TCOP Application Template.xlsx

XLSX spreadsheet 100 KB Posted May 25, 2023

Attached to: Affordable Connectivity Outreach Grant Program - Tribal Competitive Outreach Program (TCOP) Round 2
Opportunity number: FCC-ACOGP-23-004
Issued by: Federal Communications Commission

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TCOP Application

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FY 2023 ACP Outreach Grant Program_TCOP NOFO_Round 2_vF.pdf	PDF	May 25, 2023

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Application Instructions

AFFORDABLE CONNECTIVITY OUTREACH GRANT PROGRAM

TRIBAL COMPETITIVE OUTREACH PROGRAM (TCOP) - APPLICATION TEMPLATE AND DETAILED BUDGET WORKSHEET

INSTRUCTIONS

Eligible entities applying for ACP Outreach Grant Program - TCOP are required to complete and submit the TCOP Application Template, which includes the Detailed Budget Worksheet, available at www.grants.gov. This template must be completed and uploaded to www.grants.gov in Microsoft Excel-form on or before the application submission deadline to be considered for funding. The application deadline for TCOP Round 2 is: July 28, 2023, 6:00 p.m. EDT.

The applicant must demonstrate how proposed projects will increase ACP awareness and enrollment for eligible households on Tribal Lands and describe engagement with and/or impacts on the target populations. The proposal must demonstrate the ability to implement ACP outreach and application assistance efforts consistent with the purpose, goal, and objectives of the program and guidance provided by the FCC. Applicants must complete and submit all sections of the TCOP Application Template, to include the Detailed Budget Worksheet.

If the applicant intends to partner with a sub-recipient(s) to carry out a portion of the proposed grant funded activity, the applicant must provide the name(s) and corresponding UEI(s) of all the sub-recipient(s) as part of the TCOP Application Template. Applicants must have an active SAM.gov registration at the time of application submission, during application review, before an award, and throughout the award period of performance. Sub-recipient-specific budget must be captured under Section F. Contractual of the the Detailed Budget Worksheet.

The Detailed Budget Worksheet tab reflects cost categories that appear on the SF-424A form. Applicants must itemize calculations for each cost category based on the instructions provided and in each subsection. This Detailed Budget Worksheete Tab must be completed fully, for applicable budget categories, for the FCC to determine reasonableness and allowability of requested funds as part of the application review process.

Budget information must support the proposed ACP outreach activities captured in the TCOP Application Template and dollar amounts identified in the SF-424 and SF-424A forms. Proposed dollar amounts must also demonstrate clear alignment with the applicant's proposed projects as captured under the Application Template Tab and in support of allowable activities per the ACP Outreach Grant Program TCOP NOFO - Round 2. Applicants must also provide details on the proposed use of project funds in achieving projected outcomes.

• Personnel

• Fringe Benefits

• Travel

• Supplies

• Contractual

• Other

• Indirect Costs

HELPFUL TIPS:

Applicants must use the following file naming convention when submitting their completed application:

• TCOP_<State/Territory Name>_< Applicant Name>

When uploading the TCOP Application Template, please upload the Microsoft Excel file. DO NOT upload a pdf or other file type.

Data Entry Fields:

All fields highlighted in yellow are the only fields allowed for data entry. If the field does not apply to the applicant, then it can be left blank. The applicant may not reformat the spreadsheet and may only enter data into cells highlighted in yellow. All other cells are to be left unaltered. All total costs will be rounded to nearest whole dollar.

Spell Check:

It is suggested that applicants use MS Word to ensure that the entered information is spelled correctly. To use Spell Check in MS Word (2007 or newer):

•	Click on the [Review] menu
•	Select [Spelling & Grammar] and all spelling issues will be displayed.

Application Template

ACP OUTREACH GRANT PROGRAM - TRIBAL COMPETITIVE OUTREACH PROGRAM (TCOP) APPLICATION TEMPLATE

I. APPLICANT INFORMATION

The Applicant Information section includes information that will be used to determine eligibility. Information provided in this section must match the SF-424 submitted in Grants.gov, where applicable.

I.A. Applicant Name

I.B. Applicant SAM.gov Unique Entity Identifier (UEI) Number

I.C. Applicant’s FCC Registration Number (FRN)

I.D. Select the Tribal applicant’s State/Territory name.

