tribal-supplemental-form-2020.pdf

PDF 204 KB Posted May 26, 2020

Attached to: FY 2020 Competitive Funding Opportunity: Public Transportation on Indian Reservations Program
Opportunity number: FTA-2020-007-TR
Issued by: Department of Transportation Federal Transit Administration

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File	Type	Posted
PKG00261896-instructions.docx	DOCX document	May 26, 2020
FTA–2020–007–TR FRN_2020-11128.pdf	PDF	May 26, 2020

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v1.0 Tribal Transit Program Supplemental Form - Public Transportation On Indian Reservations Program (2020) Page of Public Transportation on Indian Reservations Program (Tribal Transit Program) FY 2020 Applicant and Proposal Profile Section I. Applicant Information Is this a resubmission due to an invalid/error message from FTA?

Is the applicant a federally recognized Indian Tribe or Alaska Native Village, Group, or Community and located in a rural area with a population of 50,000 or less?

Section II. Project Information (Descriptive title of this project) Departmental Objectives Project Type:

Project Purpose:

Project Budget Description

QTY

Federal Amount Local Match (10%) Total Cost Other Federal Funds Other Total:

Matching Funds Information Project Scalability Is project scope scalable?

Project Timeline Timeline Description Timeline Item Date Congressional District(s) (Place of Performance) Congressional District Section III. Evaluation Criteria Planning and Local/Regional Prioritization Are you applying for a Capital or Operating project?

Project Readiness Are you applying for a Capital or Operating project?

Demonstration of Need Are you applying for a Capital or Operating project?

Demonstration of Benefits Are you applying for a Capital or Operating project?

Financial Commitment and Operating Capacity Are you applying for a Capital or Operating project?

*** Note: Please provide organization Annual Operating Budget as an attachment or within this section.

Planning Proposal Are you applying for a planning project?

9.0.0.2.20120627.2.874785 Description of Service Provided and Areas Served:

Project Executive Summary:

Project Statement of Work:

If applicable, describe how this application addresses one or more departmental objectives addressed in the NOFO:

Technical, Legal, and Financial Capacity:

Source of Matching Funds and/or Supporting Documentation of Local Match:

If you are requesting a Local Match Waiver, add supporting documentation to demonstrate financial hardship:

Provide explanation of scalability with specific references to the budget line items above:

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Planning and Local/Regional Prioritization:

Project Readiness:

Demonstration of Need:

Demonstration of Benefits:

Demonstration of Financial Commitment and Operating Capacity:

CurrentPage:

PageCount:

btnValidate:

ResetButton1:

programCodeHidden: TribalTransit2020

programVersionHidden: 1.0

Yes:

No:

lbl_hidden_rbl_Resubmission: Is this a resubmission due to an invalid/error message from FTA?

cFocus:

Grants.gov Tracking Number (13 characters):

lbl_hidden_txt_grantsNumber: Grants.gov tracking number

Organization Legal Name (200 characters):

lbl_hidden_txt_orgLegalName: Organization Legal Name

FTA Recipient ID Number (30 characters):

lbl_hidden_txt_ftaRecipientIdNumber: FTA Recipient ID number (if applicable)

Organization Chief Executive Officer (200 characters):

lbl_hidden_txt_orgCEO: Organization CEO

lbl_hidden_rbl_ApplicantEligibility: Is the applicant a federally recognized Indian Tribe or Alaska Native Village, Group, or Community and located in a rural area with a population of 50,000 or less?

Description of Service Provided and Areas Served (4000 characters):

lbl_hidden_txt_servicesProvided: Description of Service Provided and Areas Served

Project Title (200 characters):

lbl_hidden_txt_projectTitle: Project Title

Project Executive Summary (2000 characters):

lbl_hidden_txt_executiveSummary: Project Executive Summary

Project Statement of Work (1000 characters):

lbl_hidden_txt_projectStatementOfWork: Project Statement of Work

If applicable, describe how this application addresses one or more departmental objectives addressed in the NOFO (2000 characters):

lbl_hidden_txt_departmentalObjective: If applicable, describe how this application addresses one or more departmental objectives addressed in the NOFO

Technical, Legal, and Financial Capacity (4000 characters):

lbl_hidden_txt_technicalLegalFinancialCapacity: Technical, Legal, and Financial Capacity

Project Type - Capital:

Project Type - Operating (applicant has no existing transit service):

Project Type - Operating (applicant received a Tribal Transit Program formula allocation less than $20,000 in FY 2019):

