imi-supplemental-form-2019.pdf
PDF 979 KB Posted
- Attached to
- Integrated Mobility Innovation Demonstration Program Federal grant opportunity
- Opportunity number
- FTA-2019-008-TRI
- Issued by
- Department of Transportation
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Supplemental Form
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Other files for this federal grant opportunity
| File | Type | Posted |
|---|---|---|
| FRN_IMI_2019-09269.pdf | ||
| PKG00250808-instructions.docx | DOCX document |
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v1.0 SF - Integrated Mobility Innovation Page of Integrated Mobility Innovation (IMI) Demonstration Research Program Applicant and Proposal Profile Section I. Applicant Information Is this a resubmission due to an invalid/error message from FTA?
Are you a Public Transportation Provider:
Institution Type:
(pick one) Population Served:
(select all that apply) Congressional Districts (Place of Performance) Congressional District Congressional Representative Section II. Project Information (Descriptive title of this project) Which area(s) of inquiry are you applying for?
(select all that apply) Describe the project scope; particularly how it pertains to the selected area(s) of inquiry (refer to the notice of Funding Opportunity for a description of the areas of inquiry).Briefly describe all project activities (refer to the Notice of Funding Opportunity for a description of eligible projects and activities).
Applicants may attach materials and documentation that supports the proposal submission, including graphics, maps, letters of support and any other documents, as appropriate. Applicants are encouraged to clearly reference any relevant attachments throughout the supplemental form.
***Address each of the evaluation criteria as described in the Notice of Funding Opportunity.*** Section III . Evaluation Criteria
1. Project Impact and Outcomes A description of the current opportunities/need to improve mobility choices for allThe demographics to be served and the needCurrent local mobility challenges Persons with disabilitiesOlder individualsLower income individuals/undeserved communitiesSchool-aged populations
2. Innovation
3. Transferability and Technology Transfer
4. Project Approach Project Partners Name Role & Anticipated Contribution Letter of support/agreement attached? (Y/N) Describe Qualification and Experience Organization Type (eg for-profit, operator, local agency, etc Key Partner (Y/N) Documented Support of Partner Qualifications Attached? (Y/N) Is a preliminary data management plan (DMP) attached, detailing:
the types of data that will be generated;the methods for data collection, management and use; how the project team will provide access for FTA or its designee to to this project-related data for purpose of evaluation; andhow the project team will provide a subset to the public?
Is supporting evidence (e.g., signed memorandum of understanding, executed data agreements, etc.) related to plans for data collection, management, sharing, and usage provided?
Project Timeline (Please be as specific as possible) Project Element/Milestone Timeline Item Date Responsible Party (ies) Project Budget (Identify funding requirements for the proposed project, noting the specific sources and uses for the funds processed, with enough detail to indicate the various key components of the project) Item Description Federal Amount ($) Other Federal Amount, if applicable ($) Cost Share ($) Other Federal Cost Share, if applicable Total Cost ($) Total:
Matching Funds (May include local or private sector financial participation in the project) Amount Commitment Document Attached (Y/N) Source Total:
5. Team Capacity, Experience, and Commitment Is documented support included?
9.0.0.2.20120627.2.874785
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