Information Collection

Respiratory Medical Evaluation Questionnaire for Students

IC 257614 under ICR 202212-1660-008 · OMB 1660-0100.

Documents and Forms

Document Name Document Type
Form FEMA Form FF-008-F Respiratory Medical Evaluation Questionnaire for Students Form and Instruction
FEMA Form FF-008-F Respiratory Medical Evaluation Questionnaire for Student FEMA Form FF-008-FY-22-125_draft.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Respiratory Medical Evaluation Questionnaire for Students	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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 FF-008-FY-22-125	Respiratory Medical Evaluation Questionnaire for Students	FEMA Form FF-008-FY-22-125_draft.pdf		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: 9,000	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	9,000	9,000
Annual IC Time Burden (Hours)	750	750
Annual IC Cost Burden (Dollars)	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.