Information Collection

NDEMU Level 3 Supervisor Evaluation Form (Healthcare Providers and Technical Occupations))

IC 274270 under ICR 202503-1660-002 · OMB 1660-0132.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form CDP, NDEMU, and NT NDEMU Level 3 Supervisor Evaluation Form (Healthcare Providers and Technical Occupations))	Form and Instruction
Form FF-008-FY-25-101 CDP, NDEMU, and NTED Level 3 Supervisor Evaluation NDEMU Level 3 Supervisor Evaluation Form (Healthcare Providers and Technical Occupations))	Form and Instruction
CDP, NDEMU, and NT FEMA Form FF-008-FY-25-101 FF-008-FY-25-101.docx	Form and Instruction
FF-008-FY-25-101 CDP, NDEMU, and NTED Level 3 Supervisor Evaluation FF-008-FY-25-101_NEW.docx	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

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	FF-008-FY-25-101				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: 200

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	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	200	200
Annual IC Time Burden (Hours)	50	50
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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