2006 APPLICATION
For
INNOVATIVE BRIDGE RESEARCH AND DEPLOYMENT PROGRAM
Burden Statement
This collection of information is required under the proposed implementation plan of Section 5202 (b) of the Safe, Accountable, Flexible, Efficient Transportation Equity Act: A Legacy for Users (SAFETEA-LOU) for the Innovative Bridge Research and Deployment (IBRD) Program. FHWA is soliciting applications and proposals for eligible candidate projects from State Transportation agencies that specially address the construction of bridges using innovative designs, materials, and construction methods. Public reporting burden is estimated to average one hour per response, including the time for reviewing instructions, and inputting existing data sources. Information provided will be used only for project award assessment and for the purpose of administering Innovative Bridge Research and Deployment (IBRD) Program. The information will be treated as non-confidential.
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-XXXX. This collection will expire on _____________
State State’s Priority Ranking: # _____ of _____
Project type (new construction, replacement, rehabilitation, or repair)
NBI structure number County
Structure Name and/or Identifying Description (e.g., Number/Name of Route on the Bridge and Feature Crossed)
Structure description (e.g., bridge type, number of spans, length, width, material)
Innovative material and/or innovative accelerated construction (describe the material and/or construction, how it is used and how the project meets one or more of the program goals)
Schedule for start of work (month/year):
Cost Estimates:
Total project cost: P
Cost of “innovative material” portion of the construction A
Preliminary engineering cost, if requested B
Cost of innovative material performance evaluation
(e.g., for a 2-year post-construction period) C
PE costs + construction costs + evaluation costs = (A + B + C) T
Total Federal Program Funds Requested . . . . . . . . . . . .. $$_________________
| File Type | application/msword |
| File Title | 2006 APPLICATION |
| Author | cchang |
| Last Modified By | FHWA |
| File Modified | 2006-08-23 |
| File Created | 2006-08-23 |