Application for Surplus Federal Real Property Public Benefit Conveyance and BRAC Program for Emergency Management Use

Forms and Documents

Document Name	Status
Form FEMA Form 119-0-1 Application for Surplus Federal Real Property Public Benefit Conveyance and BRAC Program for Emergency Management Use Form and Instruction	Modified
Supporting Statement for OMB Collection 1660-0080 Part A, (Revised).doc Supporting Statement A	2016-11-21
Narrative of Changes for OMB Collection 1660-0080.docx Supplementary Document	2016-11-01
Published 30 Day FRN for OMB Collection 1660-0080, 10-4-2016.pdf Supplementary Document	2016-11-01
SORN, DHS-2008-0092-0001.pdf Supplementary Document	2016-11-01
privacy-dhs-all-PIA-006-update-June2016.pdf Supplementary Document	2016-11-01
Published 60 Day FRN for OMB Collection 1660-0080, 7-14-2016.pdf Supplementary Document	2016-11-01
40 usc 541.pdf Supplementary Document	2010-05-04
Federal Property and Administrative Services Act of 1949.pdf Supplementary Document	2010-05-04
41 CFR 102-75 750 thru 815.docx Supplementary Document	2010-05-04
40 USC 553.pdf Supplementary Document	2010-05-04

IC Document Collections

IC ID	Document Title	Status
21177	Application for Surplus Federal Real Property Public Benefit Conveyance and BRAC Program for Emergency Management Use Form and Instruction	Modified

ICR Details

OMB Control No: 1660-0080	ICR Reference No: 201609-1660-002
Status: Historical Active	Previous ICR Reference No: 201306-1660-001
Agency/Subagency: DHS/FEMA	Agency Tracking No:
Title: Application for Surplus Federal Real Property Public Benefit Conveyance and BRAC Program for Emergency Management Use
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/14/2017
	Date Received in OIRA: 11/22/2016
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2020	36 Months From Approved	03/31/2017
Responses	20	0	50
Time Burden (Hours)	100	0	200
Cost Burden (Dollars)	0	0	0

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Abstract: Use of the Application for Surplus Federal Real Property Public Benefit Conveyance and Base Realignment and Closure (BRAC) Program for Emergency Management Use is necessary to implement the processes and procedures for the successful, lawful, and expeditious conveyance of real property from the Federal Government to public entities such as State, local, county, city, town, or other like government bodies, as it relates to emergency management response purposes, including fire and rescue services. Utilization of this application will ensure that properties will be fully positioned for use at their highest and best potentials as required by GSA and Department of Defense regulations, public law, Executive Orders, and the Code of Federal Regulations.

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Authorizing Statute(s): US Code: 40 USC 553 Name of Law: Property for Correctional Facility, Law Enforcement, and Emergency Response Purposes
   US Code: 40 USC 541 Name of Law: Public Building and Work
  

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:
	81 FR 45518	07/14/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 68444	10/04/2016
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Application for Surplus Federal Real Property Public Benefit Conveyance and BRAC Program for Emergency Management Use	FEMA Form 119-0-1	Application for Surplus Federal Real Property Public Benefit Conveyance and BRAC Program for Emergency Management Use

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ICR Summary 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	20	50	0	0	-30	0
Annual Time Burden (Hours)	100	200	0	0	-100	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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: There have been a lesser number of applications being submitted to FEMA. Therefore, the number of respondents and annual burden hours has decreased. The average burden per response in hours was changed due to provide a better estimate in hours. There has been no changes to the information being collected for FEMA Form 119-0-1.

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Annual Cost to Federal Government: $2,398

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: 11/22/2016

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