National Fire Academy Course Evalation Form (Used for Field/Off- campus and State Weekend Programs)

ICR 200303-1660-031

OMB: 1660-0031

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
1660-0031 200303-1660-031
Historical Active 200207-3067-007
DHS/FEMA
National Fire Academy Course Evalation Form (Used for Field/Off- campus and State Weekend Programs)
Extension without change of a currently approved collection   No
Regular
Approved without change 03/01/2003
Retrieve Notice of Action (NOA) 03/01/2003
  Inventory as of this Action Requested Previously Approved
11/30/2005 11/30/2005
25,000 0 0
6,250 0 0
0 0 0

This National Fire Academy Course Evaluation Form is used to evaluate the effectiveness of all field/off-campus and State Weekend Program courses. The form is primarily used to assess the effectiveness of course materials, instructor delivery and physical location. The demographic information is used in developing needs assessments and identifying the student population's representation.

None
None


No

1
IC Title Form No. Form Name
National Fire Academy Course Evalation Form (Used for Field/Off- campus and State Weekend Programs) FEMA-95-45

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 25,000 0 0 25,000 0 0
Annual Time Burden (Hours) 6,250 0 0 6,250 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No

$0
Yes Part B of Supporting Statement
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
03/01/2003


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