Forms Revision Chart for Survey

HUD Form # (none), TITLE (Survey to Assess Operational Status of Housing Counseling Agencies due to Disaster/National Emergency 2502-0615)

LOCATION Disaster Survey (current) Disaster/National Emergency Survey (revised)	CURRENT TEXT Disaster Survey	REVISED TEXT Disaster/National Emergency Survey
8 (old)	Are you operational on-site or remotely? w	(8) Is your “bricks&mortar” office Open Closed to public Closed to staff and public
9 (old)	Were any of your staff impacted?	(9) Is your agency housing counseling staff teleworking? Yes/No
New (10)		Describe any issues converting housing counseling staff to telework. Access to client files? Maintaining privacy? IT issues Other?
New (11)		Have you had to furlough housing counseling staff due to National Emergency?
New (15 & 16)		List of services deleted or added
New (17)		What services are clients asking for? Please describe
New (18)		Change in number and type of clients requesting services
20 (old)	Comments	(20) List any questions or concerns you have regarding providing housing counseling services during and after the COVID-19 National Emergency?
New (21)		If your state has current restrictions in place for business operation, do you plan to resume normal in-office hours when these restrictions are lifted?
New (22)		Is there an increase in scam activity
New (23)		Estimate expenses incurred as a result of disaster/national emergency
New (24)		How long can you maintain operations before experiencing financial stress
15 (old)	Have you contacted FEMA, State or local agencies to request assistance for your agency?	deleted
16 (old)	Have you completed any outreach activities to your clients?	deleted
17 (old)	Are you interested in participating in future loss mitigation or other programs related to Recovery?	deleted
19 (old)	If you were not impacted, are you able/willing to assist clients from impacted areas/agencies?	deleted
22 (old)	Have you contacted FEMA, state or local agencies to let them know you are able to offer assistance?	deleted