Form FEMA Form 089-5 FEMA Form 089-5 PSGP Investment Justification

OMB Control Number: 1660-NEW

FEMA Form Number: 089-5

Expiration Date: XX-XX-XXXX

PSGP Investment Justification Template

Paperwork Burden Disclosure Notice

Public reporting burden for this form is estimated to average 16 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 control number. Send comments regarding the accuracy of the burden estimate and any suggestions for reducing the burden to: Information Collections Management, Department of Homeland Security, Federal Emergency Management Agency, 500 C Street, SW, Washington, DC 20472, Paperwork Reduction Project (1660-NEW) NOTE: Do not send your completed form to this address.

Investment Heading
Port Area
State
Applicant Organization
Investment Name
Investment Amount	$

I. Background

Note: This section only needs to be completed once per application, regardless of the number of Investments proposed. The information in this section provides background and context for the Investment(s) requested, but does not represent the evaluation criteria used by DHS for rating individual Investment proposals.

I. Provide an overview of the port system in which this Investment will take place
Response Type	Narrative
Page Limit	Not to exceed 1 page
Response Instructions	Area of Operations: Identify COTP Zone Identify eligible port area Identify exact location of project site (i.e. physical address of facility being enhanced) Identify who the infrastructure (project site) is owned or operated by, if not by your own organization Point(s) of contact for organization (include contact information): Identify the organization’s Authorizing Official for entering into grant agreement, including contact information (include sub-grantee entering agreement within Group 1 and 2 port areas under FA process) Identify the organization’s primary point of contact for management of the project(s) Ownership or Operation: Identify whether the applicant is: (1) a private entity; (2) a state or local agency; or (3) a consortium composed of local stakeholder groups (i.e., river groups, ports, or terminal associations) representing federally regulated ports, terminals, US inspected passenger vessels or ferries. Role in providing layered protection of regulated entities (applicable to State or local agencies, consortia and associations only): Describe your organization’s specific roles, responsibilities and activities in delivering layered protection Important features: Describe any operational issues you deem important to the consideration of your application (e.g., interrelationship of your operations with other eligible high-risk ports, etc.)
Response

FEMA Form 089-5

II. Strategic and Program Priorities

II.A. Provide a brief abstract of the Investment
Response Type	Narrative
Page Limit	Not to exceed 1 page
Response Instructions	Provide a succinct statement summarizing this Investment
Response
II.B. Describe how the Investment will address one or more of the PSGP priorities and Area Maritime Security Plan or COTP Priorities (how it corresponds with PRMP for Group I and II)
Response Type	Narrative
Page Limit	Not to exceed 1 page
Response Instructions	Describe how, and the extent to which, the investment addresses: Enhancement of Maritime Domain Awareness Enhancement of IED and WMD prevention, protection, response and recovery capabilities Training and exercises Efforts supporting the implementation of TWIC Area Maritime Security Plan and/or Captain of the Port Priorities
Response

III. Impact

III.A. Describe how the project offers the highest risk reduction potential at the least cost.
Response Type	Narrative
Page Limit	Not to exceed ½ page
Response Instructions	Discuss how the project will reduce risk in a cost effective manner Discuss how this investment will reduce risk (e.g., reduce vulnerabilities or mitigate the consequences of an event) by addressing the needs and priorities identified in earlier analysis and review. For facility specific investments, the anticipated risk reduction in MSRAM should be included
Response

III.B. Describe current capabilities similar to this Investment
Response Type	Narrative
Page Limit	Not to exceed ½ page
Response Instructions	Describe how many agencies within the port have existing equipment that are the same or have similar capacity as the proposed project Include the number of existing capabilities within the port that are identical or equivalent to the proposed project
Response

4. Funding & Implementation Plan

   • Complete the IV.A. to identify the amount of funding you are requesting for this investment only

   • Funds should be requested by allowable cost categories as identified below

   • Applicants must make funding requests that are reasonable and justified by direct linkages to activities outlined in this particular Investment

Note: Investments will be evaluated on the expected impact on security relative to the amount of the investment (i.e., cost effectiveness). An itemized Budget Detail Worksheet and Budget Narrative must also be completed for this investment. See following section for a sample format.

The following template illustrates how the applicants should indicate the amount of FY 2009 PSGP funding required for the investment, how these funds will be allocated across the cost elements, and the required cash or in-kind match:

IV.A. Investment Funding Plan	FY 2009 PSGP Request Total	Match (Cash or In-Kind)	Grand Total
Maritime Domain Awareness
IED and WMD Prevention, Protection, Response and Recovery Capabilities
Training
Exercises
TWIC Implementation
Operational Packages (OPacks)
M&A
Total

IV.B. Provide a high-level timeline, milestones and dates, for the implementation of this Investment such as stakeholder engagement, planning, major acquisitions or purchases, training, exercises, and process/policy updates. Up to 10 milestones may be provided.
Response Type	Narrative
Page Limit	Not to exceed 1 page
Response Instructions	Only include major milestones that are critical to the success of the Investment Milestones are for this discrete Investment – those that are covered by the requested FY 2009 PSGP funds and will be completed over the 36-month grant period starting from the award date, giving consideration for review and approval process up to 12 months (estimate 24 month project period) Milestones should be kept to high-level, major tasks that will need to occur (i.e. Design and development, begin procurement process, site preparations, installation, project completion, etc.) List any relevant information that will be critical to the successful completion of the milestone (such as those examples listed in the question text above)
Response