Public Assistance Program

ICR 201307-1660-006

OMB: 1660-0017

Federal Form Document

Forms and Documents
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Supporting Statement A
2013-07-09
Supplementary Document
2013-04-25
Supplementary Document
2013-04-25
Supplementary Document
2013-04-16
Supplementary Document
2013-04-16
Supplementary Document
2013-04-16
Supplementary Document
2010-02-23
Supplementary Document
2010-02-23
Supplementary Document
2010-02-05
Supplementary Document
2010-02-05
Supplementary Document
2010-01-29
Supplementary Document
2008-07-29
Supplementary Document
2008-07-29
ICR Details
1660-0017 201307-1660-006
Historical Active 201304-1660-001
DHS/FEMA
Public Assistance Program
Revision of a currently approved collection   No
Regular
Approved without change 07/18/2013
Retrieve Notice of Action (NOA) 07/09/2013
  Inventory as of this Action Requested Previously Approved
07/31/2016 36 Months From Approved 06/30/2016
346,960 0 346,940
361,826 0 361,766
0 0 0

The Public Assistance Program assist State, Tribal and local governments and certain private Non-Profit entities with the responses to and recovery from disasters following a Presidentially declared major disasters and emergencies. The information collected is utilized by FEMA to make determinations for Public Assistance grants based on the information supplied by the respondents.

PL: Pub.L. 93 - 288 406-407 Name of Law: Robert T. Stafford Disaster Relief and Emergency Assistance Act
  
PL: Pub.L. 111 - 5 601 Name of Law: American Recovery and Reinvestment Act of 2009

1660-AA79 Final or interim final rulemaking 78 FR 1111 07/09/2013

No

19
IC Title Form No. Form Name
Project Work Sheet Damage Description and Scope of Work FEMA Form 009-0-91A Project Worksheet - Damage Description and Scope of Work Continuation Sheet
Project Worksheet Maps and Sketches Sheet FEMA Form 009-0-91C Project Worksheet - Maps and Sketches Sheet
State Administrative Plan and Amendments
Request for Arbitration and Recommendation from Hurricanes Katrina or Rita
Project Worksheet FEMA Form 009-0-91 Project Worksheet
Force Account Equipment Summary Record FEMA Form 009-0-127 Force Account Equipment Summary Record
Rented Equipment Summary Record FEMA Form 009-0-125 Rented Equipment Summary Record
Progress Report FEMA Form 009-0-111 Quarterly Progress Report
PNP Facility Questionnaire FEMA Form 009-0-121 PNP Facility Questionaire
Materials Summary Record FEMA Form 009-0-124 Materials Summary Record
Contract Work Summary Record FEMA Form 009-0-126 Contract Work Summary Record
Request for Public Assistance FEMA Form 009-0-49 Request for Public Assistance
Special Considerations Questions FEMA Form 90-120 Special Consideration Questions
Force Account Labor Summary FEMA Form 009-0-123 Force Account Labor Summary Record
Applicant's Benefits Calculation Worksheet FEMA Form 009-0-128 Applicant's Benefits Calculation Worksheet
Project Worksheet Photo Sheet FEMA Form 009-0-91D Project Worksheet-Photo Sheet
Project Worksheet Cost Estimate Continuation Sheet and Cost Overruns FEMA Form 009-0-91B Project Worksheet-Cost Estimate Continuation Sheet
Request for Appeals and Recommendation
Request for Abritration FEMA FORM 5500-0-0-1 REQUEST FOR ABRITRATION

  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 346,960 346,940 0 20 0 0
Annual Time Burden (Hours) 361,826 361,766 0 60 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
The increase in burden is due to FEMA Form 055-0-0-1, Request for Arbitration, and associated recommendations were added to the Information Collection Request. This new Dispute Resolution Pilot Program increased the number of responses by 20 and the associated burden hours by 60 hours.

$748,782
No
No
No
No
No
Uncollected
Lawann Johnson 202 646-4246 [email protected]

  No

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
07/09/2013


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