National Urban Search and Rescue Grant Program

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form FEMA Form 089-0-26 Vehicle Support Unit Purchase / Replacement / Disposal Justification	Form	New	Repair queued
Form FEMA Form 089-0-10 Workbook Urban Search and Rescue Response System	Form and Instruction	Modified	Available
Form FEMA Form 089-0-15 Urban Search and Rescue Response System Task Force Deployment Data	Form	Modified	Available
Form FEMA Form 089-0-14 Urban Search and Rescue Response System Task Force Self Evaluation Scoresheet	Form	Modified	Available
Form FEMA Form 089-0-12 Urban Search and Rescue Amendment Form	Form	Modified	Available
Form FEMA Form 089-0-11 Urban Search and Rescue Response System Semi-Annual Performance Report	Form	Modified	Available
01-App-A-FY15 SOW FINAL-w FAPO chgs.pdf	Supplementary Document	Uploaded 2015-11-16	Available
Supporting Statement for OMB Collection 1660-0073 (FINAL wo-track changes).docx	Supporting Statement A	Uploaded 2015-11-10	Available
Published 30 Day FRN for OMB Collection 1660-0073, 10-20-2015.pdf	Supplementary Document	Uploaded 2015-10-20	Available
Form Revisions for FEMA Form 089-0-14.PDF	Supplementary Document	Uploaded 2015-10-15	Available
Forms Revision Chart for FEMA Form 089-0-14.doc	Supplementary Document	Uploaded 2015-10-15	Available
privacy_PIA_FEMA_GrantManagementPrograms_February2015.pdf	Supplementary Document	Uploaded 2015-10-15	Available
PTA FEMA - National Urban Search and Rescue System (1660-0073) 20151014 PRIV Final.pdf	Supplementary Document	Uploaded 2015-10-15	Available
Narrative of Changes for OMB Collection 1660-0073.docx	Supplementary Document	Uploaded 2015-10-14	Available
01-Narrative 089-0-10 - Forms Revision Chart 11-9-15.doc	Supplementary Document	Uploaded 2015-11-10	Available
GPRA Modernization Act of 2010.pdf	Supplementary Document	Uploaded 2015-10-07	Available
6 USC 722.pdf	Supplementary Document	Uploaded 2015-10-07	Available
2 CFR Part 200.pdf	Supplementary Document	Uploaded 2015-10-07	Available
Published 60 Day FRN for OMB Collection 1660-0073, 6-8-2015.pdf	Supplementary Document	Uploaded 2015-10-07	Available
Title 44 CFR 208.doc	Supplementary Document	Uploaded 2009-05-06	Available
Stafford Act Booklet 042213.pdf	Supplementary Document	Uploaded 2015-10-07	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
218573	Vehicle Support Unit Purchase / Replacement / Disposal Justification	Form	New	Vehicle Support Unit Purchase / Replacement / Disposal Justification
21168	Narrative Statement Workbook, Urban Search Rescue Response System	Form and Instruction	Modified	Workbook Urban Search and Rescue Response System
189047	Urban Search and Rescue Response System Task Force Deployment Data	Form	Modified	Urban Search and Rescue Response System Task Force Deployment Data
189046	Urban Search and Rescue Response System Task Force Self Evaluation Scoresheet	Form	Modified	Urban Search and Rescue Response System Task Force Self Evaluation Scoresheet
189044	Urban Search and Rescue Amendment Form	Form	Modified	Urban Search and Rescue Amendment Form
189043	Urban Search and Rescue Response System Semi-Annual Performance Report	Form	Modified	Urban Search and Rescue Response System Semi-Annual Performance Report

ICR Details

OMB Control No: 1660-0073	ICR Reference No: 201510-1660-001
Status: Historical Active	Previous ICR Reference No: 201207-1660-002
Agency/Subagency: DHS/FEMA	Agency Tracking No:
Title: National Urban Search and Rescue Grant Program
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/30/2015
Retrieve Notice of Action (NOA)	Date Received in OIRA: 11/23/2015
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2018	36 Months From Approved	12/31/2015
Responses	210	0	196
Time Burden (Hours)	392	0	364
Cost Burden (Dollars)	0	0	0

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Abstract: The information collected for the National Urban Search and Rescue Grant Program evaluate the grantee's proposed use of funds and is required infomration needed in order to receive Federal funding. The forms used in this collections are used by grantees to provide FEMA with cooperative agreements and a description of the types of eligible activities the grantee will undertake and a plan for expending and monitoring funds.

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Authorizing Statute(s): US Code: 42 USC 5144,5149,5170b(a)(3)(B),5197 Name of Law: Robert T. Stafford Disaster Relief and Emergency Assistance Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 32391	06/08/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 63579	10/20/2015
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 6

table that charts list of burden

IC Title	Form No.	Form Name
Narrative Statement Workbook, Urban Search Rescue Response System	FEMA Form 089-0-10	Workbook Urban Search and Rescue Response System
Urban Search and Rescue Amendment Form	FEMA Form 089-0-12	Urban Search and Rescue Amendment Form
Urban Search and Rescue Response System Semi-Annual Performance Report	FEMA Form 089-0-11	Urban Search and Rescue Response System Semi-Annual Performance Report
Urban Search and Rescue Response System Task Force Deployment Data	FEMA Form 089-0-15	Urban Search and Rescue Response System Task Force Deployment Data
Urban Search and Rescue Response System Task Force Self Evaluation Scoresheet	FEMA Form 089-0-14	Urban Search and Rescue Response System Task Force Self Evaluation Scoresheet
Vehicle Support Unit Purchase / Replacement / Disposal Justification	FEMA Form 089-0-26	Vehicle Support Unit Purchase / Replacement / Disposal Justification

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ICR Summary of Burden

table that charts list of burden

	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	210	196	0	14	0	0
Annual Time Burden (Hours)	392	364	0	28	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The increase of estimated burden hours from the previous forms collection submission is due to a request to add a form to this collection (Urban Search and Rescue Response System Vehicle Support Unit Purchase/Replacement/Disposal Justification, FEMA Form 089-0-26). The estimated burden hours are an increase of 28 hours (estimating half of the respondents (14) to submit this form each year x 2 hours per response = 28 hours).

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Annual Cost to Federal Government: $79,665

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 11/23/2015

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