Public Assistance Initial Customer Satisfaction Survey (Internet) (SLTT)

Public Assistance Customer Satisfaction Surveys

Documents and Forms

Document Name Document Type
Form FF-104-FY-21-156 ( Public Assistance Initial Customer Satisfaction Survey (Internet) (SLTT) Form
FF-104-FY-21-156 ( Public Assistance Initial Customer Satisfaction Survey ( FF-104-FY-21-156 (formerly 519-0-33) internet.docx via email Form
FF-104-FY-21-156 ( Public Assistance Initial Customer Satisfaction Survey ( FF-104-FY-21-156 (formerly 519-0-33) internet.docx via email Form

Information Collection (IC) Details

IC Title:	Public Assistance Initial Customer Satisfaction Survey (Internet) (SLTT)	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	FF-104-FY-21-156 (formerly 419-0-33)	Public Assistance Initial Customer Satisfaction Survey (Internet)	FF-104-FY-21-156 (formerly 519-0-33) internet.docx	via email	Yes	Yes	Fillable Fileable

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: 365	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	365	17	348
Annual IC Time Burden (Hours)	30	-16	46
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.