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 Part A for ICR 1660-0080 Updated 3-31-2020.docx Supporting Statement A	2020-03-31
Published 30 Day FRN for ICR 1660-0080 3-20-2020.pdf Supplementary Document	2020-03-30
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 ICR 1660-0080 12-19-2019.pdf Supplementary Document	2020-03-30
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: 202003-1660-007
Status: Active	Previous ICR Reference No: 201609-1660-002
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: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 07/10/2020
	Date Received in OIRA: 03/31/2020
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2023	36 Months From Approved	07/31/2020
Responses	15	0	20
Time Burden (Hours)	75	0	100
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:
	84 FR 69758	12/19/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 16115	03/20/2020
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	15	20	0	0	-5	0
Annual Time Burden (Hours)	75	100	0	0	-25	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 fewer applications submitted to FEMA since the last renewal of this information collection. Therefore, the number of respondents and annual burden hours have been decreased the adjust for that. There were some minor changes made to the FEMA Form 119-0-1, but no changes to the information being collected.

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Annual Cost to Federal Government: $2,979

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

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? No

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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: 03/31/2020

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