Information Collection Request

General Admissions Application (Long and Short) and Stipend Forms

ICR 201307-1660-009 · OMB 1660-0100 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form FEMA Form 119-25-1 General Admissions Application Form and Instruction Modified Available
Form FEMA Form 119-25-4 Student Stipend Agreement (Amendment) Form and Instruction Modified Repair queued
Form FEMA Form 119-25-5 Executive Fire Officer program Application for Admission Form and Instruction Modified Available
Form 119-25-3 Student Stipend Agreement Form Removed Available
Form FEMA Form 119-25-3 Student Stipend Agreement Form and Instruction Modified Available
Form FEMA Form 119-25-2 General Admissions Application - Short Form Form and Instruction Modified Available
Supporting Statement 1660-0100 07242013.docx Supporting Statement A Uploaded 2013-07-25 Repair queued
Public Law 93-498.pdf Supplementary Document Uploaded 2013-07-12 Available
PIA 1660-0100 03292012.pdf Supplementary Document Uploaded 2013-07-12 Available
SORN 1660-0100 04062011.pdf Supplementary Document Uploaded 2013-07-12 Available
Pub 30 Day FRN 16600100 06252013.pdf Supplementary Document Uploaded 2013-07-12 Available
Pub. 60 Day FRN 1660100.pdf Supplementary Document Uploaded 2013-07-12 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
21048 General Admissions Application Form and Instruction Modified
192798 Student Stipend Agreement (Amendment) Form and Instruction Modified
178881 Executive Fire Officer program Application for Admission Form and Instruction Modified
178878 Student Stipend Agreement Form Removed
178877 Student Stipend Agreement Form and Instruction Modified
178874 General Admissions Application - Short Form Form and Instruction Modified
ICR Details
1660-0100 201307-1660-009
Historical Active 201209-1660-003
DHS/FEMA
General Admissions Application (Long and Short) and Stipend Forms
Revision of a currently approved collection   No
Regular
Approved without change 11/15/2013
Retrieve Notice of Action (NOA) 08/01/2013
  Inventory as of this Action Requested Previously Approved
11/30/2016 36 Months From Approved 11/30/2013
112,800 0 109,400
12,900 0 11,783
0 0 0

FEMA is responsible for providing training to meet the needs of disaster preparedness requirements set forth by regulation. To facilitate meeting these requirements, FEMA collects applicant information necessary to register for courses and to receive stipends for the courses. FEMA uses the application forms to admit applicants to courses and programs offered at National Emergency Training Center (NETC), the Noble Training Facility (NTF), and various locations throughout the United States.

EO: EO 12127 Name/Subject of EO: Federal Emergency Management Agency
   US Code: 42 USC 5121-5207 Name of Law: Robert T. Stafford Disaster Relief and Emergency Assistance Act
   EO: EO 12148 Name/Subject of EO: Federal Emergency Management
  
None

Not associated with rulemaking

  78 FR 20330 04/04/2013
78 FR 38067 06/25/2013
No

  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 112,800 109,400 0 0 3,400 0
Annual Time Burden (Hours) 12,900 11,783 0 500 617 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
FEMA Form 119-25-1 has an increase in the number of respondents from 15,000 to 25,000 (+10,000) because FEMA Form 119-25-1 (automated) was not put into use due to problems with the computerized system that was being used to collect the input and the system not being put into operation. The individuals who were expected to use the FEMA Form 119-25-1 (automated) are using the FEMA Form 119-25-1. There was also an adjustment increase from 2,250 hours to 3,750 (+1,500) hours. Part of this is related to the 1,333 hours that were estimated for the FEMA Form 119-25-1 (automated) that was not being utilized. The additional 167 hours is due to the increase time (8 minutes to 9) to complete the FEMA Form 119-25-1 as compared to the FEMA Form 119-25.1 (automated). FEMA Form 119-25-1 (automated) is no longer being used and the FEMA Forms 119-25-1 is being used for this purpose. This has resulted in a reduction of 10,000 respondents and a decrease of 1,333 burden hours for the FEMA Form 119-25-1 (automated). FEMA Form 119-25-2 has a burden increase from 75,000 respondents to 80,000 respondents (+5,000) and a corresponding increase in burden hours from 7,500 to 8,000 (+500) due to the increased usage of this form. The number of respondents using this form has been steadily increasing since the last information collection budget submission. This is due to a an increase in the number of off-campus course deliveries. FEMA Form 119-25-3 has a burden decrease of 1,000 respondents to 7,000 respondents . This decrease is due to a reduction in the number respondents submitting requests for student stipend reimbursements. The burden hours for this collection has a decrease from 267 to 233 (-34) hours due to a reduction in the use of this form. FEMA Form 119-25-3 was mistakenly entered into the ROCIS system twice with an estimation of 8000 respondents and 267 burden hours. The burden estimates were removed from this collection. FEMA Form 119-25-4 has a decrease in respondents from 1000 to 500. The decrease is due to a reduction in the number of respondents submitting amendments to the student stipend reimbursement form (FEMA Form 119-25-3). The burden hours for this collection have an adjustment decrease from 33 to 17 (-16) hours due to a reduction in the number of respondents submitting stipend amendments. FEMA Form 119-25-5 have a decrease from 400 to 300 (-100) respondents due to a reduction in the number of annual respondents applying for the Executive Fire Officer Program. The burden hours for this collection have an adjustment of 900 hours from 400 (+500) hours due to the amount of additional time required to assemble and complete the FEMA Form 119-25-5 and the required supplemental documentation (responses to the questions on the form, letter of intent, resume, letters of recommendation, copies of diplomas, organizational chart, and a short essay).

$184,106
No
No
No
No
No
Uncollected
Lawann Johnson 202 646-4246 [email protected]

  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.
08/01/2013