Form 010-0-8 Mission Assignment (MA)

DEPARTMENT OF HOMELAND SECURITY
FEDERAL EMERGENCY MANAGEMENT AGENCY

See Reverse for Paperwork
Burden Disclosure Notice

MISSION ASSIGNMENT (MA)

I.

O.M.B. NO. 1660-0047
Expires January 31, 2011

TRACKING INFORMATION (FEMA Use Only)

State

NEMIS Number

Program Code/Event Number

Date/Time Received
See Attached

II.
ASSISTANCE REQUIRED
Assistance Requested

Delivery Location

Internal Control Number

Date/Time Required

Initiator/Requestor Name

24 Hour Phone Number

Email Address

Date

Site POC Name

24 Hour Phone Number

Email Address

Date

* State Approving Official (Required for DFA and TA)
III.

Date

INITIAL FEDERAL COORDINATION (Operations Section)

Action to:

ESF # :
Other :

Date/Time

Priority

1. Lifesaving
2. Life sustaining

3. High
4. Normal

See Attached

IV.
DESCRIPTION (Assigned Agency Action Officer)
Statement of Work

Your agency is responsible for submitting a Mission Assignment Quarterly Progress Report to FEMA to include cost data when Mission Assignment takes
more than 60 days to complete, including billing. The Mission Assignment Quarterly Progress Report can be accessed and submitted on-line at www.fema.
gov/maprogress.
Assigned Agency
New or

Projected Start Date
Total Cost Estimate

Amendment to MA # :

ESF/OFA Action Officer
V.

Phone No.

COORDINATION (FEMA Use Only)
Direct Federal Assistance
Type of MA:
State Cost Share (0%, 10%, 25%)

State Cost Share Percent
Fund Citation: 20

Email

Federal Operations Support
State Share (0%)

Technical Assistance
State Share (0%)

%
- 06 -

Projected End Date

State Cost Share Amount: $
XXXX - 250

-D

Appropriation code: 70X0702

Mission Assignment Manager (Preparer)

Date

**FEMA Project Manager/Branch Director (Program Approval)

Date

**Comptroller/Funds Control (Funds Review)

Date

VI.

APPROVAL

*State Approving Official (Required for DFA and TA)

Date

**Federal Approving Official (Required for all)

Date

VII.

OBLIGATION (FEMA Use Only)

Mission Assignment Number

Amount This Action $

Date/Time Obligated

Amendment Number

Cumulative Amount $

Initials:

* Signature required for Direct Federal Assistance and Technical Assistance MAs.
** Signature required for all MAs.
FEMA Form 010-0-8, JAN 08

PREVIOUSLY FF 90-129

PAPERWORK BURDEN DISCLOSURE NOTICE
Public reporting burden for this form is estimated to average 3 minutes per response. The burden estimate includes the time for reviewing instructions,
searching existing data sources. gathering and maintaining the needed data, and completing, reviewing, and submitting the form. This collection of
information is required to obtain or retain benefits. You are not required to respond to this collection of information unless a valid OMB control number
appears in the upper right corner of this form. Send comments regarding the accuracy of the burden estimate and any suggestions for reducing this
burden to: Information Collections Management, U.S. Department of Homeland Security, Federal Emergency Management Agency, 500 C Street, SW,
Washington DC 20472, Paperwork Reduction Project (1660-0047). NOTE: Do not send your completed form to this address.

INSTRUCTIONS
Items on the Mission Assignment (MA) form that are not listed are self-explanatory.
I.

TRACKING INFORMATION. Completed by Action Tracker or other Operations staff. Required for all request.

State: If multi-State, choose State most likely to receive resource(s), (i.e., when using 7220-SU Program Code)
Action Request No.: Based on chronological log number. Used for tracking.
Program Code/Event No.: The pre-declaration, emergency, or major disaster number assigned for funding the event. Examples:
7220-SU, 4220-AD, 3130-EM, 1248-DR.
II.

ASSISTANCE REQUESTED. Complete by requestor.

Assistance Requested: Detail of resource shortfalls, give specific deliverables or simply state the problem.
Internal Control No.: Internal requestor reference, log, or control number, if applicable.
Initiator/Requestor: The initiator may be an individual filling out the mission assignment and making a request on behalf of the POC.
POC Name: The person coordinating reception and utilization of the requested resources. 24-hour contact information required.
State Approving Official: Signature certifies that State and local government cannot perform, nor contract for the performance, of the
requested work and agrees to pay cost share if any.
II.

INITIAL FEDERAL COORDINATION. Completed by the Operations Section Chief.

Action to: Operations Chief notes assigned organization. May be Emergency Support Function (ESF), internal FEMA organization, or
other organization, which assigns the Action Officer.
Rest of MA used only if solution to request Federal agency to perform reimbursable work under (MA). Best solution may be internal
resources or commercial vendor. Deliberate evaluation must occur before MA is completed and MA is issued.
IV.

DESCRIPTION. Completed by assigned agency Action Officer.

Statement of Work: Description steps to complete the request. Include discussion of personnel, equipment; sub tasked agencies,
contracts and other resources required. This can be provided as an attachment.
Assigned Agency: Agency receiving the MA from FEMA. Activities within the scope of an ESF result in an MA to the primary agency.
Cite subordinate organization if applicable. Example; DOT-FAA, COE-SAD.
Project Completion Date/End Date: If end date is not clear, estimate and budget for 30 or 60 days, then re-evaluate. TBD is not
acceptable; some date must be entered into this field.
Total Cost Estimate: A budget can be attached outlining personnel, equipment, contract, sub-tasked agency, travel, and other costs.
V.
COORDINATION. Completed by MAM, except for Project Manager and Comptroller signatures.
Type of MA: Select only one.
Appropriation Code: Static data. Do not change. This is for information only, should not be used to report internal agency finances to
Treasury.
VI.

APPROVAL. Completed by State Approving Official and Federal Approving Official.

VII.
OBLIGATION. Completed by Financial Specialist
Mission Assignment No.: Assigned in FEMA financial system chronologically using assigned agency acronym and two digit number.
Amendment No.: Note supplement number. For example: COE: SAD-01, Supp. 1, or DOR-08, Supp. 3.
Amount this Action: Taken from total cost estimate above.
Cumulative Amount: Cumulative amount for this MA, including amendments.