Form FEMA Form 089-0-11 FEMA Form 089-0-11 Urban Search and Rescue Response System Semi-Annual Perf

National Urban Search and Rescue Grant Program

Copy of 02-FF 089-0-11Performance Report (REV FINAL 2015) (3).xls

Urban Search and Rescue Response System Semi-Annual Performance Report

OMB: 1660-0073

Document [xlsx]
Download: xlsx | pdf

Overview

Instructions
Narrative Perf Report
Funds Report
Page 1
Page 2
Page 3


Sheet 1: Instructions

Department of Homeland Security OMB 1660-0073
Expires: 11/30/2015
Federal Emergency Management Agency
URBAN SEARCH AND RESCUE RESPONSE SYSTEM
SEMI-ANNUAL PERFORMANCE REPORT
PAPERWORK BURDEN DISCLOSURE NOTICE
FEMA Form 089-0-11
Public reporting burden for this data collection is estimated to average 2 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, 500 C Street, SW., Washington, DC 20472-3100, Paperwork Reduction Project (1660-0073) NOTE: Do not send your completed form to this address.















INSTRUCTIONS















This report is due on the date outlined in the current US&R Grant Guidance/Statement of Work













Fill in all highlighted sections in all pages of the workbook













File a copy of this report within all open Task Force cooperative agreements files













Type in the name and title of person submitting report. After printing document, sign and date to submit













Submit completed report in accordance with current procedure





























Performance Report - Narrative Section













This report is used to provide information to the US&R Branch, FEMA Leadership and the














Grant Programs Directorate on Task Force activities within the 4 budget categories












Report activities from the last 6 months of all open cooperative agreements




























Performance Report - Funds Supplement













Fill in the highlighted boxes with your task force information













This document is used to report all open US&R cooperative agreements during this time period













The "Grant Fiscal Year" represents the year the funds were allocated













The "Grant ID Number" represents the grant award number













The "Beginning Balance" is the amount of funds available at the beginning of this reporting time period













The "Funds Spent" represent the actual amount of funds fully paid during this reporting time period













The 'Remaining Balance" will be calculated automatically













The actual "Period of Performance" dates are required to be filled in for each open grant













For each cooperative agreement worksheet, provide any minor changes made in space allotted, by category














































































































































































































































































































































































































































































FEMA FORM 089-0-11











Page 1 of 9

Sheet 2: Narrative Perf Report



Semi-Annual Performance Report - Narrative















Task Force:

TF-

For Time Period:

to


Reporting Date:





















A. Management























1. Describe the adequacy of staffing for the Task Force Program Management Team (Full Time/ Significant Part Time members) including actual or anticipated vacancies and expected fill dates.















2. Provide status of all open Cooperative Agreements as to whether there are any anticipated budget changes, extensions or delays in closeout package submission.















3. Identify Local and National meetings attended and National work groups supported.















4. Provide at least 3 overall Task Force management goals or objectives for the next 6 months.














5. Discuss any anticipated problems/issues you foresee within the next 6 months that may impact the management objectives defined in the Task Force's budget plan(s).

FEMA FORM 089-0-11









Page 2 of 9
B. Training and Exercises























1. Summarize local general and/or specialized training conducted and National (sponsored) courses attended during the previous 6-month period. Identify number of participants attending training and associated costs.

Cost Number of TF attendees Course Title Course Date Course Location

















































2. Indicate number of Task Force Members: Prior Period
Current Period
Rostered Members:






Deployable Members:






Fully Trained Members:









New Recruits:



















3. Provide at least 3 overall Task Force training and/or exercise goals or objectives for the next 6 months and briefly describe any performance benefits from the cooperative agreement funding.















4. Discuss any anticipated problems/issues you Task Force foresees within the next 6 months that may impact the training and/or exercise objectives defined in the Task Force's budget plan(s):


FEMA FORM 089-0-11









Page 3 of 9













C. Equipment























1. US&R Task Force Tools and Equipment cache – identify the adequacy, shortfalls, and procurement actions in progress and/or associated problems. Identify the number of inventories conducted. Discuss any equipment replacement issues or delays.















