Information Collection

Hurricane Pulse Survey

IC 272544 under ICR 202502-0607-008 · OMB 0607-0971.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Hurricane Pulse Survey	Form
HPS-EHP Questionnaire Hurricane Pulse Survey	Form
HPS-EHP Questionnaire Attachment A_HPS-EHP Questionnaire_rev.docx	Form
HPS-EHP Questionnaire Attachment A_HPS-EHP Questionnaire_rev.docx	Form
OMB letter hurricane pulse_clean 1121.docx OMB Memo	IC Document
OMB letter hurricane pulse_clean 1121.docx OMB Memo	IC Document
Attachment B_PA and PRA Statement_Standard ICR_clean 1121.docx PRA Statement	IC Document
Attachment B_PA and PRA Statement_Standard ICR_clean 1121.docx PRA Statement	IC Document
Attachment C_Respondent Contact_English_Spanish_clean 1121.docx Respondent Contact Messaging	IC Document
Attachment C_Respondent Contact_English_Spanish_clean 1121.docx Respondent Contact Messaging	IC Document

IC Title:

Agency IC Tracking Number:

IC Status: Unchanged

Obligation to Respond: Voluntary

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	N/A				Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

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: 0 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	3,000	3,000
Annual IC Time Burden (Hours)	999	999
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
OMB Memo		11/21/2024
PRA Statement		11/21/2024
Respondent Contact Messaging		11/21/2024

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

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