FHWA 1577 Basic Work Plan

This collection of information is voluntary and will be used to determine eligibility of project for possible Federal funding. Public reporting burden is estimated to average 5 hours per response,
including the time for reviewing instructions searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Please
note that an agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. The OMB
control number for this collection is 2125-0611 with an expiration date of 3/31/2010. Send comments regarding this burden estimate or any other aspect of this collection of information,
including suggestions for reducing this burden to: Information Collection Clearance Officer, Federal Highway Administration, 1200 New Jersey Ave SE, Washington, DC 20590.

OMB Number: 2125-0611
Expiration Date: 3/31/2010

Basic Work Plan

MM/DD/YYYY
1. Estimated date of established funding agreement with State:
Note: Tasks starting before this date are not eligible for funding, and cannot be counted toward matching funds.

Describe the tasks in the work plan:
2 a. Describe this task or milestone:
b. Name of person or organization responsible for carrying out task:
c. How long will this task take to complete?

months

d. Justify how this project task contributes to project completion: (800 character limit - about 133 words)

3 a. Describe this task or milestone:
b. Name of person or organization responsible for carrying out task:
c. How long will this task take to complete?

months

d. Justify how this project task contribute to project completion: (800 character limit - about 133 words)

4 a. Describe this task or milestone:
b. Name of person or organization responsible for carrying out task:
c. How long will this task take to complete?

months

d. Justify how this project task contribute to project completion: (800 character limit - about 133 words)

Form FHWA-1577 (10-07)

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5 a. Describe this task or milestone:
b. Name of person or organization responsible for carrying out task:
c. How long will this task take to complete?

months

d. Justify how this project task contribute to project completion: (800 character limit - about 133 words)

6 a. Describe this task or milestone:
b. Name of person or organization responsible for carrying out task:
c. How long will this task take to complete?

months

d. Justify how this project task contribute to project completion: (800 character limit - about 133 words)

7 a. Describe this task or milestone:
b. Name of person or organization responsible for carrying out task:
c. How long will this task take to complete?

months

d. Justify how this project task contribute to project completion: (800 character limit - about 100 words)

8 a. Describe this task or milestone:
b. Name of person or organization responsible for carrying out task:
c. How long will this task take to complete?

months

d. Justify how this project task contribute to project completion: (800 character limit - about 133 words)

9 a. Describe this task or milestone:
b. Name of person or organization responsible for carrying out task:
c. How long will this task take to complete?

months

d. Justify how this project task contribute to project completion: (800 character limit - about 133 words)

10 a. Describe this task or milestone:
b. Name of person or organization responsible for carrying out task:
c. How long will this task take to complete?

months

d. Justify how this project task contribute to project completion: (800 character limit - about 133 words)

11 a. Describe this task or milestone:
b. Name of person or organization responsible for carrying out task:
c. How long will this task take to complete?

months

d. Justify how this project task contribute to project completion: (800 character limit - about 133 words)

12 a. Describe this task or milestone:
b. Name of person or organization responsible for carrying out task:
c. How long will this task take to complete?

months

d. Justify how this project task contribute to project completion: (800 character limit - about 133 words)