I.E. Does the applicant have a sub-recipient(s)?

I.E.1. If 'Yes', provide the sub-recipient name(s). I.E.2. If 'Yes', provide the sub-recipient UEI(s).

I.F. Identify how the performance measures outlined in the ACP Outreach Grant Program TCOP NOFO - Round 2 will be achieved.
Performance Measure	Intended Achievement	Compliance Plan
I.F.1. Number of outreach activities/events implemented by type (e.g., direct mail, door-to-door, etc.).	[Enter #]	[Describe how the applicant will collect and achieve the performance measure]
I.F.2. Number of individuals reached by outreach type (e.g., direct mail, door-to-door, etc.) to increase awareness of the ACP.	[Enter #]	[Describe how the applicant will collect and achieve the performance measure]
I.F.3. Number and type of in-person enrollment assistance events held.	[Enter #]	[Describe how the applicant will collect and achieve the performance measure]

II. PROJECT NARRATIVE

The Project Narrative section provides detailed information on the intended geographic area that will benefit from the project, the type of outreach activities that will be developed and implemented within the period of performance using methods that will provide a meaningful impact to the community.

II.A. Enter Project Name.

II.B. State if this is a new outreach effort or a continuation of an existing outreach effort (i.e., the applicant has already received or expects to receive funding from other sources). [Explanation]

		II.C. The ACP Outreach Grant Program TCOP NOFO - Round 2 includes an Ineligible Entities provision. Do any of the ineligible entities criteria apply to your organization or sub-recipient(s)?
		Instructions (Select from Drop-down Menu): Select “Yes” or “No” from the drop-down menu. Then, explain the relationship with the broadband service provider. Please note that per the ACP Outreach Grant Program TCOP NOFO - Round 2, “The following entities may not receive awards, either as Grantees, Pass-through Entities, or Subrecipients under the ACP Outreach Grant Program: (i)Broadband providers (including municipal broadband providers), their affiliates, subsidiaries, contractors, agents, or representatives; and (ii) Broadband industry groups and trade associations that represent broadband providers.” Further, grant recipients and sub-recipients that received funding under the initial ACP Outreach Grant Program funding opportunities (NCOP, TCOP, Your Home, Your Internet Outreach Grants, and ACP Navigator Pilot Program Outreach Grants) are ineligible to apply for and be considered for funding under the ACP Outreach Grant Program – TCOP Round 2.
		II.C.1. [If ‘Yes’ is selected under II.C.] Has the entity received or plans to receive ACP Outreach Grant Program funding as a recipient or sub-recipient under a previously issued award? Instructions (Select from Drop Down Menu). Select from the drop-down menu and provide the recipient's award number in the explanation box.	[Explanation]
		II.C.2. [If ‘Yes’ is selected under II.C.] Does the applicant have a relationship with a broadband service provider?
Instructions (Select from Drop Down Menu): Select “Yes” or “N/A” from the drop-down menu. If yes, provide an explanation.	[Explanation]

		II.D. Describe your familiarity with the ACP and experience with or knowledge of bridging digital disparities and connectivity issues. State how this understanding influenced the need for this project.
(Character Limit: 2,000 with spaces)	[Provide your response here]

		II.E. Describe how you plan to target low-income households or individuals that are not currently on a low-income broadband plan or that do not have broadband service.
(Character Limit: 2,000 with spaces)	[Provide your response here]

		II.F. Describe your plan to target outreach in communities that have low ACP participation rates, to include those that are hard to reach populations (including minorities, persons with disabilities, persons who live in rural or Tribal areas, and others who are or have been historically underserved, marginalized, or adversely affected by persistent poverty or inequality).
(Character Limit: 2,000 with spaces)	[Provide your response here]

		II.G. Describe your experience with, and past success in, conducting outreach regarding government programs and resources, particularly providing resources and directing services and education to people of color, persons with disabilities, persons who live in rural or Tribal areas, and others who are or have been historically underserved, marginalized, or adversely affected by persistent poverty or inequality.
(Character Limit: 2,000 with spaces)	[Provide your response here]

