Narrative of Changes

Narrative of Changes

The purpose of the Narrative of Changes is to clearly indicate changes to a collection since the previous approval.

Collection Title: Controlled Equipment Request Form

OMB Control No.: 1660-0141

Current Expiration Date: 09/30/2016

Collection Instruments: FEMA Form 087-0-0-1

The following are the changes to the collection:

The FEMA form number has not been changed however, FEMA Form 087-0-0-1 has been revised. See Forms Revision Chart provided for FEMA Form 087-0-0-1.

Supporting Statement:

Question 8a – Updated to reflect FRN publication information.

Question 10 – Updated to reflect current privacy information.

Question 12 – Number of forms respondents has not changed.

Question 14 – Cost to the Federal Government has been updated.

Question 15 – Burden hour has not changed.

Estimated Annualized Burden Hours and Costs
Type of Respondent	Form Name / Form Number	No. of Respon-dents	No. of Respon-ses per Respon-dent	Total No. of Responses	Avg. Burden per Response (in hours)	Total Annual Burden (in hours)	Avg. Hourly Wage Rate	Total Annual Respondent Cost
Business or other for-profit	Controlled Equipment Request Form / FEMA Form 087-0-0-1	119	1	119	0.75 (45 minutes)	89	$29.60	$2,634.40
State, Local or Tribal Government	Controlled Equipment Request Form / FEMA Form 087-0-0-1	56	1	56	0.75 (45 minutes)	42	$29.60	$1,243.20
Total		175		175		131		$3,877.60

• Note: The “Avg. Hourly Wage Rate” for each respondent includes a 1.4 multiplier to reflect a fully-loaded wage rate.

Question 15

Itemized Changes in Annual Burden Hours
Data collection Activity/Instrument	Program Change (hours currently on OMB Inventory)	Program Change (New)	Difference	Adjustment (hours currently on OMB Inventory)	Adjustment (New)	Difference
Controlled Equipment Request Form / FEMA Form 087-0-0-1				131	131	0
Total(s)				131	131	0

Explain:

There are no changes to the annual hour burden and there has been no change to the information being collected. However, FEMA Form 087-0-0-1 has since been revised.