OMB Control Number: 1660-0126
Expiration Date: 4/30/2017
PAPERWORK BURDEN DISCLOSURE NOTICE
Public reporting burden for this form is estimated to average 3 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 the 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 in the upper right corner of 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, Paperwork Reduction Project (1660-0126). NOTE: DO NOT SEND YOUR COMPLETED FORM TO THIS ADDRESS.
All EMPG Program applicants are encouraged to use the templates to submit a required Work Plan that outlines the state’s emergency management sustainment and enhancement efforts, including new and ongoing activities and projects, proposed for the EMPG Program period of performance. The Work Plan consists of a Program and Budget Narrative, Personnel Data Table, Training Data Table, Exercise Data Table, and Grant Activities Outline. FEMA Regional Program Managers will work closely with states to monitor Work Plans during the performance period and may request further documentation from the recipients to clarify the projected work plan. In addition, FEMA Regional Program Managers must approve final Work Plans before states may draw down EMPG Program funds. Grant funds will be released upon approval of the state’s final Work Plan.
Provide a brief description of the state emergency management priorities and initiatives that will be addressed with EMPG Program funds. In addition, the narrative should address the following:
Overview of the state’s risk profile resulting from the current THIRA
Areas of need identified through assessment processes such as the State Preparedness Report, Emergency Management Accreditation Program Assessment Process, National Emergency Communications Plan Goal Assessments, or other emergency management assessment processes
Baseline inventory of where states are now relative to goals and objectives identified in relevant strategic plans per CPG 101 v.2
State emergency management priorities and planning focus for current budget year (including linkage to the core capabilities identified in the Goal)
Detailed Budget Narrative justifying the requested funding for the identified Work Plan activities
Description of how projects and programmatic activities support the building or sustainment of the core capabilities as outlined in the Goal
To facilitate consistent data reporting and performance measures collection, a Personnel Data Table should be completed for state, local, tribal and territory (SLTT) personnel supported with EMPG Program funds. This will assist in documenting the extent to which EMPG Program funding supports personnel at the state-level. Submit this template with the EMPG Program Work Plan and a roster of EMPG-funded personnel. The roster of EMPG-funded personnel should be updated only if numbers change more than 10 percent during the award period of performance.
Personnel Data Table Template
Personnel Metrics |
Data |
EMPG Program funds (Federal and match) allocated towards state emergency management personnel |
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EMPG Program funds (Federal and match) allocated towards non-state emergency management personnel (local, Tribal, territories) |
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Total Number of state emergency management full-time equivalent (FTE) personnel (including those supported and not supported by the EMPG Program) |
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Number of state emergency management full-time equivalent (FTE) personnel supported (fully or partially) by the EMPG Program |
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Total Number of state, local, Tribal and territory (SLTT) emergency management personnel supported (fully or partially) by the EMPG Program |
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Line 1 – All EMPG Program funds (Fed & match) allocated for state emergency management personnel
Line 2 – All EMPG Program funds (Fed & match) allocated towards non-state emergency management personnel (Local, Tribal, Territories)
Line 3 – Total Number of state emergency management full-time equivalent (FTE) personnel (including those supported and not supported by the EMPG Program)
Line 4 – Number of state emergency management full-time equivalent (FTE) personnel supported by the EMPG Program
Line 5 – Total Number of state and local emergency management personnel funded (fully or partially) by the EMPG Program. This number provides the "Universe" number for the Training & Exercise templates.
To facilitate consistent data reporting and performance measures collection, a Training Data Table should be completed for training courses that meet the EMPG reporting requirements. This template should reflect training activities outlined in the Multi-Year TEP and completion of EMPG Program training requirements. EMPG Program funded personnel should complete the listed training requirements and record proof of completion.
Training Data Table Template
Name of Training |
EMPG Required Training? (Y/N) |
Number of Personnel Trained |
Total # of SLTT EMPG Funded Personnel |
Total # of SLTT EMPG Funded Personnel that completed the Course |
Training Identified in TEP (Y/N) |
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Col 6 – Is the training identified in the multi-year TEP?
To facilitate consistent data reporting and performance measure collection, an Exercise Data Table should be completed for any exercises that meet EMPG requirements and/or exercises conducted in whole or part with EMPG funds. Recipients shall conduct no less than four quarterly exercises and one full-scale exercise within a 12-month period. The five exercises shall be linked to common program priorities and reflect a progressive exercise series of increasingly complex exercises with each building upon the previous one while incorporating prior lessons learned. The exercises should be part of the recipient’s progressive exercise program and outlined in the multi-year TEP. EMPG Program funded personnel shall participate in no less than three exercises.