		II.H. Describe your existing, trusted relationships with the communities that you expect to target (e.g., as “trusted messengers”), or the ability to readily establish those relationships, particularly with people of color, persons with disabilities, persons who live in rural or Tribal areas, and others who are or have been historically underserved, marginalized, or adversely affected by persistent poverty or inequality.
(Character Limit: 2,000 with spaces)	[Provide your response here]

		II.I. Describe your experience with or capability to provide multilingual outreach, including American Sign Language, as applicable.
(Character Limit: 2,000 with spaces)	[Provide your response here]

		II.J. Provide an abstract of the proposed project and how the proposed project will increase awareness of and increase ACP enrollment for eligible households. Note: This abstract will be publicly posted should you be selected as a grant recipient.
(Character Limit: 1,500 with spaces)	[Provide your response here]

		II.K. Describe the intended impact of the proposed project based on specific geographic area(s) served and households to raise awareness and/or increase ACP enrollment.
		Intended Impact Area	Description
		Geographic Areas
(Character Limit: 1,500 with spaces)	[Provide your response here]
		Households/Individuals
(Character Limit: 1,500 with spaces)	[Provide your response here]

Program Objective	Description
II.L. Select the applicable Program Objective(s) this project intends to support.

		II.M. Explain how the lessons learned from this proposed project will benefit other organizations/governments looking to achieve similar results in increasing awareness and enrollment for ACP-eligible households.
(Character Limit: 1,000 with spaces)	[Provide your response here]

III. PROJECT MANAGEMENT AND MILESTONES
The Project Management and Milestones section outlines how the proposed project will be executed within the 12-month period of performance.
III.A. Identify each projected outcome, subsequent milestones that will be met, and the estimated timeline within the period of performance.
Instructions (Fill in the Table): Describe the proposed project’s projected outcomes, including key milestones that will be met and start/end dates. The applicant can enter up to 4 outcomes, with each outcome having up to 6 milestones, as necessary.
Projected Outcome	Milestone (By Outcome)	Projected Start Date	Projected End Date
[Outcome #1]	[Milestone for #1]	MM/DD/YYYY	MM/DD/YYYY
	[Milestone for #2]	MM/DD/YYYY	MM/DD/YYYY
	[Milestone for #3]	MM/DD/YYYY	MM/DD/YYYY
	[Milestone for #4]	MM/DD/YYYY	MM/DD/YYYY
	[Milestone for #5]	MM/DD/YYYY	MM/DD/YYYY
	[Milestone for #6]	MM/DD/YYYY	MM/DD/YYYY
[Outcome #2]	[Milestone for #1]	MM/DD/YYYY	MM/DD/YYYY
	[Milestone for #2]	MM/DD/YYYY	MM/DD/YYYY
	[Milestone for #3]	MM/DD/YYYY	MM/DD/YYYY
	[Milestone for #4]	MM/DD/YYYY	MM/DD/YYYY
	[Milestone for #5]	MM/DD/YYYY	MM/DD/YYYY
	[Milestone for #6]	MM/DD/YYYY	MM/DD/YYYY
[Outcome #3]	[Milestone for #1]	MM/DD/YYYY	MM/DD/YYYY
	[Milestone for #2]	MM/DD/YYYY	MM/DD/YYYY
	[Milestone for #3]	MM/DD/YYYY	MM/DD/YYYY
	[Milestone for #4]	MM/DD/YYYY	MM/DD/YYYY
	[Milestone for #5]	MM/DD/YYYY	MM/DD/YYYY
	[Milestone for #6]	MM/DD/YYYY	MM/DD/YYYY
[Outcome #4]	[Milestone for #1]	MM/DD/YYYY	MM/DD/YYYY
	[Milestone for #2]	MM/DD/YYYY	MM/DD/YYYY
	[Milestone for #3]	MM/DD/YYYY	MM/DD/YYYY
	[Milestone for #4]	MM/DD/YYYY	MM/DD/YYYY
	[Milestone for #5]	MM/DD/YYYY	MM/DD/YYYY
	[Milestone for #6]	MM/DD/YYYY	MM/DD/YYYY

IV. OPTIONAL COST SHARE

IV.A. Does the applicant propose an optional cost share/match? Note: Cost share or match is not a requirement for TCOP. However, if the applicant elects cost sharing or cost matching, the applicant must comply with 2 CFR 200.306.

