Broadband Initatives Application Package and Reporting Burdens

Broadband Initiatives Program

TSK_Application_Infrastructure_BIP_1_11_10_v2.xlsx

Broadband Initatives Application Package and Reporting Burdens

OMB: 0572-0142

Document [xlsx]
Download: xlsx | pdf

Overview

RBI - Acknowledgment
RBI - Contact Information
Other Project Contacts
Other Project Contacts Editor
RBI - Organization Info
RBI - Co-Applicants
RBI - Co-Applicant Editor
RBI - Authorization
RBI - Project Info
RBI - Comm. Anchor Summary
RBI - Project Map
BIP Service Area Details
RBI-BIP Svc Area Details Editor
RBI - Technology Type
RBI - Project Budget Infrastr
RBI - Self-Scoring
RBI - Uploads


Sheet 1: RBI - Acknowledgment







































I acknowledge this statement above










































































































Sheet 2: RBI - Contact Information






































Summary of information requested and task status.




































































Program:


Broadband Infrastructure Programs





























Funding Opportunity:


BIP




























Funding Cycle:


Winter 2010





























Name*

<Select>














Prefix
































Doug





Jones








First*



Middle
Last*

























<Select>














Suffix
















































Title









































































































































Primary
Type




E-mail Address










Options
























Yes
Business




[email protected]














































































Primary
Type

Number













Options
























Yes
Business

17035551234














No
Fax

17035554321
























































Primary
Type

Address


City
State/Province


Zip/Postal Code
Country

Options
























No
Business

123 Main Street


Davenport
IA


12344
USA































































































































































Configuration Details























1 Task Name: Submit Application - BIP







2 Page Name: Contact Information







3 Navigation Name: Contact Information







4 Page Level Validation:







5
First Name is required.







6
Last Name is required.







6
At least one Phone number of type Fax is required.







7 Submission Level Validation:







8
First Name is required.





















9
Last Name is required.





















10
One primary address is required.





















11
One primary phone is required.





















12
One primary e-mail address is required.





















13 Functionality:








14
Clicking Save will a) run page-level validation; and b) save the data (if there are no page-level validation items missing).







15
In the Address section, clicking Add will a) run page-level validation; b) save the page; and c) redirect the user to a new Address Editor page (see the Login Module configuration document).







16
In the Address section, clicking Edit will a) run page-level validation; b) save the page; and c) redirect the user to the Address Editor page to edit the current address.







17
In the Address section, clicking Delete will pop up a confirmation message (see pop-up message 2). Clicking OK will a) delete the entry; and b) direct user to the current page. Clicking Cancel will direct the user back to the current page.







18
In the Phone and Fax section, clicking Add will a) run page-level validation; b) save the page; and c) redirect the user to the Phone Editor page (see the Login Module configuration document).







19
In the Phone and Fax section, clicking Edit will a) run page-level validation; b) save the page; and c) redirect the user to the Phone Editor page to edit the current entry.







20
In the Phone and Fax section, clicking Delete will pop up a confirmation message (see pop-up message 2). Clicking OK will a) delete the entry; and b) direct the user back to the current page. Clicking Cancel will direct the user back to the current page







21
In the E-mail section, clicking Add will a) run page-level validation; b) save the page; and c) redirect the user to the E-mail Editor page (see the Login Module configuration document).







22
In the E-mail section, clicking Edit will a) run page-level validation; b) save the page; and c) redirect the user to the E-mail Editor page.







23
In the E-mail section, clicking Delete will pop up a confirmation message (see pop-up message 2). Clicking OK will a) delete the entry; and b) direct the user back to the current page. Clicking Cancel will direct the user back to the current page.







24
Clicking Continue will a) run page-level validation; b) save the data (if there are no page-level validation items missing); and c) redirect the user to the Project Information page.







25 Look up Values:








26
Prefix = Mr.; Ms.; Dr.; Professor; Reverend; Rabbi; The Honorable; Other; <Select>. The default is "<Select>". The top item should be <Select>. List is sorted in alpha order. Drop down values are managed through the Lookup Table Manager in Administration (Table = c_PREFIX).







27
Suffix = Jr.; Sr.; II; III; <Select>. The default is "<Select>". The top item should be <Select>. List is sorted in alpha order. Drop down values are managed through the Lookup Table Manager in Administration (Table = c_SUFFIX).







28 Events:








29
N/A







30 Upload Details:








31
N/A







32 Development Notes:








33
N/A







34 Database Notes:








35
N/A







36 Custom Notes:








37
N/A
























Pop-up Details























38 Pop-up Message 1:

































Easygrants


















































































































Sheet 3: Other Project Contacts

































































Program Name:


Program 1












































Funding Opportunity:


Funding Opportunity No. 1












































Funding Cycle:


Cycle 2003











































































































Project Role


Name
Organization





E-mail Address













Secondary Point of Contact


James, Patrick
ABC Organization





[email protected]




















Other Contact


Daniels, Kelly
University





[email protected]




























































s






































































































Use current form / no development

























































































































Configuration Details




























1 Task Name: Submit Proposal












2 Page Name: Other Grant Project Contacts












3 Navigation Name: Other Contacts






















4 Page level Validation:












5
N/A












6 Submission Level Validation:












7
At least one secondary point of contact is required.












8 Functionality:












9
Clicking Add in the Other Grant Project Contacts will redirect the user to the Other Grant Project Contacts Editor page.












10
Clicking Edit in the Other Grant Project Contacts will redirect the user to the Other Grant Project Contacts Editor page.












11
Clicking Delete in the Other Grant Project Contacts pop-ups a message (see Pop Up 1 below). Clicking OK deletes the selected item. Clicking Cancel returns user to this page.












