Tribal Homeland Security Grant Program (THSGP) Investment Justification Template

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OMB Control#: 1660-0113
Expiration Date: 12/31/2016
FEMA Form: 089-22

Tribal Homeland Security Grant Program (THSGP)
Investment Justification Template Introduction
OMB Control Number: 1660-0113
Expiration Date: December 31, 2016
PAPERWORK BURDEN DISCLOSURE NOTICE
Public reporting burden for this data collection is estimated to average 300 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 (1660-0113) NOTE: Do not send your completed form to this
address.

Security Warning:
When opening the IJ template, some users may see a note that says "Security Warning: some active
content has been disabled." Click on the [Options …] button next to the message, select "Enable this
content," then click on the [OK] button. If this is not done, the text boxes may not function properly.
As part of the application, Tribes are required to use this Excel-based THSGP Investment Justification (IJ)
template to apply for THSGP funding.
Eligible applicants must submit the THSGP Investment Justification as part of the overall application
submission through the ND Grants system, located at https://portal.fema.gov, no later than TBD, 11:59
p.m. Eastern Daylight Time (EDT).
THSGP applicants may include up to 3 Investments as part of their IJ submission. Applicants are also
required to complete the THSGP Eligibility Certification form. The Eligibility Certification form, and
three blank Investments appear as four separate “tabs” at the bottom of your Excel window.
Select one tab at a time to complete your application. If only one or two Investment are used, the
unused Investment tab(s) should remain blank. At a minimum, the Certification Form and one
Investment should be completed.
When completing the IJ, it is recommended that tribes use the name of the tribe as listed in the Federal
Register: http://www.bia.gov/idc/groups/xraca/documents/text/idc011463.pdf.
Self-Certification of Eligibility Criteria:
Applicants must self-certify as to whether they meet the eligibility requirements. Self-certification will be
provided on the THSGP Eligibility Certification Form located in this Investment Justification. Any questions
regarding an applicant’s proximity to a Critical Infrastructure and Key Structures (CI/KR) site, as described
the eligibility criteria, may be directed to the State Administrative Agency (SAA).

If using Excel 2007, applicants are required to save the final version of the IJ in the Excel 97-2003 format
before submitting. Excel 2007 or PDF formats cannot be accepted. Instructions on saving the IJ template
in the Excel 97-2003 format are below in the “Helpful Hints” section.

Helpful Hints:
Moving Through the Investment Justification:
While entering information in the IJ template, applicants should try to minimize the use of the Tab
and Enter keys to move between data entry fields. As the template consists of a combination of text
boxes and cells, using these keys may cause the cursor to move to an undesired location.
Expiration Date: 12/31/2016

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OMB Control#: 1660-0113
Expiration Date: 12/31/2016
FEMA Form: 089-22

Tribal Homeland Security Grant Program (THSGP)
Investment Justification Template Introduction
Copying & Pasting in the Investment Justification:
Some applicants may find it helpful to begin drafting their IJ information in MS Word and then pasting
this into the Excel-based template. However, please be aware that, when copying and pasting
information from Word into the text boxes in the template, any formatting will not carry over. Also,
right-clicking in the text boxes in Excel will not provide the usual pop-up menu where you can select
Cut, Copy, Paste, or any of the usual such options. To copy from a text box, users must select the
text, then use the [Edit] menu in Excel 2003 or the [Home] tab in Excel 2007 and select [Copy]. To
paste data into a text box, click in the text box, then use the [Edit] menu in Excel 2003 or the [Home]
tab in Excel 2007 and select [Paste].
Character Count:
The data entry fields included in the IJ allow for the maximum number of characters noted for that
section, plus an additional number of characters to account for spaces. Once that limit has been
reached, users will not be able to include any additional text.
Spell Check:
When using Spell Check in MS Excel, it will not review information entered into the data entry boxes.
Therefore, it is suggested that applicants use MS Word to ensure that the entered information is
spelled correctly. To use Spell Check in MS Word:
In MS Word 2003
a) Click on the [Tools] menu
b) Select [Spelling] and all spelling issues will be displayed
In MS Word 2007
a) Click on the [Review] tab near the top of the screen
b) Click on [Spelling & Grammar] and all spelling issues will be displayed
Saving in Excel 97-2003 Format:
As stated above, if using Excel 2007 to complete the IJ template, applicants are required to save the
final version in the Excel 97-2003 format before submitting. To do that:
a) Click on the Office Button at the top left of the Excel window
b) Hover over [Save As] in the list
c) Click on [Excel 97-2003 Workbook]
d) In the “Save As” Window, chose a location and file name for the new file.
To begin entering information into the IJ, click on the "Eligibility" tab below.

