Forms Revision Chart for FEMA Form 078-0-2

National Fire Academy Long-Term Evaluation Form Sign in
This login is for both students and supervisors. Logins and passwords are case-sensitive. Please enter them
exactly as they appear in your notification email.
Login

Password

Begin Evaluation

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 Supervisors
(FEMA Form 078-0-2)
Completion Instructions
1. Check that the course title, code, and dates (below) match the course attended by your employee
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 Supervisor Part I
Please indicate your level of agreement or disagreement with each statement.
Strongly
Agree

The National Fire Academy (NFA) training course has improved the
job performance of this attendee.
This course contributed to the attendee's professional
development.
Material from this training has been incorporated into the
prevention work of this department.
This training has helped the department address all hazard
problems in our community's high-risk areas.
The information gained in this class is likely to improve the
performance of this department.
The attendee's participation in this course has led to reductions in
the overall fire-related risks in our community.
The benefit to the department of having the attendee go to the
training outweighed the costs involved.
The attendee has trained (formally or informally) other
colleagues in the procedures learned at NFA training.

Agree

Neutral

Disagree

Strongly

Not

Disagree

Applicable

I am likely to recommend that other department personnel
attend NFA training courses.
The attendee's experience at NFA contributed to the department's
understanding of the need for whole community preparedness,
prevention, and mitigation planning.

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

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 Supervisors
(FEMA Form 078-0-2)
Long-Term Supervisor Part II
What changes, if any, have you seen in your employee as a result of attending the NFA training class?



Has the attendee proposed any organizational changes since the training? If so, please describe them, and indicate how these changes have impacted your
department.



Do you see any emerging issues in the fire/emergency services field that are not currently covered in NFA courses?



What skills are needed within your department that training would improve?



Additional comments?




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

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.