Did You Feel It? — Unknown Event

OMB No. 1028-0048
Expires 05/31/2015

Your location when the earthquake occurred

Country Select your country.
Zip CodeInput your 5-digit U.S. zip code.
Address(Optional) Street address or latitude/longitude coordinates in parentheses, ex.: (35.0,-116.5). Used for geocoding to improve our analysis.
RegionSelect your region.
CitySelect your city.
Time of EarthquakeLocal time. Example: 1/31/2008 9:00 AM or
Relative time. Example: 5 minutes ago

U.S. Department of the Interior | U.S. Geological Survey
Page URL: http://earthquake.usgs.gov/earthquakes/dyfi/form.php?enabled=false
Page Contact Information: Contact Us
Page Last Modified: March 01, 2012 19:39:47 UTC

DOI and USGS link policies apply. Privacy Act Statement You are not required to provide your personal contact information in order to submit your survey. However, if you do not provide contact information, we may be unable to contact you for additional information to verify your responses. If you do provide contact information, this information will only be used to initiate follow-up communications with you. The records for this collection will be maintained in the appropriate Privacy Act System of Records identified as Earthquake Hazards Program Earthquake Information. (INTERIOR/USGS-2) published at 74 FR 34033 (July 14, 2009). Paperwork Reduction Act Statement The Paperwork Reduction Act of 1995 (44 U.S.C. 3501 et. seq.) requires us to inform you that this information is being collected to supplement instrumental data and to promote public safety through better understanding of earthquakes. Response to this request is voluntary. Public reporting for this form is estimated to average 6 minutes per response, including the time for reviewing instructions and completing the form. A Federal agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB Control Number. Comments regarding this collection of information should be directed to: Bureau Clearance officer, U.S. Geological Survey, 807 National Center, Reston, VA 20192.