Level 1 Assessment and Level 3 Evaluations for the Center for Domestic Preparedness (CDP)

Forms and Documents

Document Name	Status
Form FF 092-0-2b Level 3 Evaluation Form for Supervisors Form and Instruction	New
Form FF 092-0-2A Level 3 Evaluation Form for Students Form and Instruction	New
Form FEMA Form 092-0-2 Level 1 Assessment Form Form and Instruction	New
Supervisor level 3 reminder.docx Supplementary Document	2012-03-20
Student level 3 reminder.docx Supplementary Document	2012-03-20
Level 3 Evaluation Instruments Email Cover Letter Instruction 1660-NEW.htm Supplementary Document	2011-09-27
Sample Report 1660-NEW Level 1 Assessment Form.docx Supplementary Document	2011-09-19
Directions to Level 1 Assessment Form.docx Supplementary Document	2011-09-19
DHS_PTA LEVEL 3 supervisor submitted 12.29.10.docx Supplementary Document	2011-09-06
DHS_PTA LEVEL 3 student submitted 12.29.10.docx Supplementary Document	2011-09-06
DHS_PTA LEVEL 1 submitted 12.29.10.docx Supplementary Document	2011-09-06
Supporting_Statement_1660-NEW_(NW48)_4-8-11_Part_A_1 KN 3 27.doc Supporting Statement A	2012-03-27
30 Day PUBLISHED FRN 1660-NEW 8-23-11.pdf Supplementary Document	2011-09-02
Excerpts from Public Law 110-53 (Implementing the 9-11 Commission Recommendations Act of 2007).pdf Supplementary Document	2011-08-11
Supporting_Statement_1660-NEW_(NW48)_4-8-11_Part_B_1 KN 3 27.doc Supporting Statement B	2012-03-27
60 DAY PUBLISHED FRN 1660-NEW 4-29-11 CDP.pdf Supplementary Document	2011-08-11

IC Document Collections

IC ID	Document Title	Status
199125	Level 3 Evaluation Form for Supervisors Form and Instruction	New
199124	Level 3 Evaluation Form for Students Form and Instruction	New
199122	Level 1 Assessment Form Form and Instruction	New

ICR Details

OMB Control No: 1660-0132	ICR Reference No: 201102-1660-002
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: DHS/FEMA	Agency Tracking No:
Title: Level 1 Assessment and Level 3 Evaluations for the Center for Domestic Preparedness (CDP)
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 03/27/2012
	Date Received in OIRA: 09/30/2011
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2015	36 Months From Approved
Responses	72,000	0	0
Time Burden (Hours)	18,000	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The forms in this collection of information will be used to survey the Center for Domestic Preparedness (CDP) students (and their supervisors) enrolled in CDP courses. The survey will collect information regarding quality of instruction, course material, and impact of training on their professional employment.

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Authorizing Statute(s): PL: Pub.L. 110 - 53 1204 Name of Law: Implementing Recommendations of the 9/11 Commission Act of 2007
  

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:
	76 FR 24038	04/29/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 52672	08/23/2011
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 3

IC Title	Form No.	Form Name
Level 3 Evaluation Form for Supervisors	FF 092-0-2b	Level 3 Evaluation Form for Supervisors
Level 3 Evaluation Form for Students	FF 092-0-2A	Level 3 Evaluation Form for Students
Level 1 Assessment Form	FEMA Form 092-0-2	Level 1 Assessment Form

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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	72,000	0	0	72,000	0	0
Annual Time Burden (Hours)	18,000	0	0	18,000	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: This is a new information collection with no previous listing on the OMB Inventory, therefore, all values entered are positive differences and program changes.

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Annual Cost to Federal Government: $308,195

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]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

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: 09/30/2011

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