5100-144 Bipartisan Infrastructure Law, Airport Terminal and Towe

U.S. Department
of Transportation
Federal Aviation
Administration

FAA Form 5100-144, Bipartisan Infrastructure Law,
Airport Terminal and Tower Project Information
Paperwork Reduction Act 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 2120-XXXX. Public reporting for this collection of information is estimated to be
approximately 6 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 required to
obtain or retain under the Bipartisan Infrastructure Law (BIL) (P.L. 117-58). 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
Aviation Administration, 10101 Hillwood Parkway, Fort Worth, TX 76177-1524.

Instructions for FAA Form 5100-144,
Bipartisan Infrastructure Law,
Airport Terminal and Tower Project Information
This form is provided to assist airports in completing the submission requirements established in
the Federal Register Notice (FRN) published on xxxday, xx #, 20##. The FRN requires
requests to be submitted via email. This form lets the FAA process requests more quickly based
on uniform information responsive to the FRN. The FAA strongly recommends filling it in,
saving it electronically, and then submitting it via email.

General Airport Information
Airport Name. Enter the official airport name.
LOCID. Enter the airport’s FAA location identifier code.
State Code. Choose the appropriate two letter code for the State, U. S. Territory,
Independent Country, or Department of Interior from the drop-down list.
Point of Contact’s Name. The Point of Contact (POC) must be the Airport Sponsor.

FAA Form 5100-144 (01/22)

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Point of Contact’s Title. Enter the Airport POC’s Title.
POC’s Phone Number. Enter the Airport POC’s phone number and extension number, if any.
Example: (555) 222-4444 ext.158
POC’s Email Address: Enter the Airport POC’s email address.

Project Overview
Project Type
Choose the project type (Terminal or Tower).
Project Description
In 75 words or less, enter a complete project description.
Target Timeframe for Grant Award and Construction Start
Enter the month and year that grant can be accepted and the project can start.

Project Status
Total (Estimated) Project Cost
Enter the most recent cost estimate for the entire project, in whole dollars.
Amount of Funding Requested
Enter the amount of funding requested under this program, in whole dollars.
Match Available
Does the Sponsor have matching funds? Choose Yes or No.
Delivery Method
Choose the delivery method (Design/Bid, Design/Build, CM at Risk, Other). If “Other,” state the
proposed delivery method in the next field.
Bid or Guaranteed Maximum Price (GMP)
Choose whether or not project has been publicly bid. If “No,” provide an estimated bid date in
the next field.
Phased Project
Choose whether or not the project will be completed over multiple phases. If “Yes,” list phase
number and total number of phases in the next field.
Do you have a comprehensive financial plan?
Choose Yes or No to indicate if a funding plan for the entire project is currently available.

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Is the project on an approved Airport Layout Plan (ALP)?
Choose Yes or No. If “Yes,” enter the approval date in the next field.
Is environmental determination complete?
Choose Yes or No. If “Yes,” enter the approval date in the next field.
Is airspace approval complete?
Choose Yes, No, or N/A (not applicable). If “Yes,” enter approval date in the next field.
Current Enplanements
Enter enplanement number from previous calendar year.
Forecast Enplanements
Based on your most recently approved forecast, provide the enplanement number from the last
year of the forecast and provide forecast year.
Is this project associated with an approved Airport Improvement Program (AIP) or
Passenger Facility Charge (PFC) project?
Choose Yes or No. Choose “Yes” if the project is currently funded by an existing AIP grant or
approved under a PFC application. If “Yes,” provide project information such as project number
(AIP grant number), amount of PFC or AIP funds, approval date of the PFC application,
execution date of the grant, etc.

Program Considerations
Check all that apply to your proposed terminal building or tower project. If an item is selected, a
narrative must be included describing how the project satisfies the criteria. Address the
following areas within character limits defined below.

Terminal
Existing Square Footage
Provide square footage of existing terminal building.
Proposed Square Footage
Provide anticipated total square footage of terminal building once project is complete.
Increase Capacity and Passenger Access
Check this box if the project will increase terminal capacity and passenger access to the airport.
Explain and provide justification in the next field. (Maximum Characters 300)
Replacing Aging Infrastructure
Check this box if the project will replace aging infrastructure that has exceeded its useful life.
Explain and provide justification in the next field. (Maximum Characters 300)