12
Clicking the Continue button will redirect the user to the next page in the task.












13 Look up Values:













14
N/A












15 Events:













16
N/A












17 Upload Details:













18
N/A












19 Development Notes:













20
N/A












21 Database Notes:













22
N/A












23 Custom Notes:













24
N/A








































































Pop-up Details




























25 Name: Pop-Up 1



























































Easygrants








































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































Sheet 4: Other Project Contacts Editor























































































Program Name:



Program 1















































Funding Opportunity:



Funding Opportunity No. 1















































Funding Cycle:



Cycle 2003






































Name



<None>

























Prefix



















































Jane






Smith

















First *



Middle

Last *












































<None>

























Suffix









































































Project Role *



<Select>





































































































Phone *






























Enter numbers only.



Extension





































































E-mail *









































no development










































































































































































































































Configuration Details



























1 Task Name: Submit Proposal










2 Page Name: Other Grant Project Contacts Editor










3 Navigation Name: Other Contacts










4 Page Level Validation:










5
First name is required.

























6
Last name is required.

























7
Project Role is required.

























8
Phone is required.










9
E-mail Address is required.










10
E-mail address is incorrectly formatted. Use the following format to enter the e-mail address: [email protected] or [email protected].










11 Submission Level Validation:










12
N/A










13 Functionality:










14
Clicking the Save button will a) trigger page level validation b) save the data on the page and c) keep the user on the current page.










15
Clicking the Save and Close button will a) trigger page level validation b) save the data on the page and c) redirect the user to the calling page.










16
Clicking the Close button will a) not save the data on the page and b) redirect the user to the calling page.










17 Look up Values:











18
Prefix = Mr.; Ms.; Dr.; Professor; Reverend; Rabbi; The Honorable; Other; <Select>. The default is "<Select>". The top item should be <Select>. List is sorted in alpha order. Drop down values are managed through the Lookup Table Manager in Administrati










19
Suffix = Jr.; Sr.; II; III; <Select>. The default is "<Select>". The top item should be <Select>. List is sorted in alpha order. Drop down values are managed through the Lookup Table Manager in Administration (Table = c_SUFFIX).










20
Project Role = The default is <Select>. The top item should be <Select>. List is ssorted in ascending alpha/numeric order. Drop down values are managed through the Lookup Table Manager in Administration (Table = TBD).










21 Events:











22
N/A










23 Upload Details:











24
N/A










25 Development Notes:











26
N/A











27 Database Notes:











28
N/A










29 Custom Notes:











30
N/A




































































Pop-Up Details



























31 N/A
































































































































































































































































































































































































































































































Sheet 5: RBI - Organization Info
















































































































Summary of information requested and task status.
























































































Program:


Broadband Infrastructure Programs












































Funding Opportunity:


BIP












































Funding Cycle:


Winter 2010


























































DUNS Number *

























* Data from CCR may take up to three (3) days to display.


































































CCR Lookup Status


Request complete








































DUNS


1234567890

















CAGE Number


3E3H5












































Legal Business Name


ALLCITY WIRELESS, LLC












































Point of Contact (POC)


Philip McQuade























443-951-1392























[email protected]












































Alternate POC


Jane Smith























443-555-1212























[email protected]












































Electronic Business POC


Philip McQuade























443-951-1392























[email protected]












































Alternate Electronic Business POC


Jane Smith























443-555-1212























[email protected]

























































































































































Primary
Name
Title


Number





Options













































Yes
Jones, Doug A.
Director


703-555-1234


































No
Brown, Jane
Assistant Director


703-555-1111



































































We are comfortable limiting it to 2 contacts.







no develoment needed




















RUS requires at least one primary environmental contact



















































































































































Type of Organization *


<Select>


Add For-profit Corporation and Limited Liability Company, and strike "For-Profit Entity"
































NON-CONFIDENTIAL: Summary of Organization










NON-CONFIDENTIAL: Applicant Contributions























Is the organization also a small business? *


<Select>





















































Does the organization meet the definition


<Select> [Required]






















of a socially and economically





























disadvantaged small business concern as defined under section 8(a) of the SBA? *




























































Congressional District of Applicant Headquarters*






[Need drop-down list of congressional districts; moved here from Congressional Districts tab b/c that tab not used] Instructional text: choose congressional district where applicant is physically headquartered, not where applicant is incorporated








[Required]










If the applicant is a subsidiary, provide parent legal name









[Optional]
100 char













If the applicant is a startup, name of entity with controlling interest









[Optional]
100 char











































Is the applicant delinquent on any federal debt?







[New field]








































Yes

No






























If YES, please explain.






[New field]





















Is the applicant a current or former RUS borrower participant?*






[new field]












































































Is the applicant a current or former RUS Title II borrower?*





[new field]





























































































































































Configuration Details































1 Task Name: Submit Application - BIP















2 Page Name: Organization Information















3 Navigation Name: Organization Information















4 Page Level Validation:















5
DUNS number lookup required.















6
You selected Yes for small business question, type of organization must be For-profit Entity.















7
You selected Yes for dsadvantaged small business question, small business question must be yes.















8

















9 Submission Level Validation:















10
Organization confirmation is required.















11
Type of Organization is required.















12
Small Business question is required.















13
Disadvantaged Small Business question is required.















14































15 Functionality:
















16
Clicking the Lookup button will a) send a request to CCR for data, and b) display the status message















17
Clicking the Confirm Organization button will a) display a pop-up message 1 to the user (see below), b) Clicking OK will disable the DUNS number field, Lookup button, Refresh button, and Confirm Organization button.















18
Confirm button should be greyed out (unavailable) until valid CCR information is pulled and has filled in the organization















19
Refresh button refreshes the organization page to display Organization information if it has been returned















20 Look up Values:
















21
Type of Organization: <Select> (default), State or State Agency, County Government, City or Township Government, District of Columbia, US Territory, Indian Tribe, For-profit Corporation, Limited Liability Company, Non-profit Corporation, Non-profit Foundation, Non-profit Institution, Non-profit Association, Cooperative or Mutual, Native Hawaiian Organization, For-profit Entity, Other















22
Is the organization a small business?: <Select> (default); No, Yes

















Does the organization meet the definintion of a socially and economically disadvantaged small business concern?: <Select> (default), No, Yes















23 Events:
















24
N/A















25 Upload Details:
















26
N/A















27 Development Notes:
















28
N/A















29 Database Notes:
















30
N/A















31 Custom Notes:
















32
N/A
















































Pop-up Details































33 Pop-up Message 1:

















































Easygrants







































































































































































Sheet 6: RBI - Co-Applicants

























































































Program Name:


Broadband Infrastructure Programs


















































Funding Opportunity:


BIP


















































Funding Cycle:


Winter 2010
































































NON-CONFIDENTIAL - Are you partnering applying with any other key institutions, organizations, or other entities for this project?























































Yes No



















































If YES, a letter of commitment from all key partner(s) will be required. Upload all letters of commitment in the "Uploads" section of the application.


























