| Category | Initiative | Count of Question |
| Activity Details | 61 | |
| AP Satisfaction | 29 | |
| Create Activity | 16 | |
| Ready 2 Help | 5 | |
| Until Help Arrives | 7 | |
| Materials Ordering | 3 | |
| CBO Training | 1 | |
| Feedback | 34 | |
| AP Satisfaction | 18 | |
| Until Help Arrives | 6 | |
| Experience | 10 | |
| Future Communication | 3 | |
| Ready 2 Help | 1 | |
| Until Help Arrives | 2 | |
| Information Text | 5 | |
| AP Satisfaction | 2 | |
| Materials Ordering | 3 | |
| POC Information | 27 | |
| Create Account | 14 | |
| Create Activity | 4 | |
| Materials Ordering | 9 | |
| Order Form | 3 | |
| Materials Ordering | 3 | |
| Course Feedback | 8 | |
| CBO Training | 8 | |
| Material Download | 7 | |
| CBO Training | 7 | |
| Total Result | 148 |
| Initiative | Question | Response | Category | Sub Category | Notes | 112-2-1 Reference |
| AP Satisfaction | Did you complete a preparedness action as part of America's PrepareAthon!? | Yes No (Skip to question 12) | Activity Details | Existing - Not Used | ||
| AP Satisfaction | On which hazard(s) did you focus your Day of Action? | Tornado Flood Hurricane Wildfire Earthquake Hazardous material release Winter weather / Ice storm Extreme heat Other |
Activity Details | Content | Existing - Not Used | |
| AP Satisfaction | What activities did you do? (check all that apply) | Found out what disasters might happen in my community Learned about and signed up for local alerts and warnings Learned what to do to protect yourself for the hazards in my community Developed, updated, or practiced your family/household communications plan Collected and updated critical documents you might need Collected, updated, refreshed your emergency tools and supplies Signed up to take training in first aid, CPR, AED, CERT Planned, reviewed, and practiced your evacuation route and transportation plans Identified and practiced taking shelter in a protective location Took steps to protect your home and personal property Met with friends and family to discuss preparing Other |
Activity Details | Content | Existing - Not Used | |
| AP Satisfaction | How many adults in your household participated in the activity? | Activity Details | Number Participants | Existing - Not Used | ||
| AP Satisfaction | How many youth in your household participated in the activity? | Activity Details | Number Participants | Existing - Not Used | ||
| AP Satisfaction | Did you do more, less, or what you indicated you would do in your registration? | More Less Same |
Activity Details | Content | Existing - Not Used | |
| AP Satisfaction | Which America's PrepareAthon! resources did you use to plan and conduct your Day of Action? (check all that apply) | America's PrepareAthon! preparedness materials: How to Prepare Guide Individual and Family Playbook Resource Guide for Alerts and Warnings Other materials |
Activity Details | Other | Existing - Not Used | |
| AP Satisfaction | Have you visited the National Preparedness Community discussion boards since you registered to participate in America's PrepareAthon? | Yes No I don't know |
Activity Details | Other | Existing - Not Used | |
| AP Satisfaction | Did you participate in any social media related to America's PrepareAthon? | Yes No |
Activity Details | Other | Existing - Not Used | |
| AP Satisfaction | In what state are you located? | Activity Details | Location | Existing - Not Used | ||
| AP Satisfaction | In what zip code are you located? | Activity Details | Location | Existing - Not Used | ||
| AP Satisfaction | Please select the category that best describes your organization from the following list: | Access/Functional/Disability Needs Organizations Medical Reserve Corps Animal Shelter/Service Providers Businesses/Industry Associations Media Organizations Military Museums/Libraries/Parks etc. Non-profit Organizations Pets/Livestock/Agriculture Preparedness Organizations Red Cross Chapter Science/engineering organizations Scouting Groups Senior Facilities/Communities State Government Tribes/Tribal Leadership Youth Organizations VOAD (Voluntary Organizations Active in Disasters) Volunteer Radio Clubs Volunteer Organizations/Service Clubs Other CERT Groups Childcare and Preschool Citizen Corps Council Colleges/Universities Communication Groups Congressional Faith-based Organizations Federal Government Fire/Emergency Responders Healthcare HOA/Neighborhood Groups Individuals/Families K-12 Schools and Districts Local Government Media Organizations |
Activity Details | Audience Type | Existing - Not Used | |