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Achieves Compliance with Americans with Disabilities Act and Expands Accessibility for
Persons with Disabilities
Check this box if the project will expand accessibility for persons with disabilities. Explain and
provide justification in the next field. (Maximum Characters 300)
Improves Airport Access for Historically Disadvantaged Populations
Check this box if the project will improve access for Historically Disadvantaged Populations.
Explain and provide justification in the next field. (Maximum Characters 300)
Improves Energy Efficiency
Check this box if the project improves energy efficiency for the airport. Explain and provide
justification in the next field. (Maximum Characters 300)
Improves Airfield Safety through Terminal Relocation
Check this box if the project improves airfield safety. Explain and provide justification in the next
field. (Maximum Characters 300)
Encourages Actual and Potential Competition
Check this box if the project Encourages Actual and Potential Competition. Explain how this
objective is met through this project in the next field. (Maximum Characters 450)

Tower
Project Type. Choose “Airport Tower Program” for an airport-owned tower. Choose “Contract
Tower Program” for contract towers. Choose both if both descriptions apply.
Siting Study. Has a Siting Study been completed for the Air Traffic Control Tower Project?
Choose Yes or No.
Relocating
Check this box if the project will be relocating an existing Air Traffic Control Tower. Explain and
provide justification in the next field. (Maximum Characters 300)
Reconstructing
Check this box if the project will reconstruct a replacement tower in the same location of the
existing Air Traffic Control Tower. Explain and provide justification in the next field. (Maximum
Characters 300)
Repairing
Check this box if the project will be a repair of an existing Air Traffic Control Tower. Explain and
provide justification in the next field. (Maximum Characters 300)
Improving Airport Owned Tower
Check this box if the project will add improvements to an existing Air Traffic Control Tower.
Explain and provide justification in the next field. (Maximum Characters 300)

FAA Form 5100-144 (01/22)

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OMB CONTROL NUMBER: 2120-XXXX
EXPIRATION DATE: mm/dd/yyyy

U.S. DEPARTMENT OF TRANSPORTATION
FEDERAL AVIATION ADMINISTRATION

Bipartisan Infrastructure Law,
Airport Terminal and Tower Project Information
General
Airport Name:
LOCID:
State Code:

Choose one

Point of Contact’s Name:
Point of Contact’s Title:
POC’s Phone Number:
POC’s Email Address:

Project Overview
Project Type:

Terminal

Tower

Project Description (75 words or less):

Target timeframe dates: Grant Award:

FAA Form 5100-144 (01/22)

Construction Start:

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Project Status
Total (Estimated) Project Cost:
Amount of Funding Requested:
Match Available:

Yes

No

Delivery Method (choose one):
Design/Bid

Design/Build

CM at Risk

Other:

Bid or GMP:

Yes

No. If “No,” Estimated bid/GMP date:

Phased Project:

Yes

No. If “Yes,” Phase:

Do you have a comprehensive financial plan?

of
Yes

No

Is the project on an approved ALP?
Yes

No. If “Yes,” enter the approval date:

Is environmental determination complete?
Yes

No. If “Yes,” enter the approval date:

Is airspace approval complete?
Yes

No

N/A.

If “Yes,” enter the airspace case number:
Current Enplanements:
Approved Forecasted Enplanements:

Year:

Is this project associated with an approved AIP or PFC project?
Yes

No

N/A.

If “Yes,” describe:

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Program Considerations (Terminal)
Existing Square Footage:
Proposed Square Footage:
If you check a box below, you must describe how the project satisfies the criteria.
Check all that apply to the proposed project.
Increase Capacity and Passenger Access. Description (Maximum Characters 300):

Replacing Aging Infrastructure. Description (Maximum Characters 300):

Achieves Compliance with Americans with Disabilities Act and Expands Accessibility for
Persons with Disabilities. Description (Maximum Characters 300):

Improves Airport Access for Historically Disadvantaged Populations. Description (Maximum
Characters 300):

Improves Energy Efficiency. Description (Maximum Characters 300):

Improves Airfield Safety through Terminal Relocation. Description (Max. Characters 300):

FAA Form 5100-144 (01/22)

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Encourages Actual and Potential Competition. Description (Maximum Characters 450):

Program Considerations (Tower)
Project Type. The project type for this grant application (choose one or both):
Airport Tower Program
Contract Tower Program
Siting Study. Has a Siting Study been completed for the Air Traffic Control Tower Project?
Yes

No

If you check a box below, also describe how the project satisfies the criteria.
Check all that apply to the proposed project.
Relocating. Description (Maximum Characters 300):

Reconstructing. Description (Maximum Characters 300):

Repairing. Description (Maximum Characters 300):

Improving Airport Owned Tower. Description (Maximum Characters 300):

FAA Form 5100-144 (01/22)

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Certifications
By electronically signing this document, I hereby certify that we have followed, or will follow, all
procurement processes required under 2 CFR 200, including but not limited to:
•

Davis Bacon

•

Buy American

•

Consultant Selection

Name:

Signature:

Date (if not in signature):

Title:

Submit by Email

FAA Form 5100-144 (01/22)

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