2. Provide any overall Task Force equipment procurement/accountability goals or objectives for the next 6 months.














3. Discuss any anticipated problems/issues your Task Force foresees within the next 6 months that may impact the equipment procurement/accountability objectives defined in the Task Force's budget plan(s):















D. Storage and Maintenance























1. Provide information on the adequacy of your warehouse facility, management of this facility and any lease, owernship, or security issues. Discuss any issues or planned actions to improve your facilities.















2. Provide an explanation of availability of all needed vehicles to deploy your Task Force. Identify any Task Force shortfalls and plan to resolve these issues, including completion dates.


FEMA FORM 089-0-11









Page 4 of 9


























E. Overall Performance























Feel free to provide any information you feel should be relayed to either the US&R Program Office or Grant Programs Directorate on the performance of your Task Force or any issues you are facing in the administration your US&R cooperative agreement(s).






















































Submitted by:






















Name Printed





Signature













Title





Date












































































































































































































































































































FEMA FORM 089-0-11









Page 5 of 9

Sheet 3: Funds Report




Cooperative Agreement Summary Information Page




























Task Force:
Enter your task force designator in this box. xx-TFx








































Reporting Period:
Reporting Periods are January 31 and July 31 each year. Enter the appropriate reporting period in this box. 7/31/20XX
For Time Period
Time periods are: January 1 to June 30 and July 1 to December 31 each year. Enter the appropriate corresponding time period in these boxes. 1/1/20XX to Time periods are: January 1 to June 30 and July 1 to December 31 each year. Enter the appropriate corresponding time period in these boxes. 6/30/20XX













































Columns A, B and C are linked to page 1 Linked to Page 1


Columns E, F and G are linked to page 2 Linked to Page 2


Columns I, J and K are linked to page 3 Linked to Page 3

Grant Fiscal Year
Enter Fiscal Year this Cooperative Agreement is associated with. FY 20xx
Grant Fiscal Year
FY 20xx
Grant Fiscal Year
FY 20xx











Federal Grant ID Number: Enter Cooperative Agreement number into this box.

Federal Grant ID Number:

Federal Grant ID Number:











Grant Award Amount:
Enter total initial grant award in this box $-
Grant Award Amount: 600000 $-
Grant Award Amount:
$-











Beginning Period Balance:
Enter the beginning balance in this box. If the funding is just beginning, enter $-
Beginning Balance:
$-
Beginning Balance:
$-











Funds Spent this Period:
Current Expenditures
Funds Spent this Period:
Current Expenditures
Funds Spent this Period:
Current Expenditures
Administration/Management
Enter the previous 6 month expenditures in these boxes. $-
Administration/Management
$-
Administration/Management
$-
Training
$-
Training
$-
Training
$-
Equipment Purchases
$-
Equipment Purchases
$-
Equipment Purchases
$-
Storage and Maintenance
$-
Storage and Maintenance
$-
Storage and Maintenance
$-
Total Funds Spent:
$-
Total Funds Spent:
$-
Total Funds Spent:
$-











Remaining Grant Balance:
$-
Remaining Grant Balance:
$-
Remaining Grant Balance:
$-











Additional General Grant Information entered below this line































Catalog of Federal Domestic Assistance
Old CFDA #









New CFDA #
















Period of Performance
FY 20xx
0
Enter the Period of Performance for each Cooperative Agreement into these boxes. 00/00/200x to 00/00/200X














FY 20xx
0
00/00/200x to 00/00/200X














FY 20xx
0
00/00/200x to 00/00/200X























Total funds remaining
$-


















Name of Person Submitting Report


(Typed Name)









Program Manager
Signature


Date




Title






Sheet 4: Page 1

Task Force:
xx-TFx








































Reporting Period:
7/31/20XX

For Time Period
1/1/20XX to 6/30/20XX
























Original or Modified
Previously Remaining
Amount




Budgeted
Expended Total Actual
(+ or -) of


Linked to Funds Report Page
Amount
Amount Amount
BUDGET


Grant Fiscal Year
FY 20xx


















Federal Grant ID Number:
0







Local Grant ID Number









Award Amount:
$-







Beginning Period Balance:

$-




Funds Expended:
Budgeted
Previous Expenditures Current Expenditures
+ or - Budget
% Not Spent
Administration/Management
Enter the amounts from your original or modified Form 20-20 into these boxes $-
Enter all previous reporting periods expenditures into these boxes. If there were none, enter zero or leave blank. $- $-
$-
#DIV/0!
Training
$-
$- $-
$-
#DIV/0!
Equipment Purchases
$-
$- $-
$-
#DIV/0!
Storage and Maintenance
$-
$- $-
$-
#DIV/0!
Total Funds Expended:


$- $-
$- `























Remaining Grant Balance:


$-
#DIV/0!






















