Form 5100-144 Infrastructure Investment and Jobs Act (IIJA) Competitiv

U.S. Department
of Transportation
Federal Aviation
Administration

FAA 5100-144,
Infrastructure Investment and Jobs Act (IIJA),
Competitive Grant Project Information
Paperwork Reduction Act Burden Statement

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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 2120-0806. 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 a benefit under the Infrastructure Investment and Jobs Act (IIJA) (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.

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Instructions for FAA 5100-144,
IIJA Competitive Grant Project Information

This form is provided to assist airports in completing the submission requirements established in
the related Notice of Funding Opportunity published in the Federal Register. The FRN requires
requests to be signed and submitted via email message. This form lets the FAA process
requests more quickly based on uniform information responsive to the FRN. Do not include any
Personal Identifiable Information in the open text boxes.
Once the form is complete, save a copy of the form electronically to your files for future
reference. Next, scroll to the bottom of the form and choose the “Submit” button. That creates a
new email message with the PDF attached. Or, as a backup method, you can manually email
the form to: [email protected].
Using Digital Signatures: This form allows digital signatures. To access the digital signature
field, save this form to your computer and then reopen it with a PDF reader or editor. The
signature field often does not display when the form is viewed within a web browser.

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General Airport Information
Airport Name.
Enter the official airport name.
LOCID.
Enter the airport’s FAA location identifier code.
Point of Contact’s Name.
The Point of Contact (POC) must be the Airport Sponsor.
Point of Contact’s Title.
Enter the Airport POC’s Title.

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POC’s Phone Number and Extension.
Enter the Airport POC’s phone number. The form formats the number when you proceed
to the next field.
If there is an extension number, enter it in the next field after the phone number.

Project Overview

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POC’s Email Address.
Enter the Airport POC’s email address.

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Select Applicable Program.
Choose the applicable program type (Airport Terminal Program [ATP], FAA Contract
Tower [FCT], or Airport Infrastructure Grant Funding Reallocation [AFR]).

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Project Type.
Choose the project type (Terminal, Tower, Other).
Multi-Modal Terminal.
Choose Yes or No. Choose “Yes” if your project incorporates a connection to another
mode of transportation (i.e. Bus or Rail Station).
Current Project Stage.
Choose the stage of the project for which you are requesting funding
(Planning, Environmental, Design or Construction).
Project Description.
In 600 characters less, enter a complete project description.
Target Timeframes
•

Date Project Costs Known. Enter the month and year that all project costs will be
known (e.g. professional services contract, bids or GMP received) (mm/yyyy).

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•

Date Grant Fully Executed. Enter the month and year the sponsor can fully execute the
grant offer based on known project costs (mm/yyyy).

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Construction Start Date. Enter the construction start date month and year
(mm/yyyy).

Project Status
Total (Estimated) Project Cost.
Enter most recent cost estimate for the entire project, in whole dollars.
Amount of Funding Requested.
Enter amount of funding requested under this program, in whole dollars.
Match Available.
Does the Sponsor have matching funds? Choose Yes or No.

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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).
Has the project been publicly bid? Choose Yes or No.
If “No,” provide an estimated bid date in the next field.

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Phased Project.
Will the project be completed over multiple phases? Choose Yes or No.
If “Yes,” list phase number covered by this application and total number of phases in the
next field.

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Do you have a comprehensive financial plan?
Choose Yes or No to indicate if a funding plan for the entire project is currently available
for FAA review, if requested.
Is the project on an approved Airport Layout Plan (ALP)?
Choose Yes or No. If “Yes,” enter the approval date (month and year) in the next field.
Is environmental determination complete?
Choose Yes or No.
If “Yes,” enter the approval date (month and year) in the next field.
Is airspace approval complete?
Choose Yes, No, or N/A (not applicable).
If “Yes,” enter the airspace case number in the next field.
Forecast Enplanements.
Based on your most recently approved forecast, provide the enplanement number from
the last year of the forecast and provide forecast year.

