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pdfDepartment of Commerce
National Oceanic & Atmospheric
Administration
National Weather Service
Application Form
OMB Control # TBA
Expiration TBD
Community Contact Information
County/Parish/City/Town/Site
Population
Primary Point of Contact
Secondary Point of Contact
Name
Name
Office
Office
Title
Title
Mailing
Address
Mailing
Address
City
City
State, ZIP
State, ZIP
Phone
Phone
email
email
Mitigation Guidelines
MIT 1
Designate and map tsunami hazard zones for emergency management planning.
MIT 2
Include tsunami hazard and community vulnerability information in FEMA-approved
multi-hazard mitigation plan.
MIT 3
Install signage that identifies, for example, tsunami danger area and/or hazard zone
(entering and leaving tsunami zone signs), evacuation routes, and assembly area and
provides tsunami response education (go to high ground).
Tsunami hazard zone
Entering/leaving tsunami hazard zone
Assembly areas
Response education
Verified
Verified
Verified
Evacuation routes
Verification Team/Renewal Notes
Please do not write in shaded areas.
Public reporting burden for this collection of information is estimated to average two hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing
the collection of information. Send comments regarding this burden estimate or any other suggestions for reducing this burden to
Mike Angove, National Weather Service, 1325 East West Highway, Room 13110, Silver Spring, MD, 20910.
Statement on confidentiality: Notwithstanding any other provisions of the law, no person is required to respond to, nor shall
any person be subjected to a penalty for failure to comply with a collection of information subject to the requirements of the
Paperwork Reduction Act, unless that collection of information displays a currently valid OMB Control Number.
Page 1 of 7
Department of Commerce
National Oceanic & Atmospheric
Administration
National Weather Service
PREP 1
OMB Control # TBA
Expiration TBD
Produce easily understood tsunami evacuation maps as determined to be appropriate by
local authorities.
Print
PREP 2
Application Form
Digital media
Verified
Other
Support ongoing tsunami public education effort. This effort should include developing and
distributing outreach materials: at least three wide-reaching diverse methods.
Verified
Brochures/flyers placed at public venues
Regular tsunami-related posts for local social
media such as Facebook, Twitter, etc.
Brochures/flyers sent to businesses and/or
residences
Billboard, roadside, highway, or educational
(kiosk) signage
Faith-based/civic group newsletters or mailings
Bulk public email
Locally supported website
Public utility/service industry bill inserts
Sponsor local radio/television ads
Historical markers/interpretive signs
Newspaper Inserts
Other
PREP 3
Support an ongoing sustained tsunami education effort specific to public schools in coastal
community pursuing TsunamiReady recognition: At least one.
Distribute brochures/flyers to schools
Provide contents for school website
Submit articles for school groups, such as PTA
Provide posts for school social media
Include private schools in distributions above
Send message via school email
Verified
Other
Verification Team/Renewal Notes
Page 2 of 7
Department of Commerce
National Oceanic & Atmospheric
Administration
National Weather Service
PREP 4
Application Form
OMB Control # TBA
Expiration TBD
Hold community-wide outreach or education activity annually: at least one.
Verified
Leverage national, state or regional campaigns through social media
Local public safety campaign, such as "Tsunami Preparedness Week" or combine with "The Great Shakeout"
Door-to-door safety campaign
Booth at community events and/or county fairs
Multi-hazard events or presentations
Safety presentation or workshop to community or business groups that includes tsunami content
Business owner/employee training for high-occupancy businesses in tsunami hazard zones
Other
PREP 5
Conduct community exercises that reinforce the concepts contained in Prep-1 through
Prep-4.
Exercise Location
Verified
Date of exercise
Tsunami only
Multi-hazard
Other hazards addressed
Tabletop exercise
Functional exercise
Full-scale exercise
Conduct evacuation drills for all public schools in the mapped tsunami evacuation zone
Verified
to reinforce the concepts contained in Prep-1 through Prep-4.
Exercise Location
Date of exercise
Multi-hazard
Tsunami only
PREP 6
Other hazards addressed
Verification Team/Renewal Notes
.
Page 3 of 7
Department of Commerce
National Oceanic & Atmospheric
Administration
National Weather Service
Application Form
OMB Control # TBA
Expiration TBD
Response Guidelines
RESP 1
Address tsunami hazards in the community’s emergency operations plan (EOP) or
other plan.
