Information Collection

FEMA Congressional Mental Health Emergency Manager Wellness Study Survey

IC 263972 under ICR 202312-1660-003 · OMB 1660-0168.

Documents and Forms

Document Name Document Type
Form FF-119-FY-23-100 FEMA Congressional Mental Health Emergency Manager Wellness Study Survey Form and Instruction
FF-119-FY-23-100 FEMA Congressional Mental Health Emergency Manager Welln FF-119-FY-23-100.docx Form and Instruction
FF-119-FY-23-100 FEMA Congressional Mental Health Emergency Manager Welln FF-119-FY-23-100.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	FEMA Congressional Mental Health Emergency Manager Wellness Study Survey	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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	FF-119-FY-23-100	FEMA Congressional Mental Health Emergency Manager Wellness Study Survey	FF-119-FY-23-100.docx		Yes	Yes	Fillable Fileable

Line of Business: Disaster Management

Subfunction: Disaster Preparedness and Planning

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 378	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	378	378
Annual IC Time Burden (Hours)	189	189
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.