OMB Control Number: 1660-NEW
FEMA Form Number: 089-4
Expiration Date: XX-XX-XXXX
TSGP Investment Justification Template
Public reporting burden for this form is estimated to average 17 hours per response. The burden estimate includes the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and submitting the form. You are not required to respond to this collection of information unless it displays a valid OMB control number. Send comments regarding the accuracy of the burden estimate and any suggestions for reducing the burden to: Information Collections Management, Department of Homeland Security, Federal Emergency Management Agency, 500 C Street, SW, Washington, DC 20472, Paperwork Reduction Project (1660-NEW) NOTE: Do not send your completed form to this address.
TSGP applicants must submit a complete investment justification for each proposed investment. The investment justification categories are:
Background
Strategic and Program Priorities
Impact
Funding/Implementation Plan
Investment Heading |
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Date |
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State |
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Urban Area |
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Agency Name |
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Investment Name |
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Investment Phase |
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Is this a Multi-Agency investment? If yes, which agencies? |
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Investment Amount |
$ |
I. Background
Note: This section only needs to be completed once per application, regardless of the number of investments proposed. The information in this section provides background/context for the investment(s) requested, but does not represent the evaluation criteria used by DHS for rating individual investment proposals.
I.A. Identify the transit agency and that agency’s point(s) of contact for this investment. |
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Response Type |
Narrative |
Response Instructions |
For the transit agency (or lead agency) undertaking the investment, identify the following:
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Response: |
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I.B. Describe the operating system for the transit agency undertaking this investment. |
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Response Type |
Narrative |
Response Instructions |
For the transit agency (or lead agency) undertaking this investment, describe the following:
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Response |
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I.C. Discuss the capabilities the transit agency already has in place, and the capabilities the transit agencies needs in the future. |
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Response Type |
Narrative |
Response Instructions |
For the transit agency undertaking this investment, describe the following:
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Response |
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II. Strategic and Program Priorities
II.A. Provide an abstract for this investment. |
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Response Type |
Narrative |
Response Instructions |
Note: Ensure that details on purchases within this section match what is outlined in the detailed budget. |
Response |
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II.B. Describe how this investment specifically addresses one or more of the project effectiveness groups identified in the current year’s Grant Guidance, and how it addresses the agency’s security plan and Regional Transit Security Strategy. |
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Response Type |
Narrative |
Response Instructions |
Describe how the investment addresses one or more of the following:
Outline how the investment specifically addresses the transit agency’s security plan and regional strategies.
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Response |
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III. Impact
III.A. Discuss how the implementation of this investment will decrease or mitigate risk. Describe how the project offers the highest risk reduction potential at the least cost. Include output and outcome metrics |
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Response Type |
Narrative |
Response Instructions |
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Response |
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IV. Funding & Implementation Plan
IV.A. Investment Funding Plan. |
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Response Type |
Numeric and Narrative |
Response Instructions |
Note: Investments will be evaluated on the expected impact on security relative to the amount of the investment (i.e., cost effectiveness). An itemized Budget Detail Worksheet and Budget Narrative must also be completed for this investment. See the next section of this document for a sample format. |
Response |
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The following template illustrates how applicants should indicate the amount of FY 2009 TSGP funding required for the investment, how these funds will be allocated across the cost elements, and what non-FY 2009 TSGP funds will be utilized where appropriate:
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Federal Grant Request Total |
Other Funding Sources Applied |
Grand Total |
Planning |
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Operational Packages |
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Equipment |
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Training |
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Exercises |
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M&A |
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Total |
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IV.B. Discuss funding resources beyond this grant request that have been identified and will be leveraged to support the implementation and sustainment of this investment. Discuss your long-term sustainability plans for the investment after these grant funds have been expended, if applicable. |
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Response Type |
Narrative |
Response Instructions |
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Response |
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IV.C. Provide a high-level timeline, milestones and dates, for the implementation of this investment. Up to 10 milestones may be provided. |
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Response Type |
Narrative |
Response Instructions |
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Response |
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Note: After completing each the template for each investment, applicants should review the information provided to ensure accuracy, particularly the Milestone Dates and the Investment Funding Plan.
Responsible Transit Security Provider
Investment Justification Approval Form
Name of Investment Justification |
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Name |
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Title |
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Signature of Responsible Transit Agency Security Provider |
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Name |
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Title |
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Signature of Transit Agency |
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Name of Investment Justification |
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Name |
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Title |
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Signature of Responsible Transit Agency Security Provider |
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Name |
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Title |
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Signature of Transit Agency |
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Name of Investment Justification |
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Name |
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Title |
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Signature of Responsible Transit Agency Security Provider |
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Name |
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Title |
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Signature of Transit Agency |
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Name of Investment Justification |
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Name |
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Title |
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Signature of Responsible Transit Agency Security Provider |
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Name |
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Title |
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Signature of Transit Agency |
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Name of Investment Justification |
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Name |
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Title |
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Signature of Responsible Transit Agency Security Provider |
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Name |
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Title |
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Signature of Transit Agency |
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File Type | application/msword |
File Title | TSGP Investment Justification Template |
Author | tarek.khedr |
Last Modified By | sgreene3 |
File Modified | 2010-04-07 |
File Created | 2009-01-15 |