NON-CONFIDENTIAL: If YES, please add your key partners co-applicants below and provide the requested informaiton.














































































































Remove


























Project Role


Name
Organization



E-mail Address





Options








Co-Applicant


James, Patrick
ABC Organization



[email protected]



















































































































































































































Configuration Details




























1 Task Name: Submit Application - BIP












2 Page Name: Partners












3 Navigation Name: Partners






















4 Page level Validation:












5
N/A












6 Submission Level Validation:












7
N/A












8 Functionality:












9
Clicking Add in the Partners section will redirect the user to the Partners Editor page.












10
Clicking Edit in the Partner will redirect the user to the Partners Editor page.












11
Clicking Delete in the Partners section will pop-ups a message (see Pop Up 1 below). Clicking OK deletes the selected item. Clicking Cancel returns user to this page.












12
Clicking the Save button will save the data and keep the user on the page.












12
Clicking the Save and Continue button will save the data and redirect the user to the next page in the task.












13 Look up Values:













14
N/A












15 Events:













16
N/A












17 Upload Details:













18
N/A












19 Development Notes:













20
N/A












21 Database Notes:













22
N/A












23 Custom Notes:













24
N/A








































































Pop-up Details




























25 Name: Pop-Up 1



























































Easygrants








































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































Sheet 7: RBI - Co-Applicant Editor












































































Summary of information requested and task status.































































































Program:


Broadband Non-Infrastructure Programs


















































Funding Opportunity:


BIP


















































Funding Cycle:


Winter 2010































































Prefix

<Select>


















































First *

Jane



















































Middle






















































Last *

Smith



















































Suffix

<Select>














































































Title

Director



















































Organization *






















































Project Role *

<Select>



Co-Applicant

























(this is the only entry -- the reason is for accurate reporting)







































Address 1 *






















































Address 2






















































Address 3






















































City *






















































State/Province *





















































Zip/Postal Code *






















































Region






















































Country *

Canada














































































Phone (Business) *







Extension




















Enter numbers only



















































E-mail (Business) *




















































Is this co-applicant your key partner(s) a small business?


























Does the organization(s) meet the definition of a socially and economically disadvantaged small business concern as defined under section 8(a) of the SBA? <drop down: yes/no>

























Type of Organization *


<Select>


Add For-profit Corporation and Limited Liability Company, and strike "For-Profit Entity"











































Is this co-applicant delinquent on any federal debt?







[New field]



This question applies to the co-applicant being viewed at this time.























Categories of debt include delinquent audit disallowances, loans and taxes.












Yes

No



















































If YES, please explain.






[New field]













































Is this co-applicant a current or former RUS borrower participant?*





[new field]

































































Is this co-applicant a current or former RUS Title II borrower?*





[new field]



























































































































































































































Configuration Details




























1 Task Name: See Easygrants Implementation Document












2 Page Name: See Easygrants Implementation Document












3 Navigation Name: See Easygrants Implementation Document












4 Page Level Validation:












5
First Name is required.












6
Last Name is required.












8
Organization is required.












9
Project Role is required.












10
Address Line 1 is required.












11
City is required.












12
State/Province is required.












13
Zip/Postal Code is required.












14
Country is required.












15
Phone is required.












16
E-mail is required.












17 Submission Level Validation:












18
N/A












19 Functionality:













20
Clicking Select… redirects the user to the Organization Selector (this opens in a new window) where they can search for and select their Organization (see the Organization Selector configuration document).





21
Clicking the Save button triggers page level validation, saves the data, and keeps the user on the page.




22
Clicking the Save and Close button triggers page level validation, saves the data, and redirects theuser to the calling page.












23
Clicking the Close button does not save the data and redirects the user to the calling page.












24 Look up Values:













25
Prefix = Mr.; Ms.; Dr.; Professor; Reverend; Rabbi; The Honorable; Other; <Select>. The default is "<Select>". The top item should be <Select>. List is sorted in alpha order. Drop down values are managed through the Lookup Table Manager in Administration (Table = c_PREFIX).












26
Suffix = Jr.; Sr.; II; III; <Select>. The default is "<Select>". The top item should be <Select>. List is sorted in alpha order. Drop down values are managed through the Lookup Table Manager in Administration (Table = c_SUFFIX).












27
Project Role = <Select>. The default is "<Select>". The top item should be <Select>. List is sorted in alpha order. Drop down values are managed through the Lookup Table Manager in Administration (Table = TBD).












28 Events:













29
N/A












30 Upload Details:













31
N/A












32 Development Notes:













33
N/A












34 Database Notes:













35
N/A












36 Custom Notes:













37
Custom form for MSSC.







































Pop-up Details




























38 Pop-up Message 1:












See the Organization Selector configuration document for details regarding the Organization Selector.














Sheet 8: RBI - Authorization









































Program Name:


Broadband Infrastructure Programs








































Funding Opportunity:


BIP








































Funding Cycle:


Winter 2010












































AOR*

Jane Smith, Alternate Electronic Business POC


























































Name

Organization

E-mail Address




Status
Outcome
Result

Options


Jane Smith

ALLCITY WIRELESS, LLC

[email protected]




Notify
Complete
Applicant Authorized



















































































no development


























































s












































































































































Configuration Details




























1 Task Name: Submit Application - BIP












2 Page Name: Authorization












3 Navigation Name: Authorization












4 Page level Validation:












5
When clicking Select button and Authorization By field is <Select>:
Authorization By is required.













6 Submission Level Validation:












7
Authorization Point of Contact is required.












8
Authorization Point of Contact task must be completed before submission.












9 Functionality:












10
Clicking Select will a) check if the POC is an Easygrants user, if not then create the user, b) add a record to the datalist, c) create the task for the user and set the task status as inactive.












