Application Screening Checklist

OMB No. 0581-0240
Screening Outcome:

2015 Specialty Crop Multi-State Program
SCREENING SHEET
PARTICIPATING STATE
MULTI-STATE PARTNERS

APPLICATION NUMBER

PROJECT TITLE
ELIGIBILITY
System for Award Management (SAM)
Application

Multi-state partners have no active exclusions?
Submitted as one PDF file?

COVER PAGE

Cover page provided?

TABLE OF CONTENTS

Table of contents provided?

ABSTRACT

NARRATIVE
Content
Specialty Crop Enhancement
Single Entity Benefit
Multi-State Project

Project description provided?

Narrative provided?
Proposal solely benefits specialty crops?
Proposal benefits more than one organization?
Proposal meets the definition of a multi-state project?

PROJECT CATEGORY TYPES - check all that apply
Food Safety
Plant Pests/Disease
Research
REFERENCES

SCREENING OUTCOME

NO

YES

NO

YES

NO

YES

NO

YES

NO

Marketing and Promotion

If applicable, are references provided?

BUDGET SPREADSHEET & BUDGET NARRATIVE
Grant Amount Requested
Budget Spreadsheet(s)
Budget Narrative
OTHER REQUIRED ELEMENTS
Personnel Qualifications
Letter of Commitment (LOC)
Letters of Support (LOS)
Areas Affected by Project

Crop-Specific

YES

Between $250,000 and $1,000,000?
Budget spreadsheet(s) provided?
Budget narrative provided?

Other

YES

NO

YES

NO

YES

NO

Summary of qualifications provided?
LOC for each partner provided?
Three LOS from stakeholders or beneficiaries provided?
Identified cities, counties, states, etc.?

Date
* In the COMMENTS text box below, provide feedback for the applicant regarding requirements not met and/or any
questions for USDA AMS.
Select a Screening Outcome

2015 Specialty Crop Multi-State Program
PRE-SUBMISSION CHECK
COMMENTS

Screening Outcome:

According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not
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control number for this information collection is 0581-0240. The time required to complete this information
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existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of
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