Form FEMA Form 089-11 FEMA Form 089-11 Performance Reports

DEPARTMENT OF HOMELAND SECURITY
FEDERAL EMERGENCY MANAGEMENT AGENCY

URBAN SEARCH RESCUE RESPONSE SYSTEM
SEMI-ANNUAL PERFORMANCE REPORT
Paperwork Burden Disclosure Notice
Public reporting burden for this form is estimated to be 2 hours per response. The burden estimate includes the time for reviewing instructions, searching
existing data sources, gathering and maintaining the data needed, and completing and submitting the form. You are not required to respond to this
collection of information unless it displays a valid OMB Number. Send comments regarding the accuracy of this burden estimate and any suggestions for
reducing the burden to: Collections and Research Branch, Department of Homeland Security, Federal Emergency Management Agency, 1800 South
Bell Street, Arlington, VA 20590-3305, Paperwork Reduction Project (1660-0073). Note: Do not send your completed form to this address.
TASK FORCE

REPORTING PERIOD

FOR TIME PERIOD

A. MANAGMENT
Describe the adequacy of staffing for the Task Force Program Management Team (Full Time/Significant Part Time members) including actual or
anticipated vacancies and expected fill dates.

Describe the adequacy of equipment resources (IT equipment) to manage the Task Force, including specific issues and/or shortfalls.

Explain accomplishments or delinquencies and expected submission dates for Cooperative Agreement report submissions over the last 6 months.

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Describe the adequacy and currency of your Task Force plans (strategic, mobilization, work plans, training). Indicate plans that are not current and
expected completion dates to update.

Provide a status on currency and completeness of personnel, training, medical exams, medical records and expected completion dates.

Provide a status of any open issues with Sponsoring Agency including actions that are delaying receipt of manpower and equipment to manage the
Task Force.

Discuss issues and status relating to accounting and finance support (e.g., timely recording of expenditures, accomplishment of on-site audits).

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Identify Local and National meetings attended and national work groups supported.

Provide at least 3 overall Task Force management goals or objectives for the next 6 months.

B. TRAINING AND EXERCISES
Summarize local general and/or specialized training conducted and national courses attended during the previous 6-month period. Identify number of
participants attending training.

Summarize your ability to conduct local or national exercises and deployments over the preceding 6 months (limited and/or full scale exercises). Provide
the number of team members and K9 participating.

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Describe your Task Force K9 Training program and number of evaluations hosted over the last 6 months. Discuss any issues concerning training or
evaluations.

Identify problems or issued encountered while conducting local training.

Indicate number of Task Force

Prior Period

Current Period

Rostered Members:
Deployable Members:
Fully Trained Members:
New Recruits:
Provide at least 3 goals or objectives for training and exercises during the next 6 months and briefly describe any performance benefits from the
cooperative agreement funding.

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C. EQUIPMENT
For the 1st US&R Tools and Equipment cache - identify the adequacy, shortfalls, and procurement actions in progress or associated problems. Identify
the number of inventories conducted. Discuss any equipment replacement issues or delays.

For the 2nd US&R Tools and Equipment cache - identify the adequacy of assessment, shortfalls, or associated problems. Identify the number of
inventories conducted. Discuss any equipment replacement issues.

Discuss the progress to label or mark all equipment and record information into an MS Access Database system in accordance with the regulations.

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D. STORAGE AND MAINTENANCE
Provide an explanation of the adequacy of your warehouse facility, and any issues or planned actions to improve your facilities.

Describe how you manage your warehouse facility. (Lease / Ownership) Discuss any security issues.

Provide an explanation of availability of all needed vehicles to deploy your Task Force. Identify your shortfalls and plan to resolve any issues with
completion dates.

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Identify equipment maintenance issues.

Provide a description of your current storage and maintenance plan for your expendable medical/pharmaceutical supplies.

Briefly describe any performance benefit from the cooperative agreement funding.

SUBMITTED BY:
Printed Name

Title

Signature

Date

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FUNDS REPORT SUPPLMENT
COOPERATIVE AGREEMENT SUMMARY INFORMATION
TASK FORCE

GRANT FISCAL YEAR

REPORTING PERIOD

FEDERAL GRANT ID NUMBER

FOR TIME PERIOD

GRAND AWARD AMOUNT

FUNDS SPENT THIS PERIOD

BEGINNING PERIOD BALANCE

CURRENT EXPENDITURES

Administration/Management
Training
Equipment Purchases
Storage and Maintenance
TOTAL FUNDS SPENT
REMAINING GRANT BALANCE
GRANT FISCAL YEAR

