OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

General Admissions Application (Long and Short) and Stipend Forms

ICR 201610-1660-001 · OMB 1660-0100 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form FEMA Form 119-25-0 General Admissions Application Short Form Form and Instruction New Available
Form FEMA Form 119-25-1 General Admissions Application Form and Instruction Modified Repair queued
Form FEMA Form 119-25-4 Student Stipend Agreement (Amendment) Form and Instruction Modified Available
Form FEMA Form 119-25-5 Executive Fire Officer program Application for Admission Form and Instruction Modified Repair queued
Form FEMA Form 119-25-3 Student Stipend Agreement Form and Instruction Modified Repair queued
Form FEMA Form 119-25-2 General Admissions Application - Short Form Form and Instruction Removed Available
Published 30 Day FRN.pdf Supplementary Document Uploaded 2016-10-17 Repair queued
Published 60 Day FRN.pdf Supplementary Document Uploaded 2016-10-17 Available
Supporting Statement 1660-0100 Part A Final .docx Supporting Statement A Uploaded 2016-11-30 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 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
223957 General Admissions Application Short Form Form and Instruction New
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
178877 Student Stipend Agreement Form and Instruction Modified
178874 General Admissions Application - Short Form Form and Instruction Removed
ICR Details
1660-0100 201610-1660-001
Historical Active 201307-1660-009
DHS/FEMA
General Admissions Application (Long and Short) and Stipend Forms
Revision of a currently approved collection   No
Regular
Approved without change 04/28/2017
Retrieve Notice of Action (NOA) 11/30/2016
  Inventory as of this Action Requested Previously Approved
04/30/2020 36 Months From Approved 04/30/2017
111,800 0 112,800
24,400 0 12,900
0 0 0
FEMA provides training to advance the professional development of personnel engaged in fire prevention and control and emergency management activities through its Center for Domestic Preparedness, Emergency Management Institute, National Fire Academy, National Training and Education Division, National Domestic Preparedness Consortium, and Rural Domestic Preparedness Consortium.
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
  81 FR 4330 01/26/2016
81 FR 24850 04/27/2016
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 111,800 112,800 0 -1,000 0 0
Annual Time Burden (Hours) 24,400 12,900 0 11,500 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
Yes
Miscellaneous Actions
FEMA Form 119-25-0-1 has an increase in the number of respondents from 25,000 to 52,000 (+27,000) because FEMA is replacing the existing General Admissions Application (FEMA Form 119-25-1) and General Admissions Application Short Form (FEMA Form 119-25-2) forms with a single FEMA-wide form which will be submitted as a paper version or using an on-line application process. There was also an adjustment increase from 3,750 hours to 7,800 (+4,050) hours. The FEMA Form 119-25-0-6 (General Admissions Application Short Form Scannable Version) has been created for those courses where less information is required from the respondent. It is expected that 154,500 respondents will used this form requiring 15,450 burden hours. The FEMA Form 119-25-2 (reduction of 80,000 respondents and 8,000 burden hours) is being eliminated and being replaced by the FEMA Form 119-25-0-1.
$2,063,978
No
No
No
No
No
Uncollected
Millicent Brown 202 646-2814 [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.
11/30/2016