Information Collection

Disaster Response Questionnaire

IC 175835 under ICR 198709-3067-006 · OMB 3067-0188.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3067-0188 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	DISASTER RESPONSE QUESTIONNAIRE	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

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

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 200	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	400	200	200
Annual IC Time Burden (Hours)	600	400	200
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded

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