FEMA Emergency Preparedness and Response Directorate Grants Administration Forms

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form SF LLL Disclosure of Lobbying Activities	Form and Instruction	Removed	Repair queued
ND Grants Uploading System	Form	New	Repair queued
Form 089-9 Budget Detail Worksheet	Form	New	Available
Form SF 270 Request for Advance or Reimbursement	Form and Instruction	Removed	Available
Form FEMA Form 112-0-7 Obligating Document For Awards/Amendments	Form and Instruction	Modified	Available
Form FEMA Form 112-0-8 Budget Information-NonContruction Programs	Form and Instruction	Modified	Available
Form FEMA Form 112-0-6 Reconciliation of Grants and Cooperative Agreements	Form and Instruction	Modified	Available
Form FEMA Form 112-0-5 Report of Government Property	Form and Instruction	Modified	Available
Form FEMA Form 112-0-4 Outlay Report and Request for Reimbursement For Contruction Progarms	Form and Instruction	Modified	Available
Form FEMA Forms 112-0-3 Summary Sheet For Assurances and Certifications	Form and Instruction	Modified	Available
Form FEMA Form 112-0-2 Budget Information-Construction Progams	Form and Instruction	Modified	Repair queued
Form FEMA Form 20-10 Financial Status Report	Form and Instruction	Removed	Available
Form SF 424 Application for Federal Assistance	Form	Removed	Available
FR Doc E9-18931, SORN.mht	Supplementary Document	Uploaded 2010-10-18	Repair queued
privacy_PIA_fema_grants_management.pdf	Supplementary Document	Uploaded 2010-10-18	Available
Narrative of Revisions 1660-0025 7-1-10.docx	Supplementary Document	Uploaded 2010-07-13	Available
OMB A-133.txt	Supplementary Document	Uploaded 2010-07-12	Available
Title 44 CFR Part 13.pdf	Supplementary Document	Uploaded 2010-07-12	Available
Public Law 106-107.pdf	Supplementary Document	Uploaded 2010-07-12	Available
American Recovery and Reinvestment Act.pdf	Supplementary Document	Uploaded 2010-07-12	Available
30-day FRN 1660-0025 pub 7-1-10 75fr38115.pdf	Supplementary Document	Uploaded 2010-07-12	Available
60-day FRN 1660-0025 published 11-17-09.pdf	Supplementary Document	Uploaded 2010-07-12	Available
Executive Order 12372.pdf	Supplementary Document	Uploaded 2008-05-28	Available
Supporting Statement 1660-0025 11-18-10.docx	Supporting Statement A	Uploaded 2010-11-18	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
41296	Disclosure of Lobbying Activities	Form and Instruction	Removed
193760	ND Grants Uploading System	Form	New
193759	Budget Detail Worksheet	Form	New
182652	Request for Advance or Reimbursement	Form and Instruction	Removed
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	Removed
182597	Application for Federal Assistance	Form	Removed

ICR Details

OMB Control No: 1660-0025	ICR Reference No: 201007-1660-004
Status: Historical Active	Previous ICR Reference No: 200805-1660-001
Agency/Subagency: DHS/FEMA	Agency Tracking No:
Title: FEMA Emergency Preparedness and Response Directorate Grants Administration Forms
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 11/19/2010
	Date Received in OIRA: 09/01/2010
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2013	36 Months From Approved	08/31/2011
Responses	278,034	0	359,881
Time Burden (Hours)	2,177,942	0	2,150,885
Cost Burden (Dollars)	0	0	0

---

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.

---

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

---

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:
	74 FR 59217	11/17/2009
30-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 38115	07/01/2010
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 9

table that charts list of burden

IC Title	Form No.	Form Name
Disclosure of Lobbying Activities	SF LLL	Disclosure of Lobbying Activities
Application for Federal Assistance	SF 424	Application for Federal Assistance
Request for Advance or Reimbursement	SF 270	Request for Advance or Reimbursement
Financial Status Report	FEMA Form 20-10	Financial Status Report
ND Grants Uploading System	None	ND Grants System
Budget Detail Worksheet	089-9	Detailed Budget 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

---

ICR Summary of Burden

table that charts list 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	278,034	359,881	0	-96,806	14,959	0
Annual Time Burden (Hours)	2,177,942	2,150,885	0	-78,671	105,728	0
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: Cutting Redundancy

Short Statement: The burden for the Standard Forms 424, LLL and 270 have been removed from the inventory as the burden for these are calculated in other non-FEMA collections. The burden for FEMA Form 20-10 is removed as Standard Form 425 collects this information. The burden for the detailed budget worksheet has been added as an administrative financial collection tool and the burden for the uploading of attachments to the ND Grants System has also been incorporated into the collection. There has also been an increase in the burden for the remaining forms due to an upward revision of respondents for the HMGP program which increased the number of respondents from 52 to 56.

---

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

---

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: 09/01/2010

---