Level 1 Assessment Form

Consolidated FEMA-National Training and Education Division (NTED) Level 3 Training Evaluation Forms

Documents and Forms

Document Name Document Type
Form FEMA Form 092-0-2 Level 1 Assessment Form Form and Instruction
FEMA Form 092-0-2 Level 1 Assessment Form Level 1 Assessment FEMA Form 092-0-2 Expiration Placeholder.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Level 1 Assessment Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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	FEMA Form 092-0-2	Level 1 Assessment Form	Level 1 Assessment FEMA Form 092-0-2 Expiration Placeholder.pdf		No		Paper Only

Line of Business: Disaster Management

Subfunction: Disaster Preparedness and Planning

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 112,218	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	112,218	74,218	38,000
Annual IC Time Burden (Hours)	28,055	18,555	9,500
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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