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pdfOMB NO: 2126-0010
Expiration Date:
A federal agency may not conduct or sponsor, and a person is not required to respond to, nor shall a person be subject to a penalty for failure to comply with a collection of information subject to the requirements of the Paperwork Reduction Act unless that collection of information displays a current valid OMB
Control Number. The OMB Control Number for this information collection is 2126-0010. Public reporting for this collection of information is estimated to be approximately 30 minutes per response, including the time for reviewing instructions, gathering the data needed, and completing and reviewing the collection
of information. All responses to this collection of information are mandatory. 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 Motor Carrier Safety Administration,
MC-MMI, Washington, D.C. 20590.
#:
PROJECT
~
DUNS #:
U.S. Department
of Transponation
AGREEMENT
GRANT
Federal Motor Carrier
Safety Administration
This grant agreement between the Federal Motor Carrier Safety Administration and the (SlateAgfIItY)
is entered into in -=cordance with Title IV of the Surface Traoaportation
the
STAA,
the
of
404
Assistance
Act of 1982and its subsequentamendmentsreferred to as the "STAA." In accordancewith Sections402Administrator, Federal Motor Carrier Safety Administration (FMCSA) hereby approves the
applicationof the State Lead AaeneY(here-in-afterknown as the State) for the Federal grant funding assistancefor the
implementationof a Motor Carrier SafetyAssistanceProgramas describedin the CommercialVehicle SafetyPlan.
The total participatingcost of the program consistingof the Federal shareand the State shareis projectedto be
.
$
.
TheFederalsharewill be $
The
State
share
will
be
$
.
The Federal share of the approvedcostsincurred by die State shall not exceed80 percentunlessodierwiaeauthorized.
The State herebyagreesto: (I) carry out the provisionsof the Motor Carrier SafetyAssistanceProgramas describedin
the applicationin a manneracceptableto the FMCSA, (2) submit to the FMCSA quarterly reportscovering the progress
of the project and describingthe resultsand the impact of the project in reducingthe commercialmotor carrier accident
rate. (3) maintainaccurateand auditablerecordsto supportthe costsincurred. (4) submit the final claim within 90 days
after the project is completed.and (S) comply with the provisionsset forth on the reversehereof.
This agreement is subject to termination by the withdrawal of approval of the State Plan in accordance with Section 402
of the STAA. The Stateagreesto give the FederalMotor Carrier SafetyAdministration at least90 daysnotice of its
intention to terminate this agreement.
Thisagreement
is effective
aDdexpires
.
RcpreseDIative)
(Authorized
Tide:,
18:
~
,
Tide:
Federal Motor Carrier Safety Administration
97-424; P.L. 99-570; 49 U.S.C. 31101-31104 uxI P.L. 105-178.
extem
die
to
to
failure
currem
estimate
a
for
00rden
this
displays
penalty
confidentiality
a
regarding
infom1ltlon
to
JX'Ovklcd
of
subject
be
be
will
commeIIII
coIJec;1XIn
person
uxI
a
dJat
Serxl
unless
shall
UIIlx1atnry,
nor
Ad
2126-0010.
Is
coll«tIon
~
to
are
iJK:hMIinadie lime fur revIewiDI imU"\K:tiom uxI compecillg
resporxl
inforIDIIMID
of
required
PIperwork
information
die
is
co1Iectkm
dIis
for
of
person
dIis
00
law,
requiremenll
NuDRr
die
of
fellXJOSeIlO
All
JX'Ovlsion
to
Co.-roI
OMB
valid
subject
oilier
information.
any
of
information
The
of
widlstllxllng
collection
per resp>.-.
FMCSA Form MCSAP - 2
(Exp.
2126.0010
OMS
FMCSA Form MCSAP-2(Rev 11/04)
20590.
aspectof dIis collectionof information. iJK:ludiD1
suggestionsfor reducingdIis IxIrdento: Information CollectionCeararx;eOfficer, Federal
Safety
Administration,
MC-MBI,
U.S.
Deparnnentof Transponation,WashingtOll.
D.C.
Carrier
Number.
collection
Not
die
or any ~
Motor
a
law.
