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pdfPaperwork Reduction Act Burden Statement: 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 currently valid OMB Control Number. The OMB Control Number for this information collection is 2130-0615. Public
reporting for this collection of information is estimated to be approximately 34 hours per response, including the time for reviewing instructions, searching
existing data sources, gathering and maintaining the data needed, 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 (RAD-20), Federal Railroad Administration, 1200 New Jersey Avenue, Washington, DC.
20590.
Federal Railroad Administration (FRA)
Grant Application Form
Applicants are required to submit this Application Form and other documents as
outlined in Section E of this application. Please complete this document and provide
any supporting documentation electronically. Supporting documentation should be
logically and descriptively labeled. For each question, enter the appropriate
information in the designated fillable blue box. If a question is not applicable to your
project, please indicate ''N/A." If you have questions about this application, please
contact FRA at [email protected].
A. Point of Contact and Project Information
(Must be consistent with information provided on applicant's SF 424)
(1) Submitting Agency:
Street Address/City:
Submitting Agency Authorized
Representative Name and Title:
City:
Application Point of Contact (POC) Name
and Title (If different):
State:
Zip Code:
Telephone Number:
Email
Application POC Telephone:
Application POC Email:
(2) Name(s) of additional States applying (if applicable):
(3) Project Name (Please provide a clear, concise, and descriptive name, example "Capital City to Hill
Valley Corridor Service Development Plan"):
(4) Describe the service(s) that is (are) the subject of the Project, including corridor name,
endpoints, major intermediate cities, and other characteristics (upload a map if applicable):
FRA F 35
OMB Control No. 2130-0615
Expires 01/31/2024
(5) Project Abstract (In 3 - 5 sentences, please describe your proposed project):
(6) 6a. Total Project Cost: $
- Amount Requested: $
- Non-Federal Match Amount: $
6b. Indicate the source, amount, and percentage of matching funds:
Dollar
Amount
Non-FRA Funding
Sources
New or
Existing
Funding
Sources?
Status of
Funding
Type of
Funds
*Should
total NonFederal
Amount
in above
6a.
% of
Total
Project
Cost
Describe any
uploaded supporting
documentation to
help FRA verify
funding source
Committed
Committed
Committed
Committed
(7) Describe the activities proposed to be funded.
(8) 8a. Describe the service attributes of the Program/Project for which you are planning (check all that
apply):
Additional Service Frequencies
New Service
Service Quality Improvements
FRA F 35
Improved On-Time performance on Existing
Route
Increased Average Speeds/Shorter Trip Times
Other (Please Describe)
8b. Please provide an overview of the characteristics of the Program/Project for which you are
planning, including a description of the types of improvements under consideration, and if
applicable, the intercity passenger rail proposal:
(9) What are the anticipated start and end dates for this Project? (mmlyyyy)
Start Date:
End Date:
FRA F 35
B. Statement of Work
BACKGROUND
Provide a consistent frame of reference to the applicable solicitation and funding source of
all grants/cooperative agreements awarded funding by the FRA. This section also provides
high-level overview information regarding the project and applicant/grantee.
Approximately 3-4 paragraph in length.
GENERAL OBJECTIVE
Provide a clear description of the underlying transportation problem that the project will
address; the work that will be accomplished under the grant/cooperative agreement; the
end-state of the project, and the public benefits that the project is intended to achieve.
DESCRIPTION OF WORK
Break the scope of work for the project into discrete and delineable tasks. If the FRA
funded-project is part of a larger effort, describe that larger effort, but link tasks
specifically to the FRA-funded portion of the project. Be clear regarding the work to be
done in each task and be sure tasks can be linked to deliverables and timelines. Use the
guidance below to develop this section.
The “Project Schedule and Deliverables” section outlines the period of performance for the
grant/cooperative agreement and provides a concise table listing all of the deliverables required
for the applicable tasks covered under the grant/cooperative agreement and their submission due
date to FRA. The applicant/grantee must list every deliverable required for each applicable
task, as well as any other deliverables FRA may require. Use the guidance below to develop this
section.
PROJECT SCHEDULE
The period of performance for all work will be approximately
months, from
to
. The deliverables associated with this Grant/Cooperative
Agreement are listed below. The Grantee must complete these deliverables to FRA’s
satisfaction in order to be authorized for funding reimbursement and for the Project to be
considered complete.
PERFORMANCE OBJECTIVES AND DELIVERABLES
Outline the period of performance for the grant/cooperative agreement and provide a concise table
listing all of the deliverables required for the applicable tasks covered under the grant/cooperative
agreement and their submission due date to FRA. The applicant/grantee must list every deliverable
required for each applicable task, as well as any other deliverables FRA may require. Use the
guidance below to develop this section.