11
Clicking Notify will a) change the task status to incomplete, b) send an e-mail to the e-mail address listed, and c) disable the Authorization By field and Select button.












12
Clicking Re-Notify will send an e-mail to the e-mail address listed.












13
Clicking the Continue button will redirect the user to the next page in the workflow.












14 Look up Values:













15
N/A












16 Events:













17
N/A












18 Upload Details:













19
N/A












20 Development Notes:













21
N/A












22 Database Notes:













23
N/A












24 Custom Notes:













25
N/A








































































Pop-up Details




























26 Name: Pop-Up 1




















































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































Sheet 9: RBI - Project Info



















































Program Name:



Broadband Infrastructure Programs







































Funding Opportunity:



BIP







































Funding Cycle:



Winter 2010

















































NON-CONFIDENTIAL Project Title *












































NON-CONFIDENTIAL Project Description *






















































































































Limit: 900 400 characters
















NON-CONFIDENTIAL How many jobs will be created or saved from this project?















































I understand and agree to comply with all of the following eligibility factors. Please indicate your acceptance by checking the boxes below.











































Applicant has submitted a completed application and provided all supporting documentation required for the application as described in the Application Guide.











































Project will be substantially complete within two years from the award date, and the project will be fully complete by the end of the third year from the award date.









































Applicant has submitted a technically feasible project. For projects seeking more than $1 million funding, the Applicant agrees to submit a certification from a



















Professional Engineer attesting that (a) the system will work as described in the System Design and Network Diagram sections; (b) the system can deliver the





















proposed services outlined in the Service Offerings section; (c) the Applicant can meet the proposed build-out timeframe and will substantially complete the project





















within two years, and fully complete it within three years; and (d) that the projected budget is a fair representation of the total infrastructure costs.









































Applicant will provide two-way data transmission with advertised speeds of at least 768 kbps downstream and 200 kbps upstream.











































Applicant understands and agrees to comply with the nondiscrimination and interconnection obligations outlined in the NOFA.









































Applicant has proposed service areas that meet the eligibility requirements described in the NOFA and Application Guide.









































After approval of the proposed BIP award, all Project costs will be fully funded.








































The Project meets the Program's requirements for financially feasibility and sustainability, as described in the NOFA and Application Guide.








































For Last Mile projects only: Applicant understands that costs may not exceed $10,000 per premises passed unless a waiver is requested from the Administrator, and



















that this waiver may or may not be granted.











































Projects must provide the proposed broadband service for the composite economic life of the facilities starting from the date of project completion.










































RUS, please confirm that the above Applicant Eligibility checklist is acceptable.




























Please choose the type of project for which the applicant is seeking funding.













































Last Mile










































Middle Mile (Applicant must be a current or former RUS borrower to apply)












































































Is this application submitted jointly with a BIP application?





















Have you also applied for BTOP funding for this same project?






















Yes







remove section

































No











































If yes, please provide the Project Title and Easygrants ID number:












































Title of BTOP Application












































Easygrants ID












































































Are you or your co-applicants submitting any other applications during this round? Is this application being submitted in coordination with any other application being submitted during this round of funding?













































Yes

No














































































Easygrants ID


Project Title










Options





22334
This is the project title for EGID 22334

















































If YES, please explain any synergies and/or dependencies between this









project and any other applications.














































new field



NON-CONFIDENTIAL - Click "Add" to enter the Executive Summary of the proposed project


























NON-CONFIDENTIAL - Click "Add" to enter the description of the Project Purpose



































Is the applicant cooperating with any other Recovery Act Awards? [Y/N]







new field





NON-CONFIDENTIAL - If YES, click "Add" to enter the description of Cooperation with other












Recovery Act Awards.







new field



















Click "Add" to enter the Enhanced Services for Health Care Delivery Education and Children




























NON-CONFIDENTIAL - Click "Add" to enter the Small and Disadvantaged Business Involvement



































Is the applicant seeking a waiver of the Buy American provision?

























Yes

No


















If YES, click "Add" to provide your legal justification for the waiver.





new field













No


























































Configuration Details























1 Task Name: Submit Application - BIP






2 Page Name: Project Information






3 Navigation Name: Project Information






4 Page Level Validation:






5
Project Title is required.





















6
Project Description is required.





















6
Easygrants ID must be a whole number.





















10 Submission Level Validation:






8
BIP Infrastructure Category is required.





















8
Joint Application response is required.





















8
Joint Application response is YES, Title of joint BIP application is required.





















9
Joint Application response is YES, Easygrants ID is required.





















8
Buy American provision response is required.





















9
Delinquent on federal debt response is required.





















11
Buy American response is YES, add legal justification for the waiver.






12
Federal debt response is YES, add justification for delinqency.






13
Buy American or Federal Debt response is YES, Waiver upload is required.








All eligibility checkboxes must be checked.





















14 Functionality:






15
Clicking on the Save button will save the data and keep the user on the current page.






16
Clicking on Save and Continue button will save the data and direct the user to Demographics






17 Look up Values:






















18
N/A





















19 Events:






















20
N/A





















21 Upload Details:






















22
N/A





















23 Development Notes:






















24
N/A





















25 Database Notes:






















26
N/A





















27 Custom Notes:








28
N/A


















































































Pop-up Details























25 Name: Pop-Up 1

















































Easygrants













































































































































Sheet 10: RBI - Comm. Anchor Summary




































Enter the number of institutions of each type






















that will be passed and/or involved in the proposed project.



















































Program:


Broadband Non-Infrastructure Programs










































Funding Opportunity:


BIP










































Funding Cycle:


Winter 2010







































































Schools (k-12)






















Libraries



















Medical and Healthcare Providers



















Public Safety Entities









New form (different from NTIA








Public Housing









separate lookup table








Institituions of Higher Education



















Community Support Organization

















Government Facilities



















Critical Community Facilities and Public Safety Entities <calc>














































































































Configuration Details
























December 31, 1899 Task Name: Submit Application - Sustainable Broadband Adoption








January 1, 1900 Page Name: Community Anchors








January 2, 1900 Navigation Name: Community Anchors








January 3, 1900 Page Level Validation:








January 7, 1900










January 8, 1900










January 9, 1900










January 10, 1900










January 11, 1900










January 12, 1900










January 13, 1900










January 16, 1900 Submission Level Validation:








January 17, 1900
N/A








January 18, 1900 Functionality:









January 20, 1900
Clicking the Save button triggers page level validation, saves the data, and keeps the user on the page.








