Generic Application

Request for Approval under the
“Generic Clearance for FEMA's Preparedness Grant Programs”
(OMB Control Number: 1660-0166)
(Please refer to the instructions starting on page 4.)
TITLE OF SUB-COLLECTION:
FEMA Form FF-008-FY-23-103 (formerly xxx-x-xx), State and Local Cybersecurity
Grant Program (SLCGP) Investment Justification (IJ)
PURPOSE:
Applicants utilize IJs to summarize the investments proposed for funding. Each applicant’s
IJs typically describe the background of the proposed investment or project. IJs correspond to
an applicant’s detailed budget.
LEGISLATIVE AUTHORITIES (if applicable):
• Section 2220A of the Homeland Security Act of 2002, as amended (Pub. L. No. 107-296) (6
U.S.C. § 665g)
• Infrastructure Investments and Jobs Appropriations Act (Pub. L. No. 117-58)
• 2 CFR Part 200
TYPE OF RESPONDENTS: (Check one)
[ ] Individuals and Households
[X] State, Local, or Tribal Governments

[ ] Private Sector
[ ] Federal Government

TYPE OF COLLECTION INSTRUMENT: (Check one)
[
[
[
[
[
[

] Applications
] Project Narratives
] Application Worksheets
] Detailed Budget Worksheets
] Stakeholder Engagement Registration
] Programmatic Performance Report

[X] Investment Justifications
[ ] Project Worksheets
[ ] Budget Narratives
[ ] Work Plans
[ ] Biannual Strategy Implementation Report (BSIR)
[ ] Other:

PRIVACY INFORMATION:
1. Is personally identifiable information (PII) collected? [X] Yes [ ] No
2. Is there a Privacy Threshold Analysis (PTA) approved by DHS? [X] Yes [ ] No
a. Date of Approval:
06/22/2023
3. Is Privacy Impact Assessment (PIA) coverage required? [ ] Yes [X] No
a. Applicable PIA(s):
4. Is System of Records Notice (SORN) coverage required? [ ] Yes [X] No
a. Applicable SORN(s):

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OBLIGATION TO RESPOND: (Check one)
[ ] Voluntary

[ ] Required to Obtain Benefit

[X] Mandatory

ELECTRONIC COLLECTION
1. What percentage of responses are collected by electronic means? 100%
2. What is the website URL or email address that collects the responses?
FEMA - FEMA Grants Outcomes
GIFTS OR PAYMENTS:
Is an incentive (e.g., money or reimbursement of expenses, token of appreciation) provided to
participants? [ ] Yes [X ] No
USABILITY TESTING:
1. Has useability testing been conducted on this instrument? [X] Yes [ ] No
2. Please provide a short narrative answering the following questions about your usability
testing.
•

•
•

•
•

•
•

What was the purpose of the usability testing?
o The purpose of the usability testing is to ensure the IJ has clear instructions and
can be completed accurately by respondents. Usability testing provides program
staff with expected input and data collection.
How was the useability testing conducted?
o Participants were asked to complete the collection as a first-time user. The goal
was to determine if the provided instructions were clear and concise to follow.
How many participants and what was their familiarity with the collection?
o There were nine (9) participants in the collection. Two (2) participants were first
time users, while (7) participants were program staff with experience viewing
and populating the IJ form.
What were the results of the useability testing?
o Functionality of the form was tested, and feedback was incorporated into minor
revisions to the length of text boxes and the information collected.
What did you find (burden, ease of use, etc.)?
o No reported concerns on the functionality of the form. All users were able to
navigate and complete the form accurately. There were no unexpected issues
related to testing.
What did the participants recommend?
o No recommendations made from the participants.
What changes, if any, will be made to the collection?
o No anticipated changes to this collection.

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BURDEN:
Estimated Annualized Burden Hours and Costs
Type of
Respondent

Form Name / Form No.

State, Local, or
Tribal Governments

SLCGP Investment
Justification Form

Totals

No. of
Respondents

No. of
Responses
per
Respondent

Total No.
of
Responses

Avg.
Burden per
Response
(in hours)

Total
Annual
Burden (in
Hours)

Avg.
Hourly
Wage
Rate

Total
Annual
Respondent
Cost

56

4

224

2.5

560

$68.81

$38,533.60

56

224

560

FEDERAL COST: The estimated annual cost to the Federal Government is $735,124.
CERTIFICATION:
I certify the following to be true:
1. The collection supports a FEMA grant program who administration is delegated from the
Secretary for Homeland Security.
2. All instruments have undergone usability testing to improve the customer experience for
respondents.
3. All instruments are designed and reviewed to impose as little burden as possible on the
respondents.
4. The collection of information is non-controversial and does not raise issues of concern to other
Federal Agencies.
5. The Agency needs to collect necessary information to perform these activities.
Digital Signature:

signed by ELIZABETH J KOREN
ELIZABETH J KOREN Digitally
Date: 2024.08.23 17:08:29 -04'00'

Please make sure that all instruments, privacy documents (PTA, PIA, and/or SORN),
instructions, and scripts are submitted with the request.