Instructions (Drop Down Menu): Select the correct response from the drop-down menu (i.e., Yes/No)

IV.B. [If ‘Yes’ is selected under IV.A] Provide an explanation of the funding/resources whether cash or in-kind contributions, or other sources. Provide a detailed breakdown describing each line-item expense, showing matching contributions. (Character limit 500)

V. ACKNOWLEDGEMENTS
The Acknowledgements Section should be completed by the applicant to confirm program requirements will be adhered to should funding be awarded.
V.A. Confirm that the applicant acknowledges each requirement.
Instructions (Drop Down Menu): Select the correct response from the drop-down menu (i.e., Yes/No)
Acknowledgements	Response
V.A.1. I hereby certify that all of the information provided in this application (or any other accompanying or required documents) is correct, accurate and complete to the best of my knowledge. I understand that the falsification, misrepresentation, or omission of any facts in said documents can cause denial of a grant award or termination of a grant award.
V.A.2. I understand that submission of an application does not guarantee that the applicant will receive a grant award.
V.A.3. By submitting an application, I agree to comply with the requirements of FY 2023 Affordable Connectivity Outreach Grant Program TCOP NOFO - Round 2 as well as the terms and conditions of its award should my organization receive an award.

TCOP App Template 45071.51053668981

Input Val

Yes/No

Yes

N/A

State Territory

American Samoa

Commonwealth of the Northern Mariana Islands

Delaware

Guam

Idaho

Iowa

New Hampshire

Rhode Island

South Carolina

South Dakota

West Virginia

Wyoming

Detailed Budget Worksheet

I. APPLICANT INFORMATION

Applicant Name

Enter the legal name of the applicant that will undertake the assistance activity. This is the organization that has registered with the System for Award Management (SAM). Information on registering with SAM may be obtained by visiting SAM.gov.

Recipient Type	Recipient's SAM.gov Unique Entity Identifier (UEI) Number
Select one recipient type from the drop down menu.	Enter the organization’s UEI received from SAM. The UEI is a unique 12 character organization identifier. Visit SAM.gov for information on registering with System for Award Management (SAM.gov).

If "Other" selected, please describe the eligible entity type. Otherwise, leave blank.

II. DETAILED BUDGET AND NARRATIVE

A. Personnel

Include only costs requested for key personnel employed by applicant. Do not include the personnel costs of consultants, contractors and subrecipients under this category. Personnel expenditures should be broken out by each position, name, hourly rate, number of hours, annual salary, level of effort (do not exceed 100%). Salaries included as indirect costs (e.g., administrative and clerical staff) should be excluded from this category. Note: Personnel cost is calculated based on annual salary and anticipated level of effort percentage.

Line	Position	Name	Hourly	# of	Annual	% Level	Personnel
Item #			Rate	Years	Salary	of Effort	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
TOTAL							$0

Line	Personnel Narrative
Item #
Explain how personnel funding will be used. This section should include compensation for personnel whose time was spent exclusively conducting ACP outreach activities and/or in-person ACP application assistance either in a part-time or full-time capacity. Please provide salary and computation methods. Note: Personnel listed above should align with personnel number listed below. Must comply with 2 CFR 200.430. (Character Limit: 700 with spaces)
1

B. Fringe Benefits

Choose the provided fringe components using the drop-down menu. Provide fringe benefit rate for each component. Positions, staff names, and personnel costs will pre-populate from the Personnel table above. Based on the provision of specific fringe components for each position, enter the total fringe rate for each position.

Fringe Components for Devoted Staff Rate (%)

Total Fringe Rate 0.00%

Line	Position	Name	Personnel	Total Fringe Rate	Fringe
Item #			Cost	Per Position (%)	Benefits Cost
1	0	0	$0		$0
2	0	0	$0		$0
3	0	0	$0		$0
4	0	0	$0		$0
5	0	0	$0		$0
6	0	0	$0		$0
7	0	0	$0		$0
8	0	0	$0		$0
9	0	0	$0		$0
10	0	0	$0		$0
11	0	0	$0		$0
12	0	0	$0		$0
13	0	0	$0		$0
14	0	0	$0		$0
15	0	0	$0		$0
TOTAL					$0

Fringe Benefits Narrative

Validate the computations in the table above, and recipient compliance with written policies per 2 CFR Part 200.431. If "Other" was chosen as a fringe component, explain the fringe benefit being provided.

