Form FEMA Form 089-5 FEMA Form 089-5 PSGP Investment Justification

SENSITIVE SECURITY INFORMATION

OMB Control#: 1660-0114

Expiration Date: 10/31/2013

FEMA Form: 089-5

FY 2012 Port Security Grant Program (PSGP)

Paperwork Burden Disclosure Notice

Public reporting burden for this data collection is estimated to average 16 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. 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 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, 1800 South Bell Street, Arlington, VA 20598-3005, Paperwork Reduction Project (1660-0114) NOTE: Do not send your completed form to this address.

Investment Justification Template

Investment Heading
Port Area
State
Applicant Organization
Investment Name
Investment Amount	$

I. Background

Note: This section only needs to be completed once per application, regardless of the number of Investments proposed. The information in this section provides background and context for the Investment(s) requested, but does not represent the evaluation criteria used by DHS for rating individual Investment proposals.

I. Provide an overview of the port area, MTSA regulated facility, or MTSA regulated vessel
Response Type	Narrative
Page Limit	Not to exceed 1 page
Response Instructions	Area of Operations: Identify COTP Zone Identify eligible port area Identify exact location of project site (i.e. physical address of facility being enhanced) Identify who the infrastructure (project site) is owned or operated by, if not by your own organization Point(s) of contact for organization (include contact information): Identify the organization’s Authorizing Official for entering into grant agreement, including contact information (include sub-grantee entering agreement within Group 1 and 2 port areas under FA process) Identify the organization’s primary point of contact for management of the project(s) Ownership or Operation: Identify whether the applicant is: (1) a private entity; (2) a State or local agency; or (3) a consortium composed of local stakeholder groups (i.e., river groups, ports, or terminal associations) representing federally regulated ports, terminals, US inspected passenger vessels or ferries. Role in providing layered protection of regulated entities (applicable to State or local agencies, consortia and associations only): Describe your organization’s specific roles, responsibilities and activities in delivering layered protection Important features: Describe any operational issues you deem important to the consideration of your application (e.g., interrelationship of your operations with other eligible high-risk ports, etc.) Ferry systems required data: Infrastructure Ridership data Number of passenger miles Number of vehicles per vessel, if any Types of service and other important features System map Geographical borders of the system and the cities and counties served Other sources of funding being leveraged for security enhancements
Response

II. Strategic and Program Priorities

II.A. Provide a brief abstract of the Investment list just ONE investment.
Response Type	Narrative
Page Limit	Not to exceed 1/2 page
Response Instructions	Provide a succinct statement summarizing this Investment
Response

II.B. Describe how the Investment will address one or more of the PSGP priorities and Area Maritime Security Plan or COTP Priorities (how it corresponds with PRMP for Group I and II)
Response Type	Narrative
Page Limit	Not to exceed 1/2 page
Response Instructions	Describe how, and the extent to which, the investment addresses: Enhancement of Maritime Domain Awareness Enhancement of IED and CBRNE prevention, protection, response and recovery capabilities Port resilience and recovery capabilities Training and exercises Efforts supporting the implementation of TWIC Area Maritime Security Plan and/or Captain of the Port Priorities
Response

III. Impact

III.A. Describe how the project offers the highest risk reduction potential at the least cost.
Response Type	Narrative
Page Limit	Not to exceed 1/2 page
Response Instructions	Discuss how the project will reduce risk in a cost effective manner Discuss how this investment will reduce risk (e.g., reduce vulnerabilities or mitigate the consequences of an event) by addressing the needs and priorities identified in earlier analysis and review.
Response

III.B. Describe current capabilities similar to this Investment
Response Type	Narrative
Page Limit	Not to exceed 1/2 page
Response Instructions	Describe how many agencies within the port have existing equipment that are the same or have similar capacity as the proposed project Include the number of existing capabilities within the port that are identical or equivalent to the proposed project
Response

4. Funding & Implementation Plan

   • Complete the IV.A. to identify the amount of funding you are requesting for this investment only

   • Funds should be requested by allowable cost categories as identified below

   • Applicants must make funding requests that are reasonable and justified by direct linkages to activities outlined in this particular Investment

The following template illustrates how the applicants should indicate the amount of FY 2011 PSGP funding required for the investment and how these funds will be allocated across the cost elements.

IV.A. Investment Funding Plan	FY 2011 PSGP Request Total	Match (Optional)	Grand Total
Maritime Domain Awareness
IED and CBRNE Prevention, Protection, Response and Recovery Capabilities
Training
Exercises
TWIC Implementation
Operational Packages (OPacks)
M&A
Total

IV.B. Provide a high-level timeline, milestones and dates, for the implementation of this Investment such as stakeholder engagement, planning, major acquisitions or purchases, training, exercises, and process/policy updates. Up to 10 milestones may be provided.
Response Type	Narrative
Page Limit	Not to exceed 1 page
Response Instructions	Only include major milestones that are critical to the success of the Investment Milestones are for this discrete Investment – those that are covered by the requested FY 2011 PSGP funds and will be completed over the 36-month grant period starting from the award date, giving consideration for review and approval process up to 12 months (estimate 24 month project period) Milestones should be kept to high-level, major tasks that will need to occur (i.e. Design and development, begin procurement process, site preparations, installation, project completion, etc.) List any relevant information that will be critical to the successful completion of the milestone (such as those examples listed in the question text above) Note: Investments will be evaluated on the expected impact on security relative to the amount of the investment (i.e., cost effectiveness). An itemized Budget Detail Worksheet and Budget Narrative must also be completed for this investment. See following section for a sample format
Response

WARNING: This record contains Sensitive Security Information that is controlled under 49 CFR parts 15 and 1520. No part of this

record may be disclosed to persons without a “need to know”, as defined in 49 CFR parts 15 and 1520, except with the written

permission of the Administrator of the Transportation Security Administration or the Secretary of Transportation. Unauthorized

release may result in civil penalty or other action. For U.S. government agencies, public disclosure is governed by 5 U.S.C. 552 and

49 CFR parts 15 and 1520.