FY22-Tribal-Supplemental-Form.pdf
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- Opportunity number
- FTA-2022-003-TPM-TRTR
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| FRN_2022-03341.pdf |
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v1.0 Tribal Transit Program Supplemental Form - Public Transportation On Indian Reservations Program (2022) Page of Public Transportation on Indian Reservations Program (Tribal Transit Program) FY 2022 Applicant and Proposal Profile Section I. Applicant Information Is this a resubmission due to an invalid/error message from FTA?
Is the applicant a federally recognized Indian Tribe or Alaska Native Village, Group, or Community and located in a rural area with a population of 50,000 or less?
Section II. Project Information (Descriptive title of this project) Project Purpose:
Project Type:
(Applicant must check at least one) Project Budget Description
QTY
Federal Amount Optional Local Match Total Cost Other Federal Funds Other Total:
(Optional) Matching Funds Information Project Scalability Is project scope scalable?
Project Proposed Milestones (Timeline) Timeline Description Timeline Item Date Congressional District(s) (Place of Performance) Congressional District Section III. Evaluation Criteria ***Address the evaluation criteria as described in the Notice of Funding Opportunity*** Planning and Local/Regional Prioritization Are you applying for a Capital or Operating project?
Project Readiness Are you applying for a Capital or Operating project?
Demonstration of Need Are you applying for a Capital or Operating project?
Demonstration of Benefits Are you applying for a Capital or Operating project?
Financial Commitment and Technical, Legal, Financial and Operating Capacity Are you applying for a Capital or Operating project?
*** Note: Please provide organization Annual Operating Budget as an attachment or within this section.
Planning Proposal Are you applying for a planning project?
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 number |
| Organization Chief Executive Officer (200 characters): |
| lbl_hidden_txt_orgCEO: Organization CEO |
| lbl_hidden_rbl_ApplicantEligibility: Is the applicant a federally recognized Indian Tribe or Alaska Native Village, Group, or Community and located in a rural area with a population of 50,000 or less? |
| Description of Service Provided and Areas Served (4000 characters): |
| lbl_hidden_txt_descriptionOfAreaServed: Description of Service 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 (1000 characters): |
| lbl_hidden_txt_projectStatementOfWork: Project Statement of Work |
| Project Purpose - Start-up (no existing service): 0 |
| lbl_hidden_cb_Startup: Start-up (no existing service) |
| Project Purpose - Expansion (applicable to capital and operating projects): 0 |
| lbl_hidden_cb_Expansion: Expansion (applicable to capital and operating projects) |
| Project Purpose - Replacement (applicable to capital projects only): 0 |
| lbl_hidden_cb_Replacement: Replacement (applicable to capital projects only) |
| lbl_hidden_cbl_ProjectPurpose: Project Purpose |
| Project Type - Capital: 0 |
| lbl_hidden_cb_Capital: Capital |
| Project Type - Operating: 0 |
| lbl_hidden_cb_Operating: Operating |
| Project Type - Planning: 0 |
| lbl_hidden_cb_Planning: Planning |
| lbl_hidden_cbl_ProjectType: Project Type |
| 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 |
| Optional Local Match: |
| lbl_hidden_gridItem_num_LocalMatch: Optional Local Match |
| Other Federal Funds: |
| 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 - Local Match: |
| lbl_hidden_num_TotalLocalMatch: Grand Total - Optional Local Match |
| 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 |
| (Optional) Matching Funds Amount: |
| lbl_hidden_num_matchingFunds: (Optional) Matching Funds Amount |
| (Optional) Source of Matching Funds and Supporting Documentation of Local Match (4000 characters): |
| lbl_hidden_txt_sourceMatchingFunds: (Optional) Source of Matching Funds and 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 Description (100 characters): |
| lbl_hidden_gridItem_txt_tlDesc: Timeline Description |
| Timeline Item Date (format MM/dd/YYYY): |
| lbl_hidden_gridItem_datetime_tlDate: Timeline Item 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: |
| lbl_hidden_rbl_applyingCapitalOperatingPLP: Planning and Local/Regional Prioritization - Are you applying for a Capital or Operating project? |
| Planning and Local/Regional Prioritization (4000 characters): |
| lbl_hidden_txt_planningPrioritization: Planning and Local/Regional Prioritization |
| lbl_hidden_rbl_applyingCapitalOperatingPR: Project Readiness - Are you applying for Capital or Operating project? |
| Project Readiness (4000 characters): |
| lbl_hidden_txt_readinessJustification: Project Readiness |
| lbl_hidden_rbl_applyingCapitalOperatingDN: Demonstration of Need - Are you applying for a Capital or Operating project? |
| Demonstration of Need (4000 characters): |
| lbl_hidden_txt_demonstrationNeed: Demonstration of Need |
| lbl_hidden_rbl_applyingCapitalOperatingDB: Demonstration of Benefits - Are you applying for a Capital or Operating project? |
| Demonstration of Benefits (4000 characters): |
| lbl_hidden_txt_demonstrationBenefits: Demonstration of Benefits |
| lbl_hidden_rbl_applyingCapitalOperatingFCOC: Financial Commitment and Technical, Legal, Financial and Operating Capacity - Are you applying for a Capital or Operating Project? |
| lbl_hidden_txt_financialCommitment: Demonstration of Financial commitment and Technical, Legal Financial and Operating Capacity |
| Financial Commitment and Technical, Legal, Financial and Operating Capacity (4000 characters): |
| lbl_hidden_rbl_applyingPlanningProjectPP: Planning Proposal - Are you applying for a planning project? |
| Planning Proposal (4000 characters): |
| lbl_hidden_txt_planningProposal: Planning Proposal |
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