Information Collection

Public Assistance Assessment Customer Satisfaction Survey, FEMA Form 519-0-35 (Internet)

IC 226186 under ICR 202009-1660-004 · OMB 1660-0107.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1660-0107 can be found here:

Documents and Forms

Document Name Document Type
Form FEMA Form 519-0-35 Public Assistance Assessment Customer Satisfaction Survey, FEMA Form 519-0-35 (Internet) Form
FEMA Form 519-0-35 Public Assistance Assessment Customer Satisfaction Surve PA.AssessmentSurvey.v6.Electronic.519-0-35.docx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Public Assistance Assessment Customer Satisfaction Survey, FEMA Form 519-0-35 (Internet)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

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	FEMA Form 519-0-35	Public Assistance Assessment Customer Satisfaction Survey	PA.AssessmentSurvey.v6.Electronic.519-0-35.docx		Yes	Yes	Fillable Fileable

Line of Business: Disaster Management

Subfunction: Disaster Preparedness and Planning

Privacy Act System of Records
Title: Hazard Mitigation, Disaster Public Assistance, and Disaster Loan Programs System of Records	FR Citation: 79 FR 16015

Number of Respondents: 62	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Previously Approved
Annual Number of Responses for this IC	62	62
Annual IC Time Burden (Hours)	7	7
Annual IC Cost Burden (Dollars)	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.