U.S. Firefighters Registry

National Firefighter Registry

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1348 can be found here:

Documents and Forms

Document Name Document Type
Form 0920-1348 U.S. Firefighters Registry Form and Instruction
0920-1348 NFR User Profile Attachment 3b. User Profile.docx Form and Instruction
0920-1348 NFR User Profile Attachment 3b. User Profile.docx Form and Instruction
0920-1348 NFR Enrollment Questionnaire Comments_Attachment 3c. Questionnaire.docx Form and Instruction
0920-1348 NFR Enrollment Questionnaire Comments_Attachment 3c. Questionnaire.docx Form and Instruction
0920-1358 Informed Consent Attachment 3a. Informed Consent.docx Form and Instruction
0920-1358 Informed Consent Attachment 3a. Informed Consent.docx Form and Instruction
0920- 20MT Records Request Attachment 9_records request_email.docx Form
0920- 20MT Records Request Attachment 9_records request_email.docx Form

Information Collection (IC) Details

IC Title:	U.S. Firefighters Registry	Agency IC Tracking Number:	0920-1348-22HD

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	0920-1348	NFR User Profile	Attachment 3b. User Profile.docx	Yes	Yes	Fillable Fileable
Form and Instruction	0920-1348	NFR Enrollment Questionnaire	Comments_Attachment 3c. Questionnaire.docx	Yes	No	Fillable Fileable
Form and Instruction	0920-1358	Informed Consent	Attachment 3a. Informed Consent.docx	Yes	No	Fillable Fileable
Form	0920- 20MT	Records Request	Attachment 9_records request_email.docx	Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records
Title: Epidemiologic Studies and Surveillance of Disease Problems	FR Citation: 57 FR 62812

Number of Respondents: 66,666	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	66,666	66,666
Annual IC Time Burden (Hours)	44,987	44,987
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.