View Information Collection (IC)

View Information Collection (IC)

IC Title:	FF 080-0-3a Fire Prevention and Safety	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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 080-0-3a	Fire Prevention and Safety	FEMA Form 080-3a 11272012.doc	http://www.firegrantsupport.com/afg/guidance	Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Disaster Management

Subfunction: Disaster Preparedness and Planning

Privacy Act System of Records
Title: DHS/FEMA-004 Grant Management Information Files System of Records Notice	FR Citation: 74 FR 39705

Number of Respondents: 1,700	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 99 %

	Approved	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	1,700	0	1,650	0	0	50
Annual IC Time Burden (Hours)	4,250	0	3,175	0	0	1,075
Annual IC Cost Burden (Dollars)	82,399	0	82,399	0	0	0

Documents for IC

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.