Form FS-1500-0051 Application Form Community Wood Program

COMMUNITY WOOD ENERGY & WOOD INNOVATION PROGRAM
FS-1500-0051 (REV. 08/2025)
OMB #: 0596-0257
OMB Exp. Date: 07/31/2027

Reference Public Law 115-334 Sec. 9013, 117-58 Div. J. Title VI, and 7 U.S.C. Sec. 8112

Ensure that your organization is registered with the System for Award Management (SAM), which is located at
https://sam.gov/. DO NOT go through a third party that may charge for registration. There is no charge for
registering at SAM.gov. This process will take time, so please register immediately.

COVER PAGE FOR PART 1: COOPERATOR CONTACT INFORMATION
1. Project Title:
Innovative Wood Product
2. Project Type (check one):
Community Wood Energy System
Facility
Both Community Wood Energy System and Innovative Wood Product Facility
3. Total Capital Costs (Forest Service Funding + Cooperator Funding):
A. Requested Forest Service funding (amount of Forest Service funds):

$ 0.00

B. Cooperator Funding (amount of leveraged non-federal funds):

$ 0.00

C. Total Capital Costs (Line A + Line B. *This value should be the same as the value listed in Column
$ 0.00
C, Line 11 of Budget Table 1 of this application):
D. Maximum allowable Forest Service funding request (Line C x 35%):

$ 0.00

E. Cooperator Funding as a Percentage of Total Capital Costs (Line B ÷ Line C x 100%. This value
should not be less than 65% unless requesting special consideration):
0%
F. Are you requesting special consideration for Forest Service funding of more than $1 million
and/or Forest Service funding to cover between 36-50% of total capital costs?
If Yes, did you receive prior approval from the Forest Service?

Yes

Yes

No

No

If Yes, is the requested Forest Service funding not more than $1.5 million and does not cover
more than 50% of the total capital costs?

No

Yes

4. Contact Information:
Financial Agreement Applicant (Responsible official for financial administration of the project.)
Name:

Title:

Organization/Company:
Address, City, State, Zip:
Phone:

E-mail Address:

Project Contact (Responsible official for management of the project. If listed above, check box ☐)
Name:

Title:

Organization/Company:
Address, City, State, Zip:
Phone:

File Code: 1580

E-mail Address:

For technical questions and Section 508 accommodation, please contact [email protected]

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Application Instructions: Complete and submit Parts 1 and 2. Address each item under subheadings A
though H for Part 1.
PART 1: NARRATIVE

A. Basic Project Information

Project Title:

Project Length: Typical award is for 2-3 years (projects of greater complexity may be awarded for a
longer period, not to exceed 5 years).
Abstract: Provide a brief description of the project. If funded, the abstract will be posted on a public
website. Be concise and clear. (This field is limited to 1,625 characters and spaces)

File Code: 1580

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B. Project Description (This field is limited to 5,000 characters with spaces)
Review program instructions and Notice of Funding Opportunity for more information.

File Code: 1580

For technical questions and Section 508 accommodation, please contact [email protected]

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C. Project Impact (This field is limited to 5,000 characters with spaces)
Review program instructions and Notice of Funding Opportunity for more information.

File Code: 1580

For technical questions and Section 508 accommodation, please contact [email protected]

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D. Technical Criteria (This field is limited to 5,000 characters with spaces)
Review program instructions and Notice of Funding Opportunity for more information.

File Code: 1580

For technical questions and Section 508 accommodation, please contact [email protected]

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E. Qualifications of Team and Partners (This field is limited to 5,000 characters with spaces)
Review program instructions and Notice of Funding Opportunity for more information.

File Code: 1580

For technical questions and Section 508 accommodation, please contact [email protected]

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FS-1500-0051 (REV. 08/2025)

F. Annual Progress Reports and Final Reports (This field is limited to 1,625 characters with spaces)
Review program instructions and Notice of Funding Opportunity for more information.

File Code: 1580

For technical questions and Section 508 accommodation, please contact [email protected]

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G. Budget Summary and Justification in Support of SF–424A
Complete the two budget tables below and provide a brief budget narrative explaining primary costs and
any subcontracting. The budget should support the narrative statement and reflect projected costs. Include
cash, in-kind services, and staff time used to complete the project.

Budget Table

Review program instructions and Notice of Funding Opportunity for more information
Lines 1-8: Enter the dollar amount for each item and provide details for each of these costs in narrative
section below table.
Line 9: Sum of 1 – 8.
Line 10: Costs not directly attributable to accomplishing the project, such as overhead or indirect costs.
Line 11: Sum of 9 and 10.
Line 12: Use the total in Column C, Line 11 to determine the percentage of each share.
Column A
Forest Service Funds
(Forest Service share)

Categories
1.
2.
3.
4.
5.
6.
7.
8.
9.