January 21, 1900
Clicking the Save and Close button triggers page level validation, saves the data, and redirects theuser to the calling page.








January 22, 1900
Clicking the Close button does not save the data and redirects the user to the calling page.








January 23, 1900 Look up Values:









January 26, 1900










January 27, 1900 Events:









January 28, 1900
N/A








January 29, 1900 Upload Details:









January 30, 1900
N/A








January 31, 1900 Development Notes:









February 1, 1900
N/A








February 2, 1900 Database Notes:









February 3, 1900
N/A








February 4, 1900 Custom Notes:









February 5, 1900





























Pop-up Details
























February 6, 1900 Pop-up Message 1:



















Sheet 11: RBI - Project Map










































Program Name:


Program Name


































Funding Opportunity:


Funding Opportunity No. 1


































Funding Cycle:


Cycle 2009


















































































Project Map (Reference Number) *























Click here to map your service area(s). After creating the map, you will be provided a reference number


















to be entered in this box.





















































Is the applicant is seeking a waiver for providing less than 100% coverage of a census block.






























Need validation to ensure format







Yes No








XXXX-XXXX-XXXX-XXXX


























If YES, you will be required to provide supporting documentation.







































































































































































Configuration Details




















1 Task Name: Submit Application



2 Page Name: Service Area



3 Navigation Name: Service Area



4 Page Level Validation:



5
Service Area Map Reference Number is required



6
Census Block Waiver response is required


















7 Submission Level Validation:



8
If Census Block Waiver is YES, upload required for "Census Block Waiver"



9 Functionality:



10
Clicking on the Save button will save the data and keep the user on the current page.



11
Clicking on Save and Continue button will save the data and direct the user to Congressional Districts page.



12 Look up Values:



















13
N/A


















14 Events:



















15
N/A


















16 Upload Details:



















17
N/A


















18 Development Notes:



















19
Reference Number must be the format XXXX-XXXX-XXXX-XXXX (hexadecimal digits only 0-9 and a-f)


















20 Database Notes:



















21
N/A


















22 Custom Notes:





23
N/A





Sheet 12: BIP Service Area Details

















































































































Program Name:


Program Name












































Funding Opportunity:


Funding Opportunity No. 1












































Funding Cycle:


Cycle 2009























































Funded / Non-Funded Total Population
Total Households
Total Businesses
Total Critical Community Facilities






































Service Area


Community Name


Service Status

Total Population




































Washington County

Funded Apple Blossom Estates


Unserved

11000























































Lincoln County

Funded Log Cabin Acres


Unserved

2000























































Adams County

Non-Funded Martha's Village


Served

19000



























































































































[Please see next tab for proposed edits to this screen.]










































































Configuration Details

























1 Task Name: Submit Application








2 Page Name: Service Area Details








3 Navigation Name: Service Area Details








4 Page Level Validation:








5
N/A








6 Submission Level Validation:








7
At least one entry required








8 Functionality:








9
Clicking on the Edit button in the Service Area Details section will redirect the user to the Service Area Details Editor page.








10
Clicking on the Add button in the Service Area Details section will redirect the user to the Service Area Details Editor page.








11
Clicking on the Edit button in the Service Area Detailssection will redirect the user to the Service Area Details Editor page to edit the selected information.








12
Clicking Delete in the Service Area Details page will pop-up a confirmation message (see pop-up message 1). Clicking OK will a) delete the entry and b) direct user to the current page.








13
Clicking on Continue button will direct the user to the ?? page.








14 Look up Values:
























15
N/A








16 Events:
























17
N/A























18 Upload Details:
























19
N/A























20 Development Notes:
























21
N/A























22 Database Notes:
























23 Custom Notes:










24
N/A































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































Sheet 13: RBI-BIP Svc Area Details Editor




























































































































Summary of information requested and task status.




































































































































Program:




































































Funding Opportunity:




































































Funding Cycle:





























































Is this a PFSA or non-funded service area *







[Funded, Non-Funded]
























Name of Proposed Funded Service Area

































Total Square Miles in Proposed Funded Service Area*




































































Total Square Miles in Proposed Last Mile Service Area *




































































Total Population in Proposed Last Mile Funded Service Area *




































































Total Households in Last Mile Proposed Funded Service Area *











****























































Total Businesses in Last Mile Proposed Funded Service Area *











****























































Total Critical Community Facilities











****




















Community Anchor Institutions and Public Safety Entities

































in the Proposed Funded Service Area *




































































Please note that the information provided for the following questions should be
based on the information that is confirmed through the mapping tool.


































Number of Unserved Households to be served in this Service Area

































Total premises within the rural service area, not previously designated unserved, without access to 5 Mb service

































Census Blocks in Proposed Funded Service Area

































Total square miles are within this service area

































Total rural square miles within this service area 

































Shortest number of miles from non-rural area



























































































Methodology used to determine the number of premises without access to 5 MB service























































































































































































































Configuration Details



































1 Task Name: Submit Application


















2 Page Name: Service Area Details Editor


















3 Navigation Name: Service Area Details Editor


















4 Page Level Validation:




















Service Area is required



































Community Name is required



































Census Blocks is required

































5
Rural Classification is required




















Service Status is required



































Total Square Miles is required



































Total Population is required



































Total Number of Households is required



































Total Number of Businesses is required



































Total Number of Critical Community Facilities, Community Anchor Institutions and Public Safety Entities is required

































6 Submission Level Validation:


















7
Census Blocks entry is properly formatted




















If Service Status is Underserved, at least one checkbox is required








Remove























8 Functionality:


















9
Clicking the Save button will a) trigger page level validation b) save the data on the page and c) keep the user on the current page.


















