Information Collection

Flood and Coastal Storm Damage Surveys

IC 218139 under ICR 202102-0710-001 · OMB 0710-0017.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0710-0017 can be found here:

Documents and Forms

Document Name Document Type
AgriculturalFloodDamageSurvey_2.1.2021.docx Other-Survey
AgriculturalFloodDamageSurvey_2.1.2021.docx Other-Survey
CoastalStormDamageSurvey_2.1.2021.docx Other-Survey
CoastalStormDamageSurvey_2.1.2021.docx Other-Survey
NonresidentialDamageSurvey_2.1.2021.docx Other-Survey
NonresidentialDamageSurvey_2.1.2021.docx Other-Survey
PublicDamages+OtherCostsSurvey_2.1.21.docx Other-Survey
PublicDamages+OtherCostsSurvey_2.1.21.docx Other-Survey
ResidentialDamageSurvey_2.1.2021.docx Other-Survey
ResidentialDamageSurvey_2.1.2021.docx Other-Survey
RoadwayDamageSurvey_2.1.2021.docx Other-Survey
RoadwayDamageSurvey_2.1.2021.docx Other-Survey
Cover Letter_20 Jan 2021.docx Cover Letter IC Document
Cover Letter_20 Jan 2021.docx Cover Letter IC Document
E_mail Follow Up Letter_27 Jan 21.docx Telephone Call Follow-Up Email IC Document
E_mail Follow Up Letter_27 Jan 21.docx Telephone Call Follow-Up Email IC Document
Post Card Reminder_FRM_27 Jan 2021.docx Reminder Postcrd IC Document
Post Card Reminder_FRM_27 Jan 2021.docx Reminder Postcrd IC Document
Thank You Letter_FRM_27 Jan 2021.docx Thank You Letter IC Document
Thank You Letter_FRM_27 Jan 2021.docx Thank You Letter IC Document
Telephone Follow-Up Script for Flood Damage Survey.docx Telephone Call Follow-Up Script IC Document
Telephone Follow-Up Script for Flood Damage Survey.docx Telephone Call Follow-Up Script IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Flood and Coastal Storm Damage Surveys	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey	AgriculturalFloodDamageSurvey_2.1.2021.docx	Yes	Yes	Fillable Fileable
Other-Survey	CoastalStormDamageSurvey_2.1.2021.docx	Yes	Yes	Fillable Fileable
Other-Survey	NonresidentialDamageSurvey_2.1.2021.docx	Yes	Yes	Fillable Fileable
Other-Survey	PublicDamages+OtherCostsSurvey_2.1.21.docx	Yes	Yes	Fillable Fileable
Other-Survey	ResidentialDamageSurvey_2.1.2021.docx	Yes	Yes	Fillable Fileable
Other-Survey	RoadwayDamageSurvey_2.1.2021.docx	Yes	Yes	Fillable Fileable

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 75 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	3,000	3,000
Annual IC Time Burden (Hours)	1,150	1,150
Annual IC Cost Burden (Dollars)	28,886	28,886

Documents for IC

Title	Document	Date Uploaded
Cover Letter	Cover Letter_20 Jan 2021.docx	02/01/2021
Telephone Call Follow-Up Email	E_mail Follow Up Letter_27 Jan 21.docx	02/01/2021
Reminder Postcrd	Post Card Reminder_FRM_27 Jan 2021.docx	02/01/2021
Thank You Letter	Thank You Letter_FRM_27 Jan 2021.docx	02/01/2021
Telephone Call Follow-Up Script	Telephone Follow-Up Script for Flood Damage Survey.docx	02/02/2021

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