Information Collection

General Admissions Application - Short Form

IC 178874 under ICR 201203-1660-004 · OMB 1660-0100.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1660-0100 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 119-25-2 General Admissions Application - Short Form	Form
119-25-2 General Admissions Application Short Form FEMA Form 119-25-2, 7-19-2012.pdf	Form

IC Title:

General Admissions Application - Short Form

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	119-25-2	General Admissions Application Short Form	FEMA Form 119-25-2, 7-19-2012.pdf		Yes	Yes	Fillable Printable

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records

Title: Student Application and Registration (SARRS)

FR Citation: 69 FR 59609

Number of Respondents: 75,000

Number of Respondents for Small Entity: 0

Affected Public: Federal Government

Percentage of Respondents Reporting Electronically: 75 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	75,000	75,000
Annual IC Time Burden (Hours)	7,500	7,500
Annual IC Cost Burden (Dollars)	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.