Distance Learning Evaluation

National Fire Academy Course Evaluation Form

Documents and Forms

Document Name Document Type
Form FF 064-0-4 Distance Learning Evaluation Form and Instruction
FF 064-0-4 Distance Learning Evaluation DLE Form.pdf www.nfaonline.dhs.gov Form and Instruction

Information Collection (IC) Details

IC Title:	Distance Learning Evaluation	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	FF 064-0-4	Distance Learning Evaluation	DLE Form.pdf	www.nfaonline.dhs.gov	Yes	Yes	Fillable Fileable

Line of Business: Disaster Management

Subfunction: Disaster Preparedness and Planning

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 40,000	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	40,000	40,000
Annual IC Time Burden (Hours)	4,000	4,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.