Fire Prevention and Safety

Assistance to Firefighters Grant Program-Grant Application Supplemental Information

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1660-0054 can be found here:

Documents and Forms

Document Name Document Type
Form FEMA Form 080-0-3a Fire Prevention and Safety Form and Instruction
FEMA Form 080-0-3a Fire Prevention and Safety FEMA Form 080-3a 11272012.doc Form and Instruction

Information Collection (IC) Details

IC Title:	Fire Prevention and Safety	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

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 080-0-3a	Fire Prevention and Safety	FEMA Form 080-3a 11272012.doc		Yes	Yes	Fillable Fileable

Line of Business: Disaster Management

Subfunction: Disaster Preparedness and Planning

Privacy Act System of Records
Title: DHS/FEMA-004 Grant Management Information	FR Citation: 74 FR 39705

Number of Respondents: 300	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	300	300
Annual IC Time Burden (Hours)	750	750
Annual IC Cost Burden (Dollars)	14,541	14,541

Documents for IC

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.