ISCD Feedback Questionnaire 12.30.15

OMB Control No.:________
Expiration Date:_________

Chemical Facility Anti-Terrorism Standards (CFATS) Stakeholder Questionnaire

PROVIDING ANY INFORMATION FOR THIS QUESTIONAIRE IS OPTIONAL.
Instructions: This is a short series of questions designed to collect information the Chemical Facility Anti-Terrorism
Standards (CFATS) Program can use to improve its outreach activities and provide better customer service to its
user community. The questionnaire results shared inside DHS will not identify particular responses by an individual
or company. Please contact us at [email protected] if you have any questions.
Privacy Notice: Your responses will be used to improve the Department of Homeland Security’s Chemical Facility
Anti-Terrorism Standards (CFATS) Program outreach activities and to provide better customer service to the CFATS
community. Survey results are anonymous and will be reported at the aggregate level only. If you have any
questions regarding this Notice, please contact NPPD Privacy at [email protected].
Paperwork Reduction Act Notice (PRA): The public reporting burden to complete this information collection is
estimated at 5 minutes per response, including the time for reviewing instructions, searching existing data sources,
gathering and maintaining the data needed, and the completing and reviewing the collected information. The
collection of this information is voluntary. An agency may not conduct or sponsor, and a person is not required to
respond to, a collection of information unless it displays a currently valid OMB control number and expiration date.
Provide comments regarding this burden estimate or any other aspect of this collection of information, including
suggestions for reducing this burden, to DHS/NPPD/IP/ISCD, Josiah Hortega at [email protected].
ATTN: PRA [1607-0014].
If you have any questions regarding this questionnaire, please contact CFATS at [email protected].

1. Please select the CFATS resource or activity which you are reviewing.
CFATS Knowledge Center (http://csat-help.dhs.gov)
Chemical Security Webpage on DHS.gov
Materials Received through Mail/E-mail
Presentation at a Conference/Meeting/Webinar
Technical Assistance – Onsite visit (DHS representatives visit
chemical facilities to provide assistance with the CFATS
compliance process)
Technical Assistance – Remote (DHS representatives provide
assistance to facilities via phone, e-mail, or mail)
2. When did this CFATS resource or activity took place (MM/DD/YYYY)?

3. Overall how would you rate this CFATS resource or activity?
Excellent
Good
Fair
Poor

4. To what extent do you agree or disagree with the following statements:

Strongly
Agree

Agree

Neutral

Disagree

Strongly
Disagree

CFATS information received will effectively inform
my decision making regarding chemical facility
safety or security.
This experience has increased my knowledge of
CFATS.
CFATS information received was current and
relevant.
CFATS information received was easy to
understand.
DHS representative had a thorough knowledge of
CFATS.
My questions were resolved.
If my questions were not resolved, a satisfactory
alternative was provided.

If your response to any of the statements above was “Disagree” or “Strongly Disagree”, please explain below.

Not
Applicabl
e

5. To what extent do you agree or disagree with this statement?
My organization will benefit from DHS assistance or training related to the CFATS compliance process:

Strongly
Agree

Agree

Neutral

Disagree

Strongly
Disagree

Not
Applicabl
e

Meeting Risk-based Performance Standards
(RBPS)
Registering online and completing a Top-Screen
Submitting a Security Vulnerability Assessment
(SVA)
Completing a Site Security Plan (SSP)
Completing an Alternative Security Program (ASP)
Completing an Expedited Approval Program (EAP)
Undergoing an Authorization Inspection
Undergoing a Compliance Inspection (subsequent
to SSP approval)

6. Please provide any recommendations that you may have on how CFATS resources and outreach activities could be
improved to enhance their relevance.

7. How would you describe your knowledge of CFATS?
Beginner
Intermediate
Advanced

8. Please select the category that best describes your organization.
Academia & Research Centers
Environmental Group
Government - Federal
Government - State
Government - Local
Government - Territorial
Government - Tribal
Industry Association - National
Industry Association - State
Industry - Corporate HQ
Industry - Facility
Labor Organization
Other
9. Please select the category that best describes your industry.
Agriculture/Food

Chemical Manufacturing

Cold Chain/Refrigeration

Energy/Utilities

Explosives

Healthcare

Mining

Petrochemical Manufacturing

Petroleum Refining

Paints/Coatings

Plastics

Retail/Consumer

Semi-Conductor

Warehouse/Storage/Distribution

Not Applicable
Other
10. Please select the category that best describes your government role.
Law Enforcement

First Responder

Chemical Security Regulator

Chemical Safety Regulator

Not Applicable

Other

11. Please select the location of your work site. (Select one.)
Region 1 (Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island, Vermont)
Region 2 (New Jersey, New York, Puerto Rico)
Region 3 (Delaware, Maryland, Pennsylvania, Virginia, West Virginia)
Region 4 (Alabama, Florida, Georgia, Kentucky, Mississippi, North Carolina, South Carolina, Tennessee)
Region 5 (Illinois, Indiana, Michigan, Minnesota, Ohio, Wisconsin)
Region 6 (Arkansas, Louisiana, New Mexico, Oklahoma, Texas)
Region 7 (Iowa, Kansas, Missouri, Nebraska)
Region 8 (Colorado, Montana, North Dakota, South Dakota, Utah, Wyoming)
Region 9 (Arizona, California, Guam, Hawaii, Nevada)
Region 10 (Alaska, Idaho, Oregon, Washington)
Washington, DC
Other
12. In general, what is the amount of time you are willing to travel to participate in a CFATS resource or activity?
6 hours or more
3 to 5 hours
1 to 2 hours
less than 1 hour
4. How do you usually obtain CFATS information?

Always
CFATS Knowledge Center (http://csathelp.dhs.gov)
Chemical Security Assessment Tool (CSAT)
Help Desk (Call service center answers
inbound calls & e-mails)
DHS.gov
Technical Assistance - Onsite (DHS
representative visits chemical facilities to
provide assistance with the CFATS
compliance process)
Technical Assistance – Remote (DHS
representative provides assistance to facilities
via phone, e-mail, or mail)
Industry Associations (including websites,
conferences, meetings)
Other

Frequently

Sometimes

Rarely

Never

Other