Form FEMA Form 142-1-1 FEMA Form 142-1-1 IPAWS Inventory

DEPARTMENT OF HOMELAND SECURITY
FEDERAL EMERGENCY MANAGEMENT AGENCY

O.M.B. Control No. 1660-0106
Expires January 31, 2015

IPAWS INVENTORY & EVALUATION SURVEY

PAPERWORK BURDEN DISCLOSURE NOTICE
Public reporting burden for this data collection is estimated to average 2 hours per response. The burden estimate includes the time for reviewing instructions, searching existing data
sources, gathering and maintaining the data needed, and completing and submitting this form. This collection of information is mandatory. You are not required to respond to this
collection of information unless a valid OMB control number is displayed on 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 Street, SW Washington, DC 20472
Paperwork Reduction Project (1660-0106). NOTE: Do not send your completed form to this address.
DATA COLLECTOR
DATE

EMERGENCY FACILITY & ADDRESS

CONTACT NAME

PHONE, FAX, E-MAIL

DUTIES

IDENTIFY MISSION CRITICAL PUBLIC ALERT & WARNING SYSTEMS CURRENTLY IN OPERATION
System 1

System 2

System 3

System 4

System 5

Name of System used for public alerting, warning,
or notifications

Does system inter-operate with FEMA IPAWS?
How does system send alerts to the public?

(EAS-radio/TV, IPAWS WEA cell phones, siren, outdoor
speaker system, home telephone, SMS Text, Email, other)

Does system perform other functions in addition
to public alert, warning and notification?

(warning collaboration, internal non-public messaging,
emergency management response resource management)

How often is system used to send alerts to the public?
(estimate number per year)
How often is system used for other functions?
(estimate times per month)
Level of Satisfaction with system for public alerting.
(1-Unsatisfied through 5-Satisfied)
Reason for Level of Satisfaction?
How is system procurement funded?
(annual operation budget, grants, other)

What is the service life of the current System?

(years)

How frequently is system refreshed or updated?

FEMA Form 142-1-1, (1/12)

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IDENTIFY MISSION CRITICAL PUBLIC ALERT & WARNING SYSTEMS CURRENTLY IN OPERATION - Continued
System 1

System 2

System 3

System 4

System 5

Does the system have a programmed or
anticipated termination date (Year)?
How long did the system take to deploy from
purchase to activation of system (in months)?
What are the annual maintenance costs of the
system?
What are the annual labor costs for the system?
What are the annual utility costs of the system?
How many personnel hours are dedicated to
operating and monitoring the system per week?
Record full time (40 Hours) as 1, part-time
(0-20 hours) as 1/2, and document vendors
separately.
What are the annual training costs for the
system?
How many hours annually are for training
on-site personnel?
How many hours annually are for training
remote-site personnel?
How often is system tested?
Is the system accredited/certified? (How often)
How often is system unavailable (in hours
annually)?

What causes the system to be unavailable?

Does the system have a backup?
Does the backup come on automatically
when primary system is offline?

FEMA Form 142-1-1, (1/12)

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IDENTIFY SYSTEMS THAT ARE DESIRED OR ENVISIONED (PLEASE PROVIDE DETAILS)
Name of System
Brand/Vision

Level of Satisfaction
1 Unsatisfactory - 5 Satisfactory
1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

Function, Purpose, and
Funding Source

List other systems this
system is similar to,
or shares capabilities with

IDENTIFY SYSTEMS THAT ARE AVOIDED OR UNUSED (OR ARE A DISTRACTOR) FOR WHATEVER REASON
Name of System
Brand/Vision

Level of Satisfaction
1 Unsatisfactory - 5 Satisfactory
1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

Function, Purpose, and
Funding Source

List other systems this
system is similar to,
or shares capabilities with

FACILITY STANDING OPERATING PROCEDURES
For routine, non-emergency purposes, how does
EOC currently communicate with State, County,
and Federal authorities (ex. phone, e-mail,
radios, other)?
For routine non-emergency purposes, how does
EOC currently communicate within the agency
and other local departments (ex., phone, radio
network, e-mail, mobile phone call, SMS, etc.)?
For what type of events does the EOC send alerts
and notifications to the public?
Who is authorized to send alerts on behalf of
the EOC jurisdiction?
FEMA Form 142-1-1, (1/12)

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FACILITY STANDING OPERATING PROCEDURES - Continued
Is there an alternate or backup location or office
that can send alerts if primary location can not?
COMMENTS AND ADDITIONAL INFORMATION

FEMA Form 142-1-1, (1/12)

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