Areas-of-Persistent-Poverty-Supplemental-Form-2021.pdf
PDF 196 KB Posted
- Opportunity number
- FTA-2021-005-TPE
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Supplemental Form
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Other files
| File | Type | Posted |
|---|---|---|
| FRN 2021-13980.pdf |
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v1.0 Page of Applicant and Proposal Form - FY 2021 Grants under the Areas of Persistent Poverty Program FY 2021 Grants under the Areas of Persistent Poverty Program Applicant and Proposal Profile Is this a resubmission due to an invalid/error message from FTA?
Section I. Applicant Information (Name and Direct Phone Number) Project Location:
Is the proposed project located in an Area of Persistent Poverty? Qualifying areas can be found here: https://datahub.transportation.gov/stories/s/tsyd-k6ij Eligible Recipient or Subrecipient of 49 U.S.C. 5307, 5310, or 5311?
Applicant Eligibility (select all that apply):
Section II. Project Information About the Project (Descriptive title of this project) Project Type (select all that apply):
General Information Project Budget Description
QTY
Federal Amount Federal Match Amount Total Cost Other Federal Funds Other Total:
Matching Funds Information Project Scalability Is project scope scalable?
Project Proposed Milestones Timeline (Please be as specific as possible) Timeline Description Timeline Date Congressional Districts (Place of Performance) Congressional District Section III . Evaluation Criteria *** Address each of the evaluation criteria as described in the Notice of Funding Opportunity.*** Demonstration of Need Describe the need for project and how the activities would support eligible projects under Chapter 53 of Title 49.
Demonstration of Benefits Describe how the proposed activities would improve the ability to address one or more of the following factors: improve the existing condition of the transit system, improve the reliability of transit service for its riders, enhance access and mobility within the service area, accelerate the introduction of innovative technologies, reduce vehicle emission, reduce barriers to low income housing, and demonstrate regional and/or local support.
Local Financial Commitment Describe the source of non-Federal match and whether non-Federal match is available, currently reserved or committed for this project, or will be secured upon project approval. Provide documentation, if available.
Project Implementation Strategy Describe the Work Plan, Schedule, and Deliverables for the proposed activities. Describe the Partnerships involved in the project. Describe the technical capacity of the Partnership to undertake the proposed work.
Technical, Legal, and Financial Capacity Describe the technical, legal, and financial capacity of the applicant to undertake the project and describe any outstanding legal, technical or financial compliance issues from an FTA compliance review or Federal Transit grant-related Single Audit Finding and the status of work to address them.
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| programCodeHidden: AoPP2021 |
| 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 CEO |
| FTA Recipient ID Number (30 characters): |
| lbl_hidden_txt_ftaRecipientIdNumber: FTA Recipient Id |
| Organization CEO (200 characters): |
| lbl_hidden_txt_orgCEO: Organization CEO |
| Large Urban: 0 |
| lbl_hidden_cb_LargeUrban: Large Urban |
| Small Urban: 0 |
| lbl_hidden_cb_SmallUrban: Small Urban |
| Rural: 0 |
| lbl_hidden_cb_Rural: Rural |
| lbl_hidden_cbl_ProjectLocation: Project Location |
| lbl_hidden_rbl_IndicatorOne: Is the proposed project located in an Area of Persistent Poverty? |
| Specify the County(s) and State where the project is located using the link above. If your area qualifies as an Area of Persistent Poverty based upon census tracts, please specify the individual census tract(s): (4000 characters): |
| lbl_hidden_txt_projectLocation: Specify the County(s) and State where the project is located. If your area qualifies as an Area of Persistent Poverty based upon census tracts, please specify the individual census tract(s) |
| lbl_hidden_rbl_IndicatorTwo: Eligible Recipient or Subrecipient of 49 U.S.C. 5307, 5310, or 5311 |
| If applicant is not a direct recipient, identify the organization that has agreed to secure funding on their behalf in FTA's grants management system. Is documentation of that agreement included in the application? (4000 characters): |
| lbl_hidden_txt_secureFundingAgreement: If applicant is not a direct recipient, identify the organization that has agreed to secure funding on their behalf in FTA's grants management system. Is documentation of that agreement included in the application? |
| State: 0 |
| lbl_hidden_cb_State: State |
