Emergency Management Institute Residential Course Evaluation Form

Forms and Documents

Document Name	Status
Form FEMA Form 092-0-3 Emergency Management Institute Residential Course Evaluation Form (paper) Form and Instruction	Modified
Form FEMA Form 092-0-3 Emergency Management Institute Residential Course Evaluation Form / FEMA Form 092-0-3 (electronic) Form and Instruction	New
PTA 2012 renewal.doc Supplementary Document	2012-02-27
1660-0034 PUBLISHED 30 Day FRN 2-21-12.pdf Supplementary Document	2012-02-29
1660-0034 PUBLISHED 60 Day FRN 11-21-11.pdf Supplementary Document	2012-02-29
Supporting Statement_1660-0034.doc Supporting Statement A	2012-04-19
Pages from stafford_act.pdf Supplementary Document	2009-02-27

IC Document Collections

IC ID	Document Title	Status
21098	Emergency Management Institute Residential Course Evaluation Form (paper) Form and Instruction	Modified
201314	Emergency Management Institute Residential Course Evaluation Form / FEMA Form 092-0-3 (electronic) Form and Instruction	New

ICR Details

OMB Control No: 1660-0034	ICR Reference No: 201202-1660-003
Status: Historical Inactive	Previous ICR Reference No: 200902-1660-006
Agency/Subagency: DHS/FEMA	Agency Tracking No:
Title: Emergency Management Institute Residential Course Evaluation Form
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Withdrawn and continue	Conclusion Date: 10/04/2012
	Date Received in OIRA: 04/27/2012
Terms of Clearance: The agency has requested that this ICR be withdrawn.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2012	36 Months From Approved	10/31/2012
Responses	11,778	0	11,778
Time Burden (Hours)	1,967	0	1,967
Cost Burden (Dollars)	0	0	0

---

Abstract: Students attending the Emergency Management Institute resident program courses at the Federal Emergency Management Agency's National Emergency Training Center will be asked to complete a course evaluation form upon completion of each course they attend. The information will be used by EMI staff and management to identify problems with course materials, and will evaluate the quality of the course delivery facilities, and instructors.

---

Authorizing Statute(s): PL: Pub.L. 93 - 228 611 Name of Law: The Robert T. Stafford Disaster Relief and Emergency Assistance Act
  

Citations for New Statutory Requirements: None

---

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

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 71991	11/21/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 9952	02/21/2012
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
Emergency Management Institute Residential Course Evaluation Form (paper)	FEMA Form 092-0-3	Emergency Management Institute Residential Course Evaluation Form (paper)
Emergency Management Institute Residential Course Evaluation Form / FEMA Form 092-0-3 (electronic)	FEMA Form 092-0-3	Emergency Management Institute Residential Course Evaluation Form (electronic)

---

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: Due to the increase in the number of attendees to EMI courses, the number of respondents for the paper collection has increased. Although the hours per response remain the same, an adjustment of 774 additional hours has been included in this information collection to account for the additional respondents. The total burden hours for this collection is estimated to be 16,444 responses x 10 minutes per response = 2,741 hours. The electronic collection is new and therefore does not exist on the current OMB inventory. The total burden hours for this collection is estimated to be 20,000 responses x 3 minutes per response = 1,000 hours.

---

Annual Cost to Federal Government: $77,775

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

---

Common Form ICR:  No

---

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: 04/27/2012

---