FY2024 DLT Worksheets.xlsx
XLSX spreadsheet 53 KB Posted
- Attached to
- Distance Learning and Telemedicine Grants Federal grant opportunity
- Opportunity number
- RUS-24-01-DLT
About this file
This document provides details on a federal grant opportunity from the Department of Agriculture Rural Housing Service and Rural Utilities Services titled "Distance Learning and Telemedicine Grants" with the solicitation number RUS-24-01-DLT. The grant aims to enable and improve distance learning and telemedicine services in rural areas through the use of telecommunications-enabled information, audio, and video equipment. Eligible applicant types include independent school districts, higher education institutions, county and tribal governments, small businesses, nonprofits, and for-profit organizations. The grant is intended to increase rural access to educational, training, and healthcare resources. The related federal grant program is the Distance Learning and Telemedicine Loans and Grants program with CFDA number 10.855, which encourages and improves the use of telemedicine and telecommunications technologies to provide educational and medical benefits to rural populations through distance learning and telemedicine projects.
FY2024 DLT Worksheets
View the file
Other files for this federal grant opportunity
| File | Type | Posted |
|---|---|---|
| FY2024 DLT Checklist.xlsx | XLSX spreadsheet | |
| FY2024 DLT Application Guide.pdf | ||
| FY2024 DLT NOSA 2-29-2024.pdf |
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Text version
Description of Project Sites
| SAMPLE Description of Project Sites Worksheet | |||||||
| Applicant's Legal Name | |||||||
| (Insert additional rows as needed) | |||||||
| Site Number | Site Name | Site Designation (Hub; End-User; | |||||
| Hub/End-User) | Street Address | Town | County | State | 5 Digit ZIP | Congressional District | # Rural Residents Served at each Hub/End-User or End-User Site |
Hub Sites: A hub site is a facility that is part of a network or telecommunications system that provides educational or medical services to end-user sites. A pure hub receives no end-user benefits. The site is usually a connection management point or is exclusively an educational or medical source of distance learning or telemedicine. Hub sites located in non-rural areas are not eligible for grant assistance unless they are necessary to provide DLT services to rural residents at end-user sites.
End-User Site: An end-user site is a facility that is part of a network or telecommunications system that is utilized by end-users. For a site to be included as an end-user site for scoring purposes, the applicant must demonstrate equipment purchased will be installed or placed at the site.
A Hub/End-User site performs both functions: a hub which also accommodates end-users.
See Application Guide Section B and Appendix A for additional information.
Rurality Calculation
| SAMPLE Rurality Calculation Worksheet | ||
| Applicant's Legal Name | ||
| (Insert additional rows as needed) | ||
| Minimum Score of 20 points is required for eligibility | ||
| Site Number | Site Name | Site Designation |
(Hub; End-User;
| Hub/End-User) | Town or Place Name | Census Population | Is the Site in a Town contiguous to City or Town | |
| > 50,000? | Name of Adjacent Urban City or Town (if Yes in prev. col. ) | Rurality Score | ||
| Yes | ||||
| No |
Project's Rurality Score (Sum of Points for all sites with End-Users/Total # of all sites with End-Users)
| Scoring Table | |
| Census Population | Points |
| EXCEPTIONALLY RURAL AREA - 5,000 or less | 40 |
| RURAL AREA - 5,001-10,000 | 30 |
| MID-RURAL AREA - 10,001-20,000 | 20 |
| URBAN AREA - Over 20,000 or Adjacent to City > 50,000 | 0 |
NOTE: Enter the hub, end-user, and hub/end-user sites in the same order as shown on the Description of Project Sites Worksheet.
Please complete all columns for every site.
ONLY use the information associated with End-User and Hub/End-User sites in the Rurality Calculation. Should RUS determine that a hub site was misclassified, hub information will be required.
See Application Guide Section D-1 and Appendix A for additional information.
Economic Need Calculation
| SAMPLE Economic Need Calculation Worksheet | ||
| Applicant's Legal Name | ||
| (Insert additional rows as needed) | ||
| Site Number | Site Name | Site Designation |
(Hub; End-User;
Hub/End-User) County SAIPE Percent Poverty, All Ages Economic Need Score
| Applicant's Estimated Economic Need Score |
| (Sum of Economic Need Points /Sum of End-User + Hub/End-User Sites) |
| Scoring Table | |
| SAIPE County Poverty Percentage: | Points |
| Poverty % < 10% | 0 |
| 10% ≤ Poverty % < 20% | 10 |
| 20% ≤ Poverty % < 30% | 20 |
| 30% ≤ Poverty % | 30 |
NOTE: Enter the hub, end-user, and hub/end-user sites in the same order as shown on the Description of Project Sites Worksheet.
Please complete all columns for every sites. ONLY enter the SAIPE poverty percentage associated with each end-user and hub/end-user site. Do not include the hub site percentage in the final calculation of the Economic Need score. (The hub information is required should RUS determine that a hub site was misclassified and should have been included in the calculation.)
