(052D)
DEPARTMENT OF HOMELAND SECURITY
FEDERAL EMERGENCY MANAGEMENT AGENCY
MISSION ASSIGNMENT (MA)
O.M.B. NO. 1660-0047
Expires January 31, 2011
See Reverse for Paperwork
Burden Disclosure Notice
TRACKING INFORMATION (FEMA Use Only)
t.
NEMIS Number
State
MP (Northern Mariana Islands) Incident:2011 0311 02-NP-Tsunami-03-11-2011
Program Code/Event Number
Date/Time Received
7220SU-Pre-Declaration
II.
Disaster Surge Account
03/11/201117:47
ASSISTANCE REQUIRED
0
See Attached
Assistance Requested
Activate U.S. Department of Forest Service(USFS) to FEMA Region 9 RRCC to perform duties of ESF #4 in support of Pre-Declaration Activation
disaster operations in response to Japan Earthquake Pacific Wide Tsunami.
Delivery Location
I Internal Control Number
John Tarca, FEMA Region IX RRCC
Oakland, CA 94607
I Datemme Required
ARF #10
03/11/2011
Initiator/RequestorName
Randy Brawley
24 Hour Phone Number
(510) 627-7718
Ernail Address
randy.brawley@dhs.gov
Date
Site POC Name
TARCA, JOHN C
24 Hour Phone Number
(510) 627-7206
Email Address
john.tarca@dhs.gov
Date
03/11/2011
03f11/2011
• StateApproving Official (Required for DFA and TA)
III.
I
INITIAL FEDERAL COORDINATION (Operations Section)
Action to:
IV.
Date
I~
ESF#:
Other.
4
I
Datemme
03/1112011
17:35
Priority
0
0
IKl
0
1. Lifesaving
2. Life sustaining
IXJ
DESCRIPTION (Assigned Agency Action Officer)
3. High
4. Medium
SeeAltached
Statementof Work
Pre-Declaration activation for appropriate DOT personnel to perform functions of ESF #4 in the RRCC or other teams and locations at the direction and
coordination of FEMA to include but not limited to Emergency Response Teamllncident Management Assistance Team (ERTIIMAT), Preliminary
Damage Assessment (PDA) Team, and Rapid Needs Assessment (RNA) Team, beginning 3/11/11. This activation may include overtime and
Your agency is responsible for submitting a Mission Assignment Quarterty Progress Report to FEMA to include cost data when Mission Assignment takes more than
60 days to complete, including billing. The Mission Assignment Quarterly Progress Report can be accessed andsubmilted on-line at www.fema. gov/maprogress.
D
[g] New or
Projected End Date
03/31/2011
03/11/2011
Total Cost Estimate
SI0,OOO.00
Phone No.
Amendment to MA #:
ESF/OFAAction Officer
I Email
(707) 562-9184
TRUDIE MAHONEY
V.
I
Projected Start Date
Assigned Agency
USFS (U.S. FOREST SERVICE)
COORDINATION (FEMA Use Only)
Type ofMA:
State Cost Share Percent
D
Direct Federal Assistance
State Cost Share (0%, 10%, 25%)
0.0
D
Federal Operations Support
Technical Assistance
State Share (0%)
IX] State Share (0%)
State Cost Share Amount: S 0.00
%
Appropriation code: 70X702
Fund Citation:
2011-06-7220SU-9094-XXXX-2501-D
Mission Assignment Manager (Preparer)
Date
KAREN MOJICA
03/11/2011
•• FEMA Project Manager/Branch Director (Program Approval)
.JOHN
•• Comptroller/Funds Control (Funds Review)
VI.
-:
APPROVAL
Date
TARr:A
>'<83d t7.- //Ll./7~~
I
,
Date
'State Approving Official (required for DFA and TA):
Date
"Federal Approving Official (required for all):
DAVID KENNARD
VII.
;'1
Datec;,.j(
03/11/2011
OBLIGATION (FEMA Use Only)
MissionAssignment Number
7220SU-MP-USFS-05
Amount This Action S 10.000.00
DatelTime Obligated
AmendmentNumber
00
Cumulative Amount S 10.000.00
Initials
• Signature required for Direct Federal Assistance
** Slqnatura required for all MAs.
and Technical Assistance
-:::;;,/11
II: Yl:
t'~-""
~ r::
MAs.
FEMA Fonn 91)..129,JAN 08
PREVIOUS EDITIONS OBSOLETE
Region 9, State MP, 7220SU, MA#1509-136381 (Closed) as of 03/11/2011
Print Time: 03111/201119:22
7-"
RFA#1509-136381
Financial Program: 7220SU
Additional Mission Statement
administrative costs. Pre-Declaration MAs that exceed 7 to 10 days will require FEMA approval. A subsequent MA may be issued for
Post-Declaration activation If necessary.
Equipment purchases ara not authorized under this Mission Assignment.
MA task orders will be Issued for specific personnel requirements, locatlon(s), dates, and duration of assignment(s).
Region 9, State MP, 7220SU, MA#1509-136381 (Closed) as of 03/11/2011
Print Time: 03/1112011 19:22