| AP Satisfaction | [K-12 Schools and Districts Only] Which best describes your school? | Public Private Other (Please specify) |
Activity Details | Audience Type | Existing - Not Used | |
| AP Satisfaction | [Volunteer Organizations Only] Which level do you represent? | Chapter/Local Headquarters/National Not applicable Other |
Activity Details | Audience Type | Existing - Not Used | |
| AP Satisfaction | [Private Sector Only] How many employees does your business have? | 1 - 99 100 - 499 500 - 1,499 1500 - 4,999 5,000 - or more |
Activity Details | Number Participants | Existing - Not Used | |
| AP Satisfaction | In addition to registering your participation, which of the following did the America's PrepareAthon! website, www.ready.gov/prepare help you to do? (select all that apply) |
Download/print resources Learn about hazards in my area Learn what I should do to prepare Download/print resources Learn about preparedness activities in my state/community Learn about the organizations supporting America's PrepareAthon! Learn about research in emergency preparedness Share my participation in America's PrepareAthon! with others Print a certificate of participation Other (please specify) I did not use the America's PrepareAthon! website |
Activity Details | Resources | Existing - Not Used | |
| AP Satisfaction | Did you complete a preparedness action as part of America's PrepareAthon!? | Yes No (Skip to Question 13) |
Activity Details | Other | Existing - Not Used | |
| AP Satisfaction | On which hazard(s) did you focus your Day of Action? | Tornado Flood Hurricane Wildfire Earthquake Hazardous material release Winter weather / Ice storm Extreme heat Other |
Activity Details | Hazards | Existing - Not Used | |
| AP Satisfaction | What activities did you conduct? (check all that apply) | Conducted a tabletop exercise to test your organizational readiness (e.g. emergency response plans, continuity plans, communications systems) Conducted training for people in your organization to support organizational preparedness and response Conducted an educational discussion for the people in your organization for their personal and household preparedness Conducted a drill for the people in your organization for their personal and household preparedness Conducted a training for the people in your organization for their personal and household preparedness Other |
Activity Details | Content | Existing - Not Used | |
| AP Satisfaction | How many adults in your organization participated in the activity? | Activity Details | Number Participants | Existing - Not Used | ||
| AP Satisfaction | How many youth in your organization participated in the activity? | Activity Details | Number Participants | Existing - Not Used | ||
| AP Satisfaction | Did your organization do more, less, or what you indicated you would do in your registration? | I don't know Same Less More |
Activity Details | Content | Existing - Not Used | |
| AP Satisfaction | Which America's PrepareAthon! resources did you use to plan and conduct your Day of Action? (check all that apply) | America's PrepareAthon! preparedness materials: How to Prepare Guide Playbook Day of Action Guide: Prepare Your People Day of Action Guide: Prepare Your Organization Resource Guide for Alerts and Warnings Other |
Activity Details | Resources | Existing - Not Used | |
| AP Satisfaction | Have you visited the National Preparedness Community discussion boards since you registered to participate in America's PrepareAthon? |
Yes No I don't know |
Activity Details | Resources | Existing - Not Used | |
| AP Satisfaction | Did you participate in any social media related to America's PrepareAthon? | Yes No |
Activity Details | Other | Existing - Not Used | |
| AP Satisfaction | Which America's PrepareAthon promotional materials did you use? (check all that apply) | Posters Web banners Digital invites None |
Activity Details | Resources | Existing - Not Used | |
| AP Satisfaction | Did you customize any of these materials? | Yes No |
Activity Details | Resources | Existing - Not Used | |
| AP Satisfaction | In what state is your organization located? | Activity Details | Location | Existing - Not Used | ||
| AP Satisfaction | In what zip code is your organization located? | Activity Details | Location | Existing - Not Used | ||
| AP Satisfaction | In addition to registering your participation, which of the following did the America's PrepareAthon! website, www.ready.gov/ prepare help you to do? (select all that apply) |
