Form 010-0-8 Mission Assignment (MA)

DEPARTMENT OF HOMELAND SECURITY
FEDERAL EMERGENCY MANAGEMENT AGENCY

O.M.B. NO. 1660-0047
Expires March 31, 2014
See Reverse for Paperwork Burden
Disclosure Notice

MISSION ASSIGNMENT (MA)

I.

TRACKING INFORMATION (FEMA Use Only)

State

Resource Request Number

Program Code/Event Number

Date/Time Received
See Attached

II.
ASSISTANCE REQUIRED
Assistance Requested

Delivery Location

Date/Time Required

Internal Control Number

Initiator/Requestor Name

24 Hour Phone Number

Email Address

Date

Site POC Name

24 Hour Phone Number

Email Address

Date

III.

INITIAL FEDERAL COORDINATION (Operations Section)
Other :
ESF # :
Action to:
RSF:

Date/Time

Priority

1. Lifesaving

3. High

2. Life sustaining

4. Normal

See Attached

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

Your agency must validate the unliquidated MA balance at least annually as stipulated by FEMA to maintain reimbursable authority. Accrual data must also be provided to FEMA
no later than the third business day after fiscal quarter end close. Information can be submitted to [email protected]. For MA billing and reimbursement
information, please visit http://www.fema.gov/federal-agencies-providing-disaster-assistance.

Assigned Agency
New or

Projected Start Date

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

Total Required this Obligation Cycle

Total Cost Estimated

Amendment to MA # :

ESF/OFA/RSF Action Officer
V.

Estimated Projected End Date

Federal Operations Support
State Share (0%)
State Cost Share Amount: $

%
- 06 -

Email

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)

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 all MAs.
FEMA Form 010-0-8, (11/2013)

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 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 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, 1800 South Bell Street, Arlington, VA 20598-3005, 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 Resource Support Section or Operations staff. Required for all requests.

State: If multi-State, choose State most likely to receive resource(s), (i.e., when using 7220-SU Program Code)
Resource 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, 3130-EM, 1248-DR.
II.

ASSISTANCE REQUESTED. Completed by requestor.

Assistance Requested: Details from the Resource Request Form will provide information concerning the assistance requested.
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.
III.

INITIAL FEDERAL COORDINATION. Completed by FEMA Personnel with Delegated Authority.

Action to: May be Emergency Support Function (ESF), Recovery Support Function (RSF), internal FEMA organization, or other
organization, which assigns the Action Officer.
Remainder of MA used only if solution is to request Federal agency to perform reimbursable work under (MA). Deliberate validation and
verification of information must occur before MA is completed and issued.
IV.

DESCRIPTION. Completed by assigned agency Action Officer.

Statement of Work: Detailed description of work to be performed that includes: Overview of MA, objectives, tasks, resources, personnel,
deliverable, location, period of performance and comprehensive cost estimate for period of performance. Statement of Work may be
attached. Additional guidance concerning the writing of a Statement of Work can be found in the Mission Assignment Guide and FAR.
Assigned Agency: Agency receiving the MA from FEMA. Activities within the scope of an ESF/RSF result in an MA to primary agency.
Cite subordinate organization if applicable. Example; DOT-FAA, COE-SAD.
Projected Start/End Date: If end date is not clear, estimate and budget for 30, 60, or 90 days, then reevaluate. TBD is not acceptable; a
date must be entered.
Total Cost Estimate: Enter dollar value and attach a detailed budget outlining personnel, equipment, contract, sub-tasked agency, travel
and other costs. The cost estimate should include the total cost projection for the MA across the entire length of the MA. The 90 day
obligation cycle is used to obligate funding in 90 day increments when completion period is expected to exceed 90 days.
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.
Reporting: MA agencies are required to provide reporting as determined by the Program Manager.
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.