Information Collection

Executive Fire Officer program Application for Admission

IC 178881 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⚠️ Notice: This information collection may be referencing outdated material.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 119-25-5 Executive Fire Officer program Application for Admission	Form
119-25-5 National Fire Academy Executive Fire Officer Program App 119-25-5 Previously 95-22.pdf	Form

IC Title:

Executive Fire Officer program Application for Admission

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

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	119-25-5	National Fire Academy Executive Fire Officer Program Application Admission	119-25-5 Previously 95-22.pdf		Yes	No	Fillable Printable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records

Title: Student Application and Registration (SARRS)

FR Citation: 69 FR 59609

Number of Respondents: 400

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	400	400
Annual IC Time Burden (Hours)	400	400
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.