Fiscal Year 2010 Appropriations Request Form Rep. John McHugh Deadline for submission to John Sweeney - February 27, 2009 Please submit electronically to: John.Sweeney@mail.house.gov Fields should be filled in as completely as possibly for consideration. 1. Project Name 2. Name of requesting entity and individual 3. Address of requesting entity 4. Address of project if applicable 5. Please describe the project in detail (attach in a separate sheet if necessary) 6. Why should this project be eligible for federal funding? What is the federal nexus? (mandatory) 7. Please identify the amount of federal funding you are requesting 8. If you are making more than one request, what is the priority of this request? Number ____ of ____ requests 9. What other Members of Congress are supporting the project? 10. What federal agency will be responsible for the project? 11. What account within the federal agency's budget will the funds for the project originate? 12. Was it included in the President's Budget Request? (if yes, how much) 13. Has the project received previous federal, state, or local funding? If so, how much and what years? 14. Are there local matching funds? (if yes, how much) 15. What other public officials or organizations support this project? 16. Has the requesting entity applied for a federal grant for this project? (if no, then why) 17. Is there statutory authorization for the requested project? (if so, where) 18. What Congressional District is the project located? 19. Local Contact Name/Title/Phone 20. Washington Contact Affiliation and phone number Please Fill out these Additional Questions for all Transportation Requests Deadline for submission to Rep. McHugh - February 27, 2009 Please submit electronically to: John.Sweeney@mail.house.gov All fields must be completed for consideration. 1. What is the state/local share of the project cost? 2. How much of the request can be spent in Fiscal Year 09? 3. If this is a highway, transit, rail, or aviation request, did you check eligibility with Federal Highway Administration (FHWA), Federal Transit Administration (FTA), Federal Railroad Administration (FRA), or the Federal Aviation Administration (FAA)? 4. If yes, did the State DOT, FTA, FRA, or FAA indicate the project is eligible under the account requested? 5. If this is a FHWA request, is the project considered by the State and/or regional transportation officials as critical to their needs? 6. If this is a highway request, is the project on the State's transportation improvement plan? _____________________________________________________ Congressman John McHugh - FY10 Appropriations Form 111th Congress (1st Session)