Information Collection

Level 3 Evaluation Form for Students

IC 199124 under ICR 202503-1660-002 · OMB 1660-0132.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FEMA Form 092-0-2A Level 3 Evaluation Form for Students	Form and Instruction
Form FEMA Form 092-0-2A Level 3 Evaluation Form for Students Level 3 Evaluation Form for Students	Form and Instruction
FEMA Form 092-0-2A Level 3 Evaluation Form for Students Revised Level 3 student FEMA Form 092-0-02A.pdf www.cdp.dhs.gov	Form and Instruction
FEMA Form 092-0-2A Level 3 Evaluation Form for Students Revised Level 3 student FEMA Form 092-0-02A.pdf www.cdp.dhs.gov	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Removed

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 092-0-2A			www.cdp.dhs.gov	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: 6,000

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
	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	-6,000	6,000
Annual IC Time Burden (Hours)	-1,500	1,500
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.

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