10
Clicking the Save and Close button will a) trigger page level validation b) save the data on the page and c) redirect the user to the BIP Last Mile Service Area Details page.


















11
Clicking the Close button will a) not save the data on the page and b) redirect the user to the BIP Last Mile Service Area Details page.


















14 Look up Values:


































15
N/A


















16 Events:


































17
N/A

































18 Upload Details:


































19
N/A

































20 Development Notes:


































21
Service Area max characters is ?































Community Name max characters is ?






























Census Blocks format is numeric with dash (-) or comma (,) between numbers






























Total Square Miles is numeric, whole number only



































Total Population is numeric, whole numbers only



































Total Number of Households is numeric, whole numbers only



































Total Number of Businesses is numeric, whole numbers only



































Total Number of Critical Community Facilities, Community Anchor Institutions and Public Safety Entities is numeric, whole numbers only


















22 Database Notes:


































23 Custom Notes:




















24
N/A





















Sheet 14: RBI - Technology Type


















































Program Name:


Broadband Infrastructure Programs




































Funding Opportunity:


BIP




































Funding Cycle:


Winter 2010
























































































Indicate the technology that will be used to deliver last mile services (check all that apply)



































































































Wireline - Coaxial Cable








































Wireline - Fiber-optic Cable








































Wireline - Broadband Over Power Line








































Wireline - Hybrid System








































Wireless - Terrestrial Fixed








































Wireless - Terrestrial Mobile








































Wireless - Satellite

[remove (separate workflow)]





































Other







































Other:





















If Other or Hybrid system, enter text






































































Methodology for Area Status


Remove




































Middle Mile Benefits


Remove

























Delete "BIP or BTOP" from text box below, so that it applies to both.








Description of Network Openess



















Number of Towers



Need reportable number field




Number of Miles



Need reportable number field





Affordability

[moving to a different location]




























System Design










Remove the Cost per HH text box shown below. Will be explained in App Guide.







Move to an upload

































































































































Configuration Details





















1 Task Name: Submit Application - BIP




2 Page Name: Technology Types




3 Navigation Name: Technology Types




4 Page Level Validation:




5
At least one checkbox required






If Other is selected, Other is required





















If Wireline Hybrid is selected, Other is required





















Buy American Waiver is required



















10 Submission Level Validation:




11
If Buy American Waiver is YES, upload required for "Buy American Waiver"




12 Functionality:




13
Clicking on the Save button will save the data and keep the user on the current page.




14
Clicking on Save and Continue button will save the data and direct the user to Project Budget




15 Look up Values:






















N/A



















20 Events:




















21
N/A



















22 Upload Details:




















23
N/A



















24 Development Notes:




















25
"Other" max value is 100 characters



















26 Database Notes:




















27
N/A



















28 Custom Notes:






29
N/A







Sheet 15: RBI - Project Budget Infrastr















































































Program Name:



Program Name

























































Funding Opportunity:



Funding Opportunity No. 1

























































Funding Cycle:



Cycle 2009








































Yes
Note: check with Rajesh if we can change the column header from Debt to Non-RUS Debt




























































Yes
Note: check if we can change the TOTAL BROADBAND SYSTEM to TOTAL




































Loan Request
Grant Request

Equity
Non-RUS Debt
Bond
Other









































Network and Access Equipment







$ 100
















































Outside Plant








200










































Buildings and Land




















































Customer Premise Equipment




















































Billing and Operational System Support




















































Operating Equipment

























































Professional Services






























































Testing






























































Site Preparation






























































Other



















































TOTAL BROADBAND SYSTEM







$ 300 $ 300
$ 300 $ 300 $ 300 $ 300


































TOTAL CAPITAL PROJECT BUDGET





$ <CALC TOTAL>
Should add all the subtotals together


















TOTAL REQUESTED AWARD








$ <CALC TOTAL> Total loan request (subtotal) + total grant request (subtotal)




















GRANT PERCENTAGE OF TOTAL AWARD








$ <CALC TOTAL> Total grant request (subtotal)/ total requested award




Submission validation is: this cannot be more than 75% without the waiver request below being Yes AND the text area for the waiver is populated






























Is the applicant seeking a waiver of the 75-25 grant-to-loan ratio?
















Yes
No









If YES, click "Add" to provide your legal justification for the waiver.





















Dev note: Grant Percentage greater than 75%, you must answer YES



















Premesis Passed (from Service Areas)








$ <CALC TOTAL> Sum of all HH, Biz, Critical Community Facilities for ALL FUNDED Service Areas










see * on Svc Area Details Editor page










Cost per Premesis Passed








$ <CALC TOTAL> Total Requested Award / Premesis Passed

























































































Is the applicant seeking a waiver of the $10,000 per premise passed requirement? (Last Mile only)


































Yes
No












If YES, click "Add" to provide your legal justification for the waiver.









































Dev note: great than $10,000 Cost per Premises Passed AND Last Mile = True, you must answer YES


















































































































































































Configuration Details
































1 Task Name: Submit Application






























2 Page Name: Project Budget
















3 Navigation Name: Project Budget


























4 Page level Validation:
















5
Christine Smith: Should we indicate currency? Budget line items require a valid number
















6 Submission Level Validation:
















7
Current Budget Total must be greater than $0.
















8 Functionality:
















9
Clicking Save and Calculate will save and calculate a total for each column (loan request, grant request, equity, debt, bond, other) calculate a Total Budget which is the sum of all column totals
















10
Clicking Continue button will a) trigger page-level validation; b) saves the data on the page; and c) redirects the user to the next page in the task.
















