Information Collection

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

IC 226185 under ICR 202310-1660-003 · OMB 1660-0107.

Documents and Forms

Document Name Document Type
Form FF-104-FY-21-157 ( Public Assistance Assessment Customer Satisfaction Survey (Telephone) (SLTT) Form
FF-104-FY-21-157 ( Public Assistance Assessment Customer Satisfaction Surve FF-104-FY-21-157 (formerly 519-0-34) phone.docx Form
FF-104-FY-21-157 ( Public Assistance Assessment Customer Satisfaction Surve FF-104-FY-21-157 (formerly 519-0-34) phone.docx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Public Assistance Assessment 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-21-157 (formerly 519-0-34)	Public Assistance Assessment Customer Satisfaction Survey (Telephone)	FF-104-FY-21-157 (formerly 519-0-34) 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: 870	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	870	13	857
Annual IC Time Burden (Hours)	189	3	186
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.