Learn about hazards in my area Learn what I should do to prepare Download/print resources Learn about preparedness activities in my state/community Learn about the organizations supporting America's PrepareAthon! Learn about research in emergency preparedness Share my participation in America's PrepareAthon! with others Print a certificate of participation Other (please specify) I did not use the America's PrepareAthon! website |
Feedback | Existing - Not Used | ||
| AP Satisfaction | How satisfied were you with your ability to find what you were looking for? | Very satisfied Satisfied Neither satisfied nor dissatisfied Dissatisfied Not applicable |
Feedback | Existing - Not Used | ||
| AP Satisfaction | [If “Dissatisfied” or “Very dissatisfied”] What would have made it easier to find what you were looking for? [open-ended] | Free Text | Feedback | Existing - Not Used | ||
| AP Satisfaction | How helpful were these materials for planning and conducting your Day of Action? | Extremely helpful Very helpful Somewhat helpful A little helpful Not at all helpful |
Feedback | Existing - Not Used | ||
| AP Satisfaction | How satisfied are you with how easy it was to get involved in America's PrepareAthon? | Very satisfied Satisfied Neither satisfied nor dissatisfied Dissatisfied Very dissatisfied |
Feedback | Existing - Not Used | ||
| AP Satisfaction | Are you more prepared as a result of participating in America's PrepareAthon? | A great deal more prepared Somewhat more prepared No change to my level of preparedness I am more confused about how to prepare Not sure |
Feedback | Existing - Not Used | ||
| AP Satisfaction | Do you plan to participate in the next America's PrepareAthon? | Yes No Not sure |
Feedback | Existing - Not Used | ||
| AP Satisfaction | Would you encourage others to participate? | Yes No |
Feedback | Existing - Not Used | ||
| AP Satisfaction | What suggestions do you have for the next America's PrepareAthon? | Free Text | Feedback | Existing - Not Used | ||
| AP Satisfaction | How satisfied were you with your ability to find what you were looking for? | Very satisfied Satisfied Neither satisfied nor dissatisfied Dissatisfied Very dissatisfied Not applicable |
Feedback | Existing - Not Used | ||
| AP Satisfaction | [If “Dissatisfied” or “Very dissatisfied”] What would have made it easier to find what you were looking for? | Free Text | Feedback | Existing - Not Used | ||
| AP Satisfaction | How helpful were these materials for planning and conducting your Day of Action? | Not at all helpful A little helpful Somewhat helpful Very helpful Extremely helpful |
Feedback | Existing - Not Used | ||
| AP Satisfaction | [If yes] How easy was it to customize? | Very easy Easy Neither easy nor difficult Difficult Very difficult |
Feedback | Existing - Not Used | ||
| AP Satisfaction | How satisfied are you with how easy it was to get involved in America's PrepareAthon? | Very satisfied Satisfied Neither satisfied nor dissatisfied Dissatisfied Very dissatisfied |
Feedback | Existing - Not Used | ||
| AP Satisfaction | Are you more prepared as a result of participating in America's PrepareAthon? | A great deal more prepared Somewhat more prepared No change to my level of preparedness I am more confused about how to prepare Not sure |
Feedback | Existing - Not Used | ||
| AP Satisfaction | Do you plan to participate in the next America's PrepareAthon? | Yes No Not sure |
Feedback | Existing - Not Used | ||
| AP Satisfaction | Would you encourage others to participate? | Yes No |
Feedback | Existing - Not Used | ||
| AP Satisfaction | What suggestions do you have for the next America's PrepareAthon? | Feedback | Existing - Not Used | |||
| AP Satisfaction | Thank you very much for your time! We appreciate your willingness to provide feedback to help make the next America's PrepareAthon! an even greater success. Congratulations on doing your part to be prepared! |
Information Text | Existing - Not Used | |||
| AP Satisfaction | Thank you for registering to participate in America's PrepareAthon! Because you registered to participate we are contacting you to complete this survey. This survey is intended to help us assess and improve the usefulness of America's PrepareAthon! website, guides and other resources. This survey is voluntary and anonymous; your answers will not be linked to your name or email address. The IP address for the computer you use will be collected with your answers, but this information will be deleted later to protect your privacy. This survey will be closed on [Month, Day]. Please complete it before that date. You may quit the survey at any time by clicking “Exit this Survey.” You can stop and return later on the same computer to change or complete your entries, up until [Month, Day]. The survey should take about 10 minutes. You must be at least 18 years old to participate. If you have any questions or comments about this survey, please contact [email protected]. |
