Public Assistance Progress Report and Program Forms

Forms and Documents

Document Name	Status
Form FEMA Form 90-49 Public Assistance Progress Report and Program Forms Form	Unchanged
Form FEMA Form 90-127 Force Account Equipment Summary Record Form	Unchanged
Form FEMA Form 90-126 Contract Work Summary Record Form	Unchanged
Form FEMA Form 90-125 Rented Equipment Summary Record Form	Unchanged
Form FEMA Form 90-124 Materials Summary Record Form	Unchanged
Form FEMA Form 90-123 Force Account Labor Summary Form	Unchanged
Form FEMA Form 90-121 PNP Facility Questionnaire Form	Unchanged
Form FEMA Form 90-128 Applicant's Benefits Calculation Worksheet Form	Unchanged
Form FEMA Form 90-120 Special Considerations Questions Form	Unchanged
Form FEMA Form 90-91 Project Worksheet and Continuation Forms Form and Instruction	Unchanged
30-day FRN Published 8-22-08.pdf Supplementary Document	2008-08-25
60- day FRN Published 5-13-08.pdf Supplementary Document	2008-08-25
SupportingStatement1660-0017REV 08-24-09 revised.doc Supporting Statement A	2009-08-26
Title 44 CFR Part 206 (221-228) Public Assistance 10-1-02.pdf Supplementary Document	2008-07-29
Title 44 CFR Part 206 (201-208) Public Assistance 10-1-02.pdf Supplementary Document	2008-07-29

IC Document Collections

IC ID	Document Title	Status
41294	Public Assistance Progress Report and Program Forms Form	Unchanged
190427	Recommendation for Arbitration	New
190424	Request for Arbitration	New
190423	Request for Second Appeal and Recommendation	New
190419	Request for First Appeals and Recommendation	New
185911	Force Account Equipment Summary Record Form	Unchanged
185910	Contract Work Summary Record Form	Unchanged
185909	Rented Equipment Summary Record Form	Unchanged
185908	Materials Summary Record Form	Unchanged
185907	Force Account Labor Summary Form	Unchanged
185906	PNP Facility Questionnaire Form	Unchanged
185903	Applicant's Benefits Calculation Worksheet Form	Unchanged
185901	Special Considerations Questions Form	Unchanged
185900	Project Worksheet and Continuation Forms Form and Instruction	Unchanged
185897	Progress Report	Unchanged

ICR Details

OMB Control No: 1660-0017	ICR Reference No: 200908-1660-003
Status: Historical Active	Previous ICR Reference No: 200807-1660-001
Agency/Subagency: DHS/FEMA	Agency Tracking No:
Title: Public Assistance Progress Report and Program Forms
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Emergency	Approval Requested By: 08/31/2009
OIRA Conclusion Action: Approved without change	Conclusion Date: 08/31/2009
	Date Received in OIRA: 08/27/2009
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2010	6 Months From Approved	12/31/2011
Responses	185,737	0	184,917
Time Burden (Hours)	155,998	0	155,178
Cost Burden (Dollars)	0	0	0

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Abstract: This collection constitutes the mechanism for the administration of the Public Assistance Program. The application process contains recordkeeping and reporting requirements to ensure up-to-date information on project status to States and FEMA.

Emergency Justfication: Mandated Requirements

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Authorizing Statute(s): US Code: 44 USC 206 Name of Law: Public Assistance Project Administration
  

Citations for New Statutory Requirements: PL: Pub.L. 111 - 5 601 Name of Law: American Recover and Reinvestment Act of 2009

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
1660-AA63	Final or interim final rulemaking	74 FR 44761	08/31/2009

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 15

IC Title	Form No.	Form Name
Request for First Appeals and Recommendation
PNP Facility Questionnaire	FEMA Form 90-121	PNP Facility Questionaire
Materials Summary Record	FEMA Form 90-124	Materials Summary Record
Contract Work Summary Record	FEMA Form 90-126	Contract Work Summary Record
Public Assistance Progress Report and Program Forms	FEMA Form 90-49	Request for Public Assistance
Special Considerations Questions	FEMA Form 90-120	Special Consideration Questions
Force Account Labor Summary	FEMA Form 90-123	Force Account Labor Summary Record
Applicant's Benefits Calculation Worksheet	FEMA Form 90-128	Applicant's Benefits Calculation Worksheet
Recommendation for Arbitration
Request for Second Appeal and Recommendation
Rented Equipment Summary Record	FEMA Form 90-125	Rented Equipment Summary Record
Progress Report
Request for Arbitration
Project Worksheet and Continuation Forms	FEMA Form 90-91D, FEMA Form 90-91B, FEMA Form 90-91C, FEMA Form 90-91, FEMA Form 90-91A	Project Worksheet ,   Project Worksheet - Damage Description and Scope of Work Continuation Sheet ,   Project Worksheet - Cost Etimate Continuation Sheet ,   Project Worksheet - Maps and Sketches ,   Project Worksheet - Photo Sheet
Force Account Equipment Summary Record	FEMA Form 90-127	Force Account Equipment Summary Record

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	185,737	184,917	820	0	0	0
Annual Time Burden (Hours)	155,998	155,178	820	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The Apeals and Arbitration proces is a new collection of information. Pursuant to the American Recovery and Reinvestiment Act of 2009 (ARRA) this collection establishes an option for arbitration under the Public Assistance program.

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Annual Cost to Federal Government: $454,584

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]? Uncollected

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)? Yes

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 08/27/2009

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