Information Collection

Preparedness Survey (Phone) - FEMA Form FF-104-FY-21-180 (formerly 519-0-44)

IC 228595 under ICR 202203-1660-002 · OMB 1660-0145.

Documents and Forms

Document Name Document Type
Form FEMA Form FF-104-F Preparedness Survey (Phone) - FEMA Form FF-104-FY-21-180 (formerly 519-0-44) Form and Instruction
FEMA Form FF-104-F Preparedness Survey (Phone) FF-104-FY-21-180 (formerly 519-0-44).docx Form and Instruction
FEMA Form FF-104-F Preparedness Survey (Phone) FF-104-FY-21-180 (formerly 519-0-44).docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Preparedness Survey (Phone) - FEMA Form FF-104-FY-21-180 (formerly 519-0-44)	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 FF-104-FY-21-180 (formerly 519-0-44)	Preparedness Survey (Phone)	FF-104-FY-21-180 (formerly 519-0-44).docx		Yes	Yes	Fillable Fileable

Line of Business: Disaster Management

Subfunction: Disaster Monitoring and Prediction

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 976	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	976	-112	1,088
Annual IC Time Burden (Hours)	163	-19	182
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.