Information Text | Existing - Not Used | |||
| CBO Training | Number of represented organizations | 1-4 5-9 10-14 15+ |
Activity Details | Number Participants | New | |
| CBO Training | How many times will you teach this course? | 1 2-3 4-5 6+ |
Material Download | Frequency | New | |
| CBO Training | Estimated number of learners per course? | 1-10 11-20 21-30 30-40 40+ |
Material Download | Number Participants | New | |
| CBO Training | Zip code of delivery? Please, enter zip code of first delivery if offering more than one | Free Text | Material Download | Location | New | |
| CBO Training | Audience type? (select all that apply) | Service Organization (i.e. food bank; soup kitchen, goods donation) Faith-Based Organization; school; child aftercare facility; assisted living center Business Other (with free text) |
Material Download | Audience Type | New | |
| CBO Training | Age range of learners? (select all that apply) | Under 12 12-18 18-30 30-50 50+ |
Material Download | Age | New | |
| CBO Training | Which modules do you plan to teach? (select all that apply) | Modules TBD; may be up to ten modules so this would be modules 1-10 | Material Download | Content | New | |
| CBO Training | Would you like to receive additional information about emergency preparedness? | Yes No If yes, please provide your email address: |
Material Download | New | ||
| CBO Training | This course taught me valuable concepts. | Strongly Disagree Disagree Neutral Agree Strongly Agree Please provide additional comments below. |
Course Feedback | Feedback | New | |
| CBO Training | After taking this course, I am more likely to take steps to prepare my community based organization for emergencies and disasters | Agree Disagree |
Course Feedback | New | ||
| CBO Training | Which modules did you complete? (select all that apply) | Modules TBD; may be up to ten modules so this would be modules 1-10 | Course Feedback | New | ||
| CBO Training | What could make this course better? | Free Text | Course Feedback | New | ||
| CBO Training | Why did you take this course? (select all that apply) | To fulfill a requirement To broaden my understanding and awareness To improve my organization's response in an emergency situation To increase my level of comfort in continuing service during an emergency |
Course Feedback | New | ||
| CBO Training | How did you hear about this course? (select all that apply) | Internet search Word of mouth Advertisement Social Media Other |
Course Feedback | New | ||
| CBO Training | Would you like to receive additional information about emergency preparedness? | Yes No If yes, please provide your email address: |
Course Feedback | New | ||
| CBO Training | How do you want your name to appear on your certificate? | Free Text | Course Feedback | New | ||
| Create Account | Username/Email Address | Free Text | POC Information | Existing - In use | ||
| Create Account | Confirm Email Address | Free Text | POC Information | Existing - In use | ||
| Create Account | Password | Free Text | POC Information | Existing - In use | ||
| Create Account | Confirm Password | Free Text | POC Information | Existing - In use | ||
| Create Account | First Name | Free Text | POC Information | Existing - In use | ||
| Create Account | Last Name | Free Text | POC Information | Existing - In use | ||
| Create Account | Organization Name | Free Text | POC Information | Existing - In use | ||
| Create Account | City | Free Text | POC Information | Existing - In use | ||
| Create Account | Country | Select | POC Information | Existing - In use | ||
| Create Account | State | Select | POC Information | Existing - In use | ||
| Create Account | I would like my name/organization to appear on the FEMA Preparedness Portal website as a supporter. | Yes No |
POC Information | Existing - In use | ||
| Create Account | I affirm that I meet the age requirements for joining and am 18 years of age or older, or I am a parent/guardian/sponsor registering on behalf of a minor under 18 years of age. I have read and accept the site's Terms and Conditions. I agree to the Trademark Consent to Use Agreement and agree to adhere to the Logo Usage Guidelines. I affirm that the above information is true and correct to the best of my knowledge. I understand that this information is covered by the Privacy Act statement, above. I affirm that I meet the requirements for joining.* |