Period of Performance
FY 20xx

0
00/00/200x to 00/00/200X






















Explanation on Spending Plan: Describe your progress to meet your spending plan goals




















Administration/Management




















Training




















Equipment




















Storage and Maintenance




















Name of Person Submitting Report











(Typed Name)









Program Manager
Signature


Date



Title







FEMA FORM 089-11






Page 7 of 9


Sheet 5: Page 2

Task Force:
xx-TFx








































Reporting Period:
7/31/20XX

For Time Period
1/1/20XX to 6/30/20XX
























Original or Modified
Previously Remaining
Amount




Budgeted
Expended Total Actual
(+ or -) of


Linked to Funds Report Page
Amount
Amount Amount
BUDGET


Grant Fiscal Year
FY 20xx


















Federal Grant ID Number:
0







Local Grant ID Number:









Award Amount:
$-







Beginning Period Balance:

$-




Funds Expended:
Budgeted
Previous Expenditures Current Expenditures
+ or - Budget
% Not Spent
Administration/Management
Enter the amounts from your original or modified Form 20-20 into these boxes $-
Enter all previous reporting periods expenditures into these boxes. If there were none, enter zero or leave blank. $- $-
$-
#DIV/0!
Training
$-
$- $-
$-
#DIV/0!
Equipment Purchases
$-
$- $-
$-
#DIV/0!
Storage and Maintenance
$-
$- $-
$-
#DIV/0!
Total Funds Expended:


$- $-
$-
























Remaining Grant Balance:


$-
#DIV/0!






















Period of Performance
FY 20xx

0
00/00/200x to 00/00/200X






















Explanation on Spending Plan: Describe your progress to meet your spending plan goals











Administration/Management
(Example: We are on target to meet our spending plan goals.)



















Training




















Equipment




















Storage and Maintenance




















Name of Person Submitting Report











(Typed Name)









Program Manager
Signature


Date



Title








Sheet 6: Page 3

Task Force:
xx-TFx








































Reporting Period:
7/31/20XX

For Time Period
1/1/20XX to 6/30/20XX
























Original or Modified
Previously Remaining
Amount




Budgeted
Expended Total Actual
(+ or -) of


Linked to Funds Report Page
Amount
Amount Amount
BUDGET


Grant Fiscal Year
FY 20xx


















Federal Grant ID Number:
0







Local Grant ID Number:









Award Amount:
$-







Beginning Period Balance:

$-




Funds Expended:
Budgeted
Previous Expenditures Current Expenditures
+ or - Budget
% Not Spent
Administration/Management
Enter the amounts from your original or modified Form 20-20 into these boxes $-
Enter all previous reporting periods expenditures into these boxes. If there were none, enter zero or leave blank. $- $-
$-
#DIV/0!
Training
$-
$- $-
$-
#DIV/0!
Equipment Purchases
$-
$- $-
$-
#DIV/0!
Storage and Maintenance
$-
$- $-
$-
#DIV/0!
Total Funds Expended:


$- $-
$-
























Remaining Grant Balance:


$-
#DIV/0!






















Period of Performance
FY 20xx

0
00/00/200x to 00/00/200X






















Explanation on Spending Plan: Describe your progress to meet your spending plan goals




















Administration/Management
(Example: We are on target to meet our spending plan goals.)



















Training




















Equipment




















Storage and Maintenance




















Name of Person Submitting Report











(Typed Name)









Program Manager
Signature


Date



Title







File Typeapplication/vnd.ms-excel
Authorfema employee
Last Modified ByGreene, Sherina
File Modified2015-10-15
File Created2005-07-25

© 2024 OMB.report | Privacy Policy