Federal Emergency Management Agency Individual Assistance Customer Satisfaction Surveys

OMB 1660-0143

Federal agencies are required to survey their customers to determine the kind and quality of services customers want and their level of satisfaction with those services. Analysis from the survey is used to measure FEMA's survivor-centric mission of being accessible, simple, timely and effective in meeting the needs of survivors.

The latest form for Federal Emergency Management Agency Individual Assistance Customer Satisfaction Surveys expires 2021-01-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form FEMA Form FF-104-F Assessment Survey - Electronic Form and Instruction
Form FEMA Form FF-104-F Assessment Survey - Phone Form and Instruction
Form FEMA Form FF-104-F Contact Survey - Electronic Form and Instruction
Form FEMA Form FF-104-F Contact Survey - Phone Form and Instruction
Form FEMA Form FF-104-F Initial Survey - Electronic Form and Instruction
Form FEMA Form FF-104-F Initial Survey - Phone Form and Instruction
1660-0143 - Supporting Statement B - 2023 02 23 clean.docx Supporting Statement B
1660-0143 - Supporting Statement A - 2023 02 23 clean.docx Supporting Statement A
privacy-pia-fema-csas-february2014_0.pdf Supplementary Document
SORN-DHS 008 Disaster Recovery Assistance Files System of Records 4-30-2013.pdf Supplementary Document
1660-0143 - Published 30-Day BRI Revision FRN - 2023 02 22.pdf Supplementary Document
1660-0143 - Published 60-Day BRI Revision FRN.pdf Supplementary Document
Sandy Recovery Improvement Act of 2013 P.L. 113-2.pdf Supplementary Document
Memorandum of March 1995, Improving Customer Service .pdf Supplementary Document
GPRA Modernization Act 2010 1-5-2010.pdf Supplementary Document
GPRA 1993 PL103_62.pdf Supplementary Document
FEMA 44 CFR 206.101-IA-IHP.pdf Supplementary Document
Executive Order 13571 April 27, 2011.pdf Supplementary Document
Executive Order 13411 2006.pdf Supplementary Document
Executive Order 12862.pdf Supplementary Document
E-Government 2002.pdf Supplementary Document
One-on-One Interviews
Focus Group for 2 Hrs. Plus Travel 1 Hr.
Assessment Survey - Electronic Form and Instruction
Assessment Survey - Phone Form and Instruction
Contact Survey - Electronic Form and Instruction
Contact Survey - Phone Form and Instruction
Initial Survey - Electronic Form and Instruction
Initial Survey - Phone Form and Instruction

All Historical Document Collections

202305-1660-006 Approved with change	Extension without change of a currently approved collection	2023-06-06
202212-1660-009 Withdrawn and continue	Revision of a currently approved collection	2023-02-23
202005-1660-004	Revision of a currently approved collection	2020-09-30
201705-1660-004 Approved with change	New collection (Request for a new OMB Control Number)	2017-08-01

OMB Details

Initial Survey (Phone)

Federal Enterprise Architecture: Disaster Management - Disaster Monitoring and Prediction

Form FEMA Form 519-0-36

Initial Survey (Phone Survey)

Paper Only

Form and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.