Reinstatement without change of a previously approved
collection
No
Regular
08/28/2025
Requested
Previously Approved
36 Months From Approved
91
0
23
0
0
0
The SAFECOM Membership Questionnaire
is an internal SAFECOM document disseminated only to active SAFECOM
Members. SAFECOM uses the Questionnaire to identify membership
gaps, obtain updated information on SAFECOM’s membership body
(e.g., public safety communications experience, accolades, acquired
skills/certifications, etc.), update SAFECOM marketing materials,
and to assist SAFECOM when responding General Accounting Office
(GAO) inquiries. The Questionnaire will encompass eight
interdependent sections of questions. The SAFECOM Internal
Membership section requests each Member to provide their name,
state of residence, and the number of hours per month he/she
contributes SAFECOM led initiatives (e.g., conference calls and
deliverable development). SAFECOM consists of public safety
association representatives and at-large members. The Association
Representative Information section pertains to public safety
associations represented in SAFECOM. Association Representatives
serving in SAFECOM are asked to provide the name of their
Association, approximate Association size, Association contact, and
addition Association point-of-contact (POC) information. At-large
members are instructed to skip to the next section. Public Safety
Service section will focus on questions related to each Member’s
public safety and first responder career. Members are asked to
designate their current public safety status (i.e., active,
retired, other), to identify their public safety discipline(s), to
provide level of government for current employment (e.g., state,
local, tribal, territorial, federal), to provide years of service,
to list current agency and agency’s contact information, to provide
a brief description on their current role and responsibilities, to
select the population range that best describes the population of
your current organization’s jurisdiction serviced, to indicate the
number of public safety personnel employed at your current
organization, to indicate the number of responses your current
organization responds to each year, and if current position entails
collaborating with Tribal Nations. The Volunteer Experience section
asks Members to provide details on their volunteer experience. The
Public Safety Experience section asks Members to identify the
public safety events he/she responded to throughout their career,
and to identify the communications technology he/she has used. The
Education section focuses on the education (e.g., which is an
optional question), proficiencies, and professional certifications.
External Conference Attendance section focuses on Member’s
experience at public safety conferences as well as their interest
in representing SAFECOM in the future at a conference. The final
section focuses on Members public safety usage.
US Code:
6 USC
652 Name of Law: Cybersecurity and Infrastructure Agency
PL:
Pub.L. 107 - 296 101 Name of Law: Homeland Security Act,
2002
EO: EO 13618 Name/Subject of EO: Assignment of
National Security and Emergency Preparedness Communications
Functions
US Code: 6 USC
571 Name of Law: Office of Emergency Communications
The burden increase was due to
an increase in the total number of respondents to the information
collection.
$268
No
Yes
Yes
No
No
No
No
Benjamin Thomsen 202 254-7179
benjamin.thomsen@cisa.dhs.gov
No
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:
(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;
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.
SAFECOM Membership Questionnaire
2025-16490.pdf
1670-0046_SAFECOM Membership Questionnaire_SSA_FINAL_2-5-25.docx
SAFECOM Membership Questionnaire