Preparedness Survey - Electronic - FEMA Form FF-104-FY-21-181 (formerly 519-0-45)

Federal Emergency Management Agency Programs Customer Satisfaction

Documents and Forms

Document Name Document Type
Form FEMA Form FF-104-F Preparedness Survey - Electronic - FEMA Form FF-104-FY-21-181 (formerly 519-0-45) Form and Instruction
FEMA Form FF-104-F Preparedness Survey- Electronic FF-104-FY-21-181 (formerly 519-0-45).docx Form and Instruction
FEMA Form FF-104-F Preparedness Survey- Electronic FF-104-FY-21-181 (formerly 519-0-45).docx Form and Instruction

Information Collection (IC) Details

IC Title:	Preparedness Survey - Electronic - FEMA Form FF-104-FY-21-181 (formerly 519-0-45)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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	FEMA Form FF-104-FY-21-181 (formerly 519-0-45)	Preparedness Survey- Electronic	FF-104-FY-21-181 (formerly 519-0-45).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: 624	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	624	112	512
Annual IC Time Burden (Hours)	104	18	86
Annual IC Cost Burden (Dollars)	0	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.