C. Travel

Choose types of events planned from the drop-down menu - ACP outreach, in-person ACP application assistance, or other. Enter the cost/rate per item requested for each type of event. Items represent categories of travel costs allowable under 2 CFR 200.475. It is possible to enter as many as ten cost categories for one type of event. Enter the number of each type of event planned, and the number of personnel requesting that cost covered. If selecting "Local Travel (POV Mileage)", please enter the number of miles under "# of Items Per Person". Exclude travel costs for consultants/contractors/subrecipients and registration fees for organization staff. Example can be found below:

Type of Event	Item	Cost / Rate	Basis	# of	# of Items	# of	# of	Travel
		Per Item		Events	Per Person	Persons	Travel Days	Cost
ACP Outreach	Local Travel (POV Mileage)	$0.59	Mile	5	200	2	2	$1,180

Type of Event	Item	Cost / Rate	Basis	# of	# of Items	# of	# of	Travel
		Per Item		Events	Per Person	Persons	Travel Days	Cost
								$0
								$0
								$0
								$0
								$0
								$0
								$0
								$0
								$0
								$0
TOTAL								$0

Type of	Travel Narrative
Event
For each type of event, list the locations of planned events. Justify costs requested, including reasoning for number of personnel traveling, and particular positions attending event. If "Other" item was chosen, provide details and justify request (e.g., parking costs). All travel requests must comply with 2 CFR Part 200.475.
ACP Outreach

In-person App. Assistance

Other

D. Equipment

N/A - Not allowable.

E. Supplies

For each item of supplies requested by the applicant, list the item and the type of outreach activity that necessitates the supply. Enter unit cost of each item and quantity requested. Total supply costs for IT equipment related supplies (i.e., hardware or systems such as hotspots, tablets, computers, printers, etc.) that will be used exclusively for ACP outreach and application assistance are capped at $5,000 of the requested amount for the period of performance (12 months), including these supply costs requested by contractors (captured below). All supplies requested must be used exclusively for ACP outreach and/or application assistance.

Line	Item	Type of Outreach	Unit Cost	Quantity	Supplies
Item #		Activity			Cost
1					$0
2					$0
3					$0
4					$0
5					$0
6					$0
7					$0
8					$0
9					$0
10					$0
TOTAL					$0

Line	Supplies Narrative
Item #
Explain necessity of supplies requested and computation method used for estimated unit cost.
1

F. Contractual

Enter legal name of contractor, vendor, or subrecipient and specify which type of contractual agreement is planned, using the drop-down menu. Enter the total contractual costs requested for each agreement. For each agreement in the first table, provide details in the second table next to the corresponding agreement number. Describe the services and/or deliverables the contractor will provide. Itemize consultant costs, and describe how the consultant was selected. If contractors plan to further subaward funds, include subcontractor information in the Contractual Details.

Agree-	Name of Contractor, Vendor, or	SAM.gov Unique Entity	Type of Agreement	Period of	Contractual
ment #	Subrecipient	Identifier (UEI) Number		Performance	Cost
1					$0

Agree-	Narrative/Scope of Work
ment #
1

BUDGET CATEGORY	FEDERAL
SUMMARY	REQUEST
A. Personnel

B. Fringe Benefits

C. Travel

D. Equipment (N/A) $0

E. Supplies

F. Contractual

G. Construction (N/A) $0

H. Other - Non M&A
H. Other - M&A
H. Total Other	$0
I. Total Direct Charges	$0
(sum of A to H)
J. Indirect Charges
K. Total Project Costs	$0
(sum of I and J)

Agree-	Name of Contractor, Vendor, or	SAM.gov Unique Entity	Type of Agreement	Period of	Contractual
ment #	Subrecipient	Identifier (UEI) Number		Performance	Cost
2					$0

