FEMA Congressional Mental Health Emergency Manager Wellness Study Survey

An Investigation of the Effect of Disaster Response and Recovery on Perceived Stress and Emotional Trauma

Documents and Forms

Document Name Document Type
Form FF-119-FY-23-100 FEMA Congressional Mental Health Emergency Manager Wellness Study Survey Form and Instruction
FF-119-FY-23-100 FEMA Congressional Mental Health Emergency Manager Welln FF-119-FY-23-100.docx Form and Instruction
FF-119-FY-23-100 FEMA Congressional Mental Health Emergency Manager Welln FF-119-FY-23-100.docx Form and Instruction

Information Collection (IC) Details

IC Title:	FEMA Congressional Mental Health Emergency Manager Wellness Study Survey	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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	FF-119-FY-23-100	FEMA Congressional Mental Health Emergency Manager Wellness Study Survey	FF-119-FY-23-100.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: 378	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	378	378
Annual IC Time Burden (Hours)	189	189
Annual IC Cost Burden (Dollars)	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.