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pdfDEPARTMENT OF HOMELAND SECURITY
FEDERAL EMERGENCY MANAGEMENT AGENCY
PRINCIPAL ADVISOR'S REPORT
OMB NO. 1660-0058
Expires August 31, 2011
Management of Forest and Grassland Fires, Section 420 PL 93-288, as amended
1. NAME OF PRINCIPAL ADVISOR
2. DATE AND TIME OF STATE REQUEST
3. DATE AND TIME OF ADVISOR'S
REPORT
4. I HAVE/HAVE NOT REVIEWED THE OFFICIAL STATE REQUEST FOR FIRE MANAGEMENT ASSISTANCE DECLARATION UNDER SECTION 420, PL 93-288.
I HAVE REVIEWED
I HAVE NOT REVIEWED
(Name of Fire)
(Date Fire started)
5. PREVAILING WEATHER CONDITIONS:
TEMPERATURE
HUMIDITY
6. FIRE INDEX: (Palmer, KBDI, Haines, etc.)
WIND
NAME OF INDEX
OTHER
NUMBER ON SCALE
7. PREDICTION OF WEATHER AND FIRE CONDITIONS FOR THE NEXT 24 HOURS: (Fire Behavior)
8. WILDFIRES:
a. EXISTENCE OF OTHER FIRES NEARBY THAT MAY RESULT IN A CONFLAGRATION
b. NUMBER OF LARGE FIRES BURNING IN THE STATE:
9. THREAT INFORMATION:
a. ASSESSMENT
b. PROXIMITY OF FIRE TO HOMES AND COMMUNITIES:
c. NATURAL OR OTHER BARRIERS BETWEEN FIRE AND COMMUNITIES:
10. THIS ASSESSMENT IS BASED ON
ON SITE SURVEY
DISCUSSION WITH THE INCIDENT COMMANDER
12. SIGNATURE OF PRINCIPAL ADVISOR
12. PHONE NUMBER
a. Day
13. FEDERAL AGENCY
FEMA Form 078-0-2, MM/YY
OTHER
b. Other (Cell, pgr. etc.)
14. OFFICE LOCATION (City, State, ZIP)
PREVIOUSLY FF 90-32
c. Night
PAPERWORK BURDEN DISCLOSURE NOTICE
Public reporting burden for this data collection is estimated to average 3 hours per response. The burden estimate includes the time for reviewing instructions,
searching existing data sources, gathering and maintaining the data needed, and completing and submitting this form. This collection of information is required
to obtain or retain benefits. You are not required to respond to this collection of information unless a valid OMB control number is displayed on this form. Send
comments regarding the accuracy of the burden estimate and any suggestions for reducing the burden to: Information Collections Management, Department of
Homeland Security, Federal Emergency Management Agency, 1800 South Bell Street, Arlington, VA 20598-3005, Paperwork Reduction Project (1660-0058)
NOTE: Do not send your completed form to this address.
File Type | application/pdf |
File Modified | 2011-01-12 |
File Created | 2009-03-04 |