Agree-	Narrative/Scope of Work
ment #
2

BUDGET	FEDERAL
CATEGORY	REQUEST
A. Personnel

B. Fringe Benefits

C. Travel

D. Equipment (N/A) $0

E. Supplies

F. Contractual

G. Construction (N/A) $0

H. Other - Non M&A
H. Other - M&A
H. Total Other	$0
I. Total Direct Charges	$0
(sum of A to H)
J. Indirect Charges
K. Total Project Costs	$0
(sum of I and J)

Agree-	Name of Contractor, Vendor, or	SAM.gov Unique Entity	Type of Agreement	Period of	Contractual
ment #	Subrecipient	Identifier (UEI) Number		Performance	Cost
3					$0

Agree-	Narrative/Scope of Work
ment #
3

BUDGET	FEDERAL
CATEGORY	REQUEST
A. Personnel

B. Fringe Benefits

C. Travel

D. Equipment (N/A) $0

E. Supplies

F. Contractual

G. Construction (N/A) $0

H. Other - Non M&A
H. Other - M&A
H. Total Other	$0
I. Total Direct Charges	$0
(sum of A to H)
J. Indirect Charges
K. Total Project Costs	$0
(sum of I and J)

Agree-	Name of Contractor, Vendor, or	SAM.gov Unique Entity	Type of Agreement	Period of	Contractual
ment #	Subrecipient	Identifier (UEI) Number		Performance	Cost
4					$0

Agree-	Narrative/Scope of Work
ment #
4

BUDGET	FEDERAL
CATEGORY	REQUEST
A. Personnel

B. Fringe Benefits

C. Travel

D. Equipment (N/A) $0

E. Supplies

F. Contractual

G. Construction (N/A) $0

H. Other - Non M&A
H. Other - M&A
H. Total Other	$0
I. Total Direct Charges	$0
(sum of A to H)
J. Indirect Charges
K. Total Project Costs	$0
(sum of I and J)

Agree-	Name of Contractor, Vendor, or	SAM.gov Unique Entity	Type of Agreement	Period of	Contractual
ment #	Subrecipient	Identifier (UEI) Number		Performance	Cost
5					$0

Agree-	Narrative/Scope of Work
ment #
5

BUDGET	FEDERAL
CATEGORY	REQUEST
A. Personnel

B. Fringe Benefits

C. Travel

D. Equipment (N/A) $0

E. Supplies

F. Contractual

G. Construction (N/A) $0

H. Other - Non M&A
H. Other - M&A
H. Total Other	$0
I. Total Direct Charges	$0
(sum of A to H)
J. Indirect Charges
K. Total Project Costs	$0
(sum of I and J)

Agree-	Name of Contractor, Vendor, or	SAM.gov Unique Entity	Type of Agreement	Period of	Contractual
ment #	Subrecipient	Identifier (UEI) Number		Performance	Cost
6					$0

Agree-	Narrative/Scope of Work
ment #
6

BUDGET	FEDERAL
CATEGORY	REQUEST
A. Personnel

B. Fringe Benefits

C. Travel

D. Equipment (N/A) $0

E. Supplies

F. Contractual

G. Construction (N/A) $0

H. Other - Non M&A
H. Other - M&A
H. Total Other	$0
I. Total Direct Charges	$0
(sum of A to H)
J. Indirect Charges
K. Total Project Costs	$0
(sum of I and J)

Agree-	Name of Contractor, Vendor, or	SAM.gov Unique Entity	Type of Agreement	Period of	Contractual
ment #	Subrecipient	Identifier (UEI) Number		Performance	Cost
7					$0

Agree-	Narrative/Scope of Work
ment #
7

BUDGET	FEDERAL
CATEGORY	REQUEST
A. Personnel

B. Fringe Benefits

C. Travel

D. Equipment (N/A) $0

E. Supplies

F. Contractual

G. Construction (N/A) $0

H. Other - Non M&A
H. Other - M&A
H. Total Other	$0
I. Total Direct Charges	$0
(sum of A to H)
J. Indirect Charges
K. Total Project Costs	$0
(sum of I and J)

Agree-	Name of Contractor, Vendor, or	SAM.gov Unique Entity	Type of Agreement	Period of	Contractual
ment #	Subrecipient	Identifier (UEI) Number		Performance	Cost
8					$0

