Information Collection

Recruitment Screener (survey script)

IC 216213 under ICR 201810-1660-001 · OMB 1660-0139.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1660-0139 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FEMA Form 008-0-21 Recruitment Screener (survey script)	Form
FEMA Form 008-0-21 Recruitment Screener FEMA Form 008-0-21.docx	Form

IC Title:

Recruitment Screener (survey script)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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 008-0-21	Recruitment Screener	FEMA Form 008-0-21.docx		No		Fillable Fileable

Line of Business: Disaster Management

Subfunction: Disaster Preparedness and Planning

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 50

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	50	50
Annual IC Time Burden (Hours)	8	8
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.