Expiration Date: 12/31/2016

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OMB Control#: 1660-0113
Expiration Date: 12/31/2016
FEMA Form: 089-22

Tribal Homeland Security Grant Program (THSGP) Eligibility Certification
Tribal or Consortium Point of Contact Information
Please provide all contact information in the spaces provided:
Name:

Title:

Office:
Position:
Tribe:
Address:
City
Phone:

State

Zip Code:

xxx-xxx-xxxx

Email:

Tribal Eligibility Certification
Per the 9/11 Act, directly eligible Tribes must meet the requirements below in paragraphs (A)(i), (ii), and (iv).
Tribes must also meet one of the requirements set forth in (A) (iii); either (I), (II), (III), or (IV). (B) may also be
satisfied, if each Tribe meets the requirements of subparagraph (A). Please mark all that apply.
I certify that I am an eligible Tribe or consortium of Tribes. I have read and will abide by the requirements of
the THSGP Guidance and Application Kit.
A) Any Indian Tribe
(i) that is located in the continental United States;
(ii) that operates a law enforcement or emergency response agency with the capacity to respond
to calls for law enforcement or emergency services; (By checking this box, you are also certifying
that the Tribal POC listed above can be reached, as necessary, to confirm that the Tribe meets
this eligibility criteria.)
(iii) [please mark all that apply; at least one requirement must be marked]
(I) that is located on or near (50 miles) an international border or a coastline bordering an
ocean (including the Gulf of Mexico) or international waters;
(II) that is located within 10 miles of a system or asset included on the
prioritized critical infrastructure list established under section 210E(a)(2)
[please refer to section 1001 of the Implementing Recommendations of the
9/11 Commission Act of 2007] or has such a system or asset within its territory;
(III) that is located within or contiguous to 1 of the 50 most populous
metropolitan statistical areas in the United States;
(IV) the jurisdiction of which includes not less than 1,000 square miles of Indian
country, as that term is defined in section 1151 of title 18, United States Code;
and
(iv) that certifies to the Secretary that a State has not provided funds under section 2003 [UASI]
or 2004 [SHSP] to the Indian Tribe or consortium of Indian Tribes for the purpose for which
direct funding is sought; (By checking this box, you are also certifying that the Tribal POC listed
above can be reached, as necessary, to confirm that the
Tribe meets this eligibility criteria.)
B) A consortium of Indian Tribes, if each Tribe satisfies the requirements of subparagraph (A)

Expiration Date: 12/31/2016

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OMB Control#: 1660-0113
Expiration Date: 12/31/2016
FEMA Form: 089-22

Tribal Homeland Security Grant Program (THSGP) Eligibility Certification
Tribe Consortium Information
If box B is marked above, please list each tribe participating in the consortium:
Tribe:
Tribe:
Tribe:
Tribe:
Tribe:
Tribe:
Tribe:
Tribe:

Bonus: Funding History
Tribal applicants that have not received THSGP funding in the past will receive five bonus points to each Investment
score at the time of application submission to FEMA (for a possible total bonus of 15 points). If the Tribe has
received THSGP funding in the past, provide the fiscal year(s) funding was received.
THSGP Funding in the Past (yes/no)
Fiscal Year(s) THSGP Funding Received

Instructions for Finalizing the IJ
If using Excel 2007, applicants are required to save the final version of the IJ in the Excel 97-2003 format before
submitting. Excel 2007 or PDF formats cannot be accepted. Instructions on saving the IJ template in the Excel 972003 format are below in the “Helpful Hints” Section of the Introduction tab.
Please provide a copy of this Investment Justification through the ND Grants system, located at
https://portal.fema.gov, by TBD, 11:59 p.m. EDT.

Expiration Date: 12/31/2016

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OMB Control#: 1660-0113
Expiration Date: 12/31/2016
FEMA Form: 089-22

Tribal Homeland Security Grant Program (THSGP) Investment Justification
I. Background

1

I.A. Tribe:
I.B. Investment Name:
I.C. Provide a baseline understanding of the spectrum of terrorism and natural hazard risks and demographics that the Tribe faces
and influenced the development of this Investment Justification (IJ). (2,500 character max)

Expiration Date: 12/31/2016

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OMB Control#: 1660-0113
Expiration Date: 12/31/2016
FEMA Form: 089-22

Tribal Homeland Security Grant Program (THSGP) Investment Justification
II. Overview (25%)
II.A. Investment Phase
If ongoing, describe the Investment’s current state and what will be accomplished prior to the application of requested funds. (1,500
character max)
Please note, if this Investment is marked “New,” please move to the next question.

