Initial Survey - Phone

Federal Emergency Management Agency Individual Assistance Customer Satisfaction Surveys

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1660-0143 can be found here:

Documents and Forms

Document Name Document Type
Form FEMA Form FF-104-F Initial Survey - Phone Form and Instruction
FEMA Form FF-104-F Initial Survey - Phone FEMA Form FF-104-FY-21-159 (formerly 519-0-36) Initial Survey-Phone.docx Form and Instruction
FEMA Form FF-104-F Initial Survey - Phone FEMA Form FF-104-FY-21-159 (formerly 519-0-36) Initial Survey-Phone.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Initial Survey - Phone	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-21-159 (formerly 519-0-36)	Initial Survey - Phone	FEMA Form FF-104-FY-21-159 (formerly 519-0-36) Initial Survey-Phone.docx		No		Paper Only

Line of Business: Disaster Management

Subfunction: Disaster Monitoring and Prediction

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 5,148	Number of Respondents for Small Entity: 1

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	5,148	-2,508	7,656
Annual IC Time Burden (Hours)	686	-332	1,018
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.