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National Fire Academy Long-Term Evaluation Supervisors Form
National Fire Academy Long-Term Evaluation Form for Supervisors and National Fire Academy Long-Term Evaluation Form for Students/Trainees
OMB: 1660-0039
IC ID: 21107
OMB.report
DHS/FEMA
OMB 1660-0039
ICR 202410-1660-001
IC 21107
( )
Documents and Forms
Document Name
Document Type
Form FEMA Form FF-USFA-
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
Supervisor Letter.pdf
Supervisor Letter
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
National Fire Academy Long-Term Evaluation Supervisors Form
Agency IC Tracking Number:
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
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
FEMA Form FF-USFA-FY-22-118 (formerly 078-0-2)
NFA Long Term Evaluation Supervisors
FF-USFA-FY-22-118 (formerly 078-0-2).docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
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 %
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
1,500
0
0
0
0
1,500
Annual IC Time Burden (Hours)
150
0
0
0
0
150
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Supervisor Letter
Supervisor Letter.pdf
05/21/2021
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.