Change Request Chart for FEMA Form 089-16

Forms Revision Chart FEMA Form 089-16_10152015.doc

FEMA Preparedness Grants: Homeland Security Grant Program (HSGP)

Change Request Chart for FEMA Form 089-16

OMB: 1660-0125

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FORM REVISION CHART

FEMA Form 89-16, Operation Stonegarden Budget Template





Page 2


LOC.

CURRENT TEXT

REVISED TEXT

Page 3, #3 Line 6 (chart)

List Equipment -- Total

Equipment Total $ (Provide AEL #)

Page 3

#7


*Justification Letter needed for 100K or more purchases. If more space is needed show total equipment cost and list all equipment in justification section of budget. Equipment. Sub-Recipient & Friendly Force Name -- Total $

Page 3

#8

Special Equipment

(Requiring Separat waiver, I.e. Planes, boats,

Vehicles, SUV’s, etc. – Narrative Justification -- Federal Total $

*Needs Justification Letter – Narrative Justification –Sub Recipient & Friendly Force Name. Total $

Page 3

#9

Part-Time to Full-Time Law Enforcement Personnel - Narrative Justification – Total $

Removed

Page 3

#10

Activated Reserve Law Enforcement Personnel – Narrative Justification – Total$

Removed

Page 3

#11

Vehicles – Vehicle Maintenance – Narrative Justification – Total $

Fuel Costs – Narrative Justification –Total$


Vehicles – Fuel Cost –List County with fuel totals – Total$

Maintenance Costs – List County with maintenance costs – Mileage Costs – List County with Mileage Costs -- Totals

Page 3

#12

Blank

Travel, Lodging and Per diem. For Deployed LE and/or Federally sponsored (DHS/FEMA) border security task force, meetings or training – List Counties with Travel totals. – Total $

Page 3

#13

Blank

County M&A - Subrecipients only - Total$

Page 3

#14


Total Funding Cost





PAGE 3


Page 4 (new Form)

#1, Lines 1-9

Blank

Itemized Cost Narrative Justification

-Overtime - Subtotal OT

-Fringe – Subtotal Fringe

-Equipment – Subtotal Equipment

-Fuel – Subtotal Equipment

-Maintenance – subtotal maintenance

-Mileage – subtotal mileage

-Travel – subtotal travel

M&A – subtotal M&A


Page 4

#2

(Chart)

Blank

Table A.2 County – Sub-recipient Costs Summary

-Insert Table

Cost Categories – OT-Fringe-Equipment-Fuel-Maintenance –Mileage-Travel-M&A - Total

Page 4

#3

(Chart)

Blank

Table A. 3 Total proposed expenditures for all participating partners: Insert Table:


Cost Categories – OT-Fringe-Equipment-Fuel-Maintenance –Mileage-Travel-M&A - Total

Page 5 (new Form), Page 4 (old form)

Cost Estimates/Funding Requests (Year 2)

(Year 2)

Cost Estimates/Funding Requests (Year 3)

(Year 3)





No further changes






File Typeapplication/msword
File TitleFF-####, TITLE
AuthorFEMA Employee
Last Modified ByGreene, Sherina
File Modified2016-03-23
File Created2015-10-14

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