Information Collection

Preparedness Activity Feedback Form

IC 240687 under ICR 202003-1660-004 · OMB 1660-0134.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1660-0134 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FEMA Form 519-0-11 Preparedness Activity Feedback Form	Form
FEMA Form 519-0-11 Preparedness Activity Feedback Form 2020 1660-0134 Preparedness Activity Question Bank.xlsx	Form

IC Title:

Preparedness Activity Feedback Form

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

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 519-0-11	Preparedness Activity Feedback Form	2020 1660-0134 Preparedness Activity Question Bank.xlsx		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: 17,223

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	17,223	17,223
Annual IC Time Burden (Hours)	1,435	1,435
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.