11 Look up Values:

















12
N/A
















13 Events:

















14
N/A
















15 Upload Details:

















16
N/A
















17 Development Notes:

















18
All entries must be numeric; whole numbers only






























19
Total Broadband System row is a calculated sum of entries from the corresponding column
















20
Total Budget is a calculated sum of each Total Broadband System calculated value.






























21 Database Notes:

















22
N/A
















23 Custom Notes:

















24
N/A




















































































Pop-up Details
































26 N/A

































Sheet 16: RBI - Self-Scoring

















































































Program:
Program Name










































Funding Opportunity:
Funding Opportunity No. 1










































Funding Cycle:
Cycle 2009









































I understand and agree to comply with all of the following eligibility factors. Please indicate acceptance by checking the boxes below.*














































At least 75 percent of the proposed funded service area qualifies as unserved and underserved areas in accordance with the NOFA











































Applicant understands and agrees that the project will be fully funded in accordance with the requirements of the NOFA.











































Applicant understands and agrees that only projects that RUS determines to be financially feasible and/or economically sustainable will be eligible under this NOFA











































Criteria
Method Allowable Points Self Score

















Proportion of Rural Residents Served in Unserved Areas
One point will be awarded for every 10 percent of unserved households compared to the total households to be served that will receive broadband service, up to a maximum of ten points. For MM projects, this will be based on the location of the interconnection points. 0 - 10


















Rural Area Targeting
Points will be awarded for exceeding the 75 percent rural area service requirement. For every five percent increase in the total proposed funded service area that is above the 75% rural requirement, 2 points will be awarded up to a maximum of ten points. For MM projects, this will be based on the location of the interconnection points. 0, 2, 4, 6, 8, 10


















Distance from Non-Rural Areas
One point for each additional 10 miles that at least one proposed funded service area is located away from the closest non-rural area, up to a total of five points. For applicants with multiple service areas, this calculation will be based on the service area closest to the non-rural area. For MM projects, this will be based on the location of the interconnection points. 0 - 5


















Title II Borrowers
Eight points will be awarded to applications which are submitted by entities which have borrowed under Title II of the RE Act. 0 or 8


















Other Recovery Act Awards
Five points will be awarded for any cooperation with a Recovery Act award. 0 or 5


















Performance of the offered service
For Last Mile Projects:
For wireline projects that are constructed to deliver a minimum of 5 Mbps service to the premise (upstream and downstream combined), 5 points will be awarded. For wireline projects that are constructed to deliver a minimum of 20 Mbps service to the premise (upstream and downstream combined), 10 points will be awarded. For wireless projects that are constructed to deliver a minimum of 3 Mbps service to the end user (upstream and downstream combined), 8 points will be awarded. For mobile wireless projects that are constructed to deliver a minimum of 3 Mbps service to the end user (upstream and downstream combined), 10 points will be awarded. Scoring will be based on the predominant technology used for combination systems.

For Middle Mile Projects:
For middle mile projects that are constructed to deliver 100 Mbps service to all interconnection points in their network, 10 points will be awarded.
0, 5, 8, or 10


















Services to Critical Community Facilities and Small Disadvantaged Businesses
Points will be awarded to applications that are proposing to offer discounted rate packages to all critical community facilities in the proposed funded service area(s) that are at least 25 percent lower than the proposed base rate packages for at least three years, 4 points wil be awarded. for Critical Community Facilities. For applications that are proposing to offer discounted rate packages to disadvantaged small businesses under section 8(a) of the SBA, 2 points will be awarded. 0,2, 4, or 6












Christine Smith: Dropdown values: 0,1,2,3,4,5





Applicant’s organizational capability
Up to ten points will be awarded based on the strength of the project’s management team. RUS will evaluate past performance and accomplishments and award points accordingly. Details of these requirements will be in the Application Guide. 0 - 10


















Small Disadvantaged Businesses
Three points will be awarded to applicants that meet the definition of a socially and economically disadvantaged small business concern under section 8(a) of the SBA. 0 or 3


















Leverage of outside resources
Up to 10 points will be awarded based on the amount of outside resources contributed to the total financing provided under BIP:
a. 10 points if this ratio is greater than 100%.
b. 7 points if this ratio is between 99% and 75%.
c. 5 points if this ratio is between 74% and 50%.
d. 3 points if this ratio is between 49% and 25%.
e. 0 points if the ratio is less than 25%.
Outside resources are limited to new investments that are proposed to support the project and do not include any existing assets that the Applicant already owns or has rights to or any revenues generating from the operations.
0, 3, 5, 7, 10












Christine Smith: Dropdown values: 0,1,2,3,4,5





Extent of grant funding
Up to 15 points will be awarded based on the amount of grants funds requested in relation to the total amount of the award requested.
a. 0 points if requesting a grant greater than 75%.
b. 5 point if requesting a grant between 75 and 51%.
c. 10 points if requesting a grant between 50 and 16%.
d. 15 points if requesting a grant between 15 and 0%.
0, 5, 10, and 15


















Cost Effectiveness
For Last Mile projects only, up to 8 points will be awarded for projects that promote cost effectiveness of federal assistance, based on cost per premise passed. To calculate the cost per premise passed, the applicant shall divide the total award requested in the application by the total number of premises passed.
a. 2 points if cost per premise passed is less than $8,000.
b. 4 points if cost per premise passed is less than $7,000.
c. 6 points if cost per premise passed is less than $6,000.
d. 8 points if cost per premise passed is less than $5,000.
0, 2, 4, 6, and 8





















Total <calc>





























































































































































Configuration Details























1 Task Name: Submit Application





2 Page Name: BIP-Only Information





3 Navigation Name: BIP-Only Information





4 Page Level Validation:





5
BIP-Only Eligibility Criteria all checkboxes are required





6
Self-Scoring Worksheet each criterion is required.





















7 Submission Level Validation:





8
If funding is BIP, applicant must complete both sections














































9 Functionality:





10
Clicking on the Save and Calculate button will save the data, calculate and display the "Total Self-Score" and keep the user on the current page.





