Emergency Management Institute Course Evaluation Form

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1660-0130 can be found here:

Documents and Forms

Document Name Document Type
Form FEMA Form 092-0-3 Emergency Management Institute Course Evaluation Form Form
FEMA Form 092-0-3 Emergency Management Institute Course Evaluation Form FEMA Form 092-0-3, 7-17-2015.pdf Form
Generic_Clearance_Submission, EMI (Course Evaluation Form).pdf Signed Generic Clearance Application IC Document

Information Collection (IC) Details

IC Title:	Emergency Management Institute Course Evaluation Form	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FEMA Form 092-0-3	Emergency Management Institute Course Evaluation Form	FEMA Form 092-0-3, 7-17-2015.pdf		Yes	Yes	Fillable Fileable

Line of Business: Disaster Management

Subfunction: Disaster Preparedness and Planning

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 8,225	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	8,225	8,225
Annual IC Time Burden (Hours)	1,371	1,371
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Signed Generic Clearance Application	Generic_Clearance_Submission, EMI (Course Evaluation Form).pdf	05/11/2015

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.