Form 90-153 Administration Option Agreement

DEPARTMENT OF HOMELAND SECURITY
FEDERAL EMERGENCY MANAGEMENT AGENCY

Individuals and Households Program (IHP) - Other Needs Assistance
ADMINISTRATIVE OPTION SELECTION
Authority: The authority to collect information regarding the State administrative option for administering
the Individual and Households Program - Other Needs Assistance (IHP - ONA) is derived from section 408
of the Stafford Act, 42 U.S.C. 5174, as amended.
Primary Purpose: The information is needed to establish a partnership for the delivery of assistance under
Subsections 408 (e) & (f) of the Robert T. Stafford Disaster Relief and Emergency Assistance Act (Stafford
Act), 42 U.S.C. 5174 (e) and (f). The Federal Emergency Management Agency (FEMA) and the State must
sign an agreement, which establishes a partnership with FEMA for the delivery of the assistance. The
agreement identifies the State's proposed level of support and participation during disaster recovery.

PAPERWORK BURDEN DISCLOSURE NOTICE
FEMA has established the public reporting burden for the administrative option selection at 3 hours per
response. The estimate includes time for reviewing supplemental guidance, gathering and maintaining
the data needed, and completion of the form. The estimated time for determining and having the selection
signed by the Governor is included in reporting burden of 1 hour per response.

STATE'S SELECTION AND LINE ITEM MAXIMUM
The State of
selects the following administrative option for the
administration of the "Other Needs Assistance" portion of the Individuals and Households Program:
FEMA Option: FEMA Administers & Processes.
JOINT Option: State Administers & FEMA Participates:
FEMA Processing System Auto-determination ON
FEMA Processing System Auto-determination OFF
STATE Option: State Administers & Processes.
The State approves the following line item amounts to be awarded for ONA:
Transportation Repair:

$

Transportation Replace (Total loss) $
Funeral Maximum (Unmet Need):

$

This administrative option is agreed upon by:
STATE AUTHORIZING SIGNATURE

Governor or Designee
FEMA Form 90-153

DATE

FEMA AUTHORIZING SIGNATURE

Regional Administrator or Designee

DATE