Information Collection

Preparedness Survey (Phone) - FEMA Form FF-104-FY-21-180 (formerly 519-0-44)

IC 228595 under ICR 202203-1660-002 · OMB 1660-0145.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FEMA Form FF-104-F Preparedness Survey (Phone) - FEMA Form FF-104-FY-21-180 (formerly 519-0-44)	Form and Instruction
FEMA Form FF-104-F Preparedness Survey (Phone) FF-104-FY-21-180 (formerly 519-0-44).docx	Form and Instruction
FEMA Form FF-104-F Preparedness Survey (Phone) FF-104-FY-21-180 (formerly 519-0-44).docx	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

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 FF-104-FY-21-180 (formerly 519-0-44)	Preparedness Survey (Phone)	FF-104-FY-21-180 (formerly 519-0-44).docx		Yes	Yes	Fillable Fileable

Line of Business: Disaster Management

Subfunction: Disaster Monitoring and Prediction

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 976

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	976	-112	1,088
Annual IC Time Burden (Hours)	163	-19	182
Annual IC Cost Burden (Dollars)	0	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.