Information Collection

Level 3 Evaluation Form for Supervisors

IC 199125 under ICR 202011-1660-001 · OMB 1660-0132.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1660-0132 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FEMA Form 092-0-2B Level 3 Evaluation Form for Supervisors	Form and Instruction
FEMA Form 092-0-2B Level 3 Evaluation Form for Supervisors supervisor_electronic FF 092-0-2b.pdf www.cdp.dhs.gov	Form and Instruction

IC Title:

Level 3 Evaluation Form for Supervisors

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	FEMA Form 092-0-2B	Level 3 Evaluation Form for Supervisors	supervisor_electronic FF 092-0-2b.pdf	www.cdp.dhs.gov	Yes	Yes	Fillable Fileable

Line of Business: Disaster Management

Subfunction: Disaster Preparedness and Planning

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 600

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	600	600
Annual IC Time Burden (Hours)	150	150
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.