Preparedness Field Assignee Alumni Survey

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1050 can be found here:

Documents and Forms

Document Name Document Type
Form 0920-1050 Preparedness Field Assignee Alumni Survey Form and Instruction
0920-1050 Preparedness Field Assignee Alumni Survey Att1-PFA_Survey.docx Form and Instruction
0920-1050 Customer Service GenIC Clearance Template_PFA Alumni Survey.docx GenIC Request IC Document

Information Collection (IC) Details

IC Title:	Preparedness Field Assignee Alumni Survey	Agency IC Tracking Number:	0920-1050-19BEM

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	0920-1050	Preparedness Field Assignee Alumni Survey	Att1-PFA_Survey.docx	NA	Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 31	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
Annual Number of Responses for this IC	31	31
Annual IC Time Burden (Hours)	3	3
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
GenIC Request	0920-1050 Customer Service GenIC Clearance Template_PFA Alumni Survey.docx	06/04/2019

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