Chemical Stockpile Emergency Preparedness Program (CSEPP) Evaluation and Customer Satisfaction Survey

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form FEMA Form 008-0-3I Pueblo EPZ Residential Survey/ FEMA Form 008-0-3INT	Form and Instruction	Unchanged	Available
Form FEMA FORM 008-0-9 Pueblo EPZ Residential Survey/ FEMA Form 008-0-9	Form and Instruction	Modified	Available
GPRA Public Law 103_62.pdf	Supplementary Document	Uploaded 2014-10-16	Available
CSEPP_Blue_Book_-_1_May_03.pdf	Supplementary Document	Uploaded 2014-10-16	Available
Blue Book 6-19-09_Final.pdf	Supplementary Document	Uploaded 2014-10-16	Available
50_CHAP32_1521.pdf	Supplementary Document	Uploaded 2014-10-16	Available
44_CFR_2.42.pdf	Supplementary Document	Uploaded 2014-10-16	Available
Pub 30 Day FRN_1660-0057.pdf	Supplementary Document	Uploaded 2014-10-16	Available
Pub 60 Day FRN 08012014.pdf	Supplementary Document	Uploaded 2014-10-16	Repair queued
Supporting Statement 16600057_Part B_071414.docx	Supporting Statement B	Uploaded 2014-10-22	Available
Narrative of Changes from Last ICR Submission.docx	Supplementary Document	Uploaded 2014-09-23	Available
Supporting Statement_1660-0057_Part A_071414.docx	Supporting Statement A	Uploaded 2014-10-22	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
197357	Umatilla EPZ Residential Survey/ FEMA Form 008-0-6	Other-Telephone Survey	Removed
197356	Pueblo EPZ Business Survey/ FEMA Form 008-0-5	Other-Telephone Survey	Unchanged
197354	Pueblo City Residential Survey/ FEMA Form 008-0-4	Other-Telephone Survey	Unchanged
197353	Pueblo EPZ Residential Survey/ FEMA Form 008-0-3INT	Form and Instruction	Unchanged
197352	Pueblo EPZ Residential Survey/ FEMA Form 008-0-9	Form and Instruction	Modified
197351	Deseret EPZ Residential Survey/ FEMA Form 008-0-8	Other-Telephone Survey	Removed
197350	Blue Grass EPZ Residential Survey/ FEMA Form 008-0-7	Other-Telephone Survey	Unchanged

ICR Details

OMB Control No: 1660-0057	ICR Reference No: 201409-1660-006
Status: Historical Active	Previous ICR Reference No: 201103-1660-003
Agency/Subagency: DHS/FEMA	Agency Tracking No:
Title: Chemical Stockpile Emergency Preparedness Program (CSEPP) Evaluation and Customer Satisfaction Survey
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 02/24/2015
	Date Received in OIRA: 10/28/2014
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2018	36 Months From Approved	02/28/2015
Responses	2,078	0	3,715
Time Burden (Hours)	490	0	900
Cost Burden (Dollars)	0	0	0

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Abstract: To support the development of public outreach and education efforts that will improve the emergency preparedness, FEMA's Chemical Stockpile Emergency Preparedness Program (CSEPP) will collect data from the citizens living in the Immediate Response Zones (IRZ) and Protective Action Zones (PAZ) surrounding stockpile sites. Program managers use survey data findings to evaluate public awareness of protective actions at CSEPP sites, and identify outreach weaknesses and strengths to develop effective outreach and education campaigns. Results from this information collection are shared with State, local, Tribal, and other FEMA officials for subsequent action plans addressing program-wide and stockpile site-specific issues. Results are also shared with other Federal agencies that lend expertise in specific areas of the program.

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Authorizing Statute(s): PL: Pub.L. 103 - 62 4 Name of Law: Government Performance and Results Act of 1973
  

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:
	79 FR 44817	08/01/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 62170	10/16/2014
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 5

table that charts list of burden

IC Title	Form No.	Form Name
Blue Grass EPZ Residential Survey/ FEMA Form 008-0-7
Pueblo EPZ Residential Survey/ FEMA Form 008-0-3INT	FEMA Form 008-0-3INT	Pueblo EPZ Residential Survey (Internet)
Pueblo EPZ Business Survey/ FEMA Form 008-0-5
Umatilla EPZ Residential Survey/ FEMA Form 008-0-6
Pueblo City Residential Survey/ FEMA Form 008-0-4
Pueblo EPZ Residential Survey/ FEMA Form 008-0-9	FEMA FORM 008-0-9	Pueblo EPZ Site Survey
Deseret EPZ Residential Survey/ FEMA Form 008-0-8

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	2,078	3,715	0	0	-1,637	0
Annual Time Burden (Hours)	490	900	0	0	-410	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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

Burden Increase Due to:

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

Burden Reduction Due to:

Short Statement: FEMA Form 008-0-7 will continue to be used. This form is the telephone survey questionnaire for the CSEPP site in Kentucky and the current estimated annual cost burden is $4,272.90, resulting in an increase (program change) of $136.18. The increase in cost burden results from an increase in annual responses due to increased population in the EPZ of the Kentucky site and increased wage rates in Kentucky. FEMA Form 008-0-8 will no longer be used by the program office, resulting in decrease (adjustment) of $4,261.08. Reasons for the adjustments include the fact that as the demilitarization of chemical weapons progresses some CSEPP sites have completed program closeout and anticipate no need for future surveys. FEMA Form 008-0-3 will continue to be used. This form is the telephone survey questionnaire for the CSEPP site in Colorado and the current estimated annual cost burden is $4,707.98, resulting in an increase (program change) of $208.62. The increase in cost burden results from an increase in annual responses due to increased population in the EPZ at the Colorado site and increased wage rates in Colorado. FEMA Form 008-0-3INT will continue to be used. This form is the Internet survey questionnaire for the CSEPP site in Colorado and the current estimated annual cost burden is $305.25, resulting in no change in the cost burden. FEMA Form 008-0-4 will continue to be used. This form is the telephone survey questionnaire for the residential survey to be conducted in the Pueblo City area. The current estimated annual cost burden is $1,621.94, resulting in an increase (program change) of $31.95. In spite of a decrease in annual responses, the increase in cost burden results from an increase in wage rates in Colorado. FEMA Form 008-0-5 will continue to be used. This form is the telephone survey questionnaire for the businesses near the CSEPP site in Colorado and the current estimated annual cost burden is $924.07, resulting in an increase (program change) of $66.00. The increase in cost burden results from an increase in wage rates in Colorado. FEMA Form 008-0-6 will no longer be used by the program office, resulting in decrease (adjustment) of $4,603.17. Reasons for the adjustments include the fact that as the demilitarization of chemical weapons progresses some CSEPP sites have completed program closeout and anticipate no need for future surveys.

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Annual Cost to Federal Government: $295,596

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

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: 10/28/2014

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