Survivor Sheltering Assessment

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1660-0142 can be found here:

Documents and Forms

Document Name Document Type
Form FEMA Form 009-0-42 Survivor Sheltering Assessment Form and Instruction
FEMA Form 009-0-42 Survivor Sheltering Assessment Alternate Version FEMA Form 009-0-42AV Survivor Sheltering Assessment Excel-Alternate COVID-081220.xlsm Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Survivor Sheltering Assessment	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

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	FEMA Form 009-0-42AV	Survivor Sheltering Assessment Alternate Version	FEMA Form 009-0-42AV Survivor Sheltering Assessment Excel-Alternate COVID-081220.xlsm		Yes	Yes	Fillable Fileable

Line of Business: Disaster Management

Subfunction: Emergency Response

Privacy Act System of Records
Title: DHS/FEMA-008 Disaster Recovery Assistance Files	FR Citation: 78 FR 25282

Number of Respondents: 20,000	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	20,000	20,000
Annual IC Time Burden (Hours)	3,334	3,334
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.