General Admissions Application

General Admissions Application (Long and Short) and Stipend Forms

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
Form FEMA Form 119-25-1 General Admissions Application Form and Instruction
FEMA Form 119-25-1 General Adminissions Application FEMA Form 119-25-1 01292013.pdf Form and Instruction
DOC (5).pdf OMB 83C IC Document

Information Collection (IC) Details

IC Title:	General Admissions Application	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	FEMA Form 119-25-1	General Adminissions Application	FEMA Form 119-25-1 01292013.pdf		Yes	No	Fillable Fileable

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 15,000	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 75 %

	Approved	Previously Approved
Annual Number of Responses for this IC	15,000	15,000
Annual IC Time Burden (Hours)	2,250	2,250
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
OMB 83C	DOC (5).pdf	09/13/2012

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.