Yes No |
POC Information | Existing - In use | ||
| Create Account | Time Zone | POC Information | Select the desired local time and time zone. Dates and times throughout this site will be displayed using this time zone. | Existing - In use | ||
| Create Account | To prevent automated SPAM submissions, please prove that you are a human by filling out the text box below based on the image displayed. | I'm not a robot | POC Information | Powered by reCAPTCHA | Existing - In use | |
| Create Activity | Title | Free Text | Activity Details | Unique Details | Existing - In use | |
| Create Activity | Sutitle | Free Text | Activity Details | Unique Details | Existing - In use | |
| Create Activity | Description | Free Text | Activity Details | Unique Details | **Do not enter sensitive Personal Identifiable Information (PII) such as SSN, address, phone number, DOB or driver's license number. Refer to the FEMA Privacy Policy. | Existing - In use |
| Create Activity | This is a 2018 National Level Exercise (NLE) activity | Yes No |
Activity Details | Content | Existing - In use | |
| Create Activity | Activity | Access Alerts and Warnings Assemble or Update Supplies Conduct an Exercise Document and Insure Property Drill or Practice Emergency Response Make Property Safer Participate in a Class, Training, or Discussion Plan with Neighbors Safeguard Documents Test Communication Plans Other |
Activity Details | Content | Existing - In use | |
| Create Activity | Audiences * | Child Care Center, School, College/University Faith-Based Organization Individual/Family/Neighborhood Military Non-Profit/Volunteer Organization Private Sector/Business Public Sector/Government (non-military) Whole Community Event (multiple sectors participating) Other |
Activity Details | Audience Type | Existing - In use | |
| Create Activity | Hazards * | Active Shooter Earthquake Flood Hurricane Tornado Wildfire Winter Storm Other |
Activity Details | Hazards | Existing - In use | |
| Create Activity | Activity Details: When | All Day Show End Date Date (mm/dd/yyyy) Time |
Activity Details | When | Existing - In use | |
| Create Activity | This is an online activity and does not have a geographic address | Yes No |
Activity Details | Location | Existing - In use | |
| Create Activity | Activity Details: Where | Country Address 1 Address 2 City State Zip Code |
Activity Details | Location | Existing - In use | |
| Create Activity | Participants | Free Text | Activity Details | Number Participants | Existing - In use | |
| Create Activity | Are participants in multiple locations? | None No Across City/County Across State Across Country |
Activity Details | Location | Existing - In use | |
| Create Activity | Is this activity public? | Public Private |
Activity Details | Where | Public activities will be displayed in the activities calendar and America&s PrepareAthon! website. | Existing - In use |
| Create Activity | URL | Free Text | Activity Details | Unique Details | If there is a web page where people can find more information about the activity, enter the link here. | Existing - In use |
| Create Activity | URL Title | Free Text | Activity Details | Unique Details | The link title is limited to 128 characters maximum. | Existing - In use |
| Create Activity | Are you doing this activity in affiliation with another organization or campaign? | Yes No |
Activity Details | Unique Details | Existing - In use | |
| Create Activity | Will you be the point of contact for this activity? | Yes No |
POC Information | Existing - In use | ||
| Create Activity | Please enter the name, organization and email address of the contact person for this activity. Name |
Free Text | POC Information | Existing - In use | ||
| Create Activity | Organization | Free Text | POC Information | Existing - In use | ||
| Create Activity | Free Text | POC Information | Existing - In use | |||
| Experience | Overall, how well does the site meet your needs? | Likert Scale | Feedback | Web User | New | |
| Experience | How easy was it to find what were looking for? | Likert Scale | Feedback | Web User | New | |
| Experience | Did it take you more or less time than you expected to find what you were looking for on our website? | Likert Scale | Feedback | Web User | New | |
