Evacuation Movement and Behavior Questionnaire

Forms and Documents

Document Name	Status
Evacuation Movement and Behavior Questionnaire Form and Instruction	Modified
0693 0051 SuppStm PartB.docx Supporting Statement B	2012-02-29
0693-0051-DescriptionOfChangesToInstrument-11-3-11.docx Supplementary Document	2012-02-29
0693.0051.SuppStmt.110311.doc Supporting Statement A	2012-02-29

IC Document Collections

IC ID	Document Title	Status
184907	Evacuation Movement and Behavior Questionnaire Form and Instruction	Modified

ICR Details

OMB Control No: 0693-0051	ICR Reference No: 201202-0693-002
Status: Historical Inactive	Previous ICR Reference No: 201004-0693-001
Agency/Subagency: DOC/NIST	Agency Tracking No:
Title: Evacuation Movement and Behavior Questionnaire
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Improperly submitted	Conclusion Date: 04/14/2012
	Date Received in OIRA: 02/29/2012
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date		36 Months From Approved
Responses	0	0	0
Time Burden (Hours)	0	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: NIST will be collecting data on evacuation behavior and movement of occupants from high-rise building during evacuation drills in cities across the United States at a rate of several buildings per year. The proposed data collection will consist of a questionnaire that will be handed out in a paper questionnaire or provided via electronically via email to occupants who have evacuated previously-identified high-rise buildings as a part of a scheduled evacuation drill. The purpose of these questionnaires is to obtain information (anonymously) on 1) the background of the occupant (occupant demographics, previous training and education in fire safety, and previous experience in fire evacuations), 2) actions and decisions made by the occupant on his/her floor during the building evacuation, and 3) actions and decisions made by the occupant during the building evacuation via the stairs and/or elevators. This information is necessary to better inform building and life safety code requirements, building occupant education and training about fire safety, and tools that are currently used to assess the life safety of tall buildings in the United States.

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 43265	07/20/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 70109	11/10/2011
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Evacuation Movement and Behavior Questionnaire	None	Questionnaire on Emergency Evacuation Procedures

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Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The proposed revisions (program change) for electronic submission of the questionnaire are not expected to change the estimated burden per response but NIST expects an increase in respondents/responses of 13,334; and corresponding burden hour increase of 2,222.

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Annual Cost to Federal Government: $4,466

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 02/29/2012

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