Form FEMA Form 089-25 FEMA Form 089-25 NSGP Investment Justification and Selection Criteria

OMB Control Number: 1660-NEW

FEMA Form Number: 089-25

Expiration Date: XX-XX-XXXX

FY 2009 NSGP Investment Justification and Selection Criteria

PAPERWORK BURDEN DISCLOSURE NOTICE
Public reporting burden for this form is estimated to average 84 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.

Question	Scoring Criteria
I. APPLICANT INFORMATION
Identify the following: Name of the Organization Organization Type (e.g., Medical, Religious, Educational, Community Center, Museum, Other1) 501(c)(3) Number Dun and Bradstreet Number2 FY 2009 Urban Area3 FY 2009 UASI NSGP Federal Funding Request FY 2009 UASI NSGP Grantee’s 25 Percent Match FY 2009 UASI NSGP Total Project Cost Any Previous NSGP Funding Received, including amount Any Previous DHS Funding Received, including source4 Any Current Contract with DHS (Yes/No – if yes, please describe) (800 Character Max not including spaces)	This information will not be scored
II. BACKGROUND
Background: Describe the nonprofit organization including: Membership and community served Involvement in their local Citizen Corps Council Symbolic value of the site(s) as a highly recognized national or historical institution that renders the site as a possible target of terrorism Known critical infrastructure or key resources (CIKR) located within close proximity to nonprofit organization facilities (see http://www.dhs.gov/nipp for additional information and guidance on CIKR sectors) Any role in responding to or recovering from terrorist attacks (1,800 Character Max not including spaces)	The information provided will be scored in terms of its contribution to setting context and its relationship to other questions.
III. INVESTMENT HEADING
Investment Heading: Investment name Total FY 2009 NSGP Federal Funding Requested Investment Phase – Ongoing or New (500 Character Max not including spaces)	This information will not be scored
IV. BASELINE
Baseline – Previous Request Name and Funding: If the nonprofit organization has received DHS or NSGP funding in the past, provide the funding amount and the investment type. (700 Character Max not including spaces)	The information provided will be scored in terms of its contribution to setting context and its relationship to other questions.
V. RISK
Risk: DHS defines risk as the product of three principal variables: Threat, Vulnerability, and Consequences. In the space below, describe findings from previously conducted risk assessments, including A) Threats, B) Vulnerabilities, and C) Potential Consequences of an attack. (2,200 Character Max not including spaces)	The information provided will be scored based on the indication of an understanding of the organization’s risk, including threat and vulnerabilities, as well as potential consequences of an attack.
V.A. Threat: In considering threat, the applicant should discuss previous findings such as risk assessment and/or police findings.
V.B. Vulnerabilities: In considering vulnerabilities, the applicant should discuss the organization’s susceptibility to destruction, incapacitation, or exploitation by a terrorist attack.
V.C. Potential Consequences: In considering potential consequences, the applicant should discuss potential negative effects on the organization’s asset, system, and/or network if damaged, destroyed, or disrupted by a terrorist attack.
VI. TARGET HARDENING
Target Hardening: In this section, describe the proposed target hardening activity, including the total Federal funds requested, that addresses the identified threat or vulnerability. Allowable costs are focused on target hardening activities. Thus, funding can be used for acquisition and installation of security equipment on real property (including buildings and improvements) owned or leased by the nonprofit organization, specifically in prevention of and/or in protection against the risk of a terrorist attack. This equipment is limited to two categories of items on the Authorized Equipment List (AEL). Physical Security Enhancement Equipment (AEL Category 14) Inspection and Screening Systems (AEL Category 15) The equipment categories are listed on the web based AEL on the Responder Knowledge Base (RKB), which is sponsored by DHS and located at http://www.rkb.us/. The below description must identify the respective AEL category for all requested equipment. (2,200 Character Max not including spaces)	Target hardening activity and impact address prevention of, protection against, and/or mitigation of the identified risk(s).
VII. MILESTONES
Milestones: Provide description and associated key activities that lead to the milestone event over the FY 2009 NSGP period of performance. Start dates should reflect the start of the associated key activities and end dates should reflect when the milestone event will occur. (1,000 Character Max not including spaces)	Milestones collectively present a clear sequence of events that will allow the Investment to reach its objectives for this period of performance.
VIII. PROJECT MANAGEMENT
Describe the project management, including: Who will manage the project Description of any challenges to the effective implementation of this project Coordination of the project with State and local homeland security partners (2,000 Character Max not including spaces)	Response describes, at a high-level, the roles and responsibilities of the management team, governance structures, and subject matter expertise required to manage the Investment
IX. GRANTEE MATCH PLAN
Match Requirement: Describe how the 75-25 match in kind will be met. Provide the Federal request amount, the grantee's 25 percent match, and the total project cost for the FY 2009 NSGP. In addition to the required cash or -in-kind match, discuss other funding sources (e.g., non-FY 2009 NSGP funds) that you plan on utilizing for the implementation of this project. (1,000 Character Max not including spaces)	This information will not be scored
X. IMPACT
Impact: What measurable outputs and outcomes will indicate that this Investment is successful at the end of the FY 2009 NSGP period of performance? What specific target capability is this investment working to achieve? (1,500 Character Max not including spaces) FEMA Form 089-25	Response describes how the outcomes will mitigate risks outlined in the Background and Risk sections of the Investment Justification

1 If the Other category is selected, please identify the primary function of the organization.

2 Applications can only be submitted with a current and valid Dun and Bradstreet Data Universal Numbering System (DUNS) number; pending DUNS numbers will not be accepted.

3 The applicant must be located within one of the specific UASI-eligible Urban Areas listed in the FY 2009 Nonprofit Security Grant Program Guidance and Application Kit. Within the grant guidance, please refer to Table 1 – Eligible Urban Areas under the FY 2009 UASI Program to determine the organization’s Urban Area designation.

4 Responses should include any funding received through the respective State and/or Urban Area, including the DHS Homeland Security Grant Program (including Urban Areas Security Initiative, State Homeland Security Grant Program, and/or the Citizen Corps Program).