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General Admissions Application - Short Form
General Admissions Application (Long and Short) and Stipend Forms
OMB: 1660-0100
IC ID: 178874
OMB.report
DHS/FEMA
OMB 1660-0100
ICR 201307-1660-009
IC 178874
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1660-0100 can be found here:
2023-02-23 - Revision of a currently approved collection
2020-04-29 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
Form FEMA Form 119-25-2
General Admissions Application - Short Form
Form and Instruction
FEMA Form 119-25-2 General Admissions Application - Short Form
FEMA Form 119-25-2.pdf
www.usfa.dhs.gov
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
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:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
FEMA Form 119-25-2
General Admissions Application - Short Form
FEMA Form 119-25-2.pdf
http://www.usfa.dhs.gov
Yes
No
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Disaster Management
Subfunction:
Disaster Preparedness and Planning
Privacy Act System of Records
Title:
Student Application and Registration (SARRS)
FR Citation:
69 FR 59609
Number of Respondents:
80,000
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
75 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
80,000
0
0
5,000
0
75,000
Annual IC Time Burden (Hours)
8,000
0
0
500
0
7,500
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
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.