Information Collection

Shelter Resident Assessment Tool (SRAT)

IC 264340 under ICR 202309-1660-009 · OMB 1660-0142.

Documents and Forms

Document Name Document Type
Form FEMA Form FF-104-F Shelter Resident Assessment Tool (SRAT) Form
FEMA Form FF-104-F Shelter Resident Assessment Tool (SRAT) FEMA Form FF-104-FY-21-169 (formerly 009-0-42AV) DRAFT.xlsm Form
FEMA Form FF-104-F Shelter Resident Assessment Tool (SRAT) FEMA Form FF-104-FY-21-169 (formerly 009-0-42AV) DRAFT.xlsm Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Shelter Resident Assessment Tool (SRAT)	Agency IC Tracking Number:

Is this a Common Form? No		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	FEMA Form FF-104-FY-21-168 (formerly 009-0-42)	Shelter Resident Assessment Tool (SRAT)	FEMA Form FF-104-FY-21-169 (formerly 009-0-42AV) DRAFT.xlsm		Yes	Yes	Fillable Fileable

Line of Business: Disaster Management

Subfunction: Disaster Preparedness and Planning

Privacy Act System of Records
Title: DHS/FEMA-008 Disaster Recovery Assistance Files	FR Citation: 78 FR 25282

Number of Respondents: 7,500	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	7,500	7,500
Annual IC Time Burden (Hours)	1,625	1,625
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.