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Existing Square Footage.
Provide square footage of existing terminal building or tower.
Proposed Square Footage.
Provide anticipated total square footage of terminal building or tower once project is
complete.
Is this project associated with an approved Infrastructure Investment and Jobs Act (IIJA),
Airport Improvement Program (AIP) or Passenger Facility Charge (PFC) project?
Choose Yes or No.
Choose “Yes” if the project has been or is currently funded by an existing IIJA grant, AIP
grant, or approved under a PFC application.
If “Yes,” provide existing grant number(s) and/or PFC application number along with the
amount of existing funding for each funding type:

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Note: Check all the below that apply to your proposed terminal building or tower project. If you
check an item, you must describe how the project satisfies the criteria. Address the following
areas within character limits defined below.

Airport Terminal Program (ATP)

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Increase Capacity and Passenger Access.
Check this box if the project will increase capacity and passenger access to the airport.
Explain and provide justification in the next field. (450 Characters Maximum).

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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. (450 Characters Maximum).
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. (450 Characters Maximum).
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. (450 Characters
Maximum).
Improves Energy Efficiency.
Check this box if the project improves energy efficiency for the airport. Explain and
provide justification in the next field. (450 Characters Maximum).

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Improves Airfield Safety through Terminal or Tower Relocation.
Check this box if the project improves airfield safety. Explain and provide justification in
the next field. (450 Characters Maximum).
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. (450 Characters Maximum).

FAA Contract Tower Program (FCT)
If the project is for a tower, complete this section of the form.
Project Type
Choose “Contract Tower Program” for an airport owned tower in the FAA Contract
Tower program.

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Age of Tower.
Enter the age of the tower in years.

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Choose “Airport Owned, Other” for an airport owned tower not in the FAA Contract
Tower program. Then describe tower staffing (Example: FAA Staffed).

Siting Study.
Has a Siting Study been completed for the Airport Traffic Control Tower Project? Choose
Yes, No, or NA. Choose NA if not building a new tower or if this is a new tower in
existing location.

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Project Objectives.
Choose all that apply.

New.
Check this box if the project will construct a new Airport Traffic Control Tower.

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Relocate.
Check this box if the project will be relocating an existing Airport Traffic Control Tower.

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Reconstruct.
Check this box if the project will reconstruct a replacement Tower in the approximate
same location of the existing Airport Traffic Control Tower.

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Repair.
Check this box if the project will be a repair of an existing Airport Traffic Control Tower
(e.g., replace roof, replace cab windows, etc.).
Improve.
Check this box if the project will add improvements to an existing Airport Traffic Control
Tower (e.g., replacing radios, etc.).

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Impact on the National Airspace System (NAS)
Description (600 Characters Maximum)
Describe how the project addresses impacts on the NAS including
operational constraints, nonstandard facility conditions, and age of facility.

Airport Infrastructure Grant Funding Reallocation (AFR)
If the project is for Airport Infrastructure not associated with the Airport Terminal or FAA
Contract Tower Programs, complete this section of the form.
Is appropriate emissions analysis in accordance with the VALE or ZEV technical
guidance complete? Choose Yes or No to indicate if an emissions analysis for the project is
currently available for FAA review, if requested.
Appropriate Project Objectives

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Choose all that apply.

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Reduce airport emissions.
Check this box if the project will reduce airport emissions.

Describe the Project Type and provide justification in the next field. (450 Characters Maximum).
Reduce noise impact to the surrounding community.
Check this box if the project will reduce noise impact to the surrounding community.

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Explain Project Type and provide justification in the next field. (450 Characters Maximum).
Reduce dependence on the electrical grid.
Check this box if the project will reduce dependence on the electrical grid.

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Describe the Project Type and provide justification in the next field. (450 Characters
Maximum).
Provide general benefits to the surrounding community.
Check this box if the project will provide general benefits to the surrounding community.
Describe the Project Type and provide justification in the next field. (450 Characters
Maximum).

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Certifications
Signature.
Add your digital signature.
Date.
If your digital signature does not include a date, enter the date you signed the form.
Name.
Enter your name.
Title.
Enter your title.

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Submit by Email,
Choosing the “Submit by Email” button opens a new message in your email program
with the To address already filled in ([email protected]). It also attaches the filled
PDF to the email message.

