Form FEMA Form 008-0-25 FEMA Form 008-0-25 Citizen Corps Council - CERT Registration

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PAPERWORK BURDEN DISCLOSURE NOTICE
FEMA Form 008-0-25

Public reporting burden for this data collection is estimated to average 1 hour per response. 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
umber 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 (1660-0098) NOTE: Do not send your completed form to this address.
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How much funding did your Citizen Corps program receive over the past year?

Indicate if your program is a Tribal, Campus, Teen, Workplace, or Regional CERT Program (Drop-down
Menu Selection).

If a local/county/regional program, how many Campus CERTs are in your program’s jurisdiction?
If a local/county/ regional program, how many Teen CERTs are in your program’s jurisdiction?
If a local/county/ regional program, how many Workplace CERTs are in your program’s jurisdiction?

How many active volunteers are currently rostered by the program?
How many times did your CERT program meet this year?
How many teams has your CERT program organized in your jurisdiction?

How many participants completed the CERT Basic Training course in the past year?

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CERT Traffic and Crowd Management
CERT Emergency Communications
CERT Tools for Leadership Success
Flood Response for CERT
CERT Firefighter Rehab
CERT Exercise Swaps
CERT Damage Assessment
Point of Distribution (POD) for CERT

Insert a number for how many times your CERTs
responded to or supported non-emergency events
and activities: ___

How many CERT volunteers participated in CERT activities during the calendar year ____?

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Military

How much funding did your CERT program receive over the past year?

PAPERWORK BURDEN DISCLOSURE NOTICE
FEMA Form 008-0-25
Public reporting burden for this data collection is estimated to average 1 hour per response.
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 (1660-0098) NOTE: Do not send your completed
form to this address.