FEDERAL EMERGENCY MANAGEMENT AGENCY MISSION ASSIGNMENT (MA) See reverse side for Paperwork Burden Disclosure Notice O.M.B. NO. 3067-0278 Expires November 30, 2007 I. TRACKING INFORMATION (FEMA Use Only) State: ND (North Dakota) Incident:2009031701-Severe Storms and Flooding Action Request #: 1509-117549 Program Code/Event #: 1829DR-ND: SEVERE STORMS AND FLOODING Date/Time Rec’d: 03/29/2009 20:56 See Attached II. ASSISTANCE REQUESTED Assistance Requested: Amendment #1- Amend to provide funding for additional ESF #4 staff, 24 hour staffing for a duration of 30 days, and change projected end to 4/28/09. Activate USFS and DOI to deploy to FEMA IOF or ND State EOC to perform duties of ESF #4 in support of disaster operations in response to DR-1829-ND. Quantity: 1 (Each) Date/Time Required: 03/29/2009 Internal Control #: JFO #39 Delivery Location: ND State EOC, Frainne Baracks Road, Bismarck, ND 58501 Initiator/Requestor Name: Ed Henry 24-hour Ph #s: (510) 219-1681 Date: 03/29/2009 POC Name: OWENS, JOHN 24-hour Ph #s: (303) 681-4996 Date: 03/29/2009 * State Approving Official (Required for DFA and TA): Date: III. INITIAL FEDERAL COORDINATION (Operations Section) Action to: X ESF #: 4 Other: Date/Time: 03/29/2009 20:47 Priority: 1 Lifesaving 2 Life sustaining X IV. DESCRIPTION (Assigned Agency Action Officer) 3 High 4 Medium 5 Normal See Attached Mission Statement: Your agency is responsible for submitting a Mission Assignment Monthly Progress Report to FEMA to include cost data when Mission Assignments take more than 60 days to complete, including billing. The Mission Assignment Monthly Progress Report can be accessed and submitted on-line at http://www.fema.gov/government/business.shtm The new ALC number can also be accessed at the web address. Post-declaration activation for appropriate USFS personnel to perform the the functions of ESF #4. This activation may include overtime and administrative costs. Equipment purchases are not authorized under this Mission assignment. Assigned Agency: USFS (U.S. FOREST SERVICE) Projected Start Date: Total Cost Estimate: X New or Amendment to MA #: 1829DRNDUSFS0100 Assigned Agency POC Name: ESF #4 Projected End Date: 03/27/2009 Phone and fax #s: 04/28/2009 $70,000.00 (406) 329-3409 V. COORDINATION (FEMA Use Only) Type of MA: Federal Operation Support State Cost Share (0%) Commodity/Activity Category: Administrative Support State Cost Share Percent: 0.0% State Cost Share Amount: Fund Citation: Appropriation code: 70X0702 2009-06-1829DR-9084-XXXX-2501-D $0.00 Mission Assignment Coordinator (Preparer): DEBRA SESSNER Date: 03/30/2009 ** FEMA Project Officer/Branch Chief (Program Approval): JOHN OWENS Date: 03/29/2009 ** Comptroller/Funds Control (Funds Review): BLACK, LINDA S. Date: 03/30/2009 VI. APPROVAL * State Approving Official (Required for DFA and TA): Date: ** Federal Approving Official (Required for all): EDWARD HENRY Date: 03/30/2009 VII. OBLIGATION (FEMA Use Only) Mission Assignment #: 1829DR-ND-USFS-01 Amt. This Action: $70,000.00 Amendment #: 01 Cumulative Amt. $80,000.00 * Signature required for Direct Federal Assistance and Technical Assistance Mission Assignments. ** Signature required for all Mission Assignments. FEMA Form 90-129, Oct 02 REPLACES ALL PREVIOUS EDITIONS Region 8, State ND, 1829DR, MA#1509-117549 (IFMIS Closed) as of 03/30/2009 Date/Time Obligated: 03/30/2009 Initials: IFMIS Print Time: 04/03/2009 14:15