Form DHS Form 530 DHS Form 530 SAFER Hiring Questions and Document Request List

DEPARTMENT OF HOMELAND SECURITY

SAFER HIRING QUESTIONS
AND DOCUMENT REQUEST LIST

OMB Control No. 1601-NEW
Expiration Date: XX-XX-XXXX

OMB BURDEN STATEMENT: According to the Paperwork Reduction Act of 1995, no persons are required to respond to a
collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection
is 1601-NEW. The time to complete this information collection is estimated as part of the 2 hours to review the questions and
prepare any documentation.

Federal Regulations Discussed Below:
1.

Single Audit Requirements (Subpart B for requirements):
http://www.whitehouse.gov/sites/default/files/omb/assets/a133/a133_revised_2007.pdf

1. General SAFER Hiring Grant Questions (All Grantees)
Please respond to the following questions.
1.

Did you use a grant writer?

2.

Is the grant writer listed on the application?
a. If not, why not?

3.

Was the department or entity department is part of
(municipality, etc) required to submit a Single Audit
during the grant Period of Performance?
a. Requirement based on expending $500,000 or
more of Federal funds in a given year.
b. If so, please provide a copy or hyperlink to audit.

4.

Has FEMA conducted any site visits or desk reviews of
this grant?
a. If so, please provide a copy - see Section 2, #1.

Yes

No

N/A

Comments

Yes

No

N/A

Comments

2. Documents (All Grantees)
Please provide a copy of the following documents. Include the
item number in the file name of your response. For example:
1-Site Visit Reports.pdf; 2-Proof of Payment .doc; 4-Initial
Roster.xls
1.

Copies of FEMA site visit reports or desk review reports.

2.

Proof of payment from FEMA (email, wire transfer, etc).

3.

Salary and benefits information from the start of the
grant’s Period of Performance to date for firefighters hired
with these grant funds:
a. Payroll information clearly showing salary and
benefits for each firefighter.
b. Proof of payment of salary and benefits to each
firefighter.
c. Any reconciliation documents used to request funds.

4.

Initial roster at grant start date.
a. Supporting evidence of maintaining the same number
of firefighters on the roster throughout the grant or to
date if grant is still active.
b. Or waiver from FEMA if applicable.

DHS Form 530 (8/14)

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