FEDERAL GRANT ID NUMBER

GRAND AWARD AMOUNT

FUNDS SPENT THIS PERIOD

BEGINNING PERIOD BALANCE

CURRENT EXPENDITURES

Administration/Management
Training
Equipment Purchases
Storage and Maintenance
TOTAL FUNDS SPENT
REMAINING GRANT BALANCE
GRANT FISCAL YEAR

FEDERAL GRANT ID NUMBER

GRAND AWARD AMOUNT

FUNDS SPENT THIS PERIOD

BEGINNING PERIOD BALANCE

CURRENT EXPENDITURES

Administration/Management
Training
Equipment Purchases
Storage and Maintenance
TOTAL FUNDS SPENT
REMAINING GRANT BALANCE
Catalog of Federal Domestic Assistance
OLD CFDA #

Period of Performance

NEW CFDA #

TOTAL FUNDS REMAINING

NAME OF PERSON SUBMITTING REPORT

TITLE

SIGNATURE

DATE

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COOPERATIVE AGREEMENT DETAIL INFORMATION
TASK FORCE

GRANT FISCAL YEAR

REPORTING PERIOD

FEDERAL GRANT ID NUMBER

PERIOD OF
PERFORMANCE

ORIGINAL
OR MODIFIED
BUDGET AMOUNT

FUNDS
EXPENDED

Budgeted

LOCAL GRANT ID NUMBER

PREVIOUSLY
EXPENDED
TOTAL AMOUNT

Previous
Expenditures

FOR TIME PERIOD (From / To)

AWARD AMOUNT

BEGINNING PERIOD BALANCE

REMAINING
ACTUAL
AMOUNT

Current
Expenditures

AMOUNT
(+ OR -)
OF BUDGET

%
Not Spent

+ or Budget

Administration/Management
Training
Equipment Purchases
Storage and Maintenance
TOTAL FUNDS EXPENDED
REMAINING GRANT BALANCE
Explanation on Spending Plan: Describe your progress (Example: We are on target to meet our spending plan goals.)
ADMINISTRATION/MANAGEMENT

TRAINING

EQUIPMENT PURCHASES

STORAGE AND MAINTENANCE

NAME OF PERSON SUBMITTING REPORT

TITLE

SIGNATURE

DATE

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COOPERATIVE AGREEMENT DETAIL INFORMATION
TASK FORCE

GRANT FISCAL YEAR

REPORTING PERIOD

FEDERAL GRANT ID NUMBER

PERIOD OF
PERFORMANCE

ORIGINAL
OR MODIFIED
BUDGET AMOUNT

FUNDS
EXPENDED

Budgeted

LOCAL GRANT ID NUMBER

PREVIOUSLY
EXPENDED
TOTAL AMOUNT

Previous
Expenditures

FOR TIME PERIOD (From / To)

AWARD AMOUNT

BEGINNING PERIOD BALANCE

REMAINING
ACTUAL
AMOUNT

Current
Expenditures

AMOUNT
(+ OR -)
OF BUDGET

%
Not Spent

+ or Budget

Administration/Management
Training
Equipment Purchases
Storage and Maintenance
TOTAL FUNDS EXPENDED
REMAINING GRANT BALANCE
Explanation on Spending Plan: Describe your progress (Example: We are on target to meet our spending plan goals.)
ADMINISTRATION/MANAGEMENT

TRAINING

EQUIPMENT PURCHASES

STORAGE AND MAINTENANCE

NAME OF PERSON SUBMITTING REPORT

TITLE

SIGNATURE

DATE

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COOPERATIVE AGREEMENT DETAIL INFORMATION
TASK FORCE

GRANT FISCAL YEAR

REPORTING PERIOD

FEDERAL GRANT ID NUMBER

PERIOD OF
PERFORMANCE

ORIGINAL
OR MODIFIED
BUDGET AMOUNT

FUNDS
EXPENDED

Budgeted

LOCAL GRANT ID NUMBER

PREVIOUSLY
EXPENDED
TOTAL AMOUNT

Previous
Expenditures

FOR TIME PERIOD (From / To)

AWARD AMOUNT

BEGINNING PERIOD BALANCE

REMAINING
ACTUAL
AMOUNT

Current
Expenditures

AMOUNT
(+ OR -)
OF BUDGET

%
Not Spent

+ or Budget

Administration/Management
Training
Equipment Purchases
Storage and Maintenance
TOTAL FUNDS EXPENDED
REMAINING GRANT BALANCE
Explanation on Spending Plan: Describe your progress (Example: We are on target to meet our spending plan goals.)
ADMINISTRATION/MANAGEMENT

TRAINING

EQUIPMENT PURCHASES

STORAGE AND MAINTENANCE

NAME OF PERSON SUBMITTING REPORT

TITLE

SIGNATURE

DATE

FEMA Form 089-11

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