FEMA Form 070-0-0- National Fire Department Census (If updating form)

National Fire Department Census survey

About USFA

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Hotel/Motel

Contact Us

National Fire Department Census registration form
O.M.B. No. 1660-0070 Expires August 31, 2015

Registration completed by
Name

Phone number 555-555-5555

Fax number 555-555-5555

Email address

Fire department information
Fire department name

Fire department ID (FDID)

Headquarters address line 1

Headquarters address line 2

http://apps.usfa.fema.gov/census/survey

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National Fire Department Census survey

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City

State

ZIP code 12345-1234

County


Mailing address
P.O. Box

Mailing address line 1

Mailing address line 2

City

State


ZIP code 12345-1234

Headquarters phone 555-555-5555 Do not enter your home or mobile number.

Headquarters fax 555-555-5555

Fire department’s email address Do not enter your personal email address.

Fire department’s website address

Total number of stations within your department Please include the headquarters location in this count.

If you entered a number greater than 1, would you like to provide additional station addresses?

http://apps.usfa.fema.gov/census/survey

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National Fire Department Census survey

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Yes
No
Organization type:
Local (includes career, combination, and volunteer)
State Government
Transportation Authority or Airport F.D.
Federal Government - Executive Branch Agency
Federal Government - DOD
Private or industrial fire brigade
Contract fire department
Other

Unknown
Please read before answering this question: Emergency Management is the integration and coordination of all-hazards
mitigation, prevention, preparedness, response and recovery activities within a community for all (or most) agencies such
as fire, Emergency Medical Services, public works, public information, volunteer service, etc.

Is your fire department the primary agency responsible for emergency management in your community?
Yes
No
If No, what agency is the primary agency responsible for emergency management in your community?

Population protected
Provide the total permanent resident population protected by your department.

Source of information
U.S. Census
Estimate
Other

Unknown
Area protected in square miles
Provide an estimate of the total primary response area in square miles protected by your department.

http://apps.usfa.fema.gov/census/survey

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National Fire Department Census survey

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Staff
Active firefighters
Career. Enter the total number of full-time paid fire officers and firefighters. Use numeric values only. Enter a
value of 0 if there are no firefighters of this type in your department.

Volunteer. Enter the total number of firefighters who receive no compensation for their services. Use numeric
values only. Enter a value of 0 if there are no firefighters of this type in your department.

Paid per call. Enter the total number of firefighters in the department who are not full-time paid firefighters but
receive compensation for their participation. Use numeric values only. Enter a value of 0 if there are no
firefighters of this type in your department.

Nonfirefighting
Nonfirefighting volunteers. Use numeric values only. Enter a value of 0 if there are no nonfirefighting
volunteers in your department.

Civilian employees (full-time and part-time). Use numeric values only. Enter a value of 0 if there are no civilian
employees in your department.

Specialized services
Services provided Check all that apply.
Wildfire/Wildland Urban Interface
Airport/Aviation
Fireboat
EMS transport
EMS nontransport
Basic Life Support
Advanced Life Support
Hazardous Materials Team (technician)
Vehicle extrication
Technical rescue
Fire inspection/Code enforcement
Fire prevention/Public education
Training academy
Fire investigation
Sworn fire investigator(s)

http://apps.usfa.fema.gov/census/survey

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National Fire Department Census survey

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Juvenile firesetter intervention program

USFA programs
Is your fire department familiar with U.S. Fire Administration programs and publications?
Yes
No
If yes, how? Check all that apply.
Website (www.usfa.fema.gov)
Publications
National Fire Academy courses
National Fire Incident Reporting System (NFIRS)
Public fire education programs
Other

Next

Paperwork burden disclosure notice
Public reporting burden for this data collection is estimated to average 25 minutes 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 survey. This information collection is
voluntary. You are not required to respond to this collection of information unless a valid OMB control
number is displayed on this survey. 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 (1660-0070) NOTE: Do not send your completed form to this address.

FEMA Form 070-0-0-1 (Initial online registration)

Last Modified Date: Aug 24, 2015

http://apps.usfa.fema.gov/census/survey

8/28/2015