Information Collection

Staffing for Adequate Fire and Emergency Response Hiring of Firefighters Application (Questions and Narrative)

IC 209225 under ICR 201707-1660-001 · OMB 1660-0135.

Documents and Forms

Document Name Document Type
Form FEMA Form 080-0-4a Staffing for Adequate Fire and Emergency Response Hiring of Firefighters Application (Questions and Narrative) Form and Instruction
FEMA Form 080-0-4a Staffing for Adequate Fire and Emergency Response Hiring FEMA FORM 080-0-0-4a.pdf www.fema.gov/firegrants Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Staffing for Adequate Fire and Emergency Response Hiring of Firefighters Application (Questions and Narrative)	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 and Instruction	FEMA Form 080-0-4a	Staffing for Adequate Fire and Emergency Response Hiring of Firefighters Application (Questions and Narrative)	FEMA FORM 080-0-0-4a.pdf	http://www.fema.gov/firegrants	Yes	Yes	Fillable Fileable

Line of Business: Disaster Management

Subfunction: Disaster Preparedness and Planning

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 617	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	617	-383	1,000
Annual IC Time Burden (Hours)	4,628	-2,872	7,500
Annual IC Cost Burden (Dollars)	0	-48,470	48,470

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.