GENERAL – This information is provided pursuant to Public Law 93-579 (Privacy Act of 1974), December 31, 1974, for individuals applying for admission to EMI’s Independent Study Program.
AUTHORITY – 5 U.S.C. 301; 44 U.S.C. App. 2253 AND 2281; and E.O. 9397.
PURPOSES: To enroll citizens who are unable to attend traditional classroom courses in EMI’s Independent Study Program and to certify applicants who successfully complete the courses.
USES: Information may be released to: 1) FEMA staff to analyze application enrollment patterns for specific courses, and to respond to student inquiries; 2) Members of the Board of Visitors for the purpose of evaluating programmatic statistics; 3) Sponsoring colleges to provide college credit for completed courses; 4) Sponsoring states, local officials, or state agencies to update/evaluate statistics of EMI participants; 5) Members of Congress seeking first party information; 6) Agency training program contractors and computer centers performing administrative functions, and 7) Military training offices to award military credits for completed courses.
EFFECTS OF NONDISCLOSURE – Personal information is needed to enroll in the EMI Independent Study Course Program. Failure to provide information on this form will result in a delay in processing your application and/or certifying completion of the course.
Public reporting burden for this form is estimated to average 1 minute per response. The burden estimate includes the time for reviewing instructions, searching existing data sources, gathering and maintaining the needed data, and completing and submitting the form. You are not required to respond to this collection of information unless a valid OMB control number is displayed in the upper right corner of this form. Send comments regarding the accuracy of the burden estimate and any suggestions for reducing the burden to: Information Collections Management, Federal Emergency Management Agency, 500 C Street , SW, Washington, DC 20472. NOTE: Do not send your completed form to this address. Please return it to the address shown below:
ENROLLMENT OPTIONS: MAIL: Federal Emergency Management Agency FAX: (301) 447-1201 EMI-Independent Study Program 16825 South Seton Avenue INTERNET: Emmitsburg, MD 21727-8998 http://training.fema.gov/
The Emergency Management Institute (EMI) and the national Fire Academy (NFA) are equal opportunity institutions. They do not discriminate on the bases of age, sex, race, color, religious belief, national origin, or disability in their admissions and student-related procedures. In addition, employment related decisions based on sexual orientation are prohibited. Both schools make every effort to ensure equitable representation of minorities and women in their student bodies. Qualified minorities and women are encouraged to apply for all courses.
