National Urban Search and Rescue Grant Program

Forms and Documents

Document Name	Status
Form FEMA Form 089-0-10 Workbook, Urban Search Rescue Response System Form and Instruction	Modified
Form FEMA Form 089-0-15 Urban Search and Rescue Response System Task Force Form	Modified
Form FEMA Form 089-0-14 Urban Search and Rescue Response System Task Force Self Evaluation Scoresheet Form	Modified
Form FEMA Form 089-13 Memorandum of Agreement Revisions Form and Instruction	Removed
Form FEMA Form 089-0-12 Urban Search and Rescue Amendment Form Form	Modified
Form FEMA Form 089-0-11 Urban Search and Rescue Response System Semi-Annual Performance Report Form	Modified
PTA Form 12-11.doc Supplementary Document	2012-07-20
Pub. 60 Day FRN 05082012.pdf Supplementary Document	2012-07-20
Pub. 30 Day FRN 07172012.pdf Supplementary Document	2012-07-20
Supporting Statement 1660-0073 10252012.doc Supporting Statement A	2012-11-29
Title 44 CFR 208.doc Supplementary Document	2009-05-06
Stafford Act related sections.doc Supplementary Document	2009-05-06

IC Document Collections

IC ID	Document Title	Status
21168	Workbook, Urban Search Rescue Response System Form and Instruction	Modified
189047	Urban Search and Rescue Response System Task Force Form	Modified
189046	Urban Search and Rescue Response System Task Force Self Evaluation Scoresheet Form	Modified
189045	Memorandum of Agreement Revisions Form and Instruction	Removed
189044	Urban Search and Rescue Amendment Form Form	Modified
189043	Urban Search and Rescue Response System Semi-Annual Performance Report Form	Modified

ICR Details

OMB Control No: 1660-0073	ICR Reference No: 201207-1660-002
Status: Historical Active	Previous ICR Reference No: 200905-1660-001
Agency/Subagency: DHS/FEMA	Agency Tracking No:
Title: National Urban Search and Rescue Grant Program
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: 11/29/2012
	Date Received in OIRA: 07/31/2012
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2015	36 Months From Approved	11/30/2012
Responses	196	0	224
Time Burden (Hours)	364	0	476
Cost Burden (Dollars)	0	0	0

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Abstract: The information collected for the National Urban Search and Rescue Grant Program evaluate the grantee's proposed use of funds and is required infomration needed in order to receive Federal funding. The forms used in this collections are used by grantees to provide FEMA with cooperative agreements and a description of the types of eligible activities the grantee will undertake and a plan for expending and monitoring funds.

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Authorizing Statute(s): US Code: 42 USC 5144,5149,5170b(a)(3)(B),5197 Name of Law: Robert T. Stafford Disaster Relief and Emergency Assistance Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 27076	05/08/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 41992	07/17/2012
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 5

IC Title	Form No.	Form Name
Workbook, Urban Search Rescue Response System	FEMA Form 089-0-10A thru I Workbook	Workbook Urban Search and Rescue Response System
Urban Search and Rescue Response System Semi-Annual Performance Report	FEMA Form 089-0-11	Urban Search and Rescue Response System Semi-Annual Performance Report
Urban Search and Rescue Amendment Form	FEMA Form 089-0-12	Urban Search and Rescue Amendment Form
Urban Search and Rescue Response System Task Force	FEMA Form 089-0-15	Urban Search and Rescue Response System Task Force Deployment Data
Urban Search and Rescue Response System Task Force Self Evaluation Scoresheet	FEMA Form 089-0-14	Urban Search and Rescue Response System Task Force Self Evaluation Scoresheet
Memorandum of Agreement Revisions	FEMA Form 089-13	Memorandum of Agreement Revisions

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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	196	224	0	-28	0	0
Annual Time Burden (Hours)	364	476	0	-112	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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: There is a burden adjustment decrease in Annual Burden hours because FEMA Form 089-13, Memorandum of Agreement Revisions (MOA) was consolidated with FEMA form 089-0-10A thru I Workbook. The memorandum is a sample format used to describe the relationship of the parties with respect to the National Urban Search and Rescue Response System. Therefore; an adjustment decrease of -112 burdne hours has been removed from this collection of information.

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Annual Cost to Federal Government: $120,349

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]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

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: 07/31/2012

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