Public Assistance Customer Satisfaction Surveys

Forms and Documents

Document Name	Status
Form FEMA Form 519-0-35 Public Assistance Assessment Customer Satisfaction Survey, FEMA Form 519-0-35 (Internet) Form	Unchanged
Form FEMA Form 519-0-35 Public Assistance Assessment Customer Satisfaction Survey, FEMA Form 519-0-35 (Internet) Form	Unchanged
Form FEMA Form 519-0-34 Public Assistance Assessment Customer Satisfaction Survey, FEMA Form 519-0-34 (Telephone) Form	Unchanged
Form FEMA Form 519-0-34 Public Assistance Assessment Customer Satisfaction Survey, FEMA Form 519-0-34 (Telephone) Form and Instruction	Modified
Form FEMA Form 519-0-33 Public Assistance Initial Customer Satisfaction Survey, FEMA Form 519-0-33 (Internet) Form	Unchanged
Form FEMA Form 519-0-33 Public Assistance Initial Customer Satisfaction Survey, FEMA Form 519-0-33 (Internet) Form	Unchanged
Form FEMA Form 519-0-32 Public Assistance Initial Customer Satisfaction Survey, FEMA Form 519-0-32 (Telephone) Form	Unchanged
Form FEMA Form 519-0-32 Public Assistance Initial Customer Satisfaction Survey, FEMA Form 519-0-32 (Telephone) Form and Instruction	Modified
OMB83c-PA16600107v2.pdf Justification for No Material/Nonsubstantive Change	2019-07-02

IC Document Collections

IC ID	Document Title	Status
226191	Interviews Other-Interviews	Unchanged
226190	Interviews Other-Interviews	Unchanged
226189	Focus Groups Other-Focus Groups	Unchanged
226188	Focus Groups Other-Focus Groups	Unchanged
226187	Public Assistance Assessment Customer Satisfaction Survey, FEMA Form 519-0-35 (Internet) Form	Unchanged
226186	Public Assistance Assessment Customer Satisfaction Survey, FEMA Form 519-0-35 (Internet) Form	Unchanged
226185	Public Assistance Assessment Customer Satisfaction Survey, FEMA Form 519-0-34 (Telephone) Form	Unchanged
226184	Public Assistance Assessment Customer Satisfaction Survey, FEMA Form 519-0-34 (Telephone) Form and Instruction	Modified
226183	Public Assistance Initial Customer Satisfaction Survey, FEMA Form 519-0-33 (Internet) Form	Unchanged
226182	Public Assistance Initial Customer Satisfaction Survey, FEMA Form 519-0-33 (Internet) Form	Unchanged
226181	Public Assistance Initial Customer Satisfaction Survey, FEMA Form 519-0-32 (Telephone) Form	Unchanged
226180	Public Assistance Initial Customer Satisfaction Survey, FEMA Form 519-0-32 (Telephone) Form and Instruction	Modified

ICR Details

OMB Control No: 1660-0107	ICR Reference No: 201907-1660-001
Status: Active	Previous ICR Reference No: 201703-1660-002
Agency/Subagency: DHS/FEMA	Agency Tracking No:
Title: Public Assistance Customer Satisfaction Surveys
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 11/12/2019
	Date Received in OIRA: 08/06/2019
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2020	09/30/2020	09/30/2020
Responses	7,604	0	7,604
Time Burden (Hours)	2,093	0	2,093
Cost Burden (Dollars)	11,664	0	11,664

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Abstract: This collection of information enables the Agency to garner customer and stakeholder feedback in an efficient, timely manner, in accordance with our commitment to improving service delivery. The information collected from customers and stakeholders will help ensure that users have an effective, efficient, and satisfying experience with the Agency's programs. This feedback will provide insights into customer or stakeholder perceptions, experiences and expectations, provide an early warning of issues with service, or focus attention on areas where communication, training or changes in operations might improve delivery of products or services. These collections will allow for ongoing, collaborative and actionable communications between the Agency and its customers and stakeholders. It will also allow feedback to contribute directly to the improvement of program management.

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Authorizing Statute(s): EO: EO 12862 Name/Subject of EO: Setting Customer Service Standards
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 88696	12/08/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 12823	03/07/2017
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 12

IC Title	Form No.	Form Name
Public Assistance Assessment Customer Satisfaction Survey, FEMA Form 519-0-35 (Internet)	FEMA Form 519-0-35	Public Assistance Assessment Customer Satisfaction Survey
Interviews
Interviews
Public Assistance Initial Customer Satisfaction Survey, FEMA Form 519-0-32 (Telephone)	FEMA Form 519-0-32	Public Assistance Initial Customer Satisfaction Survey (Telephone)
Public Assistance Initial Customer Satisfaction Survey, FEMA Form 519-0-32 (Telephone)	FEMA Form 519-0-32	Public Assistance Initial Customer Satisfaction Survey (Telephone)
Public Assistance Initial Customer Satisfaction Survey, FEMA Form 519-0-33 (Internet)	FEMA Form 519-0-33	Public Assistance Initial Customer Satisfaction Survey
Public Assistance Initial Customer Satisfaction Survey, FEMA Form 519-0-33 (Internet)	FEMA Form 519-0-33	Public Assistance Initial Customer Satisfaction Survey
Public Assistance Assessment Customer Satisfaction Survey, FEMA Form 519-0-34 (Telephone)	FEMA Form 519-0-34	Public Assistance Assessment customer Satisfaction Survey (Telephone)
Public Assistance Assessment Customer Satisfaction Survey, FEMA Form 519-0-34 (Telephone)	FEMA Form 519-0-34	Public Assistance Assessment Customer Satisfaction Survey (Telephone)
Public Assistance Assessment Customer Satisfaction Survey, FEMA Form 519-0-35 (Internet)	FEMA Form 519-0-35	Public Assistance Assessment Customer Satisfaction Survey
Focus Groups
Focus Groups

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	7,604	7,604	0	0	0	0
Annual Time Burden (Hours)	2,093	2,093	0	0	0	0
Annual Cost Burden (Dollars)	11,664	11,664	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $697,526

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 08/06/2019

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