General Admissions Application (Long and Short) and Stipend Forms

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form FEMA Form FF-008-F Respiratory Medical Evaluation Questionnaire for Students	Form and Instruction	New	Repair queued
Form FEMA Form FF-008-F Respiratory Medical Evaluation Questionnaire for Students	Form and Instruction	New	Repair queued
Form FEMA Form FF-USFA- Training Registration Form	Form and Instruction	Modified	Repair queued
Form FEMA Form FF-USFA- Training Registration Form	Form and Instruction	Modified	Repair queued
Form FEMA Form FF-USFA- General Admissions Application	Form and Instruction	Modified	Repair queued
Form FEMA Form FF-USFA- General Admissions Application	Form and Instruction	Modified	Repair queued
Form FEMA Form FF-USFA- Student Stipend Agreement (Amendment)	Form and Instruction	Modified	Repair queued
Form FEMA Form FF-USFA- Student Stipend Agreement (Amendment)	Form and Instruction	Modified	Available
Form FEMA Form FF-USFA- National Fire Academy Executive Fire Officer Program Application for Admission	Form and Instruction	Modified	Repair queued
Form FEMA Form FF-USFA- National Fire Academey Executive Fire Officer Program Application for Admission	Form and Instruction	Modified	Repair queued
Form FEMA Form FF-USFA- Studen Stipend Agreement	Form and Instruction	Modified	Repair queued
Form FEMA Form FF-USFA- Student Stipend Agreement	Form and Instruction	Modified	Repair queued
1660-0100- Published 30-Day BRI Revision- 2023 02 22.pdf	Supplementary Document	Uploaded 2023-02-23	Repair queued
1660-0100 - Published 60-Day BRI Revision FRN - 2022 11 25.pdf	Supplementary Document	Uploaded 2022-12-23	Repair queued
1660-0100 - BRI Revision Supporting Statement A - 2023 02 23 clean.docx	Supporting Statement A	Uploaded 2023-02-23	Repair queued
Public Law 93-498.pdf	Supplementary Document	Uploaded 2023-01-24	Repair queued
privacy_pia_fema_starrs.pdf	Supplementary Document	Uploaded 2022-12-23	Repair queued
SORN DHS-FEMA-011 Training and Exercise Programs (80 FR 3241).pdf	Supplementary Document	Uploaded 2022-12-23	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
257614	Respiratory Medical Evaluation Questionnaire for Students	Form and Instruction	New	Respiratory Medical Evaluation Questionnaire for Students
257614	Respiratory Medical Evaluation Questionnaire for Students	Form and Instruction	New
223957	Training Registration Form	Form and Instruction	Modified	Training Registration Form
223957	Training Registration Form	Form and Instruction	Modified
21048	General Admissions Application	Form and Instruction	Modified	General Admissions Application
21048	General Admissions Application	Form and Instruction	Modified
192798	Student Stipend Agreement (Amendment)	Form and Instruction	Modified	Student Stipend Agreement (Amendment)
192798	Student Stipend Agreement (Amendment)	Form and Instruction	Modified
178881	National Fire Academey Executive Fire Officer Program Application for Admission	Form and Instruction	Modified	National Fire Academy Executive Fire Officer Program Application for Admission
178881	National Fire Academey Executive Fire Officer Program Application for Admission	Form and Instruction	Modified
178877	Student Stipend Agreement	Form and Instruction	Modified	Studen Stipend Agreement
178877	Student Stipend Agreement	Form and Instruction	Modified

ICR Details

OMB Control No: 1660-0100	ICR Reference No: 202212-1660-008
Status: Active	Previous ICR Reference No: 202003-1660-003
Agency/Subagency: DHS/FEMA	Agency Tracking No: BRI
Title: General Admissions Application (Long and Short) and Stipend Forms
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 10/12/2023
Retrieve Notice of Action (NOA)	Date Received in OIRA: 02/23/2023
Terms of Clearance: The agency is reminded that burden changes stemming from previous changes to a collection or new estimates from usability testing are considered estimate changes, not discretionary changes. The Information Collection Budget will not consider these burden estimate changes as burden reduction. In the future, the agency should consider submitting non-substantive change requests for only burden estimates changes that are not driven by form or collection changes.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2026	36 Months From Approved	10/31/2023
Responses	223,300	0	214,300
Time Burden (Hours)	21,644	0	24,400
Cost Burden (Dollars)	0	0	0

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Abstract: FEMA provides training to advance the professional development of personnel engaged in fire prevention and control and emergency management activities through CDP, Emergency Management Institute, NFA, National Training and Education Division, National Domestic Preparedness Consortium, and Rural Domestic Preparedness Consortium.

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Authorizing Statute(s): US Code: 42 USC 5121-5207 Name of Law: Robert T. Stafford Disaster Relief and Emergency Assistance Act
   EO: EO 12148 Name/Subject of EO: Federal Emergency Management
   EO: EO 12127 Name/Subject of EO: Federal Emergency Management Agency
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 72495	11/25/2022
30-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 10912	02/22/2023
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 6

table that charts list of burden

IC Title	Form No.	Form Name
General Admissions Application	FEMA Form FF-USFA-FY-21-101 (formerly 119-25-1)	General Admissions Application
National Fire Academey Executive Fire Officer Program Application for Admission	FEMA Form FF-USFA-21-105 (formerly 119-25-5)	National Fire Academy Executive Fire Officer Program Application for Admission
Respiratory Medical Evaluation Questionnaire for Students	FEMA Form FF-008-FY-22-125	Respiratory Medical Evaluation Questionnaire for Students
Student Stipend Agreement	FEMA Form FF-USFA-21-103 (formerly 119-25-3)	Studen Stipend Agreement
Student Stipend Agreement (Amendment)	FEMA Form FF-USFA-FY-21-104 (formerly 119-25-4)	Student Stipend Agreement (Amendment)
Training Registration Form	FEMA Form FF-USFA-FY-21-102 (formerly 119-25-0-6)	Training Registration Form

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	223,300	214,300	0	0	9,000	0
Annual Time Burden (Hours)	21,644	24,400	0	0	-2,756	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The additional 750 burden hours reflects the new instrument being added to the collection and a net increase of 624 hours is due to burden hour adjustments. Additional burden cost due to the new instrument and accounting adjustments for updated BLS wage estimates.

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Annual Cost to Federal Government: $252,825

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 02/23/2023

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