The National Fire Academy (NFA) Long-Term Evaluation Forms for Supervisors and for Students

Forms and Documents

Document Name	Status
Form FF 95-58 The National Fire Academy (NFA) Long-Term Evaluation Forms Form	Modified
Form FF 95-59 National Fire Academy Long-Term Evaluation Form for Students Form	New
PTA FEMA NFAEVAL LTE USFA ctl 20080619 PRIV Final.pdf Supplementary Document	2008-08-05
Exhibit 6 Student Letter Pledge of Confidentiality.doc Supplementary Document	2008-08-05
privacy_pia_dhs_lists.pdf Supplementary Document	2008-08-05
LTE Supporting Statement Exhibit 1 Sample LTE Report - R1256001 (2).pdf Supplementary Document	2008-03-24
LTE Support Statement Exhibit 4 Supervisor Questionnaire - Screen Shots.pdf Supplementary Document	2008-03-24
LTE Support Statement Exhibit 4 Student Questionnaire - Screen Shots.pdf Supplementary Document	2008-03-24
LTE Supporting Statement Exhibit 2 Supervisor Form Performance Measures Worksheet 4-3-07.xls Supplementary Document	2008-03-24
LTE Supporting Statement Exhibit 2 Student Form Performance Measures Worksheet 4-3-07.xls Supplementary Document	2008-03-24
LTE Supporting Statement Exhibit #3 _Missing ValuesDec 2006.doc Supplementary Document	2008-03-24
30 day FRN 12-28-2007.pdf Supplementary Document	2008-01-17
60 Day FRN 9-21-2007.pdf Supplementary Document	2008-01-17
PL 93-498.pdf Supplementary Document	2008-01-10
1660-0039 Supportin Statement 7-24-08 Part B.doc Supporting Statement B	2008-08-05
1660-0039 Supporting Statement 7-24-08 Part A.doc Supporting Statement A	2008-08-05

IC Document Collections

IC ID	Document Title	Status
21107	The National Fire Academy (NFA) Long-Term Evaluation Forms Form	Modified
183356	National Fire Academy Long-Term Evaluation Form for Students Form	New

ICR Details

OMB Control No: 1660-0039	ICR Reference No: 200801-1660-002
Status: Historical Active	Previous ICR Reference No: 200511-1660-001
Agency/Subagency: DHS/FEMA	Agency Tracking No:
Title: The National Fire Academy (NFA) Long-Term Evaluation Forms for Supervisors and for Students
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 08/12/2008
	Date Received in OIRA: 04/22/2008
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2011	36 Months From Approved	03/31/2009
Responses	4,500	0	1,500
Time Burden (Hours)	1,126	0	375
Cost Burden (Dollars)	0	0	0

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Abstract: This collection obtains course-specific feedback from both the student and his/her supervisor on the impact of training on trainee's on-the-job performance. The information is used for internal program planning and administration.

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Authorizing Statute(s): PL: Pub.L. 93 - 498 1079 Name of Law: Federal Fire Prevention and Control Act
  

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:
	72 FR 54055	09/21/2007
30-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 73861	12/28/2007
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
The National Fire Academy (NFA) Long-Term Evaluation Forms	FF 95-58	National Fire Academy Long-Term Evaluation Form for Supervisors
National Fire Academy Long-Term Evaluation Form for Students	FF 95-59	National Fire Academy Long-Term Evaluation Form for Students

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ICR Summary of Burden

	Total Approved	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	4,500	1,500	0	3,000	0	0
Annual Time Burden (Hours)	1,126	375	0	751	0	0
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: The number of responses able to be processed by the Program Office increased, hence an increase in burden hours due to more forms returned.

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Annual Cost to Federal Government: $129,000

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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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: 04/22/2008

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