Personnel
Fringe benefits
Travel
Equipment
Supplies/Materials
Contractual
Construction
Other
Direct charges

Column B
Leveraged Funds
(Non-federal share)

Column C
Total Capital Costs
(Column A + Column B)

Not Allowed

10. Indirect charges
11. Total Costs
12. Percentage of total
(Column A, Line 11) ÷ (Column C, Line 11) x 100%

(Column B, Line 11) ÷ (Column C, Line 11) x 100%

Leveraged Funding Table –
Instructions for the Cooperator Contributions Table: List the leveraged funds provided by the applicant
and all 3rd party organizations. Exclude Forest Service funding. Use reasonable and acceptable rates to
value materials and in-kind contributions.
Cooperator Name

Cash

Materials

In-Kind Services

Total

Totals:
File Code: 1580

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Please provide more specific details on how Forest Service funding will be used for each of the
following budget categories:
Category 1. Personnel: This is the actual estimated salary cost paid and may or may not include fringe
benefits. Show job titles or positions and estimated days or hours and the estimated cost per day or
hour. (This field is limited to 4,700 characters with spaces)

File Code: 1580

For technical questions and Section 508 accommodation, please contact [email protected]

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Category 2. Fringe Benefits: Fringe is generally expressed as a percentage of the salary cost. Provide
the rate and total estimated cost. (This field is limited to 1,625 characters with spaces)

Category 3. Travel: Show anticipated trips, number of travelers, and an estimated cost per trip. (This
field is limited to 1,625 characters with spaces)

File Code: 1580

For technical questions and Section 508 accommodation, please contact [email protected]

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Category 4. Equipment: Provide documentation of equipment costs. (This field is limited to 5,000
characters with spaces)

File Code: 1580

For technical questions and Section 508 accommodation, please contact [email protected]

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Category 5. Supplies/Materials: Provide an estimate of the supplies and materials that may be
purchased for the project. (This field is limited to 5,000 characters with spaces)

File Code: 1580

For technical questions and Section 508 accommodation, please contact [email protected]

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Category 6. Contractual: List out any estimated costs for contracts or subawards with a description of
work for each anticipated contract. (This field is limited to 5,000 characters with spaces)

File Code: 1580

For technical questions and Section 508 accommodation, please contact [email protected]

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Category 7. Other: Any costs under this category must be itemized with a description and an
estimated cost. (This field is limited to 4,000 characters with spaces)

File Code: 1580

For technical questions and Section 508 accommodation, please contact [email protected]

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PAPERWORK REDUCTION ACT STATEMENT
According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not
required to respond, to a collection of information unless it displays a valid OMB control number. The valid OMB
control number for this information collection is 0596-0257. Response to this collection of information is required
to obtain or retain benefits. The authority to collect the information is the Infrastructure Investment and Jobs Act
(Pub. Law 117-58). The time required to complete this information collection is estimated to average 3 hours per
response, including the time for reviewing instructions, searching existing data sources, gathering and
maintaining the data needed, and completing and reviewing the collection of information.
NONDISCRIMINATION STATEMENT
In accordance with Federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations
and policies, the USDA, its Agencies, offices, and employees, and institutions participating in or administering
USDA programs are prohibited from discriminating based on race, color, national origin, religion, sex, disability,
age, marital status, family/parental status, income derived from a public assistance program, political beliefs, or
reprisal or retaliation for prior civil rights activity, in any program or activity conducted or funded by USDA (not all
bases apply to all programs). Remedies and complaint filing deadlines vary by program or incident.
Persons with disabilities who require alternative means of communication for program information (e.g., Braille,
large print, audiotape, American Sign Language, etc.) should contact the State or local Agency that administers
the program or contact USDA through the Telecommunications Relay Service at 711 (voice and TTY).
Additionally, program information may be made available in languages other than English.
To file a program discrimination complaint, complete the USDA Program Discrimination Complaint Form,
AD-3027, found online at How to File a Program Discrimination Complaint and at any USDA office or write a
letter addressed to USDA and provide in the letter all of the information requested in the form. To request a copy
of the complaint form, call (866) 632-9992. Submit your completed form or letter to USDA by: (1) mail: U.S.
Department of Agriculture, Office of the Assistant Secretary for Civil Rights, 1400 Independence Avenue, SW,
Mail Stop 9410, Washington, D.C. 20250-9410; (2) fax: (202) 690-7442; or (3) email [email protected].
USDA is an equal opportunity provider, employer, and lender.

File Code: 1580

For technical questions and Section 508 accommodation, please contact [email protected]

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