Information Collection

Respiratory Medical Evaluation Questionnaire for Students

IC 257614 under ICR 202212-1660-008 · OMB 1660-0100.

Documents and Forms

Documents and forms in this information collection
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

IC Title:

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:

table that charts list of 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

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 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	9,000	9,000
Annual IC Time Burden (Hours)	750	750
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.