View Information Collection Request (ICR) Package

OMB Control No: 1660-0017	ICR Reference No: 202105-1660-001
Status: Historical Active	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
OIRA Conclusion Action: Approved without change	Conclusion Date: 06/14/2021
Retrieve Notice of Action (NOA)	Date Received in OIRA: 06/08/2021
Terms of Clearance:

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

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.

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

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

Federal Register Notices & Comments
Did the Agency receive public comments on this ICR? No

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	449,084	398,068	51,016
Annual Time Burden (Hours)	491,533	466,025	25,508
Annual Cost Burden (Dollars)	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.

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 millicent.brown@fema.dhs.gov

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