PRA Application Cover Sheet
PAPERWORK REDUCTION ACT (PRA)
NIST Generic Request for Customer Service Related Data Collections
OMB Control #0693-0031
Expiration Date: 06/30/2021
NIST Generic Clearance for Program Evaluation Data Collections
OMB Control #0693-0033
Expiration Date: 07/31/2022
NIST Generic Clearance for Usability Data Collections
OMB Control #0693-0043
Expiration Date: 03/31/2022
NIST Generic Clearance for Community Resilience Data Collections
OMB Control #0693-0078
Expiration Date: 07/31/2022
Title of the Information Collection Request (ICR):
HURRICANE MARIA EMERGENCY COMMUNICATIONS INVESTIGATION: HOUSEHOLD SURVEY PILOT
_________________________________________________________________
Burden Hour Estimates (Annually):
Number of Respondents: _________1500________
Minutes/Hours per Response: _________25________
From the following list please indicate how a collection will be completed and submitted by the respondent.
● Fillable Fileable – This method would allow a respondent to complete the collection instrument and submit their response electronically through a system or interface.
● Fillable Printable – This method will allow a respondent to complete the collection instrument electronically and then save the document which would be returned as an attachment to an email.
● Fillable Fileable Signable – This method allows for a respondent to complete the collection instrument, to include an electronic signature. The response would be “delivered” electronically through a system or interface.
● Paper Only
● Printable Only
● Other- Verbal Interview
● Other- Online Survey
Agency Contact: (person who best answers questions about the content of the submission)
Name: Katherine Johnson, NIST Social Scientist and National Construction Safety Team Member________ Phone: 202-713-8279
Attachments:
Supporting Statement - Answers to the four questions required by OMB
Survey instrument #1 Screenshot [online/ self-administered]
Survey instrument #2 Screenshot [verbal (telephone); interviewer-administered; with scripting]
Recruitment postcard
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | Johnson, Katherine J. (Fed) |
| File Modified | 0000-00-00 |
| File Created | 2022-06-24 |