CONTACT INFORMATION
Prefix
First Name
Last Name
Business Phone
(
Other Phone
(
ORGANIZATION INFORMATION
Organization
Organization Website:
Head of Organization First Name
Head of Organization Last Name
REQUEST INFORMATION
Legal Name of the Organization that would receive funds (Do NOT Include Abbreviations, Acronyms, or use a "The" Before the recipient name)
Requirements for Byrne-JAG project requests
Awarded grants will be subject to the requirements of 2 CFR Part 200 and the DOJ Grants Financial Guide.
Please describe, with as much specificity as possible, the overall objectives of the proposed project and how the requested funds would be spent to achieve those goals.
Is the recipient a State, Tribal, or local law enforcement agency?
Please provide the location of this project, in the format ‘City (or County), State’.
Is the requested project currently authorized in law? If yes, please provide a specific legal citation of such authorization.
Are the proposed project activities consistent with the activities of the Federal agency? [yes/no]
If yes, please describe how these activities are consistent with the activities of the Federal Agency. If not, why is the project being requested?
Has the project been funded in the past? [yes/no]
If the project has been funded in the past, how much funding has been provided to date?
If the project has been funded in the past, were such funds provided for discrete, severable activities?
Please specify any non-Federal sources of funding that have been or are fully anticipated to be applied toward the project, including any dollar amounts and timelines for funding.
Recognizing that the Appropriations Committee may not be able to provide the full amount of funding requested, can this project spend a smaller amount of appropriated funds within 12 months of the enactment of the Appropriations Act? If yes, please provide any details that may be helpful for understanding the scalability of the project.
Is this proposed project a priority for the local community? [yes/no]
Please describe the current developmental status of this project.
Is the intended recipient a for-profit entity? [yes/no]
Are you aware of another Member making a request for this same project? [yes/no]
Regarding this request, please provide any additional information that would be useful for the Appropriations Committee to have.
Is this request consistent with all current statutory and regulatory requirements of Byrne Justice Assistance Grant recipients and sub-recipients? [yes/no]
22. Is this request to fund the acquisition of property or the construction or renovation 23. of a building? [yes/no]
Has the intended recipient received any COPS or Byrne-JAG funds at any time in the past ten years? [yes/no]
If yes, in what fiscal years and for what purposes?
Questions for COPS Tech project requests:
· The Commerce, Justice, Science, And Related Agencies Subcommittee will only consider funding projects that have been entered into the online database.
· Members submitting COPS project requests are required to submit answers to the following additional questions within the online database. Failure to complete all required questions will result in an incomplete project request. Incomplete project requests will not be considered for community project funds.
Please describe, with as much specificity as possible, the overall objectives of the proposed project and how the requested funds would be spent to achieve those goals.
If a non-profit, is the recipient entity a non-profit organization as described under section 501(c)(3) of the Internal Revenue Code of 1986 and exempt from tax under section 501(a) of such code?
Please provide the location of this project, in the format ‘City (or County), State’.
Is the requested project currently authorized in law? If yes, please provide a specific legal citation of such authorization.
Are the proposed project activities consistent with the activities of the Federal agency? [yes/no]
If yes, please describe how these activities are consistent with the activities of the Federal Agency. If not, why is the project being requested?
Has the project been funded in the past? [yes/no]
If the project has been funded in the past, how much funding has been provided to date?
If the project has been funded in the past, were such funds provided for discrete, severable activities?
Please specify any non-Federal sources of funding that have been or are fully anticipated to be applied toward the project, including any dollar amounts and timelines for funding.
Is the proposed recipient currently in material non-compliance of a prior grant award made by the proposed Federal funding agency? [yes/no]
Recognizing that the Appropriations Committee may not be able to provide the full amount of funding requested, can this project spend a smaller amount of appropriated funds within 12 months of the enactment of the Appropriations Act? If yes, please provide any details that may be helpful for understanding the scalability of the project.
Is this proposed project a priority for the local community? [yes/no]
If the project is not a priority for the local community, why is it being requested?
Please describe the current developmental status of this project.
What is the estimated impact of this project, e.g. number of jobs created/sustained, number of community members served, other projected impacts?
Is the intended recipient a for-profit entity? [yes/no]
Are you aware of another Member making a request for this same project? [yes/no]
Regarding this request, please provide any additional information that would be useful for the Appropriations Committee to have.
Is this request consistent with all current statutory and regulatory requirements of Byrne Justice Assistance Grant recipients and subrecipients? [yes/no]
Is this project intended to serve primarily youth under age 18? [yes/no]
Is this request to fund the acquisition of property or the construction or renovation of a building? [yes/no]
If yes, in what fiscal years and for what purposes?
Has the intended recipient received any COPS or Byrne-JAG funds at any time in the past ten years? [yes/no]
Project Description (No more than 1,000 words please.)
Explanation of Why this project is a good use of taxpayer funds (This will be posted publicly on Congressman Balderson's website)
Please list materials you have available to submit which demonstrate evidence of community support (letters of support from elected community leaders, support from newspaper editorial boards, resolutions passed by city councils or boards, etc.)
Email Address*
If another Member is making a request for this same project, who?
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