Information Collection

National Defense Executive Reserve Personal Qualifications Statement

IC 43969 under ICR 200906-1660-001 · OMB 1660-0001.

Documents and Forms

Document Name Document Type
Form FEMA Form 646-0-1 National Defense Executive Reserve Personal Qualifications Statement Form
FEMA Form 646-0-1 National Defense Executive Reserve Personal Qualificatio FEMA Form 646-0-1.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	National Defense Executive Reserve Personal Qualifications Statement	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FEMA Form 646-0-1	National Defense Executive Reserve Personal Qualifications Statement	FEMA Form 646-0-1.pdf		Yes	Yes	Fillable Printable

Line of Business: Disaster Management

Subfunction: Disaster Preparedness and Planning

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 10	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 50 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	10	-20	30
Annual IC Time Burden (Hours)	5	-10	15
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.