PFPR Application Template 23-26.docx

This is the Application Template (Template) for the 2026 Pollinator-Friendly Practices (PFP) on Roadsides and Highway Rights-of-Way Competitive Grant Program, also known as the Roadside Pollinator Program or RPP. This Template is required for applicants of the Roadside Pollinator Program. Applicants should read the Roadside Pollinator Program Notice of Funding Opportunity (NOFO) in its entirety prior to filling out the Template.

Provide a response to each item below. Items in this section will be used to determine grant program eligibility and to determine how the project will address each Merit Criteria and Project Readiness Criteria, as detailed in the NOFO.

I. Basic Information

1. Application Title:

2. Name of Applicant:

3. Is your organization submitting more than one application?

Eligible Applicants are listed in Section B.i of the NOFO.

Yes ☐ No ☐

4. If your organization is submitting more than one application, how is this application ranked?

If submitting more than one application, please inform FHWA of its priority over the others by numeral ranking with “1” being the highest priority. Please see NOFO Section B for additional information.

Ranked _____ of ______

5. Point of Contact:

Name:

Title:

Physical Address:

Email Address:

Phone Number:

Cell Phone Number:

7. Type of Eligible Entity:

☐ State DOT ☐ Federal Land Management Agency ☐ Indian Tribe

8. Have you attached or linked to your organization’s Pollinator-Friendly Practices Plan (Plan), and any related or supporting documents (e.g., a Candidate Conservation Agreement with Assurances), to this application?

Yes ☐ No ☐ List by name:

9. If the eligible applicant or Lead Applicant is a State DOT or Federal Land Management Agency, does the applicant certify coordination occurred with applicable State agencies in the development of the Plan?

See Section B.ii. of the NOFO. If “N/A” is selected, explain why this requirement does not apply in Section II Yes ☐ No ☐ N/A ☐ The applicant is a Tribe ☐

10. If the eligible applicant or Lead Applicant is a State DOT or Federal Land Management Agency, does the applicant certify consultation occurred with affected or interested Indian Tribes in the development of your Organization’s Plan?

See Section B.ii. of the NOFO. If “N/A” is selected, explain why this requirement does not apply in Section II Yes ☐ No ☐ N/A ☐ The applicant is a Tribe ☐

Supporting Documentation attached ☐

13. General Location:

15. Roadside Pollinator Project Start Date:

Date work will begin on the first element of the Roadside Pollinators Project. Use the format MM/DD/YYYY

16. Roadside Pollinator Project End Date:

Date the entire Roadside Pollinator Project will be complete. Use the format MM/DD/YYYY

17. What is the status of National Environmental Policy Act (NEPA) compliance for this Roadside Pollinator Project?

☐ NEPA Complete ☐ CE Expected ☐ EA Expected ☐ EIS Expected

☐ No

II. Narrative Responses Provide a narrative response to each section below. There is a word limit of 500 words for each response, excluding budget tables.

Merit Criteria Narrative Provide a narrative description of how you will address each Merit Criteria described in Section F of the NOFO. Responses to the criteria listed below will be used to determine if the application is Satisfactory or Unsatisfactory.

1. Overall Benefits to Pollinator Species and Habitats

2. Overall number of past pollinator practices implemented and planned to be implemented

3. Reinvesting in the American Family

Project Readiness Criteria Narrative Provide a narrative description of how you will address the Readiness Assessment elements described in Section F of the NOFO. Responses to the elements listed below will be used to determine if the application is Satisfactory or Unsatisfactory.

Readiness Assessment:

a. applicant has the resources to deliver the project;

b. project will comply with all applicable Federal requirements;

c. applicant demonstrates the project is technically feasible;

d. application includes complete and reasonable funding estimates; and,

e. NEPA is complete or the application demonstrates NEPA will be complete in time to meet the project schedule.

III. Summary of Pollinator-Friendly Practices Pollinator-Friendly Practices Please refer to the following links for additional information on completing this table:

· Application Instructions

· Pollinator-Friendly Practices Categories

· Example Table

Implementation of Pollinator-Friendly Practices from the Existing Plan, and Proposed with RPP Funding

Totals