Information Collection

Survivor Sheltering Assessment

IC 243459 under ICR 202102-1660-004 · OMB 1660-0142.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
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
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

IC Title:

Survivor Sheltering Assessment

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Mandatory

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 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 %

table that charts list of burden
	Approved	Previously Approved
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

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.