CDBG-DR Local Governments - Application Requirements Checklist

  • Do you have a name and title for your project?
  • Name of Applicant- must be a county or municipality
  • DUNS Number (#)
  • Are there other municipalities or counties participating in this project?
  • Chief elected official: email, phone, address
  • Designated contact for application: email, address, phone
  • Amount of funds being requested
  • Prioritization of projects if multiple projects
  • Project location: street address city/town, county
  • Is the site owned, leased, under contract and who owns, leases or is in contract
  • A clear scope of work
  • Projected Budget for project
    • Administrative costs and project activities
    • Total Cost and CDBG-DR Funds
  • Financial Information
    • Total revenues listed onthe most recent fiscal year financial statement
  • PROJECT JUSTIFICATION - NATIONAL OBJECTIVES AND BENEFIT TO LOW/MODERATE INCOME PERSONS
    • Which National Objective does this activity meet?
      • L/M Income (explain)
      •  Slum Blight (explain)
      • Urgent Need
    • Persons that activity will serve directly
      • Total # of people
      • # low/mod income persons
      • %low/mod income persons
  • Relevant information for Environmental and Historic Preservation review.
  • Why is this project needed? What are the goals of the project
  • How were cost estimates determined?
  • Explanation of Davis-Bacon wage rates in cost estimates
  • Explain any in-kind contributions
  • Explanation as to why program can’t be funded locally
  • What direct costs from damages to infrastructure and public facilities that will impact the FY 2013, 2014 and if necessary 2015 budgets?
  • Will there be benefits to private business, access and functional needs, Non- Governmental Agencies?
  • Will there be on-going operational costs for the project?
  • If funded how fast can the project get underway?
  • How long will the project take to complete?
  • Has land, an easement or a structure been donated or acquired for this project? If yes a Unified Relocation Assistance Checklist must be filled out.
  • Explain how the project contributes to the overall resiliency of the community.