Disaster Response Training Needs Assessment

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⚠️ Notice: This information collection may be referencing outdated material.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 0920-1050 can be found here:

Documents and Forms

Document Name Document Type
Form 0920-1050 Disaster Response Training Needs Assessment Form and Instruction
0920-1050 Needs Assessment Attachment 1_Needs Assessment_text.docx Form and Instruction
Attachment 2_Needs Assessment_screenshots.docx Needs Assessment Screen shots IC Document
GenIC Request Form_Disaster Response Training Needs.pdf GenIC Request Form Template IC Document

Information Collection (IC) Details

IC Title:	Disaster Response Training Needs Assessment	Agency IC Tracking Number:	0920-1050-19TJ

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 and Instruction	0920-1050	Needs Assessment	Attachment 1_Needs Assessment_text.docx	NA	Yes	Yes	Fillable Fileable

Line of Business: Disaster Management

Subfunction: Emergency Response

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,000	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	1,000	1,000
Annual IC Time Burden (Hours)	333	333
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Needs Assessment Screen shots	Attachment 2_Needs Assessment_screenshots.docx	02/12/2019
GenIC Request Form Template	GenIC Request Form_Disaster Response Training Needs.pdf	02/12/2019

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