Level 1 Assessment and Level 3 Evaluations for the Center for Domestic Preparedness (CDP)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form FF 092-0-2b Level 3 Evaluation Form for Supervisors	Form and Instruction	Modified	Available
Form FF 092-0-2A Level 3 Evaluation Form for Students	Form and Instruction	Modified	Available
Form FEMA Form 092-0-2 Level 1 Assessment Form	Form and Instruction	Modified	Available
DHS_PTA LEVEL 3 student submitted.docx	Supplementary Document	Uploaded 2015-03-31	Available
DHS_PTA LEVEL 3 supervisor submitted docx.docx	Supplementary Document	Uploaded 2015-03-31	Available
DHS_PTA LEVEL 1 submitted docx.docx	Supplementary Document	Uploaded 2015-03-31	Available
30 Day FRN Published FEMA 2014-0033.pdf	Supplementary Document	Uploaded 2015-03-31	Available
60 Day FRN Published FEMA-2014-0033-0001[1].pdf	Supplementary Document	Uploaded 2015-03-31	Available
Supervisor level 3 reminder.docx	Supplementary Document	Uploaded 2012-03-20	Available
Student level 3 reminder.docx	Supplementary Document	Uploaded 2012-03-20	Available
Sample Report 1660-NEW Level 1 Assessment Form.docx	Supplementary Document	Uploaded 2011-09-19	Available
Directions to Level 1 Assessment Form.docx	Supplementary Document	Uploaded 2011-09-19	Available
Supporting Statement 1660-0132 final.doc	Supporting Statement A	Uploaded 2015-12-30	Available
Excerpts from Public Law 110-53 (Implementing the 9-11 Commission Recommendations Act of 2007).pdf	Supplementary Document	Uploaded 2011-08-11	Available
Supporting Statement B 07212014 (508), Part B.docx	Supporting Statement B	Uploaded 2015-03-31	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
199125	Level 3 Evaluation Form for Supervisors	Form and Instruction	Modified	Level 3 Evaluation Form for Supervisors
199124	Level 3 Evaluation Form for Students	Form and Instruction	Modified	Level 3 Evaluation Form for Students
199122	Level 1 Assessment Form	Form and Instruction	Modified	Level 1 Assessment Form

ICR Details

OMB Control No: 1660-0132	ICR Reference No: 201503-1660-001
Status: Historical Active	Previous ICR Reference No: 201102-1660-002
Agency/Subagency: DHS/FEMA	Agency Tracking No:
Title: Level 1 Assessment and Level 3 Evaluations for the Center for Domestic Preparedness (CDP)
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: 12/30/2015
Retrieve Notice of Action (NOA)	Date Received in OIRA: 03/31/2015
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2018	36 Months From Approved	12/31/2015
Responses	44,600	0	72,000
Time Burden (Hours)	11,150	0	18,000
Cost Burden (Dollars)	0	0	0

---

Abstract: The forms will be used to survey the Center for Domestic Preparedness (CDP) students (and their supervisors) enrolled in CDP courses. The survey will collect information regarding quality of instruction, course material, and impact of training on their professional employment.

---

Authorizing Statute(s): PL: Pub.L. 110 - 53 1204 Name of Law: Implementing Recommendations of the 9/11 Commission Act of 2007
  

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:
	79 FR 68896	11/19/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 14404	03/19/2015
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 3

table that charts list of burden

IC Title	Form No.	Form Name
Level 1 Assessment Form	FEMA Form 092-0-2	Level 1 Assessment Form
Level 3 Evaluation Form for Students	FF 092-0-2A	Level 3 Evaluation Form for Students
Level 3 Evaluation Form for Supervisors	FF 092-0-2b	Level 3 Evaluation Form for Supervisors

---

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	44,600	72,000	0	-27,400	0	0
Annual Time Burden (Hours)	11,150	18,000	0	-6,850	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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: Yes

Burden Reduction Due to: Changing Forms

Short Statement: CDP has decreased the population of non-resident training, and increased the population of resident training which affects all the evaluation instruments in this collection. The evaluation forms were used for both resident training and indirect training, CDP training completed off-site by non-CDP instructors. CDP is no longer requiring evaluation forms for indirect training. CDP has also decreased the population of non-resident training, and increased the population of resident training which affects all the evaluation instruments in this collection.

---

Annual Cost to Federal Government: $92,432

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

---

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: 03/31/2015

---