Information Collection

National Defense Executive Reserve Personal Qualifications Statement

IC 43969 under ICR 200906-1660-001 · OMB 1660-0001.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FEMA Form 646-0-1 National Defense Executive Reserve Personal Qualifications Statement	Form
FEMA Form 646-0-1 National Defense Executive Reserve Personal Qualificatio FEMA Form 646-0-1.pdf	Form

IC Title:

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:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FEMA Form 646-0-1	National Defense Executive Reserve Personal Qualifications Statement	FEMA Form 646-0-1.pdf		Yes	Yes	Fillable Printable

Line of Business: Disaster Management

Subfunction: Disaster Preparedness and Planning

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 10

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	10	-20	30
Annual IC Time Burden (Hours)	5	-10	15
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
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.