FEMA Emergency Preparedness and Response Directorate Grants Administration Forms

Forms and Documents

Document Name	Status
Form 112-0-10 Application for Federal Assistance Form and Instruction	New
ND Grants Uploading System Form	Unchanged
Form FEMA Form 112-0-9 Budget Detail Worksheet Form	Modified
Form FEMA Form 112-0-7 Obligating Document For Awards/Amendments Form and Instruction	Modified
Form FEMA Form 112-0-8 Budget Information-NonContruction Programs Form and Instruction	Modified
Form FEMA Form 112-0-6 Reconciliation of Grants and Cooperative Agreements Form and Instruction	Modified
Form FEMA Form 112-0-5 Report of Government Property Form and Instruction	Modified
Form FEMA Form 112-0-4 Outlay Report and Request for Reimbursement For Contruction Progarms Form and Instruction	Modified
Form FEMA Forms 112-0-3 Summary Sheet For Assurances and Certifications Form and Instruction	Modified
Form FEMA Form 112-0-2 Budget Information-Construction Progams Form and Instruction	Modified
Supporting Statement 1660-0025_091914.docx Supporting Statement A	2014-09-22
FR Doc E9-18931, SORN.mht Supplementary Document	2010-10-18
privacy_PIA_fema_grants_management.pdf Supplementary Document	2010-10-18
OMB A-133.txt Supplementary Document	2010-07-12
Title 44 CFR Part 13.pdf Supplementary Document	2010-07-12
Public Law 106-107.pdf Supplementary Document	2010-07-12
American Recovery and Reinvestment Act.pdf Supplementary Document	2010-07-12
Pub. 30 Day Federal Register Notice.pdf Supplementary Document	2014-05-29
Pub. 60 Day Federal Register Notice.pdf Supplementary Document	2014-05-29
Executive Order 12372.pdf Supplementary Document	2008-05-28

IC Document Collections

IC ID	Document Title	Status
209098	Application for Federal Assistance Form and Instruction	New
193760	ND Grants Uploading System Form	Unchanged
193759	Budget Detail Worksheet Form	Modified
182645	Obligating Document For Awards/Amendments Form and Instruction	Modified
182644	Budget Information-NonContruction Programs Form and Instruction	Modified
182643	Reconciliation of Grants and Cooperative Agreements Form and Instruction	Modified
182642	Report of Government Property Form and Instruction	Modified
182641	Outlay Report and Request for Reimbursement For Contruction Progarms Form and Instruction	Modified
182640	Summary Sheet For Assurances and Certifications Form and Instruction	Modified
182639	Budget Information-Construction Progams Form and Instruction	Modified

ICR Details

OMB Control No: 1660-0025	ICR Reference No: 201309-1660-003
Status: Historical Active	Previous ICR Reference No: 201007-1660-004
Agency/Subagency: DHS/FEMA	Agency Tracking No:
Title: FEMA Emergency Preparedness and Response Directorate Grants Administration Forms
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 09/22/2014
	Date Received in OIRA: 06/12/2014
Terms of Clearance: FEMA has corrected its burden estimates. OMB notes that this collection was out of approval from the previous expiration date until the date of this approval.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2017	36 Months From Approved	11/30/2013
Responses	31,747	0	1,238
Time Burden (Hours)	184,682	0	207
Cost Burden (Dollars)	0	0	0

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Abstract: This collection of information focuses on the standardization and consistent use of standard forms and FEMA forms associated with grantees' requests for disaster and non-disaster Federal assistance, submission of financial and administrative reporting, and recordkeeping. The use of the forms will minimize burden on the respondents and enable FEMA to continue to improve in its grants administration practices.

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Authorizing Statute(s): PL: Pub.L. 106 - 107 3 Name of Law: Federal Financial Assistance Management Improvement Act of 1999
   US Code: 44 USC Part 13 Name of Law: Uniform Administrative Requirements for Grants and Cooperative Agreements to State and Local Governm
   PL: Pub.L. 111 - 5 5 Name of Law: American Recovery and Reinvestment Act of 2009
  

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:
	79 FR 1385	01/08/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 21477	04/16/2014
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 10

IC Title	Form No.	Form Name
ND Grants Uploading System	None	ND Grants System
Application for Federal Assistance	112-0-10	FEMA GRANTS APPLICATION
Budget Detail Worksheet	FEMA Form 112-0-9	Budget Detail Worksheet
Report of Government Property	FEMA Form 112-0-5	Report of Goverment Property
Budget Information-NonContruction Programs	FEMA Form 112-0-8	Budget Information - NonConstruction Programs
Outlay Report and Request for Reimbursement For Contruction Progarms	FEMA Form 112-0-4	Outlay Report and Request for Reimbursement for Construction Programs
Budget Information-Construction Progams	FEMA Form 112-0-2	Budget Information - Construction Programs
Summary Sheet For Assurances and Certifications	FEMA Forms 112-0-3,A,B,C	Summary Sheet for Assurances and Certification
Reconciliation of Grants and Cooperative Agreements	FEMA Form 112-0-6	Reconcilliation of Grants and Cooperative Agreement
Obligating Document For Awards/Amendments	FEMA Form 112-0-7	Obligating documents for Awards/Amendments

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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	31,747	1,238	0	-34,629	-211,658	276,796
Annual Time Burden (Hours)	184,682	207	0	-259,345	-1,733,915	2,177,735
Annual Cost Burden (Dollars)	0	0	0	0	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: There is a burden reduction in the response and burden hours due to close-out of some grant program and the discontinuation of some of the grant programs. This decease in grant activity has -264,924 decrease in responses and a-2,081,029 decrease in burden hours. The use of the Standard Forms for grants are available in the Non-Disaster Grant system. These forms are used government-wide and controlled by a government-wide OMB number. The reduction in burden hour are due to an increase of the use of Standard Forms in the ND-grants system vs FEMA Forms.

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Annual Cost to Federal Government: $10,885,692

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)? 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: 06/12/2014

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