Forms Revision Chart for FEMA Form 078-0-2A

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FEMA Form 078-0-2 (NOV 17, Supervisors) OMB No. 1660-0039, Expiration: March 31, 2018

Paperwork Burden Disclosure Notice
Public reporting burden for this form is estimated to be an average of 6 minutes per response. The burden estimate
includes the time for reviewing instructions, searching existing data sources, gathering and maintaining the needed
data, and completing, and submitting this form. This collection of information is voluntary. You are not required to
respond to this collection of information unless a valid OMB control number appears in the upper right corner of this
form. 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 St. SW, Washington, DC 20472, Paperwork Reduction Project (1660-0039) NOTE: Please do not send your
completed form to the above address.

FEMA Form 078-0-2A (NOV 17, Students) OMB No. 1660-0039, Expiration: March 31, 2018

Paperwork Burden Disclosure Notice
Public reporting burden for this form is estimated to be an average of 6 minutes per response. The burden estimate
includes the time for reviewing instructions, searching existing data sources, gathering and maintaining the needed
data, and completing, and submitting this form. This collection of information is voluntary. You are not required to
respond to this collection of information unless a valid OMB control number appears in the upper right corner of this
form. 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 St. SW, Washington, DC 20472, Paperwork Reduction Project (1660-0039) NOTE: Please do not send your
completed form to the above address.

National Fire Academy Long-Term Evaluation Form for Students
(FEMA Form 078-0-2A)
Completion Instructions
1. Check the course title, code, and dates (below) to make sure this is the course you completed.
2. Use the buttons at the bottom of each page to navigate through the form.
3. DO NOT enter your name in any location on the form so that your evaluation remains confidential.
4. At any time you may click the Save and Finish Later button to save your form and return to it later.

Course Title:

Executive Analysis of Fire Service Operations in Emergency Management

Course Code:

R0306

Course Dates:

11/6/2017 - 11/17/2017

Long-Term Student Part I
Why did you take this course? (Mark all that apply.)
Supervisor recommended it
Attendance was required for my next duty or assignment
For general career advancement
Desire to broaden my perspective by working with personnel from across the country
Desire to increase my technical and professional knowledge
Other (please specify:)

What is the highest level of education you have achieved?
Less than high school graduation

Bachelor's degree

High school graduation or equivalency

Graduate degree

Some college

Other (please specify)

Associate's degree

Save and Finish Later Continue
The Save and Finish Later button will allow you to save answers already provided and come back to the form at a
later time to complete it (provided the evaluation period hasn't expired).

FEMA Form 078-0-2A (NOV 17) OMB No. 1660-0039

Paperwork Burden Disclosure Notice
Public reporting burden for this form is estimated to be an average of 10 minutes per response. The burden estimate
includes the time for reviewing instructions, searching existing data sources, gathering and maintaining the needed
data, and completing, and submitting this form. This collection of information is voluntary. You are not required to
respond to this collection of information unless a valid OMB control number appears in the upper right corner of this
form. 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 St. SW, Washington, DC 20472, Paperwork Reduction Project (1660-0039) NOTE: Please do not
send your completed form to the above address.

National Fire Academy Long-Term Evaluation Form for Students
(FEMA Form 078-0-2A)
Long-Term Student Part II

Please indicate your level of agreement or disagreement with each statement by selecting the appropriate value.
Strongly
Agree

Agree

Neutral

Disagree

Strongly
Disagree

Not
Applicable

What I learned from this course helped me do my job better.
This course has contributed to my professional development.
My supervisor is aware of how this course has improved my job
performance.
This training has helped the department address all hazard
problems in our community's high risk areas.
This National Fire Academy (NFA) training has led to reductions in
the fire-related risks in the community.
This NFA training has improved the performance of my department.
Since my NFA course, I have continued to collaborate and/or network
with other NFA students.
My experience at NFA contributed to my understanding of the need
for whole community preparedness, prevention, and mitigation
planning.

Have you used any of the training or information from this course on the job since returning to your department?
Yes
No

To what extent have you used information from the topics covered in your training?

Incident documentation improvement.
Application of contemporary legal issues (as required by
situation).

Used a Great

Used

Not Used at

No Opportunity to

Deal

Somewhat

All

Use

Planning, developing and/or staffing Emergency Operations
Center (EOC).
Conducting effective damage assessment.
Analyzing emergency operations.
Conducting capability assessment(s).
Conducting community risk assessment(s).
Application of ICS.
Maintaining media relations.

Did you leave this training expecting to develop new policies or procedures for your department?
Yes
No
Did you actually develop them?
Yes
No
Were these policies or procedures implemented?
Yes
No

Have you shared the information you learned at the training with colleagues in the department?
Yes
No
How did you do it? (Mark all that apply.)
Informally, one-on-one
Informally, but in a group setting
Formally in a training session
Other (please specify)

Would you recommend this course to others in your department?
Definitely yes
Probably
Unsure
Probably not
Definitely not

Please describe an incident or circumstance in which you applied your training from this NFA offering.



If you could change one thing to improve this training course, what would it be?



What do you think are the new, emerging issues in the fire service field that should be the topics for future NFA training classes?



Finally, please add any comments you may have.



Save and Finish Later Back Review Evaluation

The Save and Finish Later button will allow you to save answers already provided and come back to the form at a
later time to complete it (provided the evaluation period hasn't expired).
FEMA Form 078-0-2A (NOV 17) OMB No. 1660-0039

Paperwork Burden Disclosure Notice
Public reporting burden for this form is estimated to be an average of 10 minutes per response. The burden estimate
includes the time for reviewing instructions, searching existing data sources, gathering and maintaining the needed
data, and completing, and submitting this form. This collection of information is voluntary. You are not required to
respond to this collection of information unless a valid OMB control number appears in the upper right corner of this
form. 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 St. SW, Washington, DC 20472, Paperwork Reduction Project (1660-0039) NOTE: Please do not send your
completed form to the above address.