Key Informant Impact and Gap Feedback Tool - 2021 California Wildfires Disaster

Fast Track Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0990-0379 can be found here:

Documents and Forms

Document Name Document Type
Key Informant Impact and Gap Feedback Tool - 2021 CA Wildfires Disaster (1).docx Other-
Key Informant Impact and Gap Feedback Tool - 2021 CA Wildfires Disaster (1).docx Other-
0990-0379 ASPR DCMR Usability Generic Submission FINAL DRAFT - 8Feb22.docx Memo IC Document
0990-0379 ASPR DCMR Usability Generic Submission FINAL DRAFT - 8Feb22.docx Memo IC Document

Information Collection (IC) Details

IC Title:	Key Informant Impact and Gap Feedback Tool - 2021 California Wildfires Disaster	Agency IC Tracking Number:

IC Status: Unchanged

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
Other-			Key Informant Impact and Gap Feedback Tool - 2021 CA Wildfires Disaster (1).docx		No		Fillable Fileable

Line of Business: Disaster Management

Subfunction: Disaster Repair and Restore

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 50	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Previously Approved
Annual Number of Responses for this IC	50	50
Annual IC Time Burden (Hours)	2	2
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Memo	0990-0379 ASPR DCMR Usability Generic Submission FINAL DRAFT - 8Feb22.docx	03/01/2022

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.