View Information Collection Request (ICR) Package

OMB Control No: 1660-0100	ICR Reference No: 201005-1660-001
Status: Historical Active	Previous ICR Reference No: 200707-1660-001
Agency/Subagency: DHS/FEMA	Agency Tracking No:
Title: General Admissions Application (Long and Short) and Stipend Forms
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 08/18/2010
	Date Received in OIRA: 05/12/2010
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2013	36 Months From Approved	08/31/2010
Responses	109,400	0	108,040
Time Burden (Hours)	11,783	0	11,167
Cost Burden (Dollars)	0	0	0

Abstract: FEMA is responsible for providing training to meet the needs of disaster preparedness requirements set forth by regulation. To facilitate meeting these requirements, FEMA collects applicant information necessary to register for courses and to receive stipends for the courses. FEMA uses the application forms to admit applicants to courses and programs offered at National Emergency Training Center (NETC), the Noble Training Facility (NTF), and various locations throughout the United States.

Authorizing Statute(s): EO: EO 12148 Name/Subject of EO: Federal Emergency Management
   EO: EO 12127 Name/Subject of EO: Federal Emergency Management Agency
   US Code: 42 USC 5121-5207 Name of Law: Robert T. Stafford Disaster Relief and Emergency Assistance Act

Citations for New Statutory Requirements: None

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

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 8376	02/24/2010
30-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 74222	05/05/2010
Did the Agency receive public comments on this ICR? No

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion	Change Due to Adjustment in Estimate
Annual Number of Responses	109,400	108,040	-14,000	15,360
Annual Time Burden (Hours)	11,783	11,167	-1,217	1,833
Annual Cost Burden (Dollars)	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: FEMA Form 119-25-1 (formerly 75-5) has combined the paper and electronic submission methods previously listed due to the single method currently available to submit the information. This results in an increase of 1,500 hours for non-electronic submission and a decrease of 1,333 for elimination of the former electronic submission option. The annual hour burden for the collection activity has an overall net increase of 167 hours. FEMA Form 119-25-2 (formerly 75-5A) has combined the paper and electronic submission methods previously listed due to the single method currently available to submit the information. This results in an increase of 1,500 hours for non-electronic submission and a decrease of 1,250 for elimination of the former electronic submission. The annual hour burden for the collection activity has an overall net increase of 250 hours. FEMA Form 119-25-5 (formerly FEMA Form 95-22) has an increase in annual hour burden due to the addition of the 67 annual hours burden approved in this collection to the 333 annual hours burden approved in collection OMB Control Number 1660-0021. The annual hour burden for the collection activity has an overall net increase of 333 hours. Additional Documentation: Letter of Intent, Resume, Letter of Recommendation, Diploma Photocopy, Organization Chart is a collection activity added to this collection due to the requirement for this information in combination with FEMA Form 119-25-5. This results in an increase in 400 annual burden hours. FEMA Form 119-25-4 (Student Stipend Amendment, formerly FEMA Form 75-3A) has increased by 33 annual hours burden. The annual hour burden was inadvertently not added into the last collection request and is now reported.

Annual Cost to Federal Government: $307,500

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

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

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]? Uncollected

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

Is this ICR related to the Pandemic Response? Uncollected

Agency Contact: John Ramsay 202 646-4247 John.Ramsay@dhs.gov

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