Fire Prevention and Safety

Assistance to Firefighters Grant Programs

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 080-0-3a.pdf www.fema.gov/firegrants 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: Removed

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 080-0-3a.pdf	http://www.fema.gov/firegrants	Yes	Yes	Fillable Fileable

Line of Business: Disaster Management

Subfunction: Disaster Preparedness and Planning

Privacy Act System of Records
Title: DHS/FEMA-004 – Non-Disaster Grant Management Information Files System of Records	FR Citation: 80 FR 13404

Number of Respondents: 820	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 99 %

	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-820	820
Annual IC Time Burden (Hours)	-2,050	2,050
Annual IC Cost Burden (Dollars)	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.