Form 010-0-8 Mission Assignment (MA)

O.M.B. No. 1660-0047
Expires May 31, 2017

DEPARTMENT OF HOMELAND SECURITY

Federal Emergency Management Agency
MISSION ASSIGNMENT (MA)
PAPERWORK BURDEN DISCLOSURE NOTICE

Public reporting burden for this form is estimated to average 20 minutes per response. The burden estimate includes the time for reviewing instructions,
searching existing data sources, gathering and maintaining the needed data, 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 it displays a valid OMB control number. Send comments
regarding the accuracy of the burden estimate and any suggestions for reducing this burden to: Information Collections Management, Department of Homeland
Security, Federal Emergency Management Agency, 500 C Street, SW, Washington, DC 20472-3100, Paperwork Reduction Project (1660-0047). NOTE: Do
not send your completed form to this address.

I.

TRACKING INFORMATION (FEMA Use Only)

State

Resource Request Number

Program Code/Event Number
II.

Date/Time Received

ASSISTANCE REQUIRED

See Attached

Assistance Requested

Delivery Location

Internal Control Number

Date/Time Required

Initiator/Requestor Name

24 Hour Phone Number

Email Address

Date

Site POC Name

24 Hour Phone Number

Email Address

Date

III.

INITIAL FEDERAL COORDINATION (Operations Section)

Action to:
IV.

Other :

ESF # :
RSF:

Date/Time

Priority

DESCRIPTION (Assigned Agency Action Officer)

1. Lifesaving

3. High

2. Life sustaining
See Attached

4. Normal

Statement of Work

Your agency must validate the unliquidated MA balance at least annually as stipulated by FEMA to maintain reimbursable authority. Accrual data must also be provided to FEMA no
later than the third business day after fiscal quarter end close. Information can be submitted to [email protected]. For MA billing and reimbursement information, please
visit http://www.fema.gov/federal-agencies-providing-disaster-assistance.

Assigned Agency
New or

Projected Start Date
Total Cost Estimated

Amendment to MA # :

ESF/OFA/RSF Action Officer

V.

Fund Citation: 20

Total Required this Obligation Cycle

Phone #

COORDINATION (FEMA Use Only)
Direct Federal Assistance
Type of MA:
State Cost Share (0%, 10%, 25%)
%

State Cost Share Percent

Estimated Projected End Date

-06-

Email

Federal Operations Support
State Share (0%)
State Cost Share Amount: $

XXXX-250

-D

Appropriation code: 70X0702

Mission Assignment Manager (Preparer)

Date

**FEMA Project Manager/Branch Director (Program Approval)

Date

**Comptroller/Funds Control (Funds Review)

Date

FEMA FORM 010-0-8

PREVIOUSLY FF 90-129

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MISSION ASSIGNMENT (MA)
VI.

APPROVAL

*State Approving Official (Required for DFA)

Date

**Federal Approving Official (Required for all)

Date

VII.

OBLIGATION (FEMA Use Only)

Mission Assignment Number

Amount This Action $

Amendment Number

Cumulative Amount $

Date/Time Obligated
Initials:

** Signature required for all MAs.
INSTRUCTIONS
Items on the Mission Assignment (MA) form that are not listed are self-explanatory.
I.

TRACKING INFORMATION. Completed by Resource Support Section or Operations staff. Required for all requests.

State: If multi-State, choose State most likely to receive resource(s), (i.e., when using 7220-SU Program Code)
Resource Request No.: Based on chronological log number. Used for tracking.
Program Code/Event No.: The pre-declaration, emergency, or major disaster number assigned for funding the event. Examples:
7220-SU, 3130-EM, 1248-DR.
II.

ASSISTANCE REQUESTED. Completed by requestor.

Assistance Requested: Details from the Resource Request Form will provide information concerning the assistance requested.
Internal Control No.: Internal requestor reference, log, or control number, if applicable.
Initiator/Requestor: The initiator may be an individual filling out the mission assignment and making a request on behalf of the POC.
POC Name: The person coordinating reception and utilization of the requested resources. 24-hour contact information required.
III.

INITIAL FEDERAL COORDINATION. Completed by FEMA Personnel with Delegated Authority.

Action to: May be Emergency Support Function (ESF), Recovery Support Function (RSF), internal FEMA organization, or other organization,
which assigns the Action Officer.
Remainder of MA used only if solution is to request Federal agency to perform reimbursable work under (MA). Deliberate validation and
verification of information must occur before MA is completed and issued.
IV.

DESCRIPTION. Completed by assigned agency Action Officer.

Statement of Work: Detailed description of work to be performed that includes: Overview of MA, objectives, tasks, resources, personnel,
deliverable, location, period of performance and comprehensive cost estimate for period of performance. Statement of Work may be attached.
Additional guidance concerning the writing of a Statement of Work can be found in the Mission Assignment Guide and FAR.
Assigned Agency: Agency receiving the MA from FEMA. Activities within the scope of an ESF/RSF result in an MA to primary agency. Cite
subordinate organization if applicable. Example; DOT-FAA, COE-SAD.
Projected Start/End Date: If end date is not clear, estimate and budget for 30, 60, or 90 days, then reevaluate. TBD is not acceptable; a date
must be entered.
Total Cost Estimate: Enter dollar value and attach a detailed budget outlining personnel, equipment, contract, sub-tasked agency, travel and
other costs. The cost estimate should include the total cost projection for the MA across the entire length of the MA. The 90 day obligation
cycle is used to obligate funding in 90 day increments when completion period is expected to exceed 90 days.
V.
COORDINATION. Completed by MAM, except for Project Manager and Comptroller signatures.
Type of MA: Select only one.
Appropriation Code: Static data. Do not change. This is for information only, should not be used to report internal agency finances to Treasury.
Reporting: MA agencies are required to provide reporting as determined by the Program Manager.
VI.

APPROVAL. Completed by State Approving Official and Federal Approving Official.

VII.
OBLIGATION. Completed by Financial Specialist
Mission Assignment No.: Assigned in FEMA financial system chronologically using assigned agency acronym and two digit number.
Amendment No.: Note supplement number. For example: COE: SAD-01, Supp. 1, or DOR-08, Supp. 3.
Amount this Action: Taken from total cost estimate above.
Cumulative Amount: Cumulative amount for this MA, including amendments.
FEMA FORM 010-0-8

PREVIOUSLY FF 90-129

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