| Experience | How visually appealing in our website? | Likert Scale | Feedback | Web User | New | |
| Experience | How easy it is to understand the information on our website? | Likert Scale | Feedback | Web User | New | |
| Experience | How much do you trust the information on our website? | Likert Scale | Feedback | Web User | New | |
| Experience | How likely is it that you would recommend our website to a friend or colleague? | Likert Scale | Feedback | Web User | New | |
| Experience | What is your reason for visiting our site today? | Preparedness Program Research Hazards |
Feedback | Web User | New | |
| Experience | Did you accomplish your goal for visiting our site? | Yes Yes, after searching for some time No |
Feedback | Web User | New | |
| Experience | Why have you decided to exit the site? | I found what I needed I can't find what I need I'm confused by the information I want to tell others |
Feedback | Web User | New | |
| Materials Ordering | Is this request to support a scheduled training? | Yes No |
Activity Details | New | ||
| Materials Ordering | Start date of scheduled training | Activity Details | New | |||
| Materials Ordering | Please describe training | Free Text | Activity Details | New | ||
| Materials Ordering | Instructions for Requesting Publications Use the tables on the following pages to enter the quantity of each publication being requested. All requests require FEMA approval prior to shipment. Allow 2–3 weeks for delivery. | Information Text | New | |||
| Materials Ordering | Community Emergency Response Team (CERT)To receive printed CERT training materials, the CERT team must be registered in the CERTNational Database. Teams can register at https://community.fema.gov/Register.The publication requester name must match the point of contact listed in the CERT National Database | Information Text | New | |||
| Materials Ordering | Contact Us To place an order, requesters must send the completed and signed order form via email, fax, or the U.S. Postal Service. Requesters may also call for assistance. Contact Information Email: [email protected]: 719-295-2676 Fax: 719-948-9724 Mail: Pueblo Distribution Center 31451 United Ave. Pueblo, CO 81001 | Information Text | New | |||
| Materials Ordering | Organization/Agency/Company Name | POC Information | New | |||
| Materials Ordering | Requestor Name | POC Information | New | |||
| Materials Ordering | Job Title/Position | POC Information | New | |||
| Materials Ordering | Email Address | POC Information | New | |||
| Materials Ordering | Delivery Address | POC Information | New | |||
| Materials Ordering | City | POC Information | New | |||
| Materials Ordering | State | POC Information | New | |||
| Materials Ordering | Zip Code | POC Information | New | |||
| Materials Ordering | Phone Number | POC Information | New | |||
| Materials Ordering | Publication Number | Order Form | New | |||
| Materials Ordering | Publication Title | Order Form | New | |||
| Materials Ordering | Quantity Requested | Order Form | New | |||
| Ready 2 Help | How many times will you play this game? | 1 2-3 4-5 6+ |
Activity Details | Frequency | New | |
| Ready 2 Help | Total estimated number of participants | 1-10 11-20 21-30 30-40 40+ |
Activity Details | Number Participants | New | |
| Ready 2 Help | Zip code of delivery: Please enter the zip code of the first delivery if providing multiple deliveries. | Free Text | Activity Details | Location | New | |
| Ready 2 Help | Audience type? (select all that apply) | School Afterschool program Youth Organization Faith-Based Organization Other |
Activity Details | Audience Type | New | |
| Ready 2 Help | Age range of learners: (select all that apply) | Under 6 6-8 8-10 10-12 12-14 14+ |
Activity Details | Age | New | |
| Ready 2 Help | Would you like to receive additional information about emergency preparedness? | Yes No If yes, please provide your email address: |
Future Communication | New | ||
| Until Help Arrives | How many times will you teach this course? | 1 2-3 4-5 6+ |
Activity Details | Frequency | New | |
| Until Help Arrives | Estimated number of learners per course? | 1-10 11-20 21-30 30-40 40+ |
Activity Details | Number Participants | New | |
| Until Help Arrives | Zip code of delivery? Please, enter zip code of first delivery if offering more than one | Free Text | Activity Details | Location | New | |
| Until Help Arrives | Audience type? (select all that apply) | Student Local Government Youth Organization Faith-Based Organization Business General Public Other |
