Assistance to Firefighters Grant Program-Grant Application Supplemental Information

Forms and Documents

Document Name	Status
Form FEMA Form 080-0-2 FF 080-0-2 AFG Application (General Questions and Narrative) Form and Instruction	Modified
Form FEMA Form 080-0-3b FEMA Form 080-0-3b Research and Development Form and Instruction	New
Form FEMA Form 080-0-3a Fire Prevention and Safety Form and Instruction	New
Form FEMA Form 080-10 FF 080-10 Staffing for Adequate Fire and Emergency Response Recruitment and Retention of Volunteer Firefighters Application (Questions and Narrative) Form and Instruction	Removed
Form FEMA Form 080-10 FF 080-10 Staffing for Adequate Fire and Emergency Response Recruitment and Retention of Volunteer Firefighters Application (Questions and Narrative) Form and Instruction	Removed
Form FEMA Form 080-8 FF 080-8 Staffing for Adequate Fire and Emergency Response Hiring of Firefighters Application (Questions and Narrative) Form and Instruction	Removed
Form FEMA Form 080-7 FF 080-7 Staffing for Adequate Fire and Emergency Response (General Questions All Applicants) Form and Instruction	Removed
Form FEMA Form 080-7 FF 080-7 Staffing for Adequate Fire and Emergency Response (General Questions All Applicants) Form and Instruction	Removed
Form FEMA Form 080-0-3a FF 080-0-3a Fire Prevention and Safety Form and Instruction	Modified
Form FEMA Form 080-0-3 Activity Specific Questions for Fire Prevention and Safety Applicants Form and Instruction	Modified
Form FEMA Form 080-2 EE 080-2 AFG Application (General Questions and Narrative) Form and Instruction	Removed
Form FEMA Form 080-0-3 FF 080-0-3 Activity Specific Questions for Fire Prevention and Safety Applicants Form and Instruction	Modified
Form FEMA Form 080-0-2b FEMA Form 080-0-2b, Activity Specific Questions for AFG Operations and Safety Applications Form and Instruction	Modified
Form FEMA Form 080-0-2a FF 080-0-2a, Activity Specific Questions for AFG Vehicle Applicants Form and Instruction	Modified
PTA FEMA-AFG 20111209 priv final.pdf Supplementary Document	2012-11-30
Federal Register, Volume 74 Issue 151 (Friday, August 7, 2009).mht Supplementary Document	2012-11-30
Pub. 30 Day FRN 11282012.pdf Supplementary Document	2012-11-30
Pub. 60 Day FRN.pdf Supplementary Document	2012-11-30
Supporting Statement 1660-0054 11142012.doc Supporting Statement A	2012-11-30
44 CFR Part 152.pdf Supplementary Document	2009-06-23
TITLE 15 U.S.C 2229.pdf Supplementary Document	2009-06-23
Title 15 USC Ch 49 2201.doc Supplementary Document	2009-06-22

IC Document Collections

IC ID	Document Title	Status
21129	FF 080-0-2 AFG Application (General Questions and Narrative) Form and Instruction	Modified
204989	FEMA Form 080-0-3b Research and Development Form and Instruction	New
204988	Fire Prevention and Safety Form and Instruction	New
189685	FF 080-10 Staffing for Adequate Fire and Emergency Response Recruitment and Retention of Volunteer Firefighters Application (Questions and Narrative) Form and Instruction	Removed
189684	FF 080-10 Staffing for Adequate Fire and Emergency Response Recruitment and Retention of Volunteer Firefighters Application (Questions and Narrative) Form and Instruction	Removed
189683	FF 080-8 Staffing for Adequate Fire and Emergency Response Hiring of Firefighters Application (Questions and Narrative) Form and Instruction	Removed
189682	FF 080-7 Staffing for Adequate Fire and Emergency Response (General Questions All Applicants) Form and Instruction	Removed
189681	FF 080-7 Staffing for Adequate Fire and Emergency Response (General Questions All Applicants) Form and Instruction	Removed
189680	FF 080-0-3a Fire Prevention and Safety Form and Instruction	Modified
189679	Activity Specific Questions for Fire Prevention and Safety Applicants Form and Instruction	Modified
189678	EE 080-2 AFG Application (General Questions and Narrative) Form and Instruction	Removed
189676	FF 080-0-3 Activity Specific Questions for Fire Prevention and Safety Applicants Form and Instruction	Modified
189675	FEMA Form 080-0-2b, Activity Specific Questions for AFG Operations and Safety Applications Form and Instruction	Modified
189673	FF 080-0-2a, Activity Specific Questions for AFG Vehicle Applicants Form and Instruction	Modified