CollO'Ol
with
by
reviewq
OMB
valid
comply
allowed
uxI
Public reponing for this collection of infom1ltlon is estimated to be 30 miJIIa
to
The collection of this information is audlorized uixler die provisiom ofP.L.
11KJ7)
of
rx
18Ioref
no
Section
In
worked
at
ccwnpenaaced
I.
I~
the
of
8
of
workdey
Itendard
I
of
327-
U.S.C.
(40
Act
St8rldardl
~ be
reqiNad
tocompute
the
129 CFR,~
.
condI1iona
h«n
..
e-
in
Work
Safety
103
~
with
~81C8
frx
provilion
a
of
employment
the
involve
that
.2,500
contracta
.1
~ic8bI8,
Where
Act:
GICAO.
the
to
vlolationa
reported
or
d8t~ation.
w.
the
of
accaptence
the
.ollcitation
each
in
labor
of
Depwtm8nt
the
by
i.auId
wage
prev8Mng
current
the
of
copy
a
piKe
ah~
~
The
~.
a
once
In
leor.
of
Secret-v
the
by
made
~
wage
I
in
~
wagea
8rId
the
awwd
of
a
d8t~n8tion
th.,
leal
not
wlget
pay
to
required
be
.h81
contractors
addition,
~
the
th8I
lea
not
rate
a
et
m8ct\.wca
8rId
18Iorers
to
W8Q88
pay
to
required
be
ah81
contractors
act,
tNl
Und8t
51.
~
CFR,
129
reQIA8IIona
leor
trKtorS
provialon
a
incl*
shall
of
~
by
,t8d
the
with
~81C8
for
aubcon-
or
contractors
ita
8rId
~
the
by
-~
contr8ct8
construction
81
18gi8I8tIon,
~8n
Fed8f~
the
by
~r8d
When
Act:
Davil-e-
7.
FMCSA.
10
vloI8ti~
reported
rx
IU'pected
.1
report
ah81
r~t
The
antitled.
otherwi..
ia
he
w+-ch
to
ccwnpens8tIon
the
of
pwt
8IY
~
give
rx
work.
~Ic
oj
rep.r
rx
;x;.'~I,
~,
the
in
~
peflOrl
end
meanl,
"y
by
inducing,
from
proNblted
be
ahaII
lIAIContractor
rx
contractor
-=h
that
provides
act
Tt-.
3).
Part
CFR,
129
,.atlona
leor
of
~ment
in
luppiemen1ed
8741..
U.S.C.
(18
Act
BKk"
Anti.Kick
.
COC)8iand
the
with
cornpIi81C8
frx
provision
51.
detmnined underconatruc1ion
.efety - he.m stWldwdl ~g8ted
by the
Secret-v of Labor. Th8Ie requirementsdo not apply to the purcheach
p8tIon
paid. end the 8ctivity for which the personw.. peid.
~t
~
«
deci.aclon
a
i.
fundi
of
Fed8I'..y
of
of
~
.
~yee
of
FMCSA
thet
p81.
In
require.
11_.1
701
Sec.
U.S.C.
Negotiation
.tctoMd
the
~
work
Government
other
eny
of
perforln8'Ce
the
~
~
work
othw
..
in
G~t
the
of
benefit
13. AccountMlilityof equipmentec~red in prior yen wi! be ~
of tw1d8 not Federally 8PJN'opri8ted by the recipa.t
the
for
rights
unllmted
have
Ih.'
FMCSA
(Unln..d):
~tI
Govemment
12.
fin.
the
of
IUbmiI8ion
the
of
date
the
from
ItMta
period
recipient.
the
to
applicable
not
is
~ement
ratention
3-ye.-
the
FMCSA,
by
m8ir1t8n8d
or
to
tr_ferred
-
record8
~
/31
cispositlon.
fine!
its
after
y..-I
three
frx
ret8lned
be
~
01
~
by
pwlon,
"-ICIc8IIP8d
~fied
oItIerwi-
no
~"
fwMts
F8d8r~
with
acquired
My,
if
property,
nonaxpendable
frx
Records
(2)
r88oIY8d.
been
have
recrxds
the
involving
findings
8U| File Type | application/pdf |
| Author | Bonnie.Simmons [ MCVA-BSIMMONS ] |
| File Modified | 2007-04-02 |
| File Created | 2005-02-03 |