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pdfOMB Control Number 1601-0014
OMB Expiration Date 04/30/2018
U.S. Department of Homeland Security
Domestic Nuclear Detection Office
Securing the Cities Member Questionnaire
Los Angeles/Long Beach Region
Name (Optional): _____________________________________________
Agency (Optional): ___________________________________________
STC Subcommittee Assignments: ________________________________
Only aggregated results will be provided to the Domestic Nuclear Detection Office’s Securing the Cities Program
Office. Personal and attribution information will not be shared with the STC Program Office or any STC-affiliated
or non-affiliated organization.
If you are willing to be contacted by the assessment team to better understand your responses or to provide off the
record information, please include your name and agency above.
Paperwork Reduction Act: An agency may not conduct or sponsor, and a person is not required to respond to, a
collection of information unless it displays a valid OMB control number. The control number assigned to this
collection is OMB 1601-0014, which expires April 30, 2018. Providing this information is voluntary. DNDO will
use the information to improve customer service. The survey should take no more than 20 minutes to complete.
Send comment regarding this burden estimate or any other aspect of this collection of information, including
suggestions for reducing this burden to mathew.barton@hq.dhs.gov ATTN: PRA 1601-0014.
DHS Form 10093 (11/2015)
Securing the Cities (STC) Member Questionnaire – Los Angeles/Long Beach (LA/LB)
Region
The purpose of this questionnaire is to:
1. Gather user feedback regarding the utility and value of plan templates, technical
assistance, and other support provided by the DNDO STC Program Office (PO); and,
2. Obtain user feedback regarding STC PO’s Phase 1 execution of the STC LA/LB
implementation as defined in program goals and objectives.
Information gathered through this survey will be used to improve the services provided by
DNDO; this is not an evaluation of STC LA/LB regional partners’ ability to execute the STC
program.
______________________________________________________________________________
1. Overall, the following program document templates provided by the DNDO STC PO were
useful in developing related STC LA/LB regional plans:
Strongly
Agree
Disagree
Strongly
Disagree
Unable
to Rate
Agree
Undecided
Subcommittee Charters
O
O
O
O
O
O
Implementation Plan
O
O
O
O
O
O
O
O
O
O
O
O
Training and Exercise
Guide Book/Multi-Year
Training And Exercise
Plan (MYTEP)
O
O
O
O
O
O
Information Exchange
Plan
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
STC Templates
Operations Plan
Equipment Plan
Life-Cycle Sustainment
Plan
______________________________________________________________________________
1
DHS Form 10093 (11/2015)
2. The program document templates provided by the DNDO STC PO were formatted in a
manner that was easily adaptable for STC LA/LB regional purposes:
Strongly
Agree
Agree
Undecided
Subcommittee Charters
O
O
Implementation Plan
O
STC Templates
Operations Plan
Training and Exercise
Guide Book/MYTEP
Information Exchange
Plan
Equipment Plan
Life-Cycle Sustainment
Plan
Disagree
Strongly
Disagree
Unable
to Rate
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
______________________________________________________________________________
3. What changes or additions, if any, would you recommend the STC PO consider regarding
development and use of program templates? (Identify specific documents when recommending
changes and additions.)
2
DHS Form 10093 (11/2015)
______________________________________________________________________________
4. At this point in the STC LA/LB implementation, the technical assistance provided by the
DNDO STC PO was helpful in developing the following STC LA/LB regional program
documents:
STC LA/LB Regional
Documents
Strongly
Agree
Agree
Undecided
Disagree
Strongly
Disagree
Unable
to Rate
Operations Plan
O
O
O
O
O
O
MYTEP
O
O
O
O
O
O
Implementation Plan
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
SCRIC Operating
Guidelines
Life-Cycle Sustainment
Plan
Equipment Plan
______________________________________________________________________________
5. At this point in the implementation, the technical assistance provided by the DNDO STC PO
has helped to develop and/or enhance initial regional capabilities to detect, identify, and interdict
nuclear materials that are out of regulatory control:
Develop/Enhance
Capability
Strongly
Agree
Agree
Undecided
Disagree
Strongly
Disagree
Unable
to Rate
O
O
O
O
O
O
______________________________________________________________________________
3
DHS Form 10093 (11/2015)
6. At this point in the implementation, the technical assistance provided by the DNDO STC PO
has assisted the STC LA/LB region with its ongoing effort to establish information connectivity,
including connectivity for reachback and adjudication, in deployed detection systems:
Information
Connectivity
Strongly
Agree
Agree
Undecided
Disagree
Strongly
Disagree
Unable
to Rate
O
O
O
O
O
O
______________________________________________________________________________
7. At this point in the implementation, the technical assistance provided by the DNDO STC PO
has encouraged STC LA/LB partners to develop sustainable regional capabilities that are being
developed through this program:
Program
Sustainment
Strongly
Agree
Agree
Undecided
O
O
O
Disagree
Strongly
Disagree
Unable
to Rate
O
O
O
______________________________________________________________________________
8. At this point in the implementation, the technical assistance provided by the DNDO STC PO
was helpful in better understanding radiological and nuclear detection equipment performance
features for the following equipment categories:
Rad/Nuc Detection
Equipment Categories
Strongly
Agree
Disagree
Strongly
Disagree
Unable
to Rate
Agree
Undecided
PRDs
O
O
O
O
O
O
RIIDs
O
O
O
O
O
O
Backpacks
O
O
O
O
O
O
Mobile Detection
Systems
O
O
O
O
O
O
______________________________________________________________________________
4
DHS Form 10093 (11/2015)
9. At this point in the implementation, the technical assistance provided by the DNDO STC PO
has helped the STC LA/LB to determine regional requirements for the following radiological
and nuclear detection equipment categories:
Rad/Nuc Detection
Equipment Categories
Strongly
Agree
Agree
Undecided
Disagree
Strongly
Disagree
Unable
to Rate
PRDs
O
O
O
O
O
O
RIIDs
O
O
O
O
O
O
Backpacks
O
O
O
O
O
O
Mobile Detection
Systems
O
O
O
O
O
O
______________________________________________________________________________
10. At this point in the implementation, the assistance provided by the DNDO STC PO in
developing a Homeland Security Exercise and Evaluation Program (HSEEP)-compliant training
and exercise program was helpful.
