Information Collection

Shelter Resident Assessment Tool (SRAT)

IC 264340 under ICR 202309-1660-009 · OMB 1660-0142.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FEMA Form FF-104-F Shelter Resident Assessment Tool (SRAT)	Form
FEMA Form FF-104-F Shelter Resident Assessment Tool (SRAT) FEMA Form FF-104-FY-21-169 (formerly 009-0-42AV) DRAFT.xlsm	Form
FEMA Form FF-104-F Shelter Resident Assessment Tool (SRAT) FEMA Form FF-104-FY-21-169 (formerly 009-0-42AV) DRAFT.xlsm	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

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	FEMA Form FF-104-FY-21-168 (formerly 009-0-42)	Shelter Resident Assessment Tool (SRAT)	FEMA Form FF-104-FY-21-169 (formerly 009-0-42AV) DRAFT.xlsm		Yes	Yes	Fillable Fileable

Line of Business: Disaster Management

Subfunction: Disaster Preparedness and Planning

Privacy Act System of Records

Title: DHS/FEMA-008 Disaster Recovery Assistance Files

FR Citation: 78 FR 25282

Number of Respondents: 7,500

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
Annual Number of Responses for this IC	7,500	7,500
Annual IC Time Burden (Hours)	1,625	1,625
Annual IC Cost Burden (Dollars)	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.