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OMB Control#: 1660-0113
Expiration Date: 12/31/2016
FEMA Form: 089-22

Tribal Homeland Security Grant Program (THSGP) Investment Justification
II.B. Investment Focus
II.C. Provide a description of this Investment, including the planning, organization, equipment, training, and/or exercises that will be
involved. (1,500 character max)

Expiration Date: 12/31/2016

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OMB Control#: 1660-0113
Expiration Date: 12/31/2016
FEMA Form: 089-22

Tribal Homeland Security Grant Program (THSGP) Investment Justification
III. Baseline (25%)
III.A. Identify the goals and objectives that will be supported by this Investment. (1,500 character max)
Please note, this should be linked to the all-hazards risks identified in the answer to question I.C. in the Background section.

III.B. Describe existing capability levels that address the identified goals/objectives and what will be in place to support the
Investment prior to the use of requested funds. (1,500 character max)

Expiration Date: 12/31/2016

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OMB Control#: 1660-0113
Expiration Date: 12/31/2016
FEMA Form: 089-22

Tribal Homeland Security Grant Program (THSGP) Investment Justification
III.C. Explain the capability gap(s) that this Investment is intended to address. (1,500 character max)
Please note, this should be linked to the terrorism and natural hazards risks identified in I.C.

IV. Project Management and Milestones (25%)
IV.A - IV.B. Provide the proposed THSGP funding amount for this Investment, as well as the amount of funding that will be dedicated
to Management & Administration (M&A) expenditures. The percentage dedicated to M&A will automatically calculate.
Please note, M&A cannot exceed five percent (5%) of the total award amount.
Total Proposed
Funding Amount

Amount of Funding
Dedicated to M&A

Percent of Funding Dedicated to M&A
0.0%

Expiration Date: 12/31/2016

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OMB Control#: 1660-0113
Expiration Date: 12/31/2016
FEMA Form: 089-22

Tribal Homeland Security Grant Program (THSGP) Investment Justification
IV.C. Identify the National Preparedness Goal (NPG) Core Capabilities that are supported by this Investment. For each of the
selected Core Capabilities, provide the proposed funding amount to be obligated from this Investment.
Please note, the Total Amount of Proposed Funding in the table below must equal the Proposed Funding Amount entered above.
Percent of Proposed Funding will calculate automatically and should equal 100% once completed.
Amount of Proposed
Funding ($)

Proposed Funding by NPG Core Capability

Percent of Proposed
Funding (%)
0.0%
0.0%
0.0%
0.0%
0.0%
0.0%
0.0%
0.0%
0.0%
0.0%
0.0%
0.0%
0.0%
0.0%
0.0%
0.0%
0.0%
0.0%
0.0%
0.0%
0.0%
0.0%
0.0%
0.0%
0.0%
0.0%
0.0%
0.0%
0.0%
0.0%
0.0%

Planning
Public Information and Warning
Operational Coordination
Forensics and Attribution
Intelligence and Information Sharing
Interdiction and Disruption
Screening, Search, and Detection
Access Control and Identity Verification
Cybersecurity
Physical Protective Measures
Risk Management for Protection Programs and Activities
Supply Chain Integrity and Security
Community Resilience
Long-Term Vulnerability Reduction
Risk and Disaster Resilience Assessment
Threats and Hazard Identification
Critical Tranportation
Environmental Repsonse/Health and Safety
Fatality Management Services
Infrastructure Systems
Mass Care Services
Mass Search and Rescue Operations
On-Scene Security and Protection
Operational Communications
Public and Private Services and Resources
Public Health and Medical Services
Situational Assessment
Economic Recovery
Health and Social Services
Housing
Natural and Cultural Resources
Total Proposed Funding

$

-

Difference From Total Proposed Funding

$

-

0.0%

IV.D. Provide the proposed funding amount to be obligated from this Investment towards the primary Planning, Organization,
Equipment, Training, and Exercises (POETE) Solution Area.
Please note, the Total Amount of Proposed Funding should equal the Proposed Funding Amount entered above. The Percent of
Proposed Funding will calculate automatically and should equal 100% once completed.
Amount of Proposed
Funding ($)

Proposed Funding By Solution Area

Percent of Proposed
Funding (%)

