COVID-19-Research-Demonstration-Grant-Program-Supplemental-Form.pdf
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- Opportunity number
- FTA-2020-015-TRI
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Supplemental Form
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| PKG00263684-instructions.docx | DOCX document |
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v1.0 The Public Transportation COVID-19 Research Demonstration Grant Program Page of The Public Transportation COVID-19 Research Demonstration Grant Program Applicant and Proposal Profile Is this a resubmission?
Section I. Applicant Information (Name and Direct Phone Number) Applicant Eligibility:
Project Location:
Description of Service Provided and Areas Served (If Applicable):
Section II. Project Summary Project Executive Summary:
Project Statement of Work:
Applicants may attach materials and documentation that supports the proposal submission, including graphics, maps, letters of support and any other documents, as appropriate. Applicants are encouraged to clearly reference any relevant attachment in the supplemental form.
List all supporting materials and documents included with proposal:
Project Objectives:
Describe how the proposed project supports one or more of the stated program objectives:
If applicable, describe how the proposed project supports the ROUTES Initiative:
Exemptions/waivers:
Please indicate if any of these exemptions or waivers are required to implement the project (i.e. A Buy America Waiver), and impacts to the project if waivers are not granted:
Data Collection Management and Accessibility:
Describe the expected approach to data collection, data management and data access by the FTA and independent evaluators:
Does the proposed project impact an Opportunity Zone pursuant to 26 U.S.C 1400Z-1?
Project Type (select all that apply):
Project Budget Item Description Federal Amount ($) Local Match Amount ($) Other Federal Amount, if applicable ($) Other Federal Cost Share, if applicable ($) Total Cost ($) Qty Total:
Matching Funds Information Project Scalability Is project scope scalable?
Project Proposed Milestones (Timeline) Timeline Item Description Timeline Item Date Congressional Districts (Place of Performance) Section III. Evaluation Criteria Project Innovation and Impact:
Project Approach:
National Applicability:
Commercialization and/or Knowledge Transfer:
Technical, Legal, and Financial Capacity:
9.0.0.2.20120627.2.874785
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| Yes: |
| No: |
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| cFocus: |
| Grants.gov Tracking Number (13 characters): |
| lbl_hidden_txt_grantsNumber: Grants.gov tracking number |
| Applicant Organization Legal Name (250 characters): |
| lbl_hidden_txt_orgLegalName: Applicant Organization Legal Name |
| FTA Recipient ID Number (4 characters): |
| lbl_hidden_txt_ftaRecipientIdNumber: FTA Recipient ID Number |
| Organization CEO (250 characters): |
| lbl_hidden_txt_orgCEO: Organization Chief Executive Officer |
| Public transportation agency: |
| State/local government department of transportation: |
| Federally recognized Indian tribe: |
| Private for Profit or Nonprofit Organizations: |
| Others: |
| lbl_hidden_rbl_appEligibility: Organization Type |
| Others (75 characters): |
| lbl_hidden_txt_otherAppElig: Others |
| Project Location - Small Urbanized Area: 0 |
| lbl_hidden_cb_SmallUrban: Small Urbanized Area |
| Project Location - Large Urbanized Area: 0 |
| lbl_hidden_cb_LargeUrban: Large Urbanized Area |
| Project Location - Rural: 0 |
| lbl_hidden_cb_Rural: Rural |
| lbl_hidden_cbl_ProjectLocation: Project Location |
| Description of Service Provided and Areas Served (If Applicable): (4000 characters): |
| lbl_hidden_txt_transitService: Description of Service Provided and Areas Served |
| Project Title (250 characters): |
| lbl_hidden_txt_projectTitle: Project Title |
| Project Executive Summary (500 characters): |
| lbl_hidden_txt_executiveSummary: Project Executive Summary |
| Project Statement Of Work (500 characters): |
| lbl_hidden_txt_projectStatementOfWork: Project Statement of Work |
| List all supporting materials and documents included with proposal (1000 characters): |