Project Type - Planning:

lbl_hidden_rbl_ProjectType: Project Type

Project Purpose - Start-up: 0

lbl_hidden_cb_Startup: Start-up

Project Purpose - Expansion: 0

lbl_hidden_cb_Expansion: Expansion

Project Purpose - Replacement: 0

lbl_hidden_cb_Replacement: Replacement

lbl_hidden_cbl_ProjectPurpose: Project Purpose

Item Description (100 characters):

lbl_hidden_gridItem_txt_Desc: Description

Quantity:

lbl_hidden_gridItem_num_Qty: Quantity

Federal Amount:

lbl_hidden_gridItem_num_FederalAmnt: Federal Amount

Local Match:

lbl_hidden_gridItem_num_LocalMatch: Local Match

Other Federal:

lbl_hidden_gridItem_num_OtherFederal: Other Federal Funds

Other:

lbl_hidden_gridItem_num_Other: Other

Total Cost:

lbl_hidden_gridItem_num_TotalCost: Total Cost

Remove Congressional District Item:

lbl_hidden_gridTable_budgetRepeatable: Project Budget

Insert Project Budget Item:

Grand Total - Federal Amount:

lbl_hidden_num_TotalFederalAmnt: Grand Total - Federal Amount

Grand Total - Local Match:

lbl_hidden_num_TotalLocalMatch: Grand Total - Local Match

Grand Total - Other Federal:

lbl_hidden_num_TotalOtherFederal: Grand Total - Other Federal Funds

Grand Total - Other:

lbl_hidden_num_TotalOther: Grand Total - Other

Grand Total - Total Cost:

lbl_hidden_num_TotalTotalCost: Grand Total - Total Cost

Matching Funds Amount:

lbl_hidden_num_matchingFunds: Matching Funds Amount

Source of Matching Funds and/or Supporting Documentation of Local Match (4000 characters):

lbl_hidden_txt_sourceMatchingFunds: Source of Matching Funds and/or Supporting Documentation of Local Match

If you are requesting a Local Match Waiver, add supporting documentation to demonstrate financial hardship (4000 characters):

lbl_hidden_txt_supportLocalMatch: If you are requesting a Local Match Waiver, add supporting documentation to demonstrate financial hardship

lbl_hidden_rbl_IsScalable: Is Project Scope Scalable

If Yes, specify minimum Federal Funds necessary:

lbl_hidden_num_minFederalFunds: Specify minimum federal funds necessary

Provide explanation of scalability with specific references to the budget line items above (4000 characters):

lbl_hidden_txt_scalabilityExpl: Provide explanation of scalability with specific references to the budget line items above

Timeline Description (100 characters):

lbl_hidden_gridItem_txt_tlDesc: Timeline Description

Timeline Item Date (format MM/dd/YYYY):

lbl_hidden_gridItem_datetime_tlDate: Timeline Item Date

lbl_hidden_gridTable_timelineRepeatable: Project Timeline

Insert Project Timeline Item:

Congressional District:

lbl_hidden_gridItem_ddl_congressDist: Congressional District

lbl_hidden_gridTable_congressDistRepeatable: Congressional Districts

Insert Congressional District Item:

lbl_hidden_rbl_applyingCapitalOperatingPLP: Planning and Local/Regional Prioritization - Are you applying for a Capital or Operating project?

Planning and Local Prioritization (4000 characters):

lbl_hidden_txt_planningPrioritization: Planning and Local/Regional Prioritization

lbl_hidden_rbl_applyingCapitalOperatingPR: Project Readiness - Are you applying for Capital or Operating project?

Project Readiness (4000 characters):

lbl_hidden_txt_readinessJustification: Project Readiness

lbl_hidden_rbl_applyingCapitalOperatingDN: Demonstration of Need - Are you applying for a Capital or Operating project?

Demonstration of Need (4000 characters):

lbl_hidden_txt_demonstrationNeed: Demonstration of Need

lbl_hidden_rbl_applyingCapitalOperatingDB: Demonstration of Benefits - Are you applying for a Capital or Operating project?

Demonstration of Benefits (4000 characters):

lbl_hidden_txt_demonstrationBenefits: Demonstration of Benefits

lbl_hidden_rbl_applyingCapitalOperatingFCOC: Financial Commitment and Operating Capacity - Are you applying for a Capital or Operating Project?

Demonstration of Financial Commitment and Operating Capacity (4000 characters):

lbl_hidden_txt_financialCommitment: Demonstration of Financial commitment and Operating Capacity

lbl_hidden_rbl_applyingPlanningProjectPP: Planning Proposal - Are you applying for a planning project?

Planning Proposal (4000 characters):

lbl_hidden_txt_planningProposal: Planning Proposal

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