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National Fire Academy Course Evaluation Form
National Fire Academy Course Evaluation Form
OMB: 1660-0032
IC ID: 21094
OMB.report
DHS/FEMA
OMB 1660-0032
ICR 201004-1660-010
IC 21094
( )
Documents and Forms
Document Name
Document Type
Form FEMA Form 064-0-5
National Fire Academy Course Evaluation Form
Form and Instruction
FEMA Form 064-0-5 End of Course Evaluation Form
4-14-2010 FEMA Form 064-0-5 End of Course Evaluation Form Paper Version.docx
www.nfaonline.dhs.gov
Form and Instruction
FEMA Form 064-0-5 End of Course Evaluation
EOC Form.pdf
www.nfaonline.dhs.gov
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
National Fire Academy Course Evaluation Form
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
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
FEMA Form 064-0-5
End of Course Evaluation
EOC Form.pdf
www.nfaonline.dhs.gov
Yes
Yes
Fillable Fileable
Form and Instruction
FEMA Form 064-0-5
End of Course Evaluation Form
4-14-2010 FEMA Form 064-0-5 End of Course Evaluation Form Paper Version.docx
www.nfaonline.dhs.gov
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Disaster Management
Subfunction:
Disaster Preparedness and Planning
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
14,000
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
65 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
14,000
0
0
0
0
14,000
Annual IC Time Burden (Hours)
3,500
0
0
0
0
3,500
Annual IC Cost Burden (Dollars)
0
0
0
0
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.