This bill, titled the "Natural Disaster Resilience and Recovery Accountability Act," establishes the Commission on Federal Natural Disaster Resilience and Recovery within the Office of Management and Budget. The primary duty of this Commission is to examine and recommend both administrative and legislative reforms. These reforms aim to improve the efficiency, effectiveness, and budget funding of Federal agency programs and activities that support natural disaster resilience and recovery, encompassing a broad definition of natural disasters. The Commission will consist of 15 members appointed by the Director of the Office of Management and Budget, including one OMB employee and others drawn from state, local, and Tribal governments, the private sector, and nongovernmental organizations. Members will possess expertise in areas such as natural disaster resilience, emergency management, critical infrastructure, and intergovernmental relations. The Commission is mandated to submit a final report to Congress within two years of its first meeting, detailing specific and actionable policy recommendations, a comprehensive review of federally funded activities, and potential administrative changes to improve the federal approach. Additionally, interim reports are required every 180 days, and the Commission's operations will be funded solely from existing appropriations to the Office of Management and Budget.