Information Collection

Survey to Assess Community Use of the NIST Community Resilience Planning Guide for Builders and Infrastructure Systems

IC 228828 under ICR 201806-0693-001 · OMB 0693-0078.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0693-0078 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Survey_Nontrad Users_FINALv2_Clean.docx	Other-interview script
Survey_Trad Users_FINALv2_Clean.docx	Other-interview script
SurveyMonkey_Modiles S2 D.pdf	Other-electronic survey
SurveyMonkey_Modules A B.pdf	Other-electronic survey
SurveyMonkey_Modules C.pdf	Other-electronic survey
SurveyMonkey_Modules S1 D.pdf	Other-electronic survey
CommunityResilienceSurvey_ SupportingStatement_103017.docx Supporting Statement	IC Document
Informed Consent_v2_10_24_17_Clean.docx Consent	IC Document
Recuitment Invitation Letter_v1_07_26_17.docx Recruitment Letter	IC Document

IC Title:

Survey to Assess Community Use of the NIST Community Resilience Planning Guide for Builders and Infrastructure Systems

Agency IC Tracking Number:

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-interview script	Survey_Nontrad Users_FINALv2_Clean.docx	No		Paper Only
Other-interview script	Survey_Trad Users_FINALv2_Clean.docx	No		Paper Only
Other-electronic survey	SurveyMonkey_Modiles S2 D.pdf	Yes	Yes	Fillable Fileable
Other-electronic survey	SurveyMonkey_Modules A B.pdf	Yes	Yes	Fillable Fileable
Other-electronic survey	SurveyMonkey_Modules C.pdf	Yes	Yes	Fillable Fileable
Other-electronic survey	SurveyMonkey_Modules S1 D.pdf	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: 30

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	90	90
Annual IC Time Burden (Hours)	23	23
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Supporting Statement	CommunityResilienceSurvey_ SupportingStatement_103017.docx	10/30/2017
Consent	Informed Consent_v2_10_24_17_Clean.docx	10/30/2017
Recruitment Letter	Recuitment Invitation Letter_v1_07_26_17.docx	10/30/2017

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