Form FEMA Form 112-0-5 FEMA Form 112-0-5 Report of Goverment Property

DEPARTMENT OF HOMELAND SECURITY
FEDERAL EMERGENCY MANAGEMENT AGENCY

O.M.B. No. 1660-0025
Expires August 31, 2011

See reverse side for Paperwork
Burden Disclosure Notice

REPORT OF GOVERNMENT PROPERTY

NOTE: This form is to be submitted at the completion of a grant, cooperative agreement or contract and is to be provide a listing of inventory expendable and nonexpendable equipment purchased or Federally Owned furnished equipment. In column (j) suggest
disposition instructions. FEMA will approve or disapprove the recipients disposition request within 120 days after FEMA has accepted the recipients final report. This report covers

1. DATE OF REPORT

2. FEMA IDENTIFICATION No.

3. NAME & TITLE OF RECIPIENT (Type or Print)

Expendable

4. NAME & TITLE OF AUTHORIZED REPRESENTATIVE

Nonexpendable
5. SIGNATURE

6. LIST BELOW EACH ITEM OF GOVERNMENT PROPERTY
Government ID
No. and FSN
(a)

FEMA Form 112-0-5, MAR 09

Description of Item
(b)

MFR
(c)

MFR.
Serial Nos.
(d)

Quantity
(e)

Condition
(f)

Location
(g)

PREVIOUS EDITIONS OBSOLETE

Cost
(h)

Date
Received
(i)

Recipients
Disposition Request
(j)

Approval
Yes
(k)

No
(l)

For Use by
FEMA Only
(m)

PAPERWORK BURDEN DISCLOSURE NOTICE
Public reporting burden for this data collection is estimated to average 4.2 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 this form. You are not required to respond to this collection of information unless a valid OMB control number is displayed on this form. 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 (1660-0025). NOTE: Do not send your completed form to this address.
FEMA Report of Government Property
General Information
FEMA Form 20-18 is to be submitted by a recipient as a part of the FEMA close out procedure for a grant or cooperative agreement. Separate forms are required for expendable and non-expendable equipment and supplies.
FEMA Form 20-18 is designed to meet the property management requirements as set forth in 44 CFR 13. 32
FEMA Form is to be used to compute the amount of expendable personal property that FEMA is to receive reimbursement. See 44CFR 13.33.
Equipment means non-expendable, tangible personal property having a useful life of more than one year and an acquisition cost of $ 5000.00 or more per unit.
Recipient means the organization that has been awarded a FEMA grant or cooperative agreement.
Listing of Federally-Owned Equipment and Requesting Disposition Instructions. The term "Government furnished equipment" is used to mean equipment that is owned by the Federal Government and is used by a recipient during the
course of a particular grant or cooperative agreement. It also includes equipment purchased with grant or cooperative agreement funds by the recipient of a particular project or program, or when a FEMA grant/cooperative agreement
requires an equipment reporting at close out. FEMA will allow the recipient to hold title to the equipment purchase for a grant or cooperative agreement. In some cases, FEMA will require that the government retain the title. In all FEMA
grants or cooperative agreements, the recipient will be held accountable for the equipment. Upon completion of a grant or cooperative agreement supported project or program, the recipient is required to submit to FEMA a listing of all
government furnished equipment, or FEMA requires reporting on, and request for disposition instructions, except where:
(1) The recipient as formally determined that the equipment is no longer useful or has a residual value of less than $ 5000.00; or
(2) The original acquisition on the equipment is less than $ 5000.00 level
Detailed Instructions
Item 1.
Item 2.
Item 3, 4,and 5.
Item 6a.
Item 6b.
Item 6d.
Item 6e.
Item 6f.
Item 6g.
Item 6h.
Item 6i.
Item 6j.
Item 6k-l.

Self-explanatory
Enter the grant or cooperative agreement number being reported.
Self explanatory.
Enter the recipient's identification number and Federal stock number (FSN), if applicable.
Briefly describe the item.
Enter the manufacturer's name.
List the quantity.
Describe the condition of item being reported.
List the location of the item being reported.
Enter the cost of item being reported.
Enter the date of purchase or date item was received by the recipient.
Enter the recipient's suggested disposition for each item being reported
FEMA will indicate approval or disposition or disapproval of the disposition request and return the FEMA Form 20-18 to the recipient.