FS-6200-0054_Final Narrative Statement.pdf

PARTNERSHIP TO REACH AND ENGAGE UNDERREPRESENTED

AUDIENCES IN A "FIT-FOR-PURPOSE" OUTDOOR RECREATION

NARRATIVE STATEMENT

(Authority 2 CFR 200.204)

FS-6200-0054 (REV. 07/2024)

OMB 0503-0028

Exp. 11/30/2025

File Code: 6220 For technical questions and Section 508 accommodation, please contact SM.FS.fseforms@usda.gov

Must Match box 8 in the SF-424:

Project Title:

Applicant Name:

Applicant E-mail:

Applicant Phone Number:

Applicant Physical Address:

Select the organization that you represent:

Nonprofit Organizations and Community Groups:

Not Applicable 501(c)(3) (or has applied) 501(c)(4) (or has applied) Group without 501(c)(3) or (c)(4) status Community Board Faith Based Organization School-Affiliated Group

Government Entities:

Not Applicable City/Local Government County Government Federal Government Tribe State Government Other Government

Higher Education Institutions:

Not Applicable College University

For-Profit Entities:

Small business

Other- Please describe:

Other:

Other - Please describe:

1. What is your timeline for implementing this action? If additional space is needed, please use the referenced Attachment form.

mailto:SM.FS.fseforms@usda.gov

File Code: 6220 Page 2 of 6

FS-6200-0045 (REV. 07/2024)

2. Below is a map of the US Forest Service geographic regions. Please select the region(s) you currently work and/or have the capacity to work.

Northern Region (R1) Rocky Mountain Region (R2) Southwestern Region (R3) Intermountain Region (R4) Pacific Southwest Region (R5) Pacific Northwest Region (R6) Southern Region (R8) Eastern Region (R9) Alaska Region (R10) Puerto Rico (PR) American Samoa Guam Northern Mariana Islands Virgin Islands

3. Please list the state(s) in which you currently work and/or have the capacity to work.

4. Describe how this project scope fits within your organization's mission, and how it serves as a shared mutual interest and benefit between the Forest Service and your organization.

File Code: 6220 Page 3 of 6

5. Describe the key personnel who will be involved in this project.

6. How will this project serve or impact communities that are disadvantaged, historically undeserved, marginalized, or have been adversely affected by persistent poverty or inequality?

7. Briefly describe an existing or potential project in which you would be interested in partnering with USDA Forest Service. Please include the goals, objectives, and describe any experience your organization has with how it relates to the USDA Forest Service "Program Overview/Statement of Work."

File Code: 6220 Page 4 of 6

8. Briefly describe your experience managing field crews, including volunteers as well as any experience navigating to specific locations (sometimes in remote areas) using a topo map and compass, and or Global Positioning Device (GPS).

File Code: 6220 Page 5 of 6

PAPERWORK REDUCTION ACT STATEMENT

According to the Paperwork Reduction Act of 1995, a Federal agency may not conduct or sponsor, and a person is not required to respond to, an information collection request unless it displays a valid Office of Management and Budget (OMB) control number. The valid OMB control number for this information collection request is 0503-0028.

Response to this information collection request is required to obtain or retain benefits. The authority for this information collection request is Notices of Funding Opportunities (2 CFR 200.204). The time required to complete this information collection request is estimated to average 40 hours per response, including the time for reviewing instructions, searching existing data sources, collecting and maintaining the data needed, and completing and reviewing the information collection request. Send comments regarding this burden estimate or any other aspect of this information collection request, including suggestions for reducing the burden, to the USDA Forest Service email address SM.FS.InfoCollect@usda.gov, with OMB control number 0503-0028 in the subject line.

NONDISCRIMINATION STATEMENT

In accordance with Federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its agencies, offices, and employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on race, color, national origin, religion, sex, gender identity (including gender expression), sexual orientation, disability, age, marital status, family/parental status, income derived from a public assistance program, political beliefs, or reprisal or retaliation for prior civil rights activity, in any program or activity conducted or funded by USDA (not all bases apply to all programs). Remedies and complaint filing deadlines vary by program or incident.

Persons with disabilities who require alternative means of communication for program information (e.g., Braille, large print, audiotape, American Sign Language, etc.) should contact the responsible agency or USDA’s TARGET Center at (202) 720-2600 (voice and TYY) or contact USDA through the Federal Relay Service at (800) 877-8339.

Additionally, program information may be made available in languages other than English.

To file a program discrimination complaint, complete the USDA Program Discrimination Complaint Form, AD-3027, found online at How to File a Program Discrimination Complaint and at any USDA office or write a letter addressed to USDA and provide in the letter all the information requested in the form. To request a copy of the complaint form, call (866) 632-9992. Submit the completed form or letter to USDA by (1) mail: U.S. Department of Agriculture, Office of the Assistant Secretary for Civil Rights, 1400 Independence Avenue, SW, Washington, D.C. 20250-9410;

(2) fax: (202) 690-7442; or (3) email: program.intake@usda.gov.

USDA is an equal opportunity provider, employer, and lender.

FS-6200-0045 (REV. 07/2024)

File Code: 6220 For technical questions and Section 508 accommodation, please contact SM.FS.fseforms@usda.gov mailto:SM.FS.InfoCollect@usda.gov https://www.usda.gov/sites/default/files/documents/ad-3027.pdf mailto:program.intake@usda.gov mailto:SM.FS.fseforms@usda.gov