Controlled Equipment Request Form

Forms and Documents

Document Name	Status
Form FEMA Form 087-0-0- Controlled Equipment Request Form Form and Instruction	Modified
Form FEMA Form 087-0-0- Controlled Equipment Request Form Form and Instruction	Modified
Supporting Statement for OMB Collection 1660-0141, (Revised).docx Supporting Statement A	2016-09-06
Published 30 Day FRN for OMB Collection 1660-0141, 8-5-2016.pdf Supplementary Document	2016-08-05
Published 60 Day FRN for OMB Collection 1660-0141, 5-24-2016.pdf Supplementary Document	2016-08-05
Presidential Memorandum - Safeguarding Privacy, Civil Rights, and Civil Liberties in Domestic Use of Unmanned Aircraft Systems.pdf Supplementary Document	2016-08-05
Narrative of Changes for OMB Collection 1660-0141.docx Supplementary Document	2016-07-25
Forms Revision Chart for FEMA Form 087-0-0-1, 5-6-16.doc Supplementary Document	2016-07-25
IB 407 Controlled Equipment Final_01262016.docx Supplementary Document	2016-02-03
privacy_PIA_FEMA_GrantManagementPrograms_February2015.pdf Supplementary Document	2016-07-25
3-PTA FEMA - Controlled Equipment Request Form 20160113 PRIV Final (2).pdf Supplementary Document	2016-07-25
Executive Order 13688, le_equipment_wg_final_report_final.pdf Supplementary Document	2016-02-02

IC Document Collections

IC ID	Document Title	Status
219957	Controlled Equipment Request Form Form and Instruction	Modified
219956	Controlled Equipment Request Form Form and Instruction	Modified

ICR Details

OMB Control No: 1660-0141	ICR Reference No: 201607-1660-001
Status: Historical Inactive	Previous ICR Reference No: 201602-1660-001
Agency/Subagency: DHS/FEMA	Agency Tracking No:
Title: Controlled Equipment Request Form
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Withdrawn and continue	Conclusion Date: 05/08/2017
	Date Received in OIRA: 09/07/2016
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2016	36 Months From Approved	06/30/2017
Responses	175	0	175
Time Burden (Hours)	131	0	131
Cost Burden (Dollars)	0	0	0

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Abstract: This form was developed to collect required information as part of the implementation of Executive Order (EO) 13688: Federal Support for Local Law Enforcement Equipment Acquisition, issued January 16, 2015, which established a Prohibited Equipment List and a Controlled Equipment List and identified actions that can improve Federal support for the appropriate use, acquisition, and transfer of controlled equipment by state, local, tribal, territorial, and private grant recipients. One of the requirements of the report is to collect information on the grant recipient, their policies, training, record keeping, etc. In considering Grant Programs Directorate’s approach to implementing these recommendations, we worked hard to balance the requirement to collect the information, and the effort required by the grant recipients. The form includes only fields required to comply with the recommendations (which were accepted by the President). The fillable nature of the form reduces the amount of time and effort required for grant recipients. The information has a multi-fold purpose: Harmonization of federal acquisition processes, institution of Required Protocols and Training for grant recipients that Acquire Controlled Equipment, and to increase federal oversight and compliance. In accordance with Executive Order (EO) 13688: Federal Support for Local Law Enforcement Equipment Acquisition, and the Recommendations Pursuant to Executive Order 13688, all Federal equipment acquisition programs must require grant recipients that apply for controlled equipment to provide mandatory information in their application, including a detailed justification with a clear and persuasive explanation of the need for the controlled equipment, the availability of the requested controlled equipment to recipient in its inventory or through other means, certifications that appropriate protocols and training requirements have been adopted, evidence of the civilian governing body’s review and approval or concurrence of the entity’s acquisition of the requested controlled equipment, and whether the entity has been or is in violation of civil rights and other statutes, regulations, or programmatic terms. Ongoing coordination among the various Federal Agencies will ensure that a uniform process is in place to assess the adequacy of the justification in each application. This coordination includes sharing of required information to prohibit duplication of grant funding for controlled equipment or potentially granting of funding for controlled equipment to an entity that has been sanctioned by another agency.

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Authorizing Statute(s): EO: EO 13688 Name/Subject of EO: Federal Support for Local Law Enforcement Equipment Acquisition
  

Citations for New Statutory Requirements: EO: EO 13688 Name/Subject of EO: Federal Support for Local Law Enforcement Equipment Acquisition

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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:
	81 FR 32769	05/24/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 51924	08/05/2016
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
Controlled Equipment Request Form	FEMA Form 087-0-0-1	Controlled Equipment Request Form
Controlled Equipment Request Form	FEMA Form 087-0-0-1	Controlled Equipment Request Form

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

Burden Increase Due to:

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

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $759

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: 09/07/2016

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