Information Collection

FEMA Form 008-FY-21-104 (Web)

IC 246369 under ICR 202103-1660-007 · OMB 1660-0105.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1660-0105 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 008-FY-21-104 (Web FEMA Form 008-FY-21-104 (Web)	Form and Instruction
008-FY-21-104 (Web National Household Survey on Disaster Preparedness (Web) FEMA Form FF-008-FY-21-104 (formerly 008-0-15) Web.docx	Form and Instruction

IC Title:

FEMA Form 008-FY-21-104 (Web)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 44 CFR 206.117

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	008-FY-21-104 (Web)	National Household Survey on Disaster Preparedness (Web)	FEMA Form FF-008-FY-21-104 (formerly 008-0-15) Web.docx		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: 3,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	3,000	3,000
Annual IC Time Burden (Hours)	750	750
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.