Exercise Data Table Template
Name/ Description of Exercise |
Date Exercise Scheduled/Completed |
Type of Exercise
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Program Priority Exercised |
Exercise Fulfills Progressive Exercise Requirement (Y/N) |
Total # of SLTT EMPG Funded Personnel |
Number of SLTT EMPG Program Funded Personnel Participating in Exercise |
Exercise Fulfills EMPG Exercise Participation Requirement (Y/N) |
Exercise Identified in TEP (Y/N) |
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Exercise Data Table Definitions:
Col 1 – Name/Description of Exercise
Col 2 – Date of exercise
Col 3 – Type of exercise (e.g., seminar, workshop, tabletop, games, drills, functional, and/or full-scale)
Col 4 – Program priority associated with the exercise
Col 5 – Is the exercise part of a progressive exercise series?
Col 6 – Total # of SLTT EMPG Funded Personnel (Universe)
Col 7 – Total # of SLTT EMPG Funded Personnel Participating in Exercise
Col 8 – Does the exercise fulfill the EMPG requirement that EMPG Program funded personnel participate in no less than three exercises?
Col 9 – Is exercise identified in the multi-year TEP?
Grant Activities Outline
To facilitate performance measures and focus on outcomes, an EMPG Program
Grant Activities Outline should be completed for activities supported with FY 2015
EMPG Program funds (including construction and renovation projects). The data outlined in this template will be used to evaluate the timely completion of planned emergency management activities. Recipients are encouraged to complete a separate Grant Activities Outline for each Emergency Management Function (EMF). Quarterly training activities should be reported against EMF #13, “Training,” and quarterly exercise activities should be reported against EMF #14, “Exercises, Evaluations and Corrective Actions.” Recipients should complete a template as shown on the next page and address the following areas:
EMF Number. Identify how the grant activities relate to the EMFs outlined in the September 2007 version of the Emergency Management Accreditation Program (EMAP) Standard (e.g. Resource Management, Communications and Warning, etc.)
Name of Planned Project. Provide a descriptive name of each planned project. Examples include “Development of Emergency Function Annexes”, “Development of Earthquake Scenario Loss Estimations”, “Implementation of Statewide Interoperability
Plan”, “NIMS Training for Emergency Management Personnel”, “Development of Emergency Preparedness Plan for Individuals with Disabilities”, etc.
Project Objective. Briefly explain the major objective of the project, including how the project will address gaps identified through various assessments conducted.
Core Capability Addressed. Briefly describe which of the 31 core capabilities (multiple can be selected) the project addresses.
Performance Measure and Basis of Evaluation. Indicate the performance measure that will be used to evaluate this project.
Challenges/Risks. Identify any challenges to implementing this project or any of its activities.
Quarterly Activity. Break each project down into quarterly activities. For each quarter, briefly identify the activities that will accomplish the planned project. This information will provide the foundation for the second component of the Quarterly Performance Progress Report.
Step. Provide the status of planned quarterly activities.
Comments. Briefly describe the reason for the project status and provide other comments as needed. Include the number of training sessions funded and the number of personnel trained in this section.
Grant Activities Outline - Template
Name of Planned Project: |
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Project Objective: |
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Core Capabilities Addressed: |
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Performance Measure and Basis of Evaluation: |
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Challenges/Risks: |
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1st Quarter Activity (10/1/15-12/31/15) |
Planned Activities: |
Step: |
Comments:
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2nd Quarter Activity (1/1/16-3/31/16) |
Planned Activities: |
Step: |
Comments:
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3rd Quarter Activity (4/1/16-6/30/16) |
Planned Activities: |
Step: |
Comments:
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4th Quarter Activity (7/1/16-9/30/16) |
Planned Activities: |
Step: |
Comments:
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5th Quarter Activity (10/1/16-12/31/16) |
Planned Activities: |
Step: |
Comments:
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6th Quarter Activity (1/1/17-3/31/17) |
Planned Activities: |
Step: |
Comments:
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7th Quarter Activity (4/1/17-6/30/17) |
Planned Activities: |
Step: |
Comments:
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8th Quarter Activity (7/1/17-9/30/17) |
Planned Activities: |
Step: |
Comments:
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Project Management Lifecycle
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Jackson, Cornelius |
File Modified | 0000-00-00 |
File Created | 2021-01-22 |