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General Admissions Application (Long) Form
General Admissions Application (Long and Short) and Stipend Forms
OMB: 1670-0002
IC ID: 21048
OMB.report
DHS/CISA
OMB 1670-0002
ICR 200702-1670-006
IC 21048
( )
Documents and Forms
Document Name
Document Type
Form 75-5
General Admissions Application (Long) Form
Form
75-5 General Admissions Application
FEMA Form 75-5.pdf
www.usfa.dhs.gov/nfa/about/attend/apply.shtm
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
General Admissions Application (Long) Form
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
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
Form
75-5
General Admissions Application
FEMA Form 75-5.pdf
http://www.usfa.dhs.gov/nfa/about/attend/apply.shtm
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Education
Subfunction:
Elementary, Secondary, and Vocational Education
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
15,000
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
75 %
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
15,000
0
0
-190,000
0
205,000
Annual IC Time Burden (Hours)
2,250
0
0
-31,916
0
34,166
Annual IC Cost Burden (Dollars)
0
0
0
-727,500,000
0
727,500,000
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.