ICTAP Training Survey

ICTAP Training Survey Questions
0MB Control No.: 1670-NEW
0MB Expiration Date: MM/DD/YYYY
The purpose of this _ _ survey is to obtain your anonymous feedback regarding the _

course that you took

in City, State on 0/0/00. Your feedback and experience with the training wil l help Cybersecurity and
Infrastructure Security Agency (CISA) revise the course and make it available to additional students. We thank you
in advance to taking the time to share your opinions regarding this course:
Paperwork Reduction Act Burden Statement:
The public reporting burden to complete this information collection is estimated at 15 minutes per response,
including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data
needed, and the completing and reviewing the collected information. The collection of information is voluntary.
An agency may not conduct or sponsor, and a person is not required to respond to a col lection of information
unless it displays a currently valid 0MB control number and expiration date. Send comments regarding this
burden estimate or any other aspect of this col lection of information, including suggestions for reducing this

burden to DHS/CISA/ECD, 1110 N. Glebe Rd, CISA- NGR STOP 0645, Arlington, VA 20598-0645, ATTN: PRA [0MB
Control No. 1670-N EW]

1. In which state do you reside? *
Select your answer

V

2.1 am assigned to the fol lowing type of agency: *
Fire
Police
Local Emergency Management Agency
State Emergency Management Agency
Hospital

Military
Federal entity
Other
I am not attached to any agency/organization

3. What is your overall rating of the course content? (on a score of 1-10, 10 being the best):
3

4

5

6

*

7 _ ~ 8 - - 9 - ~ 10

4. What is your overall rating of the instructors? (on a score of 1-10, 10 being the best):

*

J

5. Have you served as a ___ since taking the class? *

Yes
No

6. Does your agency plan on using this position in the future? *

Yes
No
I don't know

7. Please indicate under which circumstance(s) have you used the training and how long ago. *
< 1 month

Communications
Planning for an incident
In a response to an
incident
Communications
planning related to a
planned event
In a response to an
incident during an
event
With in a National
Incident Management
System (NI MS) ICS
structure

1-3 months

4-6 months

7 -12 months

> 1 year

Not Used

I have not used this
training

8. What is your position and regular role/responsibility within your agency/office? Please do not
include any personal identifiable information (PII) in your response. *
Enter your answer

9. In your opinion, do you think the _ _ _ _ course helped prepare you to deploy as a ____ ?
*
Yes, I am better prepared to deploy
No, the course did not add to my knowledge base

No, the course did not add to my knowledge base
No opinion

10. RECOMMENDATIONS: Provide any additional comments in the space below and please do not
include any personal identifiable information (PI I) in your response: *
Enter your answer