Controlled Equipment Request Form

OMB Control No: 1660-0141	ICR Reference No: 201602-1660-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: DHS/FEMA	Agency Tracking No:
Title: Controlled Equipment Request Form
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Emergency	Approval Requested By: 03/11/2016
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/01/2016
Retrieve Notice of Action (NOA)	Date Received in OIRA: 02/29/2016
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2016	6 Months From Approved
Responses	175	0	0
Time Burden (Hours)	131	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: This form was developed to collect required information as part of the implementation of Executive Order (EO) 13688: Federal Support for Local Law Enforcement Equipment Acquisition, issued January 16, 2015, which established a Prohibited Equipment List and a Controlled Equipment List and identified actions that can improve Federal support for the appropriate use, acquisition, and transfer of controlled equipment by state, local, tribal, territorial, and private grant recipients. One of the requirements of the report is to collect information on the grant recipient, their policies, training, record keeping, etc. In considering Grant Programs Directorate’s approach to implementing these recommendations, we worked hard to balance the requirement to collect the information, and the effort required by the grant recipients. The proposed form includes only fields required to comply with the recommendations (which were accepted by the President). The fillable nature of the form reduces the amount of time and effort required for grant recipients. The information has a multi-fold purpose: Harmonization of federal acquisition processes, institution of Required Protocols and Training for grant recipients that Acquire Controlled Equipment, and to increase federal oversight and compliance. In accordance with Executive Order (EO) 13688: Federal Support for Local Law Enforcement Equipment Acquisition, and the Recommendations Pursuant to Executive Order 13688, all Federal equipment acquisition programs must require grant recipients that apply for controlled equipment to provide mandatory information in their application, including a detailed justification with a clear and persuasive explanation of the need for the controlled equipment, the availability of the requested controlled equipment to recipient in its inventory or through other means, certifications that appropriate protocols and training requirements have been adopted, evidence of the civilian governing body’s review and approval or concurrence of the entity’s acquisition of the requested controlled equipment, and whether the entity has been or is in violation of civil rights and other statutes, regulations, or programmatic terms. Ongoing coordination among the various Federal Agencies will ensure that a uniform process is in place to assess the adequacy of the justification in each application. This coordination includes sharing of required information to prohibit duplication of grant funding for controlled equipment or potentially granting of funding for controlled equipment to an entity that has been sanctioned by another agency.

Emergency Justfication: Seeking the Office of Management and Budget (OMB) approval of the Federal Emergency Management Agency’s (FEMA) request for an emergency approval for the collection of new information under the Paperwork Reduction Act. Emergency approval is necessary for FEMA to implement Executive Order 13688 for the FY2016 Homeland Security Grant Programs within the statutory deadlines for issuing guidance and awards mandated by the DHS Appropriations Act, 2016. For more information please see the Emergency Justification Memorandum (uploaded under Supplementary documents).

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Authorizing Statute(s): EO: EO 13688 Name/Subject of EO: Federal Support for Local Law Enforcement Equipment Acquisition

Citations for New Statutory Requirements: EO: EO 13688 Name/Subject of EO: Federal Support for Local Law Enforcement Equipment Acquisition

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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

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

IC Title Form No. Form Name Controlled Equipment Request Form FEMA Form 087-0-0-1 Controlled Equipment Request Form Controlled Equipment Request Form FEMA Form 087-0-0-1 Controlled Equipment Request Form

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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	175	0	0	175	0	0
Annual Time Burden (Hours)	131	0	0	131	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Changing Regulations

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: For the Controlled Equipment Request Form collection, the previously approved burden hours were 0 as this is a new collection and the current estimated annual hour burden is 131 hours. Therefore, the burden hours are positive program changes.

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Annual Cost to Federal Government: $748

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

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

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? Uncollected

Agency Contact: Sherina Greene 202 646-4343 [email protected]

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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: 02/29/2016

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