	5,201	101	5,100
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.