Agree-	Narrative/Scope of Work
ment #
8

BUDGET	FEDERAL
CATEGORY	REQUEST
A. Personnel

B. Fringe Benefits

C. Travel

D. Equipment (N/A) $0

E. Supplies

F. Contractual

G. Construction (N/A) $0

H. Other - Non M&A
H. Other - M&A
H. Total Other	$0
I. Total Direct Charges	$0
(sum of A to H)
J. Indirect Charges
K. Total Project Costs	$0
(sum of I and J)

Agree-	Name of Contractor, Vendor, or	SAM.gov Unique Entity	Type of Agreement	Period of	Contractual
ment #	Subrecipient	Identifier (UEI) Number		Performance	Cost
9					$0

Agree-	Narrative/Scope of Work
ment #
9

BUDGET	FEDERAL
CATEGORY	REQUEST
A. Personnel

B. Fringe Benefits

C. Travel

D. Equipment (N/A) $0

E. Supplies

F. Contractual

G. Construction (N/A) $0

H. Other - Non M&A
H. Other - M&A
H. Total Other	$0
I. Total Direct Charges	$0
(sum of A to H)
J. Indirect Charges
K. Total Project Costs	$0
(sum of I and J)

Agree-	Name of Contractor, Vendor, or	SAM.gov Unique Entity	Type of Agreement	Period of	Contractual
ment #	Subrecipient	Identifier (UEI) Number		Performance	Cost
10					$0

Agree-	Narrative/Scope of Work
ment #
10

BUDGET	FEDERAL
CATEGORY	REQUEST
A. Personnel

B. Fringe Benefits

C. Travel

D. Equipment (N/A) $0

E. Supplies

F. Contractual

G. Construction (N/A) $0

H. Other - Non M&A
H. Other - M&A
H. Total Other	$0
I. Total Direct Charges	$0
(sum of A to H)
J. Indirect Charges
K. Total Project Costs	$0
(sum of I and J)

Total Contractual

Cost

G. Construction

N/A - Not allowable

H. Other - Non-Management and Administrative (M&A)

Itemize any other expenses, and associate them with a project activity using the drop-down menu. Do not include expenses that fall into the "Management & Administrative" category, as there is a separate table below for them. For each item, provide the unit cost, and quantity requested.

Line	Item	Project Activity	Unit Cost	Quantity	Other - Non M&A
Item #					Cost
1					$0
2					$0
3					$0
4					$0
5					$0
6					$0
TOTAL					$0

Line	Other - Non-Management and Administrative (M&A) Narrative
Item #
Justify costs requested, including reasoning for number of contractual items, project activity, and unit cost. If "Other" item was chosen, provide details and justify request.
1

H. Other - Management and Administrative (M&A)

This section should include costs incurred in support of grant administration that are not included in the organization’s indirect cost pool (e.g., preparing and submitting programmatic and financial reports, establishing and/or maintaining inventory, responding to official information requests such as audits, monitoring pass-through recipients). Include any M&A costs for subrecipients, contractors, or vendors below. The M&A cost is capped at 5% of direct costs.

Total

M&A Costs

Other - Management and Administrative (M&A) Narrative

Explain Other expenses, only including Management and Administrative (M&A). If M&A is being requested by subrecipients, contractors, or vendors, indicate this in the narrative.

I. Total Direct Charges
Total Direct Charges	Total Federal Request
	$0

J. Indirect Charges

Indirect charges/costs (IDC) or Facilities and Administration (F&A) are those costs incurred for common or joint objectives which cannot be readily identified with an individual project or program but are necessary for the operations of the organization.

IDC (F&A) is classified into two broad categories: "Facilities" and "Administration." "Facilities" is defined as depreciation on debt associated with buildings, equipment and capital improvement, interest on debt associated with certain buildings, equipment and capital improvements, and operations and maintenance expenses. "Administration" is defined as general administration expenses such as the director's office, accounting, personnel, and all other types of expenditures not listed specifically under one of the subcategories of "Facilities."

As described in 2 CFR part 200.403, costs must be consistently charged as either indirect or direct costs, but may not be double charged or inconsistently charged as both.

For more guidance on IDC or F&A costs, refer to the 2 CFR Part 200.414 - Indirect (F&A) costs.

