View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	FEMA Batch of Three Hermit's Peak Surveys	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	FEMA Form FF-104-FY-24-120	Acknowledgement Survey - Phone	FF-104-FY-24-120 (Acknowledgement Survey_v18).docx		No		Printable Only
Form and Instruction	FEMA Form FF-104-FY-24-118	Proof of Loss Survey - Phone	FF-104-FY-24-118 (POL Survey_v17).docx		No		Printable Only
Form and Instruction	FEMA Form FF-104-FY-24-119	Assessment Survey - Mail	FF-104-FY-24-119 (Assessment Survey_v16).docx		No		Printable Only

Federal Enterprise Architecture Business Reference Module

Line of Business: Disaster Management

Subfunction: Disaster Repair and Restore

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 15,900	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	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	15,900	0	15,900	0	0	0
Annual IC Time Burden (Hours)	2,918	0	2,918	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
1660-0130 - Generic Application for Three Hermit's Peak	Claims Office1660-0130 Generic Application.pdf	03/26/2024

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