Form FEMA Form 080-0-4 FEMA Form 080-0-4 Staffing for Adequate Fire and Emergency Response (SAFER

DEPARTMENT OF HOMELAND SECURITY
Federal Emergency Management Agency

Staffing for Adequate Fire and Emergency Response
(General Questions All Applicants)

OMB No.:   1660‐0135                                        
 Expiration Date:  August 31 2017

PAPERWORK BURDEN DISCLOSURE NOTICE
Public reporting burden for this data collection is estimated to average up to 9 hours per response for FEMA Form 080-0-4 “Staffing
for Adequate Fire and Emergency Response (General Questions All Applicants).” The burden estimate includes the time for
reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and submitting
this form. This collection of information is required to obtain or retain benefits. You are not required to respond to this collection of
information unless a valid OMB control number is displayed on this form. Send comments regarding the accuracy of the burden
estimate and any suggestions for reducing the burden to: Information Collections Management, Department of Homeland Security,
Federal Emergency Management Agency, 500 C Street, SW., Washington, DC 20472-3100, Paperwork Reduction Project (16600135) NOTE: Do not send your completed form to this address.

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