ARRA Team Application Form

ARRA TEAM APPLICATION FORM.doc

Tribal Transit Program (TTP)

ARRA Team Application Form

OMB: 2132-0567

Document [doc]
Download: doc | pdf

DOT

FTA

U.S. Department of Transportation


Federal Transit Administration



Application

Recipient ID:


Recipient Name:


Project ID:


Budget Number:


Project Information:



Part 1: Recipient Information

Project Number:


Recipient ID:


Recipient Name:


Address:


Telephone:


Facsimile:



Union Information

Recipient ID:

6677

Union Name:

NON-UNION 

Address 1:

 

Address 2:

 

City:

,  

Contact Name:

--- 

Telephone:

 

Facsimile:

 

E-mail:

 

Website:

 


Part 2: Project Information

Project Type:

Grant

Project Number:


Project Description:


Recipient Type:


FTA Project Mgr:


Recipient Contact:


New/Amendment:


Amend Reason:


 

Fed Dom Asst. #:


Sec. of Statute:


State Appl. ID:


Start/End Date:


Recvd. By State:

 

EO 12372 Rev:


Review Date:


Planning Grant?:


Program Date (STIP/UPWP/FTA Prm Plan) :


Program Page:


Application Type:


 

Supp. Agreement?:


Debt. Delinq. Details:

 


Gross Project Cost:


Adjustment Amt:


Total Eligible Cost:


Total FTA Amt:


Total State Amt:


Total Local Amt:


Other Federal Amt:


Special Cond Amt:


 

Special Condition:

None Specified

S.C. Tgt. Date:

None Specified

S.C. Eff. Date:

None Specified

Est. Oblig Date:

None Specified

Pre-Award Authority?:


Fed. Debt Authority?:


Final Budget?:




Urbanized Areas

UZA ID

UZA Name

530000



Congressional Districts

State ID

District Code

District Official





Project Details



Earmarks


Earmark Details

Earmark ID

Earmark Name

Orig. Balance

Amount Applied






Number of Earmarks: 1

Total Amount Applied:
Date Sent for Release:

Date Released:

Security

No information found.


Part 3: Budget

Project Budget

 

Quantity

FTA Amount

Tot. Elig. Cost

SCOPE

 

111-00 BUS - ROLLING STOCK




ACTIVITY


11.13.04 APPROX 4 <30-FT EXP BUSES (09 ARRA TTP 100%)




 

Estimated Total Eligible Cost:


 

Federal Share:


 

Local Share:

$0.00



OTHER (Scopes and Activities not included in Project Budget Totals)

None

No Amendment Funding Source information is available for the selected project


Alternative Fuel Codes

11.13.04




Extended Budget Descriptions

11.13.04





 


 

Changes since the Prior Budget

Unable to find change amount information.

Part 4. Milestones

11.13.04





 

 

Milestone Description

Est. Comp. Date

1.



2.



3.



4.



5.





Part 5. Environmental Findings

111304





 

Finding No. 1 - Class II(c)

 


 


 


Finding Details:


 

Part 6: Fleet Status

Fixed Route

 

 

Before

Change

After

I.

Active Fleet




 





 





 





 


0.00%

0.00%

0.00%

II.

Inactive Fleet

 

 

 

 





 





 





III.

Total (I.C and II.C)




 

Four new buses for deviated fixed-route service.


Part 7. FTA Comments

General Review

Comment Title:


Comment By:


Date Created:


Date Updated:


Ref Section:


Comment:



Comment Title:


Comment By:


Date Created:


Date Updated:


Ref Section:


Comment:



FTA Internal

Comment Title:


Comment By:


Date Created:


Date Updated:


Ref Section:


Comment:



Comment Title:


Comment By:


Date Created:


Date Updated:


Ref Section:


Comment:



Comment Title:


Comment By:


Date Created:


Date Updated:


Ref Section:


Comment:



Comment Title:


Comment By:


Date Created:


Date Updated:


Ref Section:


Comment:



Comment Title:


Comment By:


Date Created:


Date Updated:


Ref Section:


Comment:



Conditions of Award

Comment Title:


Comment By:


Date Created:


Date Updated:


Ref Section:


Comment:



Comment Title:


Comment By:


Date Created:


Date Updated:


Ref Section:


Comment:



Comments to DOL

Comment Title:


Comment By:


Date Created:


Date Updated:


Ref Section:


Comment:



Part 8: Results of Reviews

The reviewer did not find any errors


File Typeapplication/msword
File TitleDOT
Authorlorna wilson
Last Modified Bysylvia.marion
File Modified2010-01-25
File Created2010-01-25

© 2024 OMB.report | Privacy Policy