FRA F 35
Task #
Deliverable Name
Related Task
Due Date
1
2
3
4
5
6
7
PROJECT ESTIMATE/BUDGET
Instructions: The “Project Estimate/Budget” section outlines the initial cost estimate for the project
by task and by funding source. Both methods are required and necessary to assess project costs. The
“funding source” estimate should list all funding sources contributing to the project (e.g. the FRA
grant subject to this SOW, other FRA or Federal grants, the grantee’s contribution, and
contributions from all other project partners). Use the text and table below to develop this section.
The total estimated cost of the Project is $
, for which the FRA grant will contribute up to
of the total cost, not to exceed $
. Any additional expense required
beyond that provided in this grant to complete the Project shall be borne by the Grantee.
FRA F 35
Project Estimate by Task
Task #
Task Name
Total Cost
1
$
2
$
3
$
4
$
5
$
6
$
7
$
Total Project Cost $
Project Estimate Contributions
Project Contribution
Amount
Funding Source
Percentage of Total
Project Cost
FRA Grant
$
%
Grantee
$
%
Project Partner 1
$
%
Total Project Cost
$
%
PROJECT COORDINATION
Identify all the project partners, funding recipients and sub-recipients, and other entities
that possess responsibility for the implementation of the project. Per Task 1 guidance, the
coordination strategy may evolve and require updating over time.
The Grantee shall perform all tasks required for the Project through a coordinated process, which will
involve affected railroad owners, operators, and funding partners, including:
•
•
•
FRA F 35
FRA
PROJECT MANAGEMENT
Identify all actions the applicant/grantee will perform to ensure the effective management
and oversight of the project. Use the guidance below to develop a project management
approach.
The Grantee is responsible for facilitating the coordination of all activities necessary for
implementation of the Project. Upon award of the Project, the Grantee will monitor and evaluate the
Project’s progress through regular meetings scheduled throughout the period of performance. The
Applicant/Grantee will:
•
Participate in a project kickoff meeting with FRA
•
Complete necessary steps to hire a qualified consultant/contractor to perform required
Project work
•
Hold regularly scheduled Project meetings with FRA
•
Inspect and approve work as it is completed
•
Review and approve invoices as appropriate for completed work
•
Perform Project close-out audit to ensure contractual compliance and issue close-out
report
•
Submit to FRA all required Project deliverables and documentation on-time and
according to schedule, including periodic receipts and invoices
•
Comply with all FRA Project reporting requirements, including, but not limited to:
a. Status of project by task breakdown and percent complete
b. Changes and reason for change in project’s scope, schedule and/or budget
c. Description of unanticipated problems and any resolution since the immediately
preceding progress report
d. Summary of work scheduled for the next progress period
e. Updated Project schedule
•
FRA F 35
[list any other project management activities that may be necessary for the Project]
C. Optional Additional Information
(1) Please provide any additional information, comments, or clarifications and indicate the section
and question number that you are addressing (e.g., Section A, Question 6). This section is optional.
(2) Optional Supporting Documents (If you have uploaded documents to Grants.gov, please provide
document title, filename, and description here):
Document Title
! Document Title Filename
I Description and Purpose
Filename
j
E. Checklist of Application Materials
FRA F 35
Description and Purpose
Required Documents Reference Description Format
Required Documents
Application Form
OMB Standard
Forms
• SF 424:
Application for
Federal
Assistance
• SF 424A:
Budget
InformationNon
Construction
• SF 424B:
AssurancesNon
Construction
•
SF 424C:
Budget
Information
Construction
•
SF 424D:
Assurances Construction
FRA Assurances
Document
Optional Supporting
Documents
Map of proposed
project area
Other supporting
documents as identified
by applicant
FRA F 35
Reference
Description
Format
NOFA
This document to be submitted as an
attachment through Grants.gov.
Form
NOFA
Please submit through Grants.gov.
Form
May be obtained from FRA’s website at
https://www.fra.dot.gov/eLib/Details/
L05284
NOFA
Reference
The document should be signed by an
authorized certifying official for the
applicant. Submit through Grants.gov.
Description
Form
Format
NOFA
This document to be submitted as an
attachment through Grants.gov.
None
NOFA
This document to be submitted as an
attachment through Grants.gov.
None
File Type | application/pdf |
Author | Kaczmarek, Paul |
File Modified | 2021-10-05 |
File Created | 2015-10-01 |