FEMA Emergency Preparedness and Response Directorate Grants Administration Forms

Forms and Documents

Document Name	Status
Form SF LLL Disclosure of Lobbying Activities Form and Instruction	Unchanged
Form SF 270 Request for Advance or Reimbursement Form and Instruction	Unchanged
Form FEMA Form 76-10A Obligating Document For Awards/Amendments Form and Instruction	Modified
Form FEMA Form 20-20 Budget Information-NonContruction Programs Form and Instruction	Modified
Form FEMA Form 20-19 Reconciliation of Grants and Cooperative Agreements Form and Instruction	Modified
Form FEMA Form 20-18 Report of Government Property Form and Instruction	Modified
Form FEMA Form 20-17 Outlay Report and Request for Reimbursement For Contruction Progarms Form and Instruction	Modified
Form FEMA Forms 20-16, Summary Sheet For Assurances and Certifications Form and Instruction	Modified
Form FEMA Form 20-15 Budget Information-Construction Progams Form and Instruction	Modified
Form FEMA Form 20-10 Financial Status Report Form and Instruction	Modified
Form SF 424 Application for Federal Assistance Form	Unchanged
Executive Order 12372.pdf Supplementary Document	2008-05-28
30-day FRN 1660-0025 published 5-13-08.pdf Supplementary Document	2008-05-13
Supporting Statement 1660-0025 5-28-2008.doc Supporting Statement A	2008-07-08
60-day FRN 1660-0025 published 2-29-2008.pdf Supplementary Document	2008-05-08
OMB Circular A-133.pdf Supplementary Document	2007-11-09
44 CFR Part 13.pdf Supplementary Document	2007-11-08

IC Document Collections

IC ID	Document Title	Status
41296	Disclosure of Lobbying Activities Form and Instruction	Unchanged
182652	Request for Advance or Reimbursement Form and Instruction	Unchanged
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
182638	Financial Status Report Form and Instruction	Modified
182597	Application for Federal Assistance Form	Unchanged

ICR Details

OMB Control No: 1660-0025	ICR Reference No: 200805-1660-001
Status: Historical Active	Previous ICR Reference No: 200709-1660-006
Agency/Subagency: DHS/FEMA	Agency Tracking No:
Title: FEMA Emergency Preparedness and Response Directorate Grants Administration Forms
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: 08/12/2008
	Date Received in OIRA: 07/08/2008
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2011	36 Months From Approved	08/31/2008
Responses	359,881	0	359,881
Time Burden (Hours)	2,150,885	0	2,150,885
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): EO: EO 11541 Name/Subject of EO: Prescribing the duties of the Office of Management and Budget and the Domestic Council in the Execut
   EO: EO 8248 Name/Subject of EO: Establishing the divisions of the Executive Office of the President and defining their functions and
   US Code: 44 USC Part 13 Name of Law: Uniform Administrative Requirements for Grants and Cooperative Agreements to State and Local Governm
  

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:
	73 FR 11128	02/29/2008
30-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 27544	05/13/2008
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 11

IC Title	Form No.	Form Name
Application for Federal Assistance	SF 424	Application for Federal Assistance
Reconciliation of Grants and Cooperative Agreements	FEMA Form 20-19	Reconcilliation of Grants and Cooperative Agreement
Obligating Document For Awards/Amendments	FEMA Form 76-10A	Obligating documents for Awards/Amendments
Request for Advance or Reimbursement	SF 270	Request for Advance or Reimbursement
Report of Government Property	FEMA Form 20-18	Report of Goverment Property
Budget Information-NonContruction Programs	FEMA Form 20-20	Budget Information - NonConstruction Programs
Outlay Report and Request for Reimbursement For Contruction Progarms	FEMA Form 20-17	Outlay Report and Request for Reimbursement for Construction Programs
Financial Status Report	FEMA Form 20-10	Financial Status Report
Budget Information-Construction Progams	FEMA Form 20-15	Budget Information - Construction Programs
Summary Sheet For Assurances and Certifications	FEMA Forms 20-16, A, B, C	Summary Sheet for Assurances and Certification
Disclosure of Lobbying Activities	SF LLL	Disclosure of Lobbying Activities

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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	359,881	359,881	0	0	0	0
Annual Time Burden (Hours)	2,150,885	2,150,885	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:

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Annual Cost to Federal Government: $2,441,457

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)? Uncollected

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: 07/08/2008

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