FEMA Form 519-0-7 Coffe Break Training (CBT) Evaluation

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

Coffee Break Training (CBT) Evaluation

Paperwork Reduction Act Notice

Public reporting burden for this form is estimated to be an average of 1 minute per response. The burden includes the time for reviewing instructions, searching existing data sources, gathering and maintaining the needed data, and completing, reviewing and submitting the form. This collection of information is voluntary. You are not required to respond to this collection of information unless a valid OMB control number appears in the upper right corner of this form. Send comments regarding the accuracy of the burden estimate and any suggestions for reducing the burden to: Information Collections Management, Department of Homeland Security, Federal Emergency Management Agency, 500 C St. SW, Washington, DC 20472, Paperwork Reduction Project (1660-0032) NOTE: Please do not send your completed form to the above address.

1. In what country are you located?

2. In what industry segment do you work?

m Architect/designer

m Building codes enforcement

m Education/academic

m Fire service operations

m Fire service training

m Fire codes enforcement

m Forensic investigations

m Insurance/loss control

m Manufacturing

m Other, please specify

3. In addition to you, the subscriber, how many others in your organization read your copy of the CBT?

m 0-1

m 2-5

m 6-10

m 11-20

m More than 20

4. For what purpose do you use the Coffee Break Training?

m General information/discussion

m Individual training

m Group training

m Other, please specify

5. Do you take the quarterly exams at NFAOnline?

m Yes

m No

m I am not aware of them

6. Do you use the continuing education units (CEUs) available for the completed exams at NFA Online?

m Yes

m No

m I am not aware of them

FEMA FORM 519-0-7 (XX/XXXX)