View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	National Firefighter Registry	Agency IC Tracking Number:	0920-0572-20KG

IC Status: New

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
Other-WORd			Attachment C Focus Group ModGuide _ 1.30.20.docx		No		Fillable Fileable
Other-WORD			Attachment D Potential Survey Tool Questions.docx		No		Fillable Fileable
Other-WORD			Attachment E FG Demographics questions.docx		No		Fillable Fileable
Other-WORD			FormforFG LMM 9.27.19.docx		No		Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,060	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	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	2,060	0	2,060	0	0	0
Annual IC Time Burden (Hours)	520	0	520	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
HMTS Expedite Form	HMTSExpediteForm v3 LMM.pdf	02/21/2020
Att A_Background	Attachment A Background _ 1.30.20.docx	02/21/2020
Att B_Informed Consent	Attachment B Informed Consent.docx	02/21/2020
List of Attachments	List of Attachments.docx	02/21/2020

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.