Post Disaster Survivor Preparedness Research (Cognitive Interview Screener)

Post Disaster Survivor Preparedness Research Survey

Documents and Forms

Document Name Document Type
Form FF-008-FY-21-112 ( Post Disaster Survivor Preparedness Research (Cognitive Interview Screener) Form and Instruction
FF-008-FY-21-112 ( Post Disaster Survivor Preparedness Research (Cognitive FF-008-FY-21-112 (formerly 519-0-54).docx Form and Instruction

Information Collection (IC) Details

IC Title:	Post Disaster Survivor Preparedness Research (Cognitive Interview Screener)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

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	FF-008-FY-21-112 (formerly FEMA Form 519-0-54)	Post Disaster Survivor Preparedness Research (Cognitive Interview Screener)	FF-008-FY-21-112 (formerly 519-0-54).docx		No		Paper Only

Line of Business: Disaster Management

Subfunction: Disaster Preparedness and Planning

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 500	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	500	500
Annual IC Time Burden (Hours)	20	20
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.