Level 1 Assessment and Level 3 Evaluations for the Center for Domestic Preparedness (CDP)

Forms and Documents

Document Name	Status
Form FEMA Form 519-0-1 EMI Level 3 Follow-Up Evaluation Survey Form and Instruction	New
Form FEMA Form 092-0-2B Level 3 Evaluation Form for Supervisors Form and Instruction	Modified
Form FEMA Form 092-0-2A Level 3 Evaluation Form for Students Form and Instruction	Modified
Form FEMA Form 092-0-2 Level 1 Assessment Form Form and Instruction	Modified
1660-0132 NTED Supporting Statement A_UPDATE.docx Supporting Statement A	2021-05-17
1660-0132 Published 30 Day FRN.pdf Supplementary Document	2021-01-27
1660-0132 Published 60 Day FRN.pdf Supplementary Document	2020-11-20
Supervisor level 3 reminder.docx Supplementary Document	2012-03-20
Student level 3 reminder.docx Supplementary Document	2012-03-20
Sample Report 1660-NEW Level 1 Assessment Form.docx Supplementary Document	2011-09-19
Directions to Level 1 Assessment Form.docx Supplementary Document	2011-09-19
Excerpts from Public Law 110-53 (Implementing the 9-11 Commission Recommendations Act of 2007).pdf Supplementary Document	2011-08-11

IC Document Collections

IC ID	Document Title	Status
247460	EMI Level 3 Follow-Up Evaluation Survey Form and Instruction	New
199125	Level 3 Evaluation Form for Supervisors Form and Instruction	Modified
199124	Level 3 Evaluation Form for Students Form and Instruction	Modified
199122	Level 1 Assessment Form Form and Instruction	Modified

ICR Details

OMB Control No: 1660-0132	ICR Reference No: 202011-1660-001
Status: Received in OIRA	Previous ICR Reference No: 201503-1660-001
Agency/Subagency: DHS/FEMA	Agency Tracking No:
Title: Level 1 Assessment and Level 3 Evaluations for the Center for Domestic Preparedness (CDP)
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 07/20/2021

	Requested	Previously Approved
Expiration Date	36 Months From Approved
Responses	124,692	0
Time Burden (Hours)	31,174	0
Cost Burden (Dollars)	0	0

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Abstract: This data collection is required in support of GPRAMA 2010 Section 115 to provide National Preparedness Training Program performance evaluation data to FEMA; DHS Executives; Congress; and State, local, Tribal and territorial (SLTT) elected officials. This instrument is part of a larger training program evaluation collection that applies the Kirkpatrick Training Evaluation Model. Respondents include SLTT emergency responders from Law Enforcement, Emergency Medical and Public Health communities.

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Authorizing Statute(s): PL: Pub.L. 110 - 53 1204 Name of Law: Implementing Recommendations of the 9/11 Commission Act of 2007
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 31538	05/26/2020
30-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 82496	12/18/2020
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 4

IC Title	Form No.	Form Name
EMI Level 3 Follow-Up Evaluation Survey	FEMA Form 519-0-1	Follow-Up Evaluation Survey
Level 1 Assessment Form	FEMA Form 092-0-2	Level 1 Assessment Form
Level 3 Evaluation Form for Students	FEMA Form 092-0-2A	Level 3 Evaluation Form for Students
Level 3 Evaluation Form for Supervisors	FEMA Form 092-0-2B	Level 3 Evaluation Form for Supervisors

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ICR Summary of Burden

	Total Request	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	124,692	0	0	80,092	0	44,600
Annual Time Burden (Hours)	31,174	0	0	20,024	0	11,150
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: TPP “Post Course Assessment Form NTED-TPP: The TPP Level 3 Post Course Assessment Form (fourth on the IC list) is new and, therefore, increases burden hours; other burden hours for EMI and CDP remain the same.

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Annual Cost to Federal Government: $180,082

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 07/20/2021

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