View Information Collection Request (ICR) Package

OMB Control No: 1660-0017	ICR Reference No: 202402-1660-004
Status: Active	Previous ICR Reference No: 202311-1660-001
Agency/Subagency: DHS/FEMA	Agency Tracking No:
Title: Public Assistance Program
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 06/21/2024
	Date Received in OIRA: 05/17/2024
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2027	36 Months From Approved	06/30/2024
Responses	635,269	0	635,269
Time Burden (Hours)	341,635	0	341,635
Cost Burden (Dollars)	0	0	0

Abstract: The information collected is required for the Public Assistance (PA) Program eligibility determinations, grants management, and compliance with other Federal laws and regulations. The Robert T. Stafford Disaster Relief and Emergency Assistance Act, 42 U.S.C. § 5121-5207 (the Stafford Act), authorizes grants to assist State, Tribal, and local governments and certain private non-profit entities with the response to and recovery from disasters following Presidentially declared major disasters and emergencies.

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
60-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 6123	01/31/2024
30-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 42893	05/16/2024
Did the Agency receive public comments on this ICR? No

Number of Information Collection (IC) in this ICR: 27

IC Title	Form No.	Form Name
Applicant Impact Survey	FEMA Form FF-104-FY-22-235
Applicant's Benefits Calculation Worksheet	FEMA Form FF-104-FY-21-135 (formerly 009-0-128)
Contract Work Summary	FEMA Form FF-104-FY-21-140 (formerly 009-0-126)
Damage Information	FEMA Form FF-104-FY-22-245
Donated Labor Sign-in	FEMA Form FF-104-FY-22-237
Equitable Vaccine Administration Information Submission Template	FEMA Template 104-FY-21-100
Force Account Equipment Summary	FEMA Form FF-104-FY-21-141 (formerly 009-0-127)
Force Account Labor Summary Record	FEMA Form FF-104-FY-21-137 (formerly 009-0-123)
Impact List	FEMA Form FF-104-FY-22-236
Materials Summary	FEMA Form FF-104-FY-21-138 (formerly 009-0-124)
Organization Profile	FEMA Form FF-104-FY-22-233
Pre-Approval Request	FEMA Form FF-104-FY-22-238
Project Application for Building Code and Floodplain Management and Enforcement	FEMA Form FF-104-FY-22-243
Project Application for COVID-19	FEMA Form FF-104-FY-22-241
Project Application for Debris Removal	FEMA Form FF-104-FY-22-239
Project Application for Emergency Protective Measures	FEMA Form FF-104-FY-22-240
Project Application for Infrastructure Restoration	FEMA Form FF-104-FY-22-242
Project Application for Management Costs	FEMA Form FF-104-FY-22-244
Quarterly Progress Report	FEMA Form FF-104-FY-21-132 (formerly 009-0-111)
Recipient Incident Information	FEMA Form FF-104-FY-22-234
Rented Equipment Summary	FEMA Form FF-104-FY-21-139 (formerly 009-0-125)
Request for Appeals and Recommendation
Request for Arbitration and Recommendation from Hurricanes Katrina or Rita
Request for Public Assistance	FEMA Form FF-104-FY-21-131 (formerly 009-0-49), FEMA Form FF-104-FY-121-131 (formerly 009-0-49)	,
State Administrative Plan	FEMA Form FF-104-FY-22-249
Time Extension Request	FEMA Form FF-104-FY-22-248
Tribe Administrative Plan	FEMA Form FF-104-FY-22-250

ICR Summary of Burden

	Total Approved	Previously Approved
Annual Number of Responses	635,269	635,269
Annual Time Burden (Hours)	341,635	341,635
Annual Cost Burden (Dollars)	0	0

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

Burden Increase Due to:

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

Burden Reduction Due to:

Short Statement:

Annual Cost to Federal Government: $2,053,221

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: Echo Brathwaite 202 880-6399 echo.brathwaite@fema.dhs.gov

View ICR - OIRA Conclusion