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OMB CONTROL NUMBER: 2120-0806
EXPIRATION DATE: 9/30/2022

U.S. DEPARTMENT OF TRANSPORTATION
FEDERAL AVIATION ADMINISTRATION

IIJA Competitive Grant Project Information
General
Airport Name:
LOCID:
Point of Contact’s Name:
Point of Contact’s Title:
POC’s Phone Number:

Extension:

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POC’s Email Address:

Project Overview

Project Type (choose one):
Multi-Modal Terminal:

ATP

FCT

AFR

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Applicable Program(s) (choose any):

Terminal

Yes

Tower

Other

No

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Current Project Stage (choose one):

Planning

Environmental

Design

Construction

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Project Description (600 Characters Maximum):

Target Timeframes
Date Project Costs Known:

Month:

Year:

Date Grant Fully Executed:

Month:

Year:

Construction Start Date:

Month:

Year:

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

Match Available:

No

Delivery Method (choose one):
Design/Bid
Bid or GMP:

Design/Build

Yes

Phased Project:

CM at Risk

Other:

No. If “No,” Estimated bid/GMP date: Month:
No. If “Yes,” Phase:

Yes

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Yes

No

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Do you have a comprehensive financial plan?

Year:

Is this project phased and/or associated with an approved IIJA, AIP or PFC project?
No

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Yes

If “Yes,” provide the grant number(s), and/or PFC application number, along with the amount of
existing funding in the table below.

Amount (dollars)

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Federal Grant or PFC Number

Is the project on an approved ALP?
Yes

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

Year:

Is environmental determination complete?
Yes

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

Year:

Is airspace approval complete?
Yes

No

N/A.

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

Year:

Existing Square Footage:
Proposed Square Footage:

Airport Terminal Program (ATP)
Note: If you check a box below, you must describe how the project satisfies the criteria.
Check all that apply to the proposed project.

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Increase Capacity and Passenger Access. Description (450 Characters Maximum):

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Replacing Aging Infrastructure. Description (450 Characters Maximum):

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Achieves Compliance with Americans with Disabilities Act and Expands Accessibility for
Persons with Disabilities. Description (450 Characters Maximum):

Improves Airport Access for Historically Disadvantaged Populations.
Description (450 Characters Maximum):

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Improves Energy Efficiency. Description (450 Characters Maximum):

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Improves Airfield Safety through Terminal or Tower Relocation.
Description (450 Characters Maximum):

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

FAA Contract Tower Program (FCT)

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If the project is for a tower, also complete this section of the form.
Project Type. The project type for this grant application (choose one or both).
Airport Owned, Contract Tower Program
Airport Owned, Other. Describe staffing:
Tower Construction Year:
Siting Study. Has a Siting Study been completed for a new Airport Traffic Control Tower Project?
Yes

No

N/A

Project Objectives (choose all that apply):
New

FAA 5100-144 (03/25)

Relocate

Reconstruct

Repair

Improve

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Impact on the National Airspace System. Description (600 Characters Maximum):

Airport Infrastructure Grant Funding Reallocation (AFR)

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Applicant acknowledges that the funds available under this program must be under grant based on
bids or negotiated fees as outlined in the Notice of Funding Opportunity (NOFO), and that no
extensions, even due to extenuating circumstances, to this date will be granted.
Note: If you check a box below, also describe how the project satisfies the criteria.
Check all that apply to the proposed project.
Reduce airport emissions.

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Project Type Description (450 characters limit)

Reduce noise impact to the surrounding community.
Project Type Description (450 characters limit)

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Reduce dependence on the electrical grid.
Project Type Description (450 characters limit)

Provide general benefits to the surrounding community.

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Project Type Description (450 characters limit):

Certifications

Signature:

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By entering my name below, I hereby certify that I am authorized to submit this form on behalf of the
airport sponsor, all information is true and accurate to the best of my knowledge, and have or will
follow, all procurement processes required under 2 CFR 200:

Date:

Name:
Title:

Submit by Email

FAA 5100-144 (03/25)

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