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Respiratory Medical Evaluation Questionnaire for Students
General Admissions Application (Long and Short) and Stipend Forms
OMB: 1660-0100
IC ID: 257614
OMB.report
DHS/FEMA
OMB 1660-0100
ICR 202212-1660-008
IC 257614
( )
Documents and Forms
Document Name
Document Type
Form FEMA Form FF-008-F
Respiratory Medical Evaluation Questionnaire for Students
Form and Instruction
FEMA Form FF-008-F Respiratory Medical Evaluation Questionnaire for Student
FEMA Form FF-008-FY-22-125_draft.pdf
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Respiratory Medical Evaluation Questionnaire for Students
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
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 FF-008-FY-22-125
Respiratory Medical Evaluation Questionnaire for Students
FEMA Form FF-008-FY-22-125_draft.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Disaster Management
Subfunction:
Disaster Preparedness and Planning
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
9,000
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
100 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
9,000
0
9,000
0
0
0
Annual IC Time Burden (Hours)
750
0
750
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
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.