FY 2010 APPROPRIATIONS FORM DEADLINE: FEBRUARY 13, 2009 I. General Information Agency/Organization requesting funding: Staff contact: Mailing address: Phone: Email: After hours contact info: Other Members submitting this request: Priority # (if submitting multiple requests): Date submitted: II. Subcommittee/Project Information Funding amount requested: Agency from which you are requesting funds: Account: Formal name of entity to receive funding: Installation (for Mil/Con projects): Project title: Project # (if applicable): Corps District (if applicable): Project purpose (please confine to one sentence): Is this a new start (for Corps projects)? Is there a legal citation for project authorization? If so, what is the citation #? Is this project in the President's budget? If yes, for what amount? Has the project received federal funding before? If yes, please list the amount of funding this specific project has received over the last three years. FY09 Appropriation: FY08 Appropriation: FY07 Appropriation: Will this money be used for design funding only? Will this money be used for salary/payroll? III. Project Budget What is the total cost of the project for which you are requesting funding? What is the state/local or organization's share of the project (%)? How much of the requested amount can be spent during FY10? If only partial funding is allocated, what project components would be covered first? If this is a highway, transit, rail, or aviation request, did you check eligibility with the State DOT, FTA, FRA, or FAA? If yes, did the State DOT, FTA, FRA, or FAA indicate the project is eligible under the account requested? If this is an FHWA request, is the project considered by the State and/or regional transportation officials as critical to their needs? If applicable, please include a letter of support from these officials. If you cannot, please explain why. On a separate piece of paper please provide a complete, detailed budget for the project for which you are requesting funds. Also on a separate piece of paper, please provide a breakdown of how the federal funds for the project would be allocated. IV. Summary Please provide a brief one paragraph description of the project. Any supporting documents such as maps, diagrams, pictures or additional background information can be attached to this form. Also, please provide a longer/comprehensive one-page description of the project.