Information Collection

National Fire Academy Course Evaluation Form

IC 21094 under ICR 201004-1660-010 · OMB 1660-0032.

Documents and Forms

Documents and forms in this information collection
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

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of 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

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 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	14,000	14,000
Annual IC Time Burden (Hours)	3,500	3,500
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.