Information Collection

Initial Survey - Electronic

IC 226842 under ICR 202305-1660-006 · OMB 1660-0143.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FEMA Form FF-104-F Initial Survey - Electronic	Form and Instruction
FEMA Form FF-104-F Intital Survey - Electronic FEMA Form FF-104-FY-21-160 (formerly 519-0-37) Initial Survey-Electronic.docx	Form and Instruction

IC Title:

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 and Instruction	FEMA Form FF-104-FY-21-160 (formerly 519-0-37)	Intital Survey - Electronic	FEMA Form FF-104-FY-21-160 (formerly 519-0-37) Initial Survey-Electronic.docx		Yes	Yes	Fillable Fileable

Line of Business: Disaster Management

Subfunction: Disaster Preparedness and Planning

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 8,052

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	8,052	2,508	5,544
Annual IC Time Burden (Hours)	537	-200	737
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.