Please select from the drop down the type of IDC Rate or Cost Allocation Plan you will use to charge IDC to the award.

Type of IDC Rate/Cost Allocation Plan

Indirect Cost Rate/	Base	Indirect Cost
Approved IDC Rate
		$0

Indirect Charges Narrative

Explain how you determined the base. If selecting to use approved Negotiated Indirect Cost Rate Agreement (NICRA), indicate the end date of the effective period of the approved NICRA.

Cost Sharing/Match

Cost sharing or matching is not required.

BUDGET SUMMARY

BUDGET	FEDERAL
CATEGORY	REQUEST
A. Personnel	$0

B. Fringe Benefits $0

C. Travel $0

D. Equipment (N/A) $0

E. Supplies $0

F. Contractual $0

G. Construction (N/A) $0

H. Other - Non M&A	$0
H. Other - M&A	$0	More than 5%?	No
H. Total Other	$0
I. Total Direct Charges	$0
(sum of A to H)
J. Indirect Charges	$0
K. Total Project Costs	$0
(sum of I and J)

TCOP Budget 45071.51053668981

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Drop Down Lists Applicant Types Fringe Contractual Type Type of Event Travel Travel Cost/Rate Per Item Project Activity Type of IDC Rate/Cost Allocation Plan State Territory Yes / No / N/A Previous Funding History Relationship with a broadband provider Strategic Objective Alignment New / Cont

State Government

Social Security

Vendor

ACP Outreach

Hotel/Lodging

Night

ACP Application Assistance

We will not charge IDC to the award

Alabama

Yes

Yes, as NCOP funding recipient

Yes, as a broadband provider

Expand and support diverse and impactful outreach efforts

New

Territory Government

Employee Life

Contractor

In-person App. Assistance

Per Diems (M&IE only)

Day

Digital Campaigns

We elect to charge the de minimis rate of 10%

Alaska

Yes, as TCOP funding recipient

Yes, as an affiliate of a broadband provider

Increase ACP enrollment as a result of grant funded activities

Continuation

Local Government

Employee Health

Subrecipient

Other

Airfare

Round Trip

Outreach Materials

We will apply the rate in our approved federally negotiated IDC rate agreement

American Samoa

N/A

Yes, as YHYI funding recipient

Yes, as a subsidiary of a broadband provider

Both

Public Housing Agency

Unemployment

Train/Bus

Round Trip

Direct Mail

We will determine IDC based on our Cost Allocation Plan

Arizona

Yes, as NPP funding recipient

Yes, as a contractor of a broadband provider

N/A

Educational Organization

Worker's Compensation

Local Travel (POV Mileage)

Mile

ACP Service Provider Locator

Arkansas

Yes, as NCOP funding sub-recipient

Yes, as an agent of a broadband provider

Non-Profit Organization

Retirement

Car Rental

Day

Paid Media Campaigns

California

Yes, as TCOP funding sub-recipient

Yes, as a representative of a broadband provider

Community-Based Organization

Payroll Admin

Parking & Tolls

Day

Other

Colorado

Yes, as YHYI funding sub-recipient

Yes, as a broadband industry group or trade assocation

Community Anchor Institution

Other

Taxi

Day

Connecticut

Yes, as NPP funding sub-recipient

N/A

Public Service Organization

Baggage Fees

Round Trip

Delaware

N/A

Consortia of Eligible Entities

Other

See Narrative

District of Columbia

Other

Florida

Georgia

Guam

Hawaii

Idaho

Illinois

Indiana

Iowa

Kansas

Kentucky

Louisiana

Maine

Maryland

Massachusetts

Michigan

Minnesota

Mississippi

Missouri

Montana

Nebraska

Nevada

New Hampshire

New Jersey

New Mexico

New York

North Carolina

North Dakota

Northern Mariana Islands

Ohio

Oklahoma

Oregon

Pennsylvania

Puerto Rico

Rhode Island

South Carolina

South Dakota

Tennessee

Texas

U.S. Virgin Islands

Utah

Vermont

Virginia

Washington

West Virginia

Wisconsin

Wyoming

File details come from the government source that posted it. Updated May 26, 2023.