FY-2022-All-Stations-Accessibility-Program-(ASAP)-Supplemental-Form.pdf
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- Opportunity number
- FTA-2022-009-TPM-ASAP
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Supplemental Form
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| File | Type | Posted |
|---|---|---|
| 2022-16094.pdf |
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v1.0 Page of Applicant and Proposal Form - FY 2022 All Stations Accessibility Program (ASAP) Draft Draft FY 2022 All Stations Accessibility Program (ASAP) Applicant and Proposal Profile Is this a resubmission due to an invalid/error message from FTA?
Section I. Applicant Information **Applicants applying for both a planning and a construction project must submit two separate applications, one for each type of project.
(if applicable) (name and direct phone number) Applicant Eligibility:
Project Location:
Project Location Section II. Project Information About the Project (descriptive title of this project) Project Type:
Racial Equity/Barriers to Opportunity Does the project address racial equity as described in the NOFO (Section E.2)?
Does the project address racial equity or barriers to opportunity (see NOFO Section E.2)?
Creating Good-Paying Jobs Project Budget Description
QTY
Federal Amount Requested Local Match Amount Total Cost Other Federal Funds Other Total:
Matching Funds Information Project Scalability Is the project scope scalable?
Is the project scope scalable?
Project Proposed Milestones (Timeline) Timeline Item Description Timeline Item Date Congressional Districts (Project Location) Congressional District Section III . Evaluation Criteria **Address each of the evaluation criteria as described in the Notice of Funding Opportunity** Demonstration of Need Did the station exist prior to the enactment of the Americans with Disabilities Act of 1990?
Did the station exist prior to the enactment of the Americans with Disabilities Act of 1990?
Is the station or facility currently accessible?
Is the station or facility currently accessible?
Will all publicly accessible areas of this proposed station(s) or facility project be ADA accessible?
Will all publicly accessible areas of this proposed station(s) or facility project be ADA accessible?
Demonstration of Benefits Planning and Local or Regional Prioritization Local Financial Commitment Project Implementation Strategy Technical, Legal, and Financial Capacity 9.0.0.2.20120627.2.874785
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| 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 |
| Organization Chief Executive Officer (200 characters): |
| lbl_hidden_txt_orgCEO: Organization CEO |
| Applicant Eligibility: Direct or Designated Recipient that operate or allocate funds to inaccessible pre-ADA—or “legacy” — rail fixed guideway public transportation systems.: |
| Applicant Eligibility: Local Governmental Authority that operate legacy rail fixed guideway public transportation systems.: |
| Applicant Eligibility: Local Governmental Authority that operate legacy rail fixed guideway public transportation systems.: |
| lbl_hidden_rbl_applicantEligibility: Applicant Eligibility |
| Small Urbanized Area (50,000-199,999 people): 0 |
| lbl_hidden_cb_LargeUrban: Large Urbanized Area (200,000+ people) |
| Large Urbanized Area (200,000+ people): 0 |
| lbl_hidden_cb_SmallUrban: Small Urbanized Area (50,000-199,999 people) |
| Rural (less than 50,000 people): 0 |
| lbl_hidden_cb_Rural: Rural (less than 50,000 people) |
| lbl_hidden_cbl_ProjectLocation: Project Location |
| Description of Service Provided and Areas Served (4000 characters): |
| lbl_hidden_txt_descriptionOfAreaServed: Description of services provided and areas served |
| Project Title (200 characters): |
| lbl_hidden_txt_projectTitle: Project Title |
| Project Executive Summary (2000 characters): |
| lbl_hidden_txt_summaryOfReq: Project Executive Summary |
| Project Statement of Work (500 characters): |
| lbl_hidden_txt_projectStatementOfWork: Project Statement of Work |
| lbl_hidden_rbl_ProjectType: Project Type |
| Project Type: Capital: |
| Project Type: Planning: |
| lbl_hidden_rbl_IsRacialEquity: Does the project address racial equity or barriers to opportunity (see NOFO Section E.2)? |
| If yes, please describe: (500 characters): |
| lbl_hidden_txt_racialEquity: If yes, please describe |
| Applicants for facility projects, please describe how the project will support creating good paying jobs (see NOFO Section E.2) (500 characters): |
| lbl_hidden_txt_creatingGood: Applicants for facility projects, please describe how the project will support creating good paying jobs (see NOFO Section E.2) |
| Item Description (100 characters): |
| lbl_hidden_gridItem_txt_Desc: Description |
| Quantity: |
| lbl_hidden_gridItem_num_Qty: Quantity |
| Federal Amount Requested: |
| lbl_hidden_gridItem_num_FederalAmnt: Federal Amount Requested |
| Local Match Amount: |
| lbl_hidden_gridItem_num_LocalMatch: Local 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 Requested: |
| lbl_hidden_num_TotalFederalAmnt: Grand Total - Federal Amount Requested |
| Grand Total - Local Match Amount: |
| lbl_hidden_num_TotalLocalMatch: Grand Total - Local 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 (4000 characters): |
| lbl_hidden_txt_sourceMatchingFunds: Source of Matching Funds |
| Supporting Documentation of Local Match (4000 characters): |
| lbl_hidden_txt_supportingDocuments: Supporting Documentation of Local Match |
| 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 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: |
| lbl_hidden_gridTable_congressDistRepeatable: Congressional Districts |
| Congressional District: |
| lbl_hidden_gridItem_ddl_congressDist: Congressional District |
| Insert Congressional District Item: |
| lbl_hidden_rbl_IsExistingStation: Did the station exist prior to the enactment of the Americans with Disabilities Act of 1990? |
| lbl_hidden_rbl_IsCurrentlyAccessible: Is the station or facility currently accessible? |
| lbl_hidden_rbl_IsPubliclyAccessible: Will all publicly accessible areas of this proposed station(s) or facility project be ADA accessible? |
| Demonstration of Need (4000 characters): |
| lbl_hidden_txt_demonstrationNeed: Demonstration of Need |
| Demonstration of Benefits (4000 characters): |
| lbl_hidden_txt_demonstrationBenefits: Demonstration of Benefits |
| Planning and Local/Regional Prioritization (4000 characters): |
| lbl_hidden_txt_planningPrioritization: Planning and Local or Regional Prioritization |
| Local Financial Commitment (4000 characters): |
| lbl_hidden_txt_financialCommitment: Local Financial Commitment |
| Project Implementation Strategy (4000 characters): |
| lbl_hidden_txt_projectImplementation: Project Implementation Strategy |
| Technical, Legal, and Financial Capacity (4000 characters): |
| lbl_hidden_txt_technicalCapacity: Technical, Legal, and Financial Capacity |
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