General Admissions Application (Long and Short) and Stipend Forms

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form FEMA Form FF-008-F Respiratory Medical Evaluation Questionnaire for Students	Form and Instruction	Unchanged	Available
Form FEMA Form FF-USFA- Training Registration Form	Form and Instruction	Unchanged	Available
Form FEMA Form FF-USFA- General Admissions Application	Form and Instruction	Unchanged	Available
Form FEMA Form FF-USFA- Student Stipend Agreement (Amendment)	Form and Instruction	Unchanged	Available
Form FEMA Form FF-USFA- National Fire Academy Executive Fire Officer Program Application for Admission	Form and Instruction	Unchanged	Available
Form FEMA Form FF-USFA- Studen Stipend Agreement	Form and Instruction	Unchanged	Available
SORN DHS ALL-034- Emergency Care Medical Records System of Records Notice.pdf	Supplementary Document	Uploaded 2026-10-23	Available
SORN DHS ALL-004- General Information Technology Access Account Records System.pdf	Supplementary Document	Uploaded 2026-10-23	Available
1660-0100 - Published 30-Day Extension FRN - 2026 10 21.pdf	Supplementary Document	Uploaded 2026-10-23	Available
1660-0100 - Published 60-Day Extension FRN - 2026 08 07.pdf	Supplementary Document	Uploaded 2026-10-19	Available
1660-0100 - Supporting Statement A - clean.docx	Supporting Statement A	Uploaded 2026-10-19	Available
Public Law 93-498.pdf	Supplementary Document	Uploaded 2023-01-24	Available
privacy_pia_fema_starrs.pdf	Supplementary Document	Uploaded 2022-12-23	Available
SORN DHS-FEMA-011 Training and Exercise Programs (80 FR 3241).pdf	Supplementary Document	Uploaded 2022-12-23	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
257614	Respiratory Medical Evaluation Questionnaire for Students	Form and Instruction	Unchanged	Respiratory Medical Evaluation Questionnaire for Students
223957	Training Registration Form	Form and Instruction	Unchanged	Training Registration Form
21048	General Admissions Application	Form and Instruction	Unchanged	General Admissions Application
192798	Student Stipend Agreement (Amendment)	Form and Instruction	Unchanged	Student Stipend Agreement (Amendment)
178881	National Fire Academey Executive Fire Officer Program Application for Admission	Form and Instruction	Unchanged	National Fire Academy Executive Fire Officer Program Application for Admission
178877	Student Stipend Agreement	Form and Instruction	Unchanged	Studen Stipend Agreement

ICR Details

OMB Control No: 1660-0100	ICR Reference No: 202610-1660-004
Status: Received in OIRA	Previous ICR Reference No: 202212-1660-008
Agency/Subagency: DHS/FEMA	Agency Tracking No:
Title: General Admissions Application (Long and Short) and Stipend Forms
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 10/23/2026

table that charts list comparision

	Requested	Previously Approved
Expiration Date	36 Months From Approved	10/31/2026
Responses	223,300	223,300
Time Burden (Hours)	21,644	21,644
Cost Burden (Dollars)	0	0

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Abstract: FEMA provides training to advance the professional development of personnel engaged in fire prevention and control and emergency management activities through CDP, Emergency Management Institute, NFA, National Training and Education Division, National Domestic Preparedness Consortium, and Rural Domestic Preparedness Consortium.

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Authorizing Statute(s): US Code: 42 USC 5196 Name of Law: Robert T. Stafford Disaster Relief and Emergency Assistance Act (Stafford Act)
   US Code: 53 USC 2301 Name of Law: Title XIV of the National Defense Authorization Act of 1997
   US Code: 6 USC 203, 238 Name of Law: Homeland Security Act of 2002, Sections 403 and 430
   PL: Pub.L. 105 - 119 403,430 Name of Law: Title I of the Departments of Commerce, Justice, and State, the Judiciary, and Related Agencies Appr
   PL: Pub.L. 109 - 295 611 Name of Law: Post-Katrina Emergency Management Reform Act of 2006
   US Code: 6 USC 1102 Name of Law: Implementing Recommendations of the 9/11 Commission Act of 2007
   US Code: 15 USC 2206 Name of Law: Federal Fire Prevention and Control Act of 1974
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	91 FR 51179	08/07/2026
30-day Notice:	Federal Register Citation:	Citation Date:
	91 FR 66575	10/21/2026
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 6

table that charts list of burden

IC Title	Form No.	Form Name
General Admissions Application	FEMA Form FF-USFA-FY-21-101 (formerly 119-25-1)	General Admissions Application
National Fire Academey Executive Fire Officer Program Application for Admission	FEMA Form FF-USFA-21-105 (formerly 119-25-5)	National Fire Academy Executive Fire Officer Program Application for Admission
Respiratory Medical Evaluation Questionnaire for Students	FEMA Form FF-008-FY-22-125	Respiratory Medical Evaluation Questionnaire for Students
Student Stipend Agreement	FEMA Form FF-USFA-21-103 (formerly 119-25-3)	Studen Stipend Agreement
Student Stipend Agreement (Amendment)	FEMA Form FF-USFA-FY-21-104 (formerly 119-25-4)	Student Stipend Agreement (Amendment)
Training Registration Form	FEMA Form FF-USFA-FY-21-102 (formerly 119-25-0-6)	Training Registration Form

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ICR Summary of Burden

table that charts list of burden

	Total Request	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	223,300	223,300	0	0	0	0
Annual Time Burden (Hours)	21,644	21,644	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $191,087

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 10/23/2026

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