Public Assistance Program

ICR 202105-1660-001

OMB: 1660-0017

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Unchanged
Form and Instruction
New
Form
Unchanged
Form
Unchanged
Form
Unchanged
Form
Unchanged
Form
Unchanged
Form
Unchanged
Form
Unchanged
Form
Unchanged
Form
Unchanged
Form
Unchanged
Form
Unchanged
Form
Unchanged
Form
Unchanged
Form and Instruction
Unchanged
Form and Instruction
Unchanged
Justification for No Material/Nonsubstantive Change
2021-06-08
Supplementary Document
2021-04-16
Supporting Statement A
2021-04-08
Supplementary Document
2021-03-30
Supplementary Document
2016-09-02
Supplementary Document
2016-09-01
ICR Details
1660-0017 202105-1660-001
Received in OIRA 202103-1660-008
DHS/FEMA
Public Assistance Program
No material or nonsubstantive change to a currently approved collection   No
Emergency 04/30/2021
06/08/2021
  Requested Previously Approved
10/31/2021 10/31/2021
449,084 398,068
491,533 466,025
0 0

The Public Assistance Program assist State, Tribal and local governments and certain private Non-Profit entities with the responses to and recovery from disasters following a Presidentially declared major disasters and emergencies. The information collected is utilized by FEMA to make determinations for Public Assistance grants based on the information supplied by the respondents.
The White House declared a nationwide emergency with Proclamation 9994 on March 13, 2020, and subsequent major disaster declarations, to provide federal assistance under the Robert T. Stafford Disaster Relief and Emergency Assistance Act, 42 U.S.C. §§5121–5207 for emergency protective measures to address the COVID-19 pandemic. The purpose of this revision to the information collection is to update the PA Program in support of FEMA Policy #104-21-0004: “Coronavirus (COVID-19) Pandemic: Medical Care Eligible for PA (Interim) (Version 2).” This interim policy defines the framework and requirements for determining the eligibility of medical care work and costs under the PA Program to ensure consistent and appropriate implementation across all COVID-19 emergency and major disaster declarations. There is no substantive change to the information collected for eligible medical care; however, in support of the Executive Order (EO) 13995 on Ensuring an Equitable Pandemic Response and Recovery dated January 21, 2021, additional information collection is necessary.

PL: Pub.L. 93 - 288 406-407 Name of Law: Robert T. Stafford Disaster Relief and Emergency Assistance Act
  
PL: Pub.L. 111 - 5 601 Name of Law: American Recovery and Reinvestment Act of 2009

Not associated with rulemaking

No

20
IC Title Form No. Form Name
Applicant's Benefits Calculation Worksheet FEMA Form 009-0-128 Applicant's Benefits Calculation Worksheet
Contract Work Summary Record FEMA Form 009-0-126 Contract Work Summary Record
FAC-TRAX System 009-0-141 FAC-TRAX System
FEMA Template 104-FY-21-100 Equitable COVID-19 Response and Recovery: Vaccine Administration Information FEMA Template 104-FY-21-100 Equitable Vaccine Administration Information Submission
Force Account Equipment Summary Record FEMA Form 009-0-127 Force Account Equipment Summary Record
Force Account Labor Summary FEMA Form 009-0-123 Force Account Labor Summary Record
Materials Summary Record FEMA Form 009-0-124 Materials Summary Record
PNP Facility Questionnaire FEMA Form 009-0-121 PNP Facility Questionaire
Progress Report FEMA Form 009-0-111 Quarterly Progress Report
Project Work Sheet Damage Description and Scope of Work FEMA Form 009-0-91A Project Worksheet - Damage Description and Scope of Work Continuation Sheet
Project Worksheet FEMA Form 009-0-91 Project Worksheet
Project Worksheet Cost Estimate Continuation Sheet and Cost Overruns FEMA Form 009-0-91B Project Worksheet-Cost Estimate Continuation Sheet
Project Worksheet Maps and Sketches Sheet FEMA Form 009-0-91C Project Worksheet - Maps and Sketches Sheet
Project Worksheet Photo Sheet FEMA Form 009-0-91D Project Worksheet-Photo Sheet
Rented Equipment Summary Record FEMA Form 009-0-125 Rented Equipment Summary Record
Request for Appeals and Recommendation
Request for Arbitration and Recommendation from Hurricanes Katrina or Rita
Request for Public Assistance FEMA Form 009-0-49 Request for Public Assistance
Special Considerations Questions FEMA Form 009-0-120 Special Consideration Questions
State Administrative Plan and Amendments

  Total Request 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 449,084 398,068 0 51,016 0 0
Annual Time Burden (Hours) 491,533 466,025 0 25,508 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
The burden increase is due to an instrument that was part of the recent Emergency Request, but was inadvertently left out of the ROCIS file. The instrument was referred to as "Equitable Vaccine Administration Information / No Form" during the Emergency Request because it was still being developed. The instrument is now final and referred to as "FEMA Template 104-FY-21-100 Equitable Vaccine Administration Information Submission." Once again, this instrument was part of the recent Emergency Request approved by OMB, but this instrument was inadvertently left out of the ROCIS IC list.

$1,891,473
No
    Yes
    Yes
No
No
No
Yes
Millicent Brown 202 646-2814 [email protected]

  No

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
06/08/2021


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