Narrative of Revisions

Narrative of Revisions 1660-0100 5-12-10.docx

General Admissions Application (Long and Short) and Stipend Forms

Narrative of Revisions

OMB: 1660-0100

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Narrative of Revisions

The purpose of the Narrative of Revisions is to clearly indicate revisions to a collection since the previous approval


Collection Title: General Admissions Application (Long and Short) and Stipend Forms

OMB Control No.: 1660-0100

Current Expiration Date: 5/31/2010

Collection Instruments: 064-0-1, 064-0-2, 064-0-3, 106-0-1, 106-0-2



The following are the revisions to the collection:


  • change in annual hours and cost burden


FEMA Form 75-5 has a form number change to 064-0-1. The form is virtually identical other than just minor adjustments to a few areas to make the form more presentable (i.e. 20b).


FEMA Form 75-5a has a form number change to 064-0-2. The form is virtually identical other than just minor adjustments to a few areas to make the form more presentable (i.e. 13).


FEMA Form 75-3 has a form number change to 106-0-1. The changes to the form are the addition of the Social Security number section (middle of page) and the associated statement in the Privacy Act section and the addition of a checkbox for “No Stipend Requested”.


FEMA Form 75-3a has a form number change to 106-0-2. There is no change other than a slight modification to the format for the section under the “Mailing Address” box to make the form more presentable.


FEMA Form 95-22 has a form number change to 064-0-3. There has been an addition of two instruction pages at the beginning of the form to include the Disclosure notice and the Privacy Act Statement.


Note: Collection 1660-0021 duplicates the Executive Fire Officer training collection (FEMA Form 064-0-3 (formerly 95-22) and the additional documentation) and this collection will have a discontinuation request submitted when 1660-0100 is approved to include this burden.



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