National Fire Academy Course Evaluation Form

Forms and Documents

Document Name	Status
Form FEMA Form 064-0-5 National Fire Academy Course Evaluation Form Form and Instruction	Modified
Form FEMA Form 064-0-10 USFA Conference/Symposium Form Form and Instruction	New
Form FF 064-0-4 Distance Learning Evaluation Form and Instruction	New
NARRATIVE OF CHANGES Supporting Statement Part A 1660-0032 Fire Academy 7-16-10.docx Supplementary Document	2010-09-01
Supporting Statement Part A 1660-0032 Fire Academy 7-16-10.docx Supporting Statement A	2010-09-01
1660-0032 Example Course Report.doc Supplementary Document	2010-08-11
Supp_Stat_Exhibit__1__Missing_Values.doc Supplementary Document	2010-08-11
Supporting Statement Part B 1660-0032 7-16-10.docx Supporting Statement B	2010-08-11
60 Day Published FRN 1660-0032 5-27-10.pdf Supplementary Document	2010-08-11
Published 30-day FRN for OMB Control# 1660-0032.pdf Supplementary Document	2010-08-10
0032_Supp Stat Exhibit #4_Pub Law 93-498.doc Supplementary Document	2007-03-19

IC Document Collections

IC ID	Document Title	Status
21094	National Fire Academy Course Evaluation Form Form and Instruction	Modified
193950	USFA Conference/Symposium Form Form and Instruction	New
193948	Distance Learning Evaluation Form and Instruction	New

ICR Details

OMB Control No: 1660-0032	ICR Reference No: 201004-1660-010
Status: Historical Active	Previous ICR Reference No: 200703-1660-005
Agency/Subagency: DHS/FEMA	Agency Tracking No:
Title: National Fire Academy Course Evaluation Form
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 10/28/2010
	Date Received in OIRA: 09/01/2010
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2013	36 Months From Approved	10/31/2010
Responses	54,600	0	14,000
Time Burden (Hours)	7,590	0	3,500
Cost Burden (Dollars)	0	0	0

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Abstract: The NFA End of Course Evaluation Form is used to evaluate all traditional classroom based course deliveries and conference/symposia supporting programmatic initiatives. Data provided by students is used to determine the need for course improvements and the degree of student satisfaction with the training experience. Participant stakeholder data provides necessary information in consideration of program revision and development initiatives and evaluates if the information met their needs.

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Authorizing Statute(s): PL: Pub.L. 93 - 498 S.1769 Name of Law: Federal Fire Prevention and Control Act of 1974
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 29777	05/27/2010
30-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 47824	08/09/2010
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 3

IC Title	Form No.	Form Name
National Fire Academy Course Evaluation Form	FEMA Form 064-0-5, FEMA Form 064-0-5	End of Course Evaluation ,   End of Course Evaluation Form
Distance Learning Evaluation	FF 064-0-4	Distance Learning Evaluation
USFA Conference/Symposium Form	FEMA Form 064-0-10	USFA Conference/Symposium Form

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ICR Summary of Burden

	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	54,600	14,000	0	40,600	0	0
Annual Time Burden (Hours)	7,590	3,500	0	4,090	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: NFA Distance Learning Course Evaluation (FF 064-0-4) and USFA Conference/Symposium (FF 064-0-10) are new forms in this collection and no burden hours are on the current inventory for them. Therefore, all values these are now recorded as positive differences. The NFA End of Course Evaluation Form / FEMA Form 064-0-5 (Formerly FEMA Form 95-20) has no change and is still at 3500 burden hours.

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Annual Cost to Federal Government: $117,910

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 09/01/2010

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