View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	FEMA Customer Experience (CX) Survey	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Mock-up			FF-104-009-FY-21-108 FEMA Customer Experience CX Survey.docx		Yes	Yes	Fillable Fileable Signable

Federal Enterprise Architecture Business Reference Module

Line of Business: Disaster Management

Subfunction: Emergency Response

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,600	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to New Statute	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA	Previously Approved
Annual Number of Responses for this IC	1,600	0	1,600	0	0	0
Annual IC Time Burden (Hours)	133	0	133	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
FEMA A-11, Section 280 Implementation	FEMA_A11 Section 280 Generic Clearance Request 1601-0029-FEMA CX.pdf	05/11/2021

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