Environmental and Historic Preservation Environmental Screening Form

Forms and Documents

Document Name	Status
Form FEMA Form 024-0-1 Environmental and Historic Preservation Environmental Screening Form Form and Instruction	Modified
Form FEMA Form 024-0-1 Environmental and Historic Preservation Environmental Screening Form Form and Instruction	Modified
FEMA Grants Management Files SORN.PDF Supplementary Document	2010-10-18
privacy_pia_fema_grants_management.pdf Supplementary Document	2010-10-18
Supporting Statement EHP ESF, 10-18-2010.doc Supporting Statement A	2010-10-18
Published 30-Day FRN for EHP ESF, 7-1-2010.pdf Supplementary Document	2010-07-08
PTA FEMA-EMIS 20090916 priv final.pdf Supplementary Document	2010-10-18
60 Day Published FRN EHP ESF 1660-NEW.pdf Supplementary Document	2010-05-24
National Historic Preservation Act, Public Law 102-575.pdf Supplementary Document	2010-06-03
National Environmental Policy Act, Public Law 91-190.pdf Supplementary Document	2010-05-24

IC Document Collections

IC ID	Document Title	Status
193701	Environmental and Historic Preservation Environmental Screening Form Form and Instruction	Modified
193035	Environmental and Historic Preservation Environmental Screening Form Form and Instruction	Modified

ICR Details

OMB Control No: 1660-0115	ICR Reference No: 201009-1660-012
Status: Historical Active	Previous ICR Reference No: 201003-1660-007
Agency/Subagency: DHS/FEMA	Agency Tracking No:
Title: Environmental and Historic Preservation Environmental Screening Form
Type of Information Collection: Existing collection in use without an OMB Control Number	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 10/26/2010
	Date Received in OIRA: 09/23/2010
Terms of Clearance: OMB notes this collection was in violation of the PRA until the approvalo date of this submission.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2013	36 Months From Approved
Responses	1,323	0	0
Time Burden (Hours)	10,584	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: In efforts to examine the impact of its actions on the environment, look at potential alternatives to that action, inform both decision-makers and the public of those impacts through a transparent process, and pursue mitigation if necessary, grant recipients need to provide information that their actions will comply with all related laws and regulations.

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Authorizing Statute(s): PL: Pub.L. 91 - 190 Title I Name of Law: National Environmental Policy Act of 1969
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 13772	03/23/2010
30-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 38113	07/01/2010
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
Environmental and Historic Preservation Environmental Screening Form	FEMA Form 024-0-1	Environmental and Historic Preservation Screening Form
Environmental and Historic Preservation Environmental Screening Form	FEMA Form 024-0-1	Environmental and Historic Preservation Screening Form

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ICR Summary 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	1,323	0	0	0	0	1,323
Annual Time Burden (Hours)	10,584	0	0	0	0	10,584
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a new collection that is not on the OMB inventory. Therefore, the burden hours are an increase in program burden hour change.

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Annual Cost to Federal Government: $177,422

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)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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: 09/23/2010

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