Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Assessment Survey - Electronic Modified 5856 586 0 Form and Instruction FEMA Form FF-104-FY-21-164 (formerly 519-0-41) Assessment Survey - Electronic
Assessment Survey - Phone Modified 3744 749 0 Form and Instruction FEMA Form FF-104-FY-21-163 (formerly 519-0-40) Assessment Survey (Phone Survey)
Contact Survey - Electronic Modified 8784 586 0 Form and Instruction FEMA Form FF-104-FY-21-162 (formerly 519-0-39) Contact Survey - Electronic
Contact Survey - Phone Modified 5616 749 0 Form and Instruction FEMA Form FF-104-FY-21-161 (formerly 519-0-38) Contact Survey - Phone
Focus Group for 2 Hrs. Plus Travel 1 Hr. Modified 500 1500 0
Initial Survey - Electronic Modified 8052 537 0 Form and Instruction FEMA Form FF-104-FY-21-160 (formerly 519-0-37) Intital Survey - Electronic
Initial Survey - Phone Modified 5148 686 0 Form and Instruction FEMA Form FF-104-FY-21-159 (formerly 519-0-36) Initial Survey - Phone
One-on-One Interviews Modified 500 500 0
Total burden requested under this ICR: 38200 5893 0  
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