HSEEP Training
and Exercise Program
Strongly
Agree
Agree
Undecided
O
O
O
Disagree
Strongly
Disagree
Unable
to Rate
O
O
O
______________________________________________________________________________
11. At this point in the implementation, what changes, if any, would you recommend the STC
PO consider regarding technical assistance?
_____________________________________________________________________________
5
DHS Form 10093 (11/2015)
12. At this point in the implementation, the STC PO has offered the STC LA/LB region
opportunities to provide feedback on how the program is implemented:
Opportunity
To Provide
Feedback
Strongly
Agree
Agree
Undecided
O
O
O
Disagree
Strongly
Disagree
Unable
to Rate
O
O
O
_____________________________________________________________________________
13. At this point in the implementation, the STC Deployment Survey Forms (PRD, Backpack,
Mobile Detection System) have assisted with determining STC LA/LB regional needs for
acquisition and deployment:
Deployment
Survey Forms
Strongly
Agree
Agree
Undecided
Disagree
Strongly
Disagree
Unable
to Rate
O
O
O
O
O
O
______________________________________________________________________________
14. The STC Drill/Exercise Reporting Form captures the information necessary to accurately
report radiological/nuclear drills and exercises conducted as part of the STC LA/LB region
implementation:
Drill/Exercise
Reporting Form
Strongly
Agree
Agree
Undecided
Disagree
Strongly
Disagree
Unable
to Rate
O
O
O
O
O
O
______________________________________________________________________________
15. The STC Drill/Exercise Reporting Form allows for identification of problems or issues that
need to be addressed in order to improve regional radiological/nuclear detection capabilities:
Drill/Exercise
Reporting Form
Strongly
Agree
Agree
Undecided
Disagree
Strongly
Disagree
Unable
to Rate
O
O
O
O
O
O
______________________________________________________________________________
6
DHS Form 10093 (11/2015)
16. The STC Rad/Nuc Operations Reporting Form is clear and easy to understand.
Operations
Reporting Form
Strongly
Agree
Agree
Undecided
Disagree
Strongly
Disagree
Unable
to Rate
O
O
O
O
O
O
______________________________________________________________________________
17. The STC Rad/Nuc Operations Reporting Form sufficiently meets STC LA/LB regional
requirements for reporting operational deployments.
Operations
Reporting Form
Strongly
Agree
Agree
Undecided
Disagree
Strongly
Disagree
Unable
to Rate
O
O
O
O
O
O
______________________________________________________________________________
18. The STC Radiation Alarm Reporting/Field Interview Reporting Form is clear and easy to
understand.
Alarm Reporting/
Field Interview
Form
Strongly
Agree
Agree
Undecided
Disagree
Strongly
Disagree
Unable
to Rate
O
O
O
O
O
O
______________________________________________________________________________
19. The STC Radiation Alarm Reporting/Field Interview Reporting Form sufficiently meets
STC LA/LB regional requirements for radiation incident reporting.
Alarm Reporting/
Field Interview
Form
Strongly
Agree
Agree
Undecided
O
O
O
Disagree
Strongly
Disagree
Unable
to Rate
O
O
O
_____________________________________________________________________________
7
DHS Form 10093 (11/2015)
20. What changes or additions, if any, would you recommend the STC PO consider regarding
development and use of interactive forms? (Identify form and changes and/or additions.)
_____________________________________________________________________________
21. What thoughts, if any, do you have regarding the manner in which the DNDO STC Program
Office is implementing the program?
Submit
8
DHS Form 10093 (11/2015)
| File Type | application/pdf |
| File Modified | 2016-01-19 |
| File Created | 2016-01-15 |