11
Clicking on Save and Continue button will save the data and direct the user to Uploads page.





12 Look up Values:






















13























14 Events:






















15
N/A





















16 Upload Details:






















17
N/A





















18 Development Notes:






















19
Ttotal Points is a calculated value based on dropdown values selected





















20 Database Notes:






















21
N/A





















22 Custom Notes:







23
N/A
































Sheet 17: RBI - Uploads

































































































































Program Name:

Program Name

















































Funding Opportunity:

Funding Opportunity No. 1

















































Funding Cycle:

Cycle 2009





























































Type






Required
Template Format













Broadband Service Offerings






Yes
[Include Template] Excel













Other Service Offerings






Yes
[Include Template] Excel













Existing Broadband Service Providers and Services Offered






Yes
[Include Template] Excel













Management Team Resumes






Yes
[Include Template]














Infrastructure Build-Out Timeline






Yes
[Include Template] Excel













Project Timeline






Yes
[Include Template]














Historical Financial Statements - Applicant






Yes
[Include Template] Excel













Historical Financial Statements - Parent Organization






Yes
[Include Template] Excel













Subscriber Estimates (up to 5 docs)






Yes
[Include Template] Excel













Pro Forma 5-Year Financial Forecast






Yes
[Include Template] Excel













Pro-Forma Accounting Assumptions






Yes
[Include Template]














Consolidated Pro Forma 5-Year Financial Forecast for ALL applications submitted by the Applicant






Yes
[Include Template] Excel













Consolidated Pro Forma Accounting Assumptions for ALL applications submitted by the Applicant






Yes
[Include Template]














Consolidated Financials Reconciliation Schedule






Yes
[Include Template] Excel













Proof of SDB Status






Yes
[Include Template]














Organization Chart






Yes
[Include Template]














Organizational Readiness






Yes
[Include Template]














Legal Opinion






Yes
[Include Template]














Recovery Act Collaboration






Yes
[Include Template]














Proof of Entity Type






Yes
[Include Template]














Statement of Detailed Project Costs






Yes
[Include Template] Excel













Source Documentation Supporting the Availability of All Project Capital and Work






Yes
[Include Template]














Schedule of Useful Life and Depreciation






Yes
[Include Template] Excel













Schedule of Spectrum and Cost






Yes
[Include Template] Excel













Source Documentation of Spectrum and Cost






Yes
[Include Template]














Schedule of Backhaul and Interconnection






Yes
[Include Template] Excel













Source Documentation of Backhaul and Interconnection






Yes
[Include Template]














Disclosure Schedule and Statement for Existing Obligations






Yes
[Include Template]














Schedule of Additional Funding Required






Yes
[Include Template] Excel













Letters of Commitment






Yes
[Include Template]















Breakout of Middle Mile and End User Revenues






Yes
[Include Template] Excel














Schedule of Revenue Assumptions and Calculation for Pro Forma Financial Statements






Yes
[Include Template] Excel














Historical Financials Reconciliation Schedule






Yes
[Include Template] Excel














Pro-Forma Capital Budget Summary and Detailed Project Cost Schedule for Applicant's Capital Budget






Yes
[Include Template] Excel














Disclosure of Outside Distributions






Yes
[Include Template] Excel














Preparer's Certification






Yes
[Include Template]















Technical Parameters






Yes
[Include Template] Excel














Quantitative System Design






Yes
[Include Template] Excel














Itemized Bill of Materials






Yes
[Include Template] Excel














Critical Facilities Data






Yes
[Include Template] Excel














Wireless Provider Supplemental Information






Yes
[Include Template] Excel














Description of Technology






Yes
[Include Template]















Construction Schedule






Yes
[Include Template] Excel














Network Management Disclosure






Yes
[Include Template]















Non-discrimination, Interconnection and Network Management Plans






Yes
[Include Template]















Professional Engineer Certification






Yes
[Include Template]















System Design Strategy






Yes
[Include Template]















Network (System) Diagram






Yes
[Include Template]















Licenses and Agreements






Yes
[Include Template]















List the communities within each PFSA






Yes
[Include Template]















CD-511, Certification Regarding Lobbying






Yes
[Include Template]















Equal Opportunity and Nondiscrimination Certification






Yes
[Include Template]















Certification Regarding Architectural Barriers






Yes
[Include Template]















Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970 Certification






Yes
[Include Template]















Certification Regarding Debarment, Suspension, and Other Responsibility Matters – Primary Covered Transactions






Yes
[Include Template]















Affordability






Yes
[Include Template]















Environmental Questionnaire






Yes
[Include Template]















Service metrics






Yes
[Include Template] Excel














Supplemental Document






No






















































Type*











































































Type



File/Document Name

Uploaded By
Uploaded Date



Options


















Supporting Document



support.doc

Smith, John
7/1/2009









































































































































































































































































































































































































Configuration Details



























1 Task Name: Submit Application












2 Page Name: Uploads












3 Navigation Name: Uploads












4 Page level Validation:












5
(if the user clicks Upload without selecting a Type): Upload Type is required.












6 Submission Level Validation:












7
Christine to determine which uploads are required based on previous responses…implement logic in BRM












8 Functionality:












9
Clicking Upload redirects the user to the Uploads Editor page.












10
Clicking View launches a new window to display the selected file.












11
Clicking Edit redirects the user to the Uploads Editor page.












12
Clicking Delete pops up a confirmation message (see Pop Up Message 1 below). Clicking OK deletes the uploaded file. Clicking Cancel cancels the deletion and retains the uploaded file.












13
Clicking Save and Continue will retain page changes and redirect the user to the Review and Submit page.












14 Look up Values:












15
Type: <Select> (default), Supporting Document. List in alpha order.












16 Events:












17
N/A












18 Upload Details:












19
File types allowed: .doc, .xls, .pdf, .rtf, .mht, .tif, .gif, .jpeg, .pub, .ppt, .mpp







20 Development Notes:






21
N/A












22 Database Notes:












23
N/A












24 Custom Notes:













25
N/A






































































Pop-up Details



























25 Pop-up Message 1:

























































Easygrants































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































File Typeapplication/vnd.openxmlformats-officedocument.spreadsheetml.sheet
File Modified0000-00-00
File Created0000-00-00

© 2024 OMB.report | Privacy Policy