Form FEMA Form 080-0-4a FEMA Form 080-0-4a Staffing for Adequate Fire and Emergency Response Hiring

DEPARTMENT OF HOMELAND SECURITY
Federal Emergency Management Agency

Staffing for Adequate Fire and Emergency Response
Hiring of Firefighters Application (Questions and Narrative)

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 7.5 hours per response for FEMA Form 080-0-4a
“Staffing for Adequate Fire and Emergency Response Hiring of Firefighters Application (Questions and Narrative).” 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 (1660-0135) NOTE: Do not send your completed form to this address.