Activity Details | Audience Type | New | |
| Until Help Arrives | Age range of learners? (select all that apply) | Under 12 12-18 18-30 30-50 50+ |
Activity Details | Age | New | |
| Until Help Arrives | Which modules do you plan to teach? (select all that apply) | Module 1: You Make a Difference Module 2: Call 9-1-1 Module 3: Stay Safe Module 4: Stop the Bleeding Module 5: Position the Injured Module 6: Provide Comfort |
Activity Details | Content | New | |
| Until Help Arrives | How do you want your name to appear on your certificate? | Free Text | Activity Details | Unique Details | New | |
| Until Help Arrives | This course taught me valuable concepts. | Strongly Disagree Disagree Neutral Agree Strongly Agree Please provide additional comments below. |
Feedback | New | ||
| Until Help Arrives | After taking this course, I am more likely to provide help to an injured person in an emergency situation. | Agree Disagree |
Feedback | New | ||
| Until Help Arrives | Which modules did you complete? (select all that apply) | Module 1: You Make a Difference Module 2: Call 9-1-1 Module 3: Stay Safe Module 4: Stop the Bleeding Module 5: Position the Injured Module 6: Provide Comfort |
Feedback | New | ||
| Until Help Arrives | What could make this course better? | Free Text | Feedback | New | ||
| Until Help Arrives | Why did you take this course? (select all that apply) | To fulfill a requirement To broaden my understanding and awareness To improve my response in an emergency situation To increase my level of comfort in providing emergency medical care To satisfy my curiosity |
Feedback | New | ||
| Until Help Arrives | How did you hear about this course? (select all that apply) | Internet search Word of mouth Advertisement Social Media Other |
Feedback | New | ||
| Until Help Arrives | Would you like to receive additional information about emergency preparedness? | Yes No If yes, please provide your email address: |
Future Communication | New | ||
| Until Help Arrives | Would you like to receive additional information about emergency preparedness? | Yes No If yes, please provide your email address: |
Future Communication | New |
| Estimated Annualized Burden Hours and Costs | ||||||||||
| Type of Respondent | Form Name / Form Number | No. of Respon-dents | No. of Responses per Respon-dent | Total No. of Responses | Avg. Burden per Response (in hours) | Total Annual Burden (in hours) | Avg. Hourly Wage Rate | Total Annual Respondent Cost | ||
| Individuals or Households; Farms; Business or other for-profit; Federal Government; Not-for-profit Institutions; State, local or Tribal Government | Preparedness Activity Web Collection / FEMA Form 008-0-8 | 80,500.00 | 1.00 | 80,500.00 | 0.083 | 6,708.33 | $24.07 | $161,469.58 | From Form 0134 | |
| Same respondents | Preparedness Activity Feedback Form , FEMA Form 519-0-11 | 20,125.00 | 1 | 20,125.00 | 0.083 | 1,677.08 | $24.07 | $40,367.40 | From Form 0130 | |
| Total | $100,625.00 | $100,625.00 | $8,385.42 | $201,836.98 | ||||||
| Itemized Changes in Annual Burden Hours | ||||||||||
| Data Collection Activity/Instrument | Program Change (hours currently on OMB Inventory) | Program Change (New) | Difference | Adjustment (hours currently on OMB Inventory) | Adjustment (New) | Difference | ||||
| Preparedness Activity Web Collection / FEMA Form 008-0-8 | 15,000 | 6,708.33 | -8291.67 | 0 | 0 | 0 | From Form 0134 | |||
| Preparedness Activity Feedback Form , FEMA Form 519-0-11 | 4250 | 1,677.08 | -2572.92 | 0 | 0 | 0 | From Form 0130 | |||
| 0 | 0 | |||||||||
| 0 | 0 | |||||||||
| 0 | 0 | |||||||||
| 0 | 0 | |||||||||
| Total | 19250 | 8385.41666666667 | -10864.5833333333 | 0 | 0 | 0 | ||||
| Itemized Changes in Annual Cost Burden | ||||||||||
| Data Collection Activity/Instrument | Program Change (hours currently on OMB Inventory) | Program Change (New) | Difference | Adjustment (hours currently on OMB Inventory) | Adjustment (New) | Difference | ||||
| Preparedness Activity Web Collection / FEMA Form 008-0-8 | $547,050.00 | $161,469.58 | $(385,580.42) | $- | $- | $- | From Form 0134 | |||
| Preparedness Activity Feedback Form , FEMA Form 519-0-11 | $- | $40,367.40 | $40,367.40 | $- | $- | $- | From Form 0130 | |||
| $- | $- | |||||||||
| $- | $- | |||||||||
| $- | $- | |||||||||
| $- | $- | |||||||||
| Total | $547,050.00 | $201,836.98 | $(345,213.02) | $- | $- | $- | ||||
| File Type | application/vnd.openxmlformats-officedocument.spreadsheetml.sheet |
| File Modified | 0000-00-00 |
| File Created | 0000-00-00 |