Public Assistance Program

OMB Control No: 1660-0017	ICR Reference No: 202105-1660-001
Status: Received in OIRA	Previous ICR Reference No: 202103-1660-008
Agency/Subagency: DHS/FEMA	Agency Tracking No:
Title: Public Assistance Program
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Emergency	Approval Requested By: 04/30/2021
Date Submitted to OIRA: 06/08/2021

	Requested	Previously Approved
Expiration Date	10/31/2021	10/31/2021
Responses	449,084	398,068
Time Burden (Hours)	491,533	466,025
Cost Burden (Dollars)	0	0

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Abstract: 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.

Emergency Justfication: 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.

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Authorizing Statute(s): PL: Pub.L. 93 - 288 406-407 Name of Law: Robert T. Stafford Disaster Relief and Emergency Assistance Act

Citations for New Statutory Requirements: PL: Pub.L. 111 - 5 601 Name of Law: American Recovery and Reinvestment Act of 2009

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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: 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

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ICR Summary of Burden

	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

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

Burden Increase Due to: Miscellaneous Actions

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

Burden Reduction Due to:

Short Statement: 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.

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Annual Cost to Federal Government: $1,891,473

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

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

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? Yes

Agency Contact: Millicent Brown 202 646-2814 [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: 06/08/2021

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