Information Collection

Flood and Coastal Storm Damage Surveys

IC 218139 under ICR 202402-0710-001 · OMB 0710-0017.

Documents and Forms

Document Name Document Type
AgriculturalFloodDamageSurvey_2.1.2021.docx Other-Survey
CoastalStormDamageSurvey_2.1.2021.docx Other-Survey
NonresidentialDamageSurvey_2.1.2021.docx Other-Survey
PublicDamages+OtherCostsSurvey_2.1.21.docx Other-Survey
ResidentialDamageSurvey_2.1.2021.docx Other-Survey
RoadwayDamageSurvey_2.1.2021.docx Other-Survey
Cover Letter.docx Cover Letter IC Document
E_mail Follow Up Letter.docx Telephone Call Follow-Up Email IC Document
Post Card Reminder.docx Reminder Postcard IC Document
Thank You Letter.docx Thank You Letter IC Document
Telephone Follow-Up Script for Flood Damage Survey.docx Telephone Call Follow-Up Script IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Flood and Coastal Storm Damage Surveys	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey	AgriculturalFloodDamageSurvey_2.1.2021.docx	Yes	Yes	Fillable Fileable
Other-Survey	CoastalStormDamageSurvey_2.1.2021.docx	Yes	Yes	Fillable Fileable
Other-Survey	NonresidentialDamageSurvey_2.1.2021.docx	Yes	Yes	Fillable Fileable
Other-Survey	PublicDamages+OtherCostsSurvey_2.1.21.docx	Yes	Yes	Fillable Fileable
Other-Survey	ResidentialDamageSurvey_2.1.2021.docx	Yes	Yes	Fillable Fileable
Other-Survey	RoadwayDamageSurvey_2.1.2021.docx	Yes	Yes	Fillable Fileable

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 75 %

	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	3,000	0	3,000
Annual IC Time Burden (Hours)	1,150	0	1,150
Annual IC Cost Burden (Dollars)	38,708	9,822	28,886

Documents for IC

Title	Document	Date Uploaded
Cover Letter	Cover Letter.docx	04/30/2024
Telephone Call Follow-Up Email	E_mail Follow Up Letter.docx	04/30/2024
Reminder Postcard	Post Card Reminder.docx	04/30/2024
Thank You Letter	Thank You Letter.docx	04/30/2024
Telephone Call Follow-Up Script	Telephone Follow-Up Script for Flood Damage Survey.docx	04/30/2024

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.