FY10 Defense Appropriations Request Form
Office of Senator Charles E. Schumer


Please answer this questionnaire completely and using the instructions that our 
office provides.  If you have questions or need a copy of the instructions, please call 
Sarah Bermingham at (202) 224-6542.  Please send the completed form to Sarah at 
sarah_bermingham@schumer.senate.gov by Friday, February 27, 2009.  Please also 
send us any other information which you believe would help us to evaluate your 
request.

General Information
Institution name:	     
Project name: 		     
Priority among all Defense requests from your institution:	1
Name of parent corporation, if applicable:	     
Please briefly describe your institution.  If you operate in more than one state, please 
clarify your New York State presence:	     
Are you a for-profit institution?	Yes
City in New York State, or Borough in New York City, where the majority of the work is 
to be performed:	     
	County:	     
Other cities in New York where work will be performed:	     
	Counties:	     
Other states where work will be performed:	     
	Is New York the primary location?  If not, which state is?	     


Project Information
Please describe your project:	     
Why is your project a valuable use of taxpayer funds?	     
If this project were funded, how many jobs do you estimate would it protect?	     
	How many would it create?	     
Please describe on what part of your project you will spend this funding:	     
Is your project in the President's Budget?	     
	If so, what is its funding?	     
Is your project on an Unfunded Priorities list?	     
Is your project in the Program Objective Memorandum (POM) for 2010-2015?	     
If you have a DOD program manager, please provide the following contact information:
Name:		     
Agency:	     
Phone:		     
Email:		     
If there is anyone at DOD other than a program manager to whom we can speak about 
your project, please provide contact information:
Name:		     
Agency:	     
Title:		     
Phone:		     
Email:		     
How does this person know about your project?	     

FY10 Request Information
How much money are you requesting?	     
What is the project's total cost, and over how many years?	     
Are you requesting that the Senator protect the President's Budget, or are you requesting 
additional funding over the President's Budget?	Increase PB
If you are looking for language, please include it here:	     



Account
select only one menu in each cell; 
please leave the other menus blank

Amount
Line
for RDT&E 
and 
procurement 
accounts only
Budget 
Activity
for O&M 
accounts 
only
PE
for RDT&E 
and Defense 
Production 
Act accounts 
only
First line of 
funding
Personnel - select
O and M - select
Procurement - select
RDT&E / Other - select

$     

     

     

     
Second line 
(if 
applicable)
Personnel - select
O and M - select
Procurement - select
RDT&E / Other - select

$     

     

     

     
Third line 
(if 
applicable)
Personnel - select
O and M - select
Procurement - select
RDT&E / Other - select

$     

     

     

     

What other Senators are you asking to submit this request?	     
What members of the House are you asking to submit?	     

Past Funding History
Please provide us with congressionally-directed funding levels for this project in the past 
four fiscal years:
	FY06:	     				FY07:	     
	FY08:	     				FY09:	     
If this project received earmarked funding in FY09, please complete the following:



Account
select only one menu in each cell; 
please leave the other menus blank

Amount
Line
for RDT&E 
and 
procurement 
accounts only
Budget 
Activity
for O&M 
accounts 
only
PE
for RDT&E 
and Defense 
Production 
Act accounts 
only
First line of 
funding
Personnel - select
O and M - select
Procurement - select
RDT&E / Other - select

$     

     

     

     
Second line 
(if 
applicable)
Personnel - select
O and M - select
Procurement - select
RDT&E / Other - select

$     

     

     

     
Third line 
(if 
applicable)
Personnel - select
O and M - select
Procurement - select
RDT&E / Other - select

$     

     

     

     


Contact Information
Please provide the contact information of the person at your institution whom we should 
notify if the project is funded:
Name:	     
Title:	     
Phone:	     
Email:	     
Please provide the contact information of your lobbyist, if you retain one:
Name:	     
Firm:	     
Phone:	     
Email:	     



For Schumer office use only:
Date form was received:
Date of DC staff meeting:
Region:
Regional director comments:



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