Information Collection

Public Assistance Initial Customer Satisfaction Survey (Telephone) (SLTT)

IC 226181 under ICR 202310-1660-003 · OMB 1660-0107.

Documents and Forms

Document Name Document Type
Form FF-104-FY-21-155 ( Public Assistance Initial Customer Satisfaction Survey (Telephone) (SLTT) Form
FF-104-FY-21-155 ( Public Assistance Initial Customer Satisfaction Survey ( FF-104-FY-21-155 (formerly 519-0-32) phone.docx Form
FF-104-FY-21-155 ( Public Assistance Initial Customer Satisfaction Survey ( FF-104-FY-21-155 (formerly 519-0-32) phone.docx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Public Assistance Initial Customer Satisfaction Survey (Telephone) (SLTT)	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	FF-104-FY-21-155 (formerly 519-0-32)	Public Assistance Initial Customer Satisfaction Survey (phone)	FF-104-FY-21-155 (formerly 519-0-32) phone.docx		No		Paper Only

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: 1,181	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	1,181	-213	1,394
Annual IC Time Burden (Hours)	197	-35	232
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.