EMI Independent Study Course Enrollment Application

ICR 200001-3067-002

OMB: 3067-0277

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
32091 Migrated
ICR Details
3067-0277 200001-3067-002
Historical Active
FEMA
EMI Independent Study Course Enrollment Application
New collection (Request for a new OMB Control Number)   No
Emergency 01/28/2000
Approved without change 04/19/2000
Retrieve Notice of Action (NOA) 01/27/2000
  Inventory as of this Action Requested Previously Approved
02/28/2001 02/28/2001
70,000 0 0
1,167 0 0
21,000 0 0

The purpose of this for is to collect information from individuals on what Independent Study courses they wish to enroll in. FEMA Form 95-23 lists the courses available through FEMA's Independent Study Program & collects information from individuals so that course materials can be mailed to students.

None
None


No

1
IC Title Form No. Form Name
EMI Independent Study Course Enrollment Application 95-23

  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 70,000 0 0 70,000 0 0
Annual Time Burden (Hours) 1,167 0 0 1,167 0 0
Annual Cost Burden (Dollars) 21,000 0 0 21,000 0 0
Yes
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  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.
01/27/2000


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