Information Collection Request

Public Assistance Program

ICR 202003-1660-001 · OMB 1660-0017 · Active

Forms and Documents
DocumentTypeStatusAvailability
Form FEMA Form 009-0-49 Request for Public Assistance Form Modified Available
Form 009-0-141 FAC-TRAX System Form Unchanged Available
Form FEMA Form 009-0-91 Project Worksheet Photo Sheet Form Modified Repair queued
Form FEMA Form 009-0-91 Project Worksheet Maps and Sketches Sheet Form Modified Repair queued
Form FEMA Form 009-0-91 Project Worksheet Cost Estimate Continuation Sheet and Cost Overruns Form Modified Repair queued
Form FEMA Form 009-0-91 Project Work Sheet Damage Description and Scope of Work Form Modified Repair queued
Form FEMA Form 009-0-12 Force Account Equipment Summary Record Form Modified Repair queued
Form FEMA Form 009-0-12 Contract Work Summary Record Form Modified Repair queued
Form FEMA Form 009-0-12 Rented Equipment Summary Record Form Modified Available
Form FEMA Form 009-0-12 Materials Summary Record Form Modified Available
Form FEMA Form 009-0-12 Force Account Labor Summary Form Modified Available
Form FEMA Form 009-0-12 PNP Facility Questionnaire Form Modified Available
Form FEMA Form 009-0-12 Applicant's Benefits Calculation Worksheet Form Modified Repair queued
Form FEMA Form 009-0-12 Special Considerations Questions Form Modified Repair queued
Form FEMA Form 009-0-91 Project Worksheet Form and Instruction Modified Available
Form FEMA Form 009-0-11 Progress Report Form and Instruction Modified Available
Published 60 Day FRN.pdf Supplementary Document Uploaded 2020-03-06 Available
Published 30 Day FRN.pdf Supplementary Document Uploaded 2020-03-06 Repair queued
SORN - DHS-FEMA-009.docx Supplementary Document Uploaded 2016-09-13 Available
SORN - DHS-FEMA-004.docx Supplementary Document Uploaded 2016-09-13 Repair queued
PIA DHS-FEMA-PIA-025.pdf Supplementary Document Uploaded 2016-09-13 Repair queued
SORN - DHS-ALL-004.docx Supplementary Document Uploaded 2016-09-13 Available
PIA - DHS-FEMA-PIA-013.pdf Supplementary Document Uploaded 2016-09-13 Available
stafford_act.pdf Supplementary Document Uploaded 2016-09-02 Available
CFR-2011-title44-vol1-part206.pdf Supplementary Document Uploaded 2016-09-01 Available
Supporting Statement A FINAL.docx Supporting Statement A Uploaded 2020-03-31 Available
ICR Details
1660-0017 202003-1660-001
Active 201902-1660-001
DHS/FEMA
Public Assistance Program
Revision of a currently approved collection   No
Regular
Approved without change 11/02/2020
Retrieve Notice of Action (NOA) 03/31/2020
  Inventory as of this Action Requested Previously Approved
11/30/2023 36 Months From Approved 10/31/2020
398,068 0 398,068
466,025 0 425,676
0 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.

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

  84 FR 61922 11/14/2019
85 FR 5004 01/28/2020
Yes

19
IC Title Form No. Form Name
Force Account Labor Summary FEMA Form 009-0-123 Force Account Labor Summary Record
PNP Facility Questionnaire FEMA Form 009-0-121 PNP Facility Questionaire
Materials Summary Record FEMA Form 009-0-124 Materials Summary Record
Contract Work Summary Record FEMA Form 009-0-126 Contract Work Summary Record
Request for Public Assistance FEMA Form 009-0-49 Request for Public Assistance
Special Considerations Questions FEMA Form 009-0-120 Special Consideration Questions
Request for Appeals and Recommendation
Applicant's Benefits Calculation Worksheet FEMA Form 009-0-128 Applicant's Benefits Calculation Worksheet
FAC-TRAX System 009-0-141 FAC-TRAX System
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 Photo Sheet FEMA Form 009-0-91D Project Worksheet-Photo Sheet
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
State Administrative Plan and Amendments
Request for Arbitration and Recommendation from Hurricanes Katrina or Rita
Project Worksheet FEMA Form 009-0-91 Project Worksheet
Force Account Equipment Summary Record FEMA Form 009-0-127 Force Account Equipment Summary Record
Rented Equipment Summary Record FEMA Form 009-0-125 Rented Equipment Summary Record
Progress Report FEMA Form 009-0-111 Quarterly Progress Report

  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 398,068 398,068 0 0 0 0
Annual Time Burden (Hours) 466,025 425,676 0 40,349 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Changing Regulations
No
Change to the annual burden hours due to a correction of errors in burden estimates. For example, in the past, FEMA incorrectly used 1.3 hours to represent 1.5 hours for FEMA Form 009-0-91..

$1,891,473
No
    Yes
    Yes
No
No
No
No
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.
03/31/2020