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Federal forms, ICRs, and supporting documents

Information Collection Request

National Fire Academy Executive Fire Officer Program Application Form

ICR 200107-3067-001 · OMB 3067-0194 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
32025 National Fire Academy Executive Fire Officer Program Application Form Form Migrated
ICR Details
3067-0194 200107-3067-001
Historical Active 199802-3067-004
FEMA
National Fire Academy Executive Fire Officer Program Application Form
Revision of a currently approved collection   No
Regular
Approved without change 08/28/2001
Retrieve Notice of Action (NOA) 07/02/2001
  Inventory as of this Action Requested Previously Approved
08/31/2004 08/31/2004 08/31/2001
300 0 300
300 0 300
0 0 0
FEMA Form 95-22, National Fire Academy Executive Fire Officer Program Application for Admission is used by respondents who are senior-lebel (executive) fire officers to apply into the National Fire Academy's Executive Fire Officer Program. FEMA uses the application form for effective screening/selection of applicants/students.
None
None
No
1
IC Title Form No. Form Name
National Fire Academy Executive Fire Officer Program Application Form FORM-95-22
  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 300 300 0 0 0 0
Annual Time Burden (Hours) 300 300 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected
  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.
07/02/2001