See Application Guide Section D-2 and Appendix A for additional instructions.
Special Consideration
| SAMPLE Special Consideration Worksheet |
| Applicant's Legal Name |
| Before Completing this Worksheet, PLEASE CAREFULLY READ: |
Section E, (d), (i) - (iii) of the 2024 DLT Notice of Solicitation of Applications and Section D of the Application Guide
| Under the FY 2024 DLT NOSA, does this project qualify for special consideration points? | YES | NO |
| If the anwer above is NO, skip the remainer of the sheet. | ||
| If the anwer above is YES, complete the table below. |
Special Consideration Category Category for Which Applicant is Seeking Special Consideration Points (10 Points Maximum)
ONLY MARK ONE Other Special Consideration Categories Addressed by this Project** (No additional points)
| MARK ALL THAT APPLY | Site Number(s) | Site Name(s) | |
| One or more End-User(s) serving Distressed Communities | |||
| One or more End-User(s) serving Socially Vulnerable Communities | |||
| One or more End-User(s) serving Tribal Lands | |||
| Project proposed by a federally recognized Tribe (including Tribal instrumentalities and entities wholly owned by Tribes) |
** For tracking purposes only
Special Consideration points will only be awarded if the application Executive Summary supports the claim that the project is proposed by a federally recognized Tribe, including Tribal instrumentalities and entities wholly owned by Tribes; or has at least one end-user site in the following areas: Tribal Lands, Distressed Communities, Socially Vulnerable Communities. List which site number(s) and name(s) will include an end-user site serving Tribal Lands, Distressed Communities, or Socially Vulnerable Communities.
If a DLT project proposes service on or over Tribal Lands and the applicant is non-Tribal, then a letter of consent is required from each Tribal Council with jurisdiction over the Tribal Lands in question. However, if a DLT project proposes infrastructure construction or deployment on or over Tribal Lands, then a Tribal Resolution is required from the Tribal Government with jurisdiction over the Tribal Lands in question. Review the NOSA and DLT Application Guide for additional details.
Match Calculation
| SAMPLE Match Calculation Worksheet | ||
| Applicant's Legal Name | ||
| (Insert additional rows as needed) | ||
| Donor | Proposed Cash ($) | Proposed In-Kind ($) |
| (Documentation Letter from each donor must be provided) |
| 1. Total Proposed Matching Contribution (must equal Line B + Line C in the Budget Worksheet) | $ - 0 | $ - 0 | $ - 0 |
| 2. Total DLT Grant Request (Must equal Line D in the Budget Worksheet) | $ - 0 | ||
| Match Percent (Line 1 ÷ Line 2), must be at least 15% of Grant Request |
Budget
| SAMPLE Line-Item Budget Worksheet | |||||
| Applicant's Legal Name | |||||
| (Insert additional rows as needed) | |||||
| Items being funded by Grant and Cash Match | |||||
| Line Item # | Site Number & Name | Description | Unit Cost | # of Units | Extended Cost |
| 1 | $ - 0 | ||||
| 2 | $ - 0 | ||||
| 3 | $ - 0 | ||||
| 4 | $ - 0 | ||||
| 5 | $ - 0 | ||||
| 6 | $ - 0 | ||||
| 7 | $ - 0 | ||||
| 8 | $ - 0 | ||||
| 9 | $ - 0 | ||||
| 10 | $ - 0 | ||||
| 11 | $ - 0 | ||||
| 12 | $ - 0 | ||||
| 13 | $ - 0 | ||||
| 14 | $ - 0 | ||||
| 15 | $ - 0 | ||||
| 16 | $ - 0 | ||||
| 17 | $ - 0 | ||||
| 18 | $ - 0 | ||||
| 19 | $ - 0 | ||||
| 20 | $ - 0 | ||||
| 21 | $ - 0 | ||||
| Total Grant and Cash Match | $ - 0 | ||||
| Items being contributed as In-Kind Match (if applicable) | |||||
| Line Item # | Site Number & Name | Description | Unit Cost | # of Units | Extended Cost |
| 1 | $ - 0 | ||||
| 2 | $ - 0 | ||||
| 3 | $ - 0 | ||||
| 4 | $ - 0 | ||||
| 5 | $ - 0 | ||||
| 6 | $ - 0 | ||||
| 7 | $ - 0 | ||||
| 8 | $ - 0 | ||||
| 9 | $ - 0 | ||||
| 10 | $ - 0 | ||||
| Total In-Kind Match | $ - 0 | ||||
| A | Overall DLT Project Budget (Sum of Total Grant & Cash Match and Total In-Kind Match) | $ - 0 | |||
| B | Less Proposed Cash Match (As documented on Match Calculation Worksheet) | $ - 0 | |||
| C | Less In-Kind Match | $ - 0 | |||
| D | DLT Grant Request (A-B-C) | $ - 0 | |||
| Grant to Match % (minimum of 15% required) |
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