View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 1660-0100	ICR Reference No: 201610-1660-001
Status: Historical Active	Previous ICR Reference No: 201307-1660-009
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: 04/28/2017
	Date Received in OIRA: 11/30/2016
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2020	36 Months From Approved	04/30/2017
Responses	111,800	0	112,800
Time Burden (Hours)	24,400	0	12,900
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	111,800	112,800	-1,000
Annual Time Burden (Hours)	24,400	12,900	11,500
Annual Cost Burden (Dollars)	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 119-25-0-1 has an increase in the number of respondents from 25,000 to 52,000 (+27,000) because FEMA is replacing the existing General Admissions Application (FEMA Form 119-25-1) and General Admissions Application Short Form (FEMA Form 119-25-2) forms with a single FEMA-wide form which will be submitted as a paper version or using an on-line application process. There was also an adjustment increase from 3,750 hours to 7,800 (+4,050) hours. The FEMA Form 119-25-0-6 (General Admissions Application Short Form Scannable Version) has been created for those courses where less information is required from the respondent. It is expected that 154,500 respondents will used this form requiring 15,450 burden hours. The FEMA Form 119-25-2 (reduction of 80,000 respondents and 8,000 burden hours) is being eliminated and being replaced by the FEMA Form 119-25-0-1.

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