Information Collection

Public Assistance Assessment Customer Satisfaction Survey, FEMA Form 519-0-34 (Telephone)

IC 226185 under ICR 202301-1660-006 · OMB 1660-0107.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1660-0107 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FF-104-FY-21-157 Public Assistance Assessment Customer Satisfaction Survey, FEMA Form 519-0-34 (Telephone)	Form
FF-104-FY-21-157 Public Assistance Assessment Customer Satisfaction Surve FEMA Form FF-104-FY-21-157 (formerly 519-0-34) phone.docx	Form

IC Title:

Public Assistance Assessment Customer Satisfaction Survey, FEMA Form 519-0-34 (Telephone)

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	FF-104-FY-21-157	Public Assistance Assessment Customer Satisfaction Survey	FEMA Form FF-104-FY-21-157 (formerly 519-0-34) phone.docx		No		Paper Only

Line of Business: Disaster Management

Subfunction: Disaster Preparedness and Planning

Privacy Act System of Records

Title: Hazard Mitigation, Disaster Public Assistance, and Disaster Loan Programs System of Records

FR Citation: 79 FR 16015

Number of Respondents: 870

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	870	13	857
Annual IC Time Burden (Hours)	189	3	186
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.