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$38,533.60

Instructions for Completing Request for Approval under the “Generic
Clearance for FEMA's Preparedness Grant Programs”
(OMB Control Number: 1660-0166)
TITLE OF INFORMATION COLLECTION: Provide the name of the instrument being
submitted as a sub-collection and the FEMA Form Number.
(Format: “FEMA Form FF-XXX-FY-XX-XXX (formerly xxx-x-xx), Name of Instrument”)
PURPOSE: Provide a brief description of the purpose of this collection and how it will be used. If
this is part of a larger study or effort, please include this in your explanation.
LEGISLATIVE AUTHORITY: Please list any Public Laws, statutes, Executive Orders,
regulations, Department policies, and/or Agency policies that authorize FEMA to collect and use
this information. Please use correct legal citation in a simple list.
TYPE OF RESPONDENTS: Identify who you expect the respondents to be in terms of the
following categories: (1) Individuals or Households;(2) Private Sector; (3) State, Local, or Tribal
Governments; or (4) Federal Government. Only one type of respondent can be selected.
TYPE OF COLLECTION INSTRUMENT: Select one of the provided options. If you are
requesting approval of other instruments under the generic, you must complete an application for
each instrument.
PRIVACY INFORMATION: Please select a provided option for each of the numbered questions.
For any questions that you select “Yes”, please provide the requested information in the second line.
Please contact FEMA’s Privacy Division at [email protected] for any questions
regarding your PTA, PIA, SORN or other privacy documents.
OBLIGATION TO RESPOND: Select one of the provided options. Mark “Voluntary” when the
response is entirely discretionary and has no direct effect on any benefit or privilege for the
respondent. Mark “Required to Obtain Benefits” when the response is elective, but is required to
obtain or retain a benefit. Mark “Mandatory” when the respondent must reply or face civil or
criminal sanction.
ELECTRONIC COLLECTION: Please provide answers to the questions.
GIFTS OR PAYMENTS: If you answer yes to the question, please describe the incentive and
provide a justification for the amount.
USABILITY TESTING: Please provide answers to the questions. Testing should be completed
prior to submitting this application to FEMA’s PRA Office.
BURDEN HOURS: If you have questions about how to calculate these numbers, please reach out
to the economists in the Office of Chief Counsel's Regulatory Affairs Division (Point of Contact:
Michael Conforti, Jr at [email protected]).

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Type of Respondent: Identify who you expect the respondents to be in terms of the following
categories: (1) Individuals or Households;(2) Private Sector; (3) State, Local, or Tribal
Governments; or (4) Federal Government. Only one type of respondent can be selected.
Form Name / Form No.: Provide the name of the instrument and the FEMA Form Number.
No. of Respondents: Provide an estimate of the number of Respondents.
No. of Responses per Respondent: Provide an estimate of how many times a year that each
Respondent is expected to provide a response.
Total No. of Responses: Multiply the number of Respondents from the third column and the
number of responses per Respondent in the fourth column to determine the total number of
responses.
Avg. Burden per Response (in hours): Provide an estimate of the amount of time required for a
respondent to complete the instrument in hours (See DHS’s Burden Conversion Table for
conversion of minutes to decimal units of an hour).
Total Annual Burden (in hours): Multiply the total number of responses in the fifth column and
the average burden per response from the sixth column to determine the total annual burden for the
instrument.
Avg. Hourly Wage Rate: Enter the fully-loaded wage rate in this column. Determine the fullyloaded wage rate by multiplying the non-loaded “Avg. Hourly Wage Rate” from the Bureau of
Labor Statistics (BLS) Employer Costs for Employee Compensation, Table 1 by either a wage rate
multiplier of 1.61 for State, Local, or Tribal Government or a wage rate multiplier of 1.45 for
Federal Government.
Total Annual Respondent Cost: Multiply the total annual burden (in hours) in the seventh column
and the average hourly wage rate from the eighth column to determine the total annual respondent
cost for the instrument.
Totals: Add up the totals for number of Respondents for all instruments in this submission in the
third column, the total number of responses for all instruments in this submission in the fifth
column, the total annual burden hours in the seventh column, and the total annual respondent cost in
the ninth column in the bottom row.
FEDERAL COST: Provide an estimate of the annual cost to the Federal Government. This is the
total amount of contract costs, staff salaries, special facilities, computer equipment and other
associated costs that you would list in Question 14 of the Supporting Statement A. We just need the
total.
CERTIFICATION: Please read the certification carefully. If you incorrectly certify, the
collection will be returned as improperly submitted or it will be disapproved.
DIGITAL SIGNATURE: Apply the digital signature of the appropriate official within the
Program Office; Branch Chief or higher.
Please make sure that all instruments, privacy documents (PTA, PIA, and/or SORN),
instructions, and scripts are submitted with the request.

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