Verified
Included in EOP
Included in other plan
Identifies tsunami as a hazard and provides risk assessment
Details 24-hour warning point procedures
Specifies EOC activation criteria and staffing expectations
Specifies activation procedures for public warning systems
Includes contact information for all jurisdictional agencies, response partners, and NWS
Includes tsunami evacuation plans and maps
Includes procedures for updating of public warning, as well as safe return protocols
Includes procedures for providing security for evacuated areas
Includes tsunami impact reporting procedures
RESP 2
Address tsunami hazards in the emergency operations plans (EOP) for all
public schools in the tsunami hazard zone.
Verified
RESP 3
Commit to supporting the EOC during tsunami incidents if an EOC is opened and
activated.
Verified
Open 24/7 or has plan to activate an EOC for tsunami incidents in accordance with EOP
Has warning reception and dissemination capability
Has ability and authority to activate the public warning system within its area of responsibility
Maintains the ability to communicate within and across jurisdictions
Maintains established communication links with NWS
Verification Team/Renewal Notes
Page 4 of 7
Department of Commerce
National Oceanic & Atmospheric
Administration
National Weather Service
RESP 4
Application Form
OMB Control # TBA
Expiration TBD
Have redundant and reliable means for a 24-hour warning point (and EOC if activated) to
receive official tsunami watch, advisory, and warning alerts: at least three.
Verified
NOAA Weather Radio
Third-party alert provider
Statewide warning fan-out nofification
Local radio Emergency Alert System, LP1/LP2
NOAAPORT receiving station
Active Internet monitoring capability
NAWAS drop
NOAA Weather Wire drop
NWSChat
USCG broadcasts/monitor marine channels
EMWIN receiver
Direct email from NWS Tsunami Warning Center (TWC)
Statewide telecommunications systems
Direct fax from NWS TWC
CISN display program
Text message or direct pager from TWC
Amateur radio transceiver
Other
RESP 5
Have redundant and reliable means for 24-hour warning point and/or EOC to disseminate
official tsunami watch, advisory, and warning alerts to the public: at least three.
EAS message initiation and broadcast
Amateur radio operator network (ham radio)
Cable TV audio/video overrides
Telephone mass notification system
Local flood warning system
Telephone tree to critical facilities
Plan for sirens on emergency vehicles
Coordinated area-wide radio network
Outdoor warning siren(s)
Countywide communications network
Local alert broadcast system
Social media (Twitter, Facebook)
Local pager/texting system (dissemination)
Lifeguards on beaches and on patrol
Verified
Other
Verification Team/Renewal Notes
Page 5 of 7
Department of Commerce
National Oceanic & Atmospheric
Administration
National Weather Service
RESP 6
Application Form
OMB Control # TBA
Expiration TBD
Have Public Alert-certified NOAA Weather Radio (NWR) receivers in critical facilities and
public venues.
Office
Location or Address
NWR
Verified
Comments
Communication dispatch
center
EOC
City Hall, county
courthouse or similar
School superintendent
RESP 7
Conduct emergency operations plan exercises that test at least one component of the
community’s EOP or one item from RESP 4 through RESP 6.
Exercise Location
Date of exercise
Tsunami only
Verified
Multi-hazard
Other hazards addressed
Tabletop exercise
Functional exercise
Full-scale exercise
Verification Team/Renewal Notes
Page 6 of 7
Department of Commerce
National Oceanic & Atmospheric
Administration
National Weather Service
Application Form
OMB Control # TBA
Expiration TBD
Signature of Applying Official
Office Name
Application Submitted by
(name of applicant)
Title
Signature
Date
NWS Personnel Receiving
Application (print name)
Date
Received
Site Verification Team Signatures
Print Name
Office
Title
Signature
Date
Print Name
Office
Title
Signature
Date
Print Name
Office
Title
Signature
Date
Print Name
Office
Title
Signature
Date
Signature in Renewal Year
Office
Application Submitted by
(name of applicant)
Title
Signature
Date
NWS Personnel Receiving
Application (print name)
Date
Received
Page 7 of 7
File Type | application/pdf |
File Title | Community Information |
Author | Authourized User |
File Modified | 2015-09-21 |
File Created | 2015-09-21 |