ICR Details

OMB Control No: 1660-0054	ICR Reference No: 201211-1660-003
Status: Historical Active	Previous ICR Reference No: 200906-1660-002
Agency/Subagency: DHS/FEMA	Agency Tracking No:
Title: Assistance to Firefighters Grant Program-Grant Application Supplemental Information
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: 02/25/2013
	Date Received in OIRA: 12/31/2012
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/29/2016	36 Months From Approved	02/28/2013
Responses	28,010	0	51,500
Time Burden (Hours)	201,130	0	227,225
Cost Burden (Dollars)	1,357,623	0	0

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Abstract: Information sought under this collection will comprise of the applications for Assistance to Firefighters Grant Program (AFG) and Fire Prevention and Safety (FPS) grants. The old forms have be obseleted from this collection and new forms have be submitted to capture the details concerning applicants' demongraphics, capabilities, and operational resources as well as information necessary for FEMA to comply with mandates delineated in the law.

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Authorizing Statute(s): US Code: 15 USC 2229 Name of Law: Federal Fire Protection and Control Act of 1974
   US Code: 15 USC 2201 Name of Law: Fire Prevention And Control
  

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 55855	09/11/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 71010	11/28/2012
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 8

IC Title	Form No.	Form Name
FF 080-10 Staffing for Adequate Fire and Emergency Response Recruitment and Retention of Volunteer Firefighters Application (Questions and Narrative)	FEMA Form 080-10	Staffing for Adequate Fire and Emergency Response Recruitment and Retention of Volunteer Firefighters Application (Questions and Narrative)
FF 080-0-2 AFG Application (General Questions and Narrative)	FEMA Form 080-0-2	AFG Application (General Questions and Narrative)
Activity Specific Questions for Fire Prevention and Safety Applicants	FEMA Form 080-0-3	Activity Specific Questions for Fire Prevention and Safety Applicants
FF 080-0-2a, Activity Specific Questions for AFG Vehicle Applicants	FEMA Form 080-0-2a	Activity Specific Questions for AFG Vehicle Appliants
EE 080-2 AFG Application (General Questions and Narrative)	FEMA Form 080-2	AFG Application (General Questions and Narrative)
FF 080-7 Staffing for Adequate Fire and Emergency Response (General Questions All Applicants)	FEMA Form 080-7	Staffing for Adequate Fire and Emergency Response (General Questions All Applicants)
FF 080-7 Staffing for Adequate Fire and Emergency Response (General Questions All Applicants)	FEMA Form 080-7	Staffing for Adequate Fire and Emergency Response (General Questions All Applicants)
FF 080-8 Staffing for Adequate Fire and Emergency Response Hiring of Firefighters Application (Questions and Narrative)	FEMA Form 080-8	Staffing for Adequate Fire and Emergency Response Hiring of Firefighters Application (Questions and Narrative)
Fire Prevention and Safety	FEMA Form 080-0-3a	Fire Prevention and Safety
FEMA Form 080-0-3b Research and Development	FEMA Form 080-0-3b	Research and Development
FF 080-0-3a Fire Prevention and Safety	FEMA Form 080-0-3a	Fire Prevention and Safety
FEMA Form 080-0-2b, Activity Specific Questions for AFG Operations and Safety Applications	FEMA Form 080-0-2b	Activity specific Question for AFG Operations and Safety Applications
FF 080-0-3 Activity Specific Questions for Fire Prevention and Safety Applicants	FEMA Form 080-0-3	Activity Specific Questions for Fire Prevention and Safety Application
FF 080-10 Staffing for Adequate Fire and Emergency Response Recruitment and Retention of Volunteer Firefighters Application (Questions and Narrative)	FEMA Form 080-10	Staffing for Adequate Fire and Emergency Response Recruitment and Retention of Volunteer Firefighters Application (Questions and Narrative)

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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	28,010	51,500	0	-23,490	0	0
Annual Time Burden (Hours)	201,130	227,225	0	-26,095	0	0
Annual Cost Burden (Dollars)	1,357,623	0	0	1,357,623	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The burden increase for this collection is due to restruturing of survey questions to include additional burden hours to complete and gather information for this data collection. There is als a burden decrease due to removal of not-for-profit organizations for the AFG program and removal of the Staffing and Adequate Fire and Emergency Response (SAFER) grant collection, considering SAFER grants are authorized separtely from AFG and FPS, therefore SAFER have separate appropriations that are not contingent upon AFG and FPS.

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Annual Cost to Federal Government: $3,307,852

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: 12/31/2012

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