Planning

0.0%

Organization

0.0%

Equipment

0.0%

Training

0.0%

Exercises

0.0%

Expiration Date: 12/31/2016

Total Proposed Funding

$

-

Difference From Total Proposed Funding

$

-

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0.0%

OMB Control#: 1660-0113
Expiration Date: 12/31/2016
FEMA Form: 089-22

Tribal Homeland Security Grant Program (THSGP) Investment Justification
IV.E. Provide a detailed budget narrative, in addition to SF-424A, explaining related costs and expenses as a part of the application.
This budget narrative should be detailed and should serve to: (1) explain how the costs were estimated, and (2) justify the needs for
the costs incurred to the measurable achievement outcomes as stated in the Investment Justification. (1,500 character max)

Expiration Date: 12/31/2016

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OMB Control#: 1660-0113
Expiration Date: 12/31/2016
FEMA Form: 089-22

Tribal Homeland Security Grant Program (THSGP) Investment Justification
IV.F. Identify up to ten projects/activities, with start and end dates, which will be implemented over the 36-month period of
performance.
Project Name
(100 character max)

Funding Amount

Project Management
Process

Dates (Month/Year)
Start
End

IV.G. Does this Investment require new construction or renovation, retrofitting, or modification of existing
structures?
Please note that these costs are allowable only when it is a necessary component of a security system at critical infrastructure
facilities.

V. Law Enforcement Terrorism Prevention Activities (LETPA)
V.A If applicable, provide the proposed funding amount that is expected to be obligated towards Law Enforcement Terrorism
Prevention Activities (LETPA). Activities that support this requirement should be clearly defined and explained in the answer to
question II.C.

Total Proposed
Funding Amount

Amount of Funding
Dedicated to LETPA

$0

Expiration Date: 12/31/2016

Percent of Funding Dedicated to
LETPA
0.0%

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OMB Control#: 1660-0113
Expiration Date: 12/31/2016
FEMA Form: 089-22

Tribal Homeland Security Grant Program (THSGP) Investment Justification
VI. Accomplishments and Impact (25%)
VI.A. Describe the outcomes that will be achieved as a result of this Investment. The outcomes should demonstrate improvements
towards building capabilities described in Section III, Baseline. (1,500 character max)

VI.B. Identify the Mission Areas from the National Preparedness Goal that are supported by this Investment. At least one mission
area should be identified.
Prevention
Protection
Mitigation
Response
Recovery

Instructions for Finalizing the IJ
If using Excel 2007, applicants are required to save the final version of the IJ in the Excel 97-2003 format before submitting. Excel
2007 or PDF formats cannot be accepted. Instructions on saving the IJ template in the Excel 97-2003 format are below in the “Helpful
Hints” Section of the Introduction tab.
Please provide a copy of this Investment Justification through the ND Grants system, located at https://portal.fema.gov, by TBD, 11:59
p.m. EDT.

Expiration Date: 12/31/2016

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Investment 2
Tribal
Homeland
Security Grant
Program
(THSGP)
Investment
Justification
I. Background

2

I.A. Tribe:
I.B.
Investment
Name:
I.C. Provide

a baseline
understand
ing of the
spectrum
of terrorism
and natural
hazard
risks and
demograph
ics that the
Tribe faces
and
influenced
the
developme
nt of this
Investment
Justificatio
n (IJ).
(2,500
character
max)

Page 10

PRIVACY ACT STATEMENT

AUTHORITY: The Homeland Security Act of 2002, as amended by Title I of the Implementing Recommendations of the 9/11 Commission Act of 2007, 6 U.S.C. §§ 605 a

PRINCIPAL PURPOSE(S): This information is being collected for the primary purpose of facilitating correspondence between the grant applicant and the Department of
administration of FEMA Preparedness Grant Programs, specifically, the Tribal Homeland Security Grant Program.

ROUTINE USE(S): The information on this form may be disclosed as generally permitted under 5 U.S.C. § 552a(b) of the Privacy Act of 1974, as amended. This include
routine uses published in DHS/FEMA – 004 Grants Management Information Files System of Records, 74 FR 39,705 (August 7, 2009), and upon written request, by agr
DISCLOSURE: The disclosure of information on this form is voluntary; however, failure to provide the information requested may delay or prevent the organization from

ct of 2007, 6 U.S.C. §§ 605 and 606.

cant and the Department of Homeland Security and for determining eligibility and

4, as amended. This includes using this information as necessary and authorized by the
upon written request, by agreement, or as required by law.

event the organization from receiving grant funding.