OMB Control Number: 2502-0615

Expiration Date:

Public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed and completing and reviewing the collection of information. The information collected will be used assess the operational status of housing counseling agencies after a disaster to determine needed assistance. This collection of information is voluntary. The agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless that collection displays a valid OMB control number. Responses are protected from disclosure pursuant to the Privacy Act of 1974. HUD will prosecute false claims and statements. Conviction may result in criminal and/or civil penalties. (18 U.S.C. 1001, 1010, 1012;31 U.S.C. 3729, 3802).

Thank you for completing this Office of Housing Counseling (OHC) Post-Disaster Recovery Survey used to identify operating status, assess damage, and evaluate the needs of your agencies and clients. The Post-Disaster Recovery Survey may be sent to you either initially or as a follow-up to help OHC support you, your agency and your clients through disaster-related recovery efforts.

Your response to this survey is voluntary.

Required questions are marked with an asterisk. All other questions are optional. Please provide information based on the current situation of your agency as it relates to the most recent disaster.

Please find helpful disaster-related resources Housing Counseling Disaster Resources - HUD Exchange.

Thank you for completing the initial OHC Disaster Response Survey. If you would like assistance, please contact your OHC POC or send an email to OHCDart@hud.gov.

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* 1. Name of Housing Counseling Agency

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* 2. Agency HCS ID Number

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* 3. Identify the federally declared disaster that has impacted the area your agency serves.

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* 4. Disaster type (i.e. flood, fire, etc.)

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* 5. Identify the local, state, or regional disaster that has impacted the area your agency serves.

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* 6. Disaster type (i.e. flood, fire, etc.)

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* 7. Who is the current contact for your agency? Please share their contact information.

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* 8. Is this the first time you are completing this OHC Post-Disaster Recovery Survey?

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* 9. Select from the options below how the most recent disaster has impacted agency operations to provide housing counseling. Select all that apply.

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* 10. Share the post-disaster needs of your agency, impacting its services. Select all that apply.

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* 11. Select the funding sources your agency may be using for post-disaster counseling services. Select all that apply.

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* 12. Indicate the organizations with whom your Housing Counseling Agency is coordinating. Select all that apply.

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* 13. From the answers in the previous question, please provide the names of the state, local, not-for-profit, or HUD grantee organizations, if applicable.

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* 15. Select the post-disaster group education services that have been provided. Select all that apply.

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* 16. Select the post-disaster one-on-one housing counseling services that have been provided. Select all that apply.

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* 17. When thinking of the needs identified by your clients during post-disaster counseling, indicate the frequency of requests per need identified. Select all that apply. (Note these needs may not be part of the agency's housing counseling services)

  Always Requested Frequently Requested Least Requested Never Requested
Finding affordable temporary housing
Finding affordable permanent housing
Insurance inquiries or claims
Landlord/Tenant concerns regarding tenancy, including but not limited to evictions or rental contract concerns
Housing rehabilitation or repairs
Legal concerns
Fair Housing concerns
Basic needs such as access to food, water, wastewater, or health care needs
Financial counseling
Transportation needs
Employment needs
Foreclosure concerns
Mental Health needs
Fraudulent or Scam Communications
Disaster Recovery Counseling

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* 18. How many clients(by type) have been provided housing counseling by your agency, post-disaster? (estimates are acceptable)

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* 19. Have clients recieved post-disaster financial assistance? If yes, please share the type of financial assistance received.

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* 20. Indicate the unaddressed or not fully addressed financial needs identified by counseled clients during post-disaster recovery. Select all that apply.

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* 21. Indicate how post-disaster marketing of housing counseling services were shared or advertised to the disaster impacted community. Select all that apply.

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* 22. Does your agency have a Continuity of Operations Plan (COOP). If so, please share any actions or protocols activated in response to the disaster.

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* 23. Does your agency have an Emergency Response Plan? If so, please share any actions or protocols activated in response to the disaster.

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* 24. Please share any other comments.

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