FEMA Form 519-0-6 Executive Fire Officer Program (EFOP)

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

FEMA form 519-0-6 EFOP 03072013

National Fire Academy Level 1 Evaluation

OMB: 1660-0130

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OMB No. 1660-xxxx (Expiration Date: xx/xxxx)

Executive Fire Officer Program (EFOP)

Applied Research Project Evaluator Evaluation


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Please answer the following questions with regard to your experience with the evaluator assigned to you for your EFOP Applied Research Project.

Assigned Evaluator’s Name:

This evaluator… Strongly Strongly Not

Agree Agree Neutral Disagree Disagree Applicable

  • responded to my Applied Research

Project (ARP) Proposal in a timely manner. m m m m m m


  • provided clear feedback regarding my

proposal which assisted me in developing

my ARP. m m m m m m


  • provided feedback regarding my ARP no

more than 3 months after I had submitted

it to the National Fire Academy (NFA). m m m m m m


Regarding the evaluation of the ARP… Strongly Strongly

Agree Agree Neutral Disagree Disagree

  • The evaluator provided clear feedback

on both the evaluation forms and the ARP

itself according to the required NFA and

American Psychological Association criteria. m m m m m


  • The explanation provided by the evaluator

justified the score/grade that I received. m m m m m


  • Overall I am very satisfied with the work

and effort of my evaluator for this ARP. m m m m m



Do you have any feedback you would like share regarding this evaluator?

FEMA FORM 519-0-6 (XX/XXXX)

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