Information Collection

Level 1 Assessment Form

IC 199122 under ICR 201503-1660-001 · OMB 1660-0132.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1660-0132 can be found here:

Documents and Forms

Document Name Document Type
Form FEMA Form 092-0-2 Level 1 Assessment Form Form and Instruction
FEMA Form 092-0-2 Level 1 Assessment Form Level 1 Assessment FEMA Form 092-0-2 Expiration Placeholder.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Level 1 Assessment Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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
Form and Instruction	FEMA Form 092-0-2	Level 1 Assessment Form	Level 1 Assessment FEMA Form 092-0-2 Expiration Placeholder.pdf		No		Paper Only

Line of Business: Disaster Management

Subfunction: Disaster Preparedness and Planning

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 38,000	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	38,000	-27,000	65,000
Annual IC Time Burden (Hours)	9,500	-6,750	16,250
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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