Information Collection

National Fire Academy Long-Term Evaluation Supervisors Form

IC 21107 under ICR 202410-1660-001 · OMB 1660-0039.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FEMA Form FF-USFA- National Fire Academy Long-Term Evaluation Supervisors Form	Form and Instruction
Form FEMA Form FF-USFA- NFA Long Term Evaluation Supervisors National Fire Academy Long-Term Evaluation Supervisors Form	Form and Instruction
FEMA Form FF-USFA- NFA Long Term Evaluation Supervisors FF-USFA-FY-22-118 (formerly 078-0-2).docx	Form and Instruction
FEMA Form FF-USFA- NFA Long Term Evaluation Supervisors FF-USFA-FY-22-118 (formerly 078-0-2).docx	Form and Instruction
Supervisor Letter.pdf Supervisor Letter	IC Document
Supervisor Letter.pdf Supervisor Letter	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

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-USFA-FY-22-118 (formerly 078-0-2)				Yes	Yes	Fillable Fileable

Line of Business: Law Enforcement

Subfunction: Property Protection

Privacy Act System of Records

Title: DHS Mailing and Other Lists System

FR Citation: 73 FR 71659

Number of Respondents: 1,500

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
	Approved	Previously Approved
Annual Number of Responses for this IC	1,500	1,500
Annual IC Time Burden (Hours)	150	150
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Supervisor Letter		05/21/2021

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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