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Initial Survey - Phone
Federal Emergency Management Agency Individual Assistance Customer Satisfaction Surveys
OMB: 1660-0143
IC ID: 226811
OMB.report
DHS/FEMA
OMB 1660-0143
ICR 202305-1660-006
IC 226811
( )
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
Information Collection (IC) Details
View Information Collection (IC)
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
Federal Enterprise Architecture Business Reference Module
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 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
5,148
0
0
-2,508
0
7,656
Annual IC Time Burden (Hours)
686
0
0
-332
0
1,018
Annual IC Cost Burden (Dollars)
0
0
0
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.