National Urban Search and Rescue Grant Program

Forms and Documents

Document Name	Status
Form FEMA Form 089-0-26 Vehicle Support Unit Purchase / Replacement / Disposal Justification Form	Unchanged
Form FEMA Form 089-0-10 Narrative Statement Workbook, Urban Search Rescue Response System Form and Instruction	Modified
Form FEMA Form 089-0-15 Urban Search and Rescue Response System Task Force Deployment Data Form	Unchanged
Form FEMA Form 089-0-14 Urban Search and Rescue Response System Task Force Self Evaluation Scoresheet Form	Unchanged
Form FEMA Form 089-0-12 Urban Search and Rescue Amendment Form Form	Unchanged
Form FEMA Form 089-0-11 Urban Search and Rescue Response System Semi-Annual Performance Report Form	Unchanged
Stafford Act Sec 327 US&R.PDF Supplementary Document	2019-01-31
Published 60 Day FRN Oct.pdf Supplementary Document	2019-01-31
Published 30 Day FRN.pdf Supplementary Document	2019-01-31
Supporting Statement A_1660-0073 Correction_OCC.DOCX Supporting Statement A	2019-02-26
privacy_PIA_FEMA_GrantManagementPrograms_February2015.pdf Supplementary Document	2015-10-15
GPRA Modernization Act of 2010.pdf Supplementary Document	2015-10-07
6 USC 722.pdf Supplementary Document	2015-10-07
2 CFR Part 200.pdf Supplementary Document	2015-10-07
Title 44 CFR 208.doc Supplementary Document	2009-05-06

IC Document Collections

IC ID	Document Title	Status
218573	Vehicle Support Unit Purchase / Replacement / Disposal Justification Form	Unchanged
21168	Narrative Statement Workbook, Urban Search Rescue Response System Form and Instruction	Modified
189047	Urban Search and Rescue Response System Task Force Deployment Data Form	Unchanged
189046	Urban Search and Rescue Response System Task Force Self Evaluation Scoresheet Form	Unchanged
189044	Urban Search and Rescue Amendment Form Form	Unchanged
189043	Urban Search and Rescue Response System Semi-Annual Performance Report Form	Unchanged

ICR Details

OMB Control No: 1660-0073	ICR Reference No: 201901-1660-001
Status: Active	Previous ICR Reference No: 201510-1660-001
Agency/Subagency: DHS/FEMA	Agency Tracking No:
Title: National Urban Search and Rescue Grant Program
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 06/28/2019
	Date Received in OIRA: 02/28/2019
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2022	36 Months From Approved	06/30/2019
Responses	210	0	210
Time Burden (Hours)	392	0	392
Cost Burden (Dollars)	0	0	0

---

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.

---

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

---

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

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 49407	10/01/2018
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 67329	12/28/2018
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 6

IC Title	Form No.	Form Name
Narrative Statement Workbook, Urban Search Rescue Response System	FEMA Form 089-0-10	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 Deployment Data	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
Vehicle Support Unit Purchase / Replacement / Disposal Justification	FEMA Form 089-0-26	Vehicle Support Unit Purchase / Replacement / Disposal Justification

---

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	210	210	0	0	0	0
Annual Time Burden (Hours)	392	392	0	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:

---

Annual Cost to Federal Government: $121,403

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     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

---

Common Form ICR:  No

---

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: 02/28/2019

---