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

National Household Survey on Disaster Preparedness

Documents and Forms

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

Information Collection (IC) Details

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:

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 %

	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

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.