Information Collection Request

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

ICR 202412-1660-003 · OMB 1660-0130 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form FEMA Form FF-104-F Acknowledgement Survey – Phone Form and Instruction New Available
Form FEMA Form FF-104-F Assessment Survey - Phone Form and Instruction New Available
Form FEMA Form-104-FY-2 Proof of Loss Survey -Phone Form and Instruction New Available
PC_202412-1660-003_052625_093225_1.pdf Public Comments Uploaded 2025-05-26 Available
Draft - 1660-0130 Generic Application Template - 2024 08 15 RMB.docx Supplementary Document Uploaded 2024-12-17 Repair queued
Draft - 1660-0130 Generic Application Template - 2024 08 15 RMB.docx Supplementary Document Uploaded 2024-12-17 Repair queued
1660-0130 - Supporting Statement B - 2025 01 22 clean.docx Supporting Statement B Uploaded 2025-01-23 Available
1660-0130 - Supporting Statement B - 2025 01 22 clean.docx Supporting Statement B Uploaded 2025-01-23 Repair queued
1660-0130 - Supporting Statement A - 2025 04 25 clean.docx Supporting Statement A Uploaded 2025-04-25 Available
1660-0130 - Supporting Statement A - 2025 04 25 clean.docx Supporting Statement A Uploaded 2025-04-25 Missing upstream
1660-0130 - Published 30-Day Reinstatement FRN - 2025 04 25.pdf Supplementary Document Uploaded 2025-04-25 Available
1660-0130 - Published 30-Day Reinstatement FRN - 2025 04 25.pdf Supplementary Document Uploaded 2025-04-25 Repair queued
1660-0130 - Published 60-Day Extension FRN - 2024 11 21.pdf Supplementary Document Uploaded 2024-12-17 Repair queued
1660-0130 - Published 60-Day Extension FRN - 2024 11 21.pdf Supplementary Document Uploaded 2024-12-17 Missing upstream
Executive Order 12862.docx Supplementary Document Uploaded 2011-06-21 Repair queued
Executive Order 12862.docx Supplementary Document Uploaded 2011-06-21 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
276678 Hermits Peak/Calf Canyon Claims Office Customer Satisfaction Surveys Form and Instruction NewAcknowledgement Survey – Phone
276678 Hermits Peak/Calf Canyon Claims Office Customer Satisfaction Surveys Form and Instruction NewAssessment Survey - Phone
276678 Hermits Peak/Calf Canyon Claims Office Customer Satisfaction Surveys Form and Instruction NewProof of Loss Survey -Phone

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
06/30/2028 36 Months From Approved
1,075,000 0 0
268,783 0 0
0 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Hermits Peak/Calf Canyon Claims Office Customer Satisfaction Surveys FEMA Form-104-FY-24-118 , FEMA Form FF-104-FY-24-119, FEMA Form FF-104-FY-24-120 ,   ,  

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 1,075,000 0 0 0 0 1,075,000
Annual Time Burden (Hours) 268,783 0 0 0 0 268,783
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No