| lbl_hidden_txt_ListSupportingMaterials: All supporting materials and documents included with proposal |
| Project Objectives (1000 characters): |
| lbl_hidden_txt_projectObjective: Project Objectives |
| If applicable, describe how the proposed project supports the ROUTES Initiative: (1000 characters): |
| lbl_hidden_txt_routesSupport: If applicable, describe how the proposed project supports the ROUTES Initiative |
| Exemptions/waivers (1000 characters): |
| lbl_hidden_txt_exemtions: Exemptions/waivers |
| Data Collection Management and Accessibility (1000 characters): |
| lbl_hidden_txt_dataCollection: Data Collection Management and Accessibility |
| lbl_hidden_rbl_oppZoneImpact: Does the proposed project impact an Opportunity Zone pursuant to 26 U.S.C 1400Z-1? |
| Transit Planning Study for Services and Routes: 0 |
| lbl_hidden_cb_vehicle: Vehicle, Facility, Equipment, and/or Infrastructure Cleaning and Disinfection |
| Engineering Study of Transit Facilities or New Facilities: 0 |
| lbl_hidden_cb_exposureMitigation: Exposure Mitigation Measures |
| Technical Study or Plan for Advancing Technologies: 0 |
| lbl_hidden_cb_multiModal: Multi-Modal Payment Innovative Mobility Systems |
| Transit Financing Study or Plan: 0 |
| lbl_hidden_cb_publicConfidence: Measures That Strengthen Public Confidence in Transit |
| Other (Please specify): 0 |
| lbl_hidden_cb_other: Other |
| lbl_hidden_cbl_ProjectType: Project Type |
| lbl_hidden_txt_projectTypeOther: If Other, specify |
| Project Type - If Other, Specify (200 characters): |
| Item Description (100 characters): |
| lbl_hidden_gridItem_txt_Desc: Item Description |
| Quantity: |
| lbl_hidden_gridItem_num_Qty: Quantity |
| Federal Amount: |
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| Local Match Amount: |
| lbl_hidden_gridItem_num_LocalMatch: Local Match |
| Other Federal Amount, if applicable: |
| lbl_hidden_gridItem_num_OtherFederal: Other Federal Amount, if applicable |
| Other Federal Cost Share, if applicable: |
| lbl_hidden_gridItem_num_Other: Other Federal Cost Share, if applicable |
| Total Cost: |
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| Grand Total - Federal Amount: |
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| Grand Total - Local Match Amount: |
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| Grand Total - Other Federal Amount: |
| lbl_hidden_num_TotalOtherFederal: Grand Total - Other Federal Amount |
| Grand Total - Other Federal Cost Share: |
| lbl_hidden_num_TotalOther: Grand Total - Other Federal Cost Share |
| Grand Total - Total Cost: |
| lbl_hidden_num_TotalTotalCost: Grand Total - Total Cost |
| Matching Funds Amount: |
| lbl_hidden_num_matchingFunds: Matching Funds Amount |
| Matching Funds Source (4000 characters): |
| lbl_hidden_txt_sourceMatchingFunds: Matching Funds Source |
| Matching Funds Documentation (4000 characters): |
| lbl_hidden_txt_matchingFundsDoc: Matching Funds Documentation |
| lbl_hidden_rbl_IsScalable: Is project scope scalable? |
| Provide explanation of scalability (4000 characters): |
| lbl_hidden_txt_scalabilityExpl: Provide explanation of scalability |
| Timeline Item Description (100 characters): |
| lbl_hidden_gridItem_txt_tlDesc: Timeline Item Description |
| Timeline Item Date (format MM/dd/YYYY): |
| lbl_hidden_gridItem_datetime_tlDate: Timeline Item Date |
| lbl_hidden_gridTable_timelineRepeatable: Project Proposed Milestones (TImeline) |
| Insert Project Timeline Item: |
| Congressional District: |
| lbl_hidden_gridItem_ddl_congressDist: Congressional District |
| lbl_hidden_gridTable_congressDistRepeatable: Congressional Districts |
| Insert Congressional District Item: |
| Project Innovation and Impact (4000 characters): |
| lbl_hidden_txt_projectInnovationImpact: Project Innovation and Impact |
| Project Approach (4000 characters): |
| lbl_hidden_txt_projectApproach: Project Approach |
| National Applicability (4000 characters): |
| lbl_hidden_txt_natApplicability: National Applicability |
| Team Capacity and Commitment (4000 characters): |
| lbl_hidden_txt_commercialization: Commercialization and/or Knowledge Transfer |
| Commercialization and Commitment (4000 characters): |
| lbl_hidden_txt_technicalLegalFinancialCap: Technical, Legal, and Financial Capacity |
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