| Local Government Authority: 0 |
| lbl_hidden_cb_Authority: Local government authority |
| Public Transit Provider: 0 |
| lbl_hidden_cb_PublicTransit: Public Transit Provider |
| Metropolitan Planning Organization: 0 |
| lbl_hidden_cb_Metropolitan: Metropolitan Planning Organization |
| Federally-recognized Native American Tribe: 0 |
| lbl_hidden_cb_FedRecognized: Federally-recognized Native American Tribe |
| Private Non-Profit Organization: 0 |
| lbl_hidden_cb_PrivateNonProfit: Private Non-Profit Organization |
| Other: 0 |
| lbl_hidden_cb_OtherEl: Other |
| lbl_hidden_cbl_EligibilityType: Applicant Eligibility |
| lbl_hidden_txt_eligibilityTypeOther: If Other, specify |
| Applicant Eligibility - If Other, Specify (200 characters): |
| Project Title (200 characters): |
| lbl_hidden_txt_projectTitle: Project Title |
| Project Executive Summary (500 characters): |
| lbl_hidden_txt_summaryOfReq: Project Executive Summary |
| Project Statement of Work (1000 characters): |
| lbl_hidden_txt_projectStatementOfWork: Project Statement of Work |
| Planning for Services to Address Equity: 0 |
| lbl_hidden_cb_planningServices: Planning for Services to Address Equity |
| Planning for Addressing Climate Change: 0 |
| lbl_hidden_cb_planningAddressing: Planning for Addressing Climate Change |
| Transit Planning Study for Services and Routes: 0 |
| lbl_hidden_cb_transitPlanningStudy: Transit Planning Study for Services and Routes |
| Engineering Study of Transit Facilities or New Facilities: 0 |
| lbl_hidden_cb_engineeringStudy: Engineering Study of Transit Facilities or New Facilities |
| Technical Study or Plan for Advancing Innovative Technologies: 0 |
| lbl_hidden_cb_techStudy: Technical Study or Plan for Advancing Innovative Technologies |
| Transit Financing Study or Plan: 0 |
| lbl_hidden_cb_transitFinancing: Transit Financing Study or Plan |
| Planning and Environmental Linkage Study: 0 |
| lbl_hidden_cb_planningEnvironmental: Planning and Environmental Linkage Study |
| Environmental Analysis: 0 |
| lbl_hidden_cb_environmental: Environmental Analysis |
| Planning for Low or No Emission Buses: 0 |
| lbl_hidden_cb_planningLowNo: Planning for Low or No Emission Buses |
| Coordinated Public Transit Human Services Transportation Planning: 0 |
| lbl_hidden_cb_coordinated: Coordinated Public Transit Human Services Transportation Planning |
| Integrated Fare Collection Study: 0 |
| lbl_hidden_cb_integrated: Integrated Fare Collection Study |
| 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): |
| Describe how this application would address racial equity and/or environmental justice in persistent poverty communities. Environmental justice populations include low income and minority populations(s) as defined in Executive Order 12898 "Federal Actions to Address Environmental Justice in Minority Populations and Low-Income Populations " and FTA's Environmental Justice Circular 4703.1 (4000 characters): |
| lbl_hidden_txt_racialEquity: Describe how this application would address racial equity and/or environmental justice in persistent poverty communities |
| Describe how this application supports reducing greenhouse gas emissions and the effects of climate change (4000 characters): |
| lbl_hidden_txt_greenhouse: Describe how this application supports reducing greenhouse gas emissions and the effects of climate change |
| 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 |
| Federal Match Amount: |
| lbl_hidden_gridItem_num_LocalMatch: Federal Match Amount |
| 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 - Federal Match Amount: |
| lbl_hidden_num_TotalLocalMatch: Grand Total - Federal Match Amount |
| 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 (500 characters): |
| lbl_hidden_txt_sourceMatchingFunds: Source of Matching Funds |
| Matching Funds Availability (Documentation) (500 characters): |
| lbl_hidden_txt_supportingDocuments: Matching Funds Availability |
| 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 Date (format MM/dd/YYYY): |
| lbl_hidden_gridItem_datetime_tlDate: Timeline 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: |
| Demonstration of Need (4000 characters): |
| lbl_hidden_txt_demonstrationNeed: Demonstration of Need |
| Demonstration of Benefits (4000 characters): |
| lbl_hidden_txt_demonstrationBenefits: Demonstration of Benefits |
| Local Financial Commitment (4000 characters): |
| lbl_hidden_txt_localFinancial: Local Financial Commitment |
| Project Implementation Strategy (4000 characters): |
| lbl_hidden_txt_projectImplementStrategy: Project Implementation Strategy |
| Technical, Legal, and Financial Capacity (4000 characters): |
| lbl_hidden_txt_techLegalFinanceCapacity: Technical, Legal, and Financial Capacity |
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