FY 2011 - OREGON FEDERAL APPROPRIATIONS REQUEST

OFFICES OF SENATOR RON WYDEN AND SENATOR JEFF MERKLEY

INSTRUCTIONS

Dear Oregonians,

Appropriations season is here again and this year is certain to provide yet another challenging federal appropriations environment. Senator Wyden and Senator Merkley will work very hard to advocate for your project throughout the process. The first steps of the process involve – you guessed it – paperwork. Please adhere to the following guidance when completing the appropriations request form below.

  1. Do not alter the forms in any way, and do not leave any questions blank. In order to fully and properly advocate for your project, ALL of the information on the form is essential. Incomplete or altered forms will be rejected. However, you may include additional attachments, white papers, and letters of support.
  2. All forms must be submitted electronically to <field rep name here> at <field rep email address here> in Senator Wyden’s office AND to <field rep name here> at <field rep email address here> in Senator Merkley’s office.

Completed, unaltered forms must be submitted by Monday, February 22, 20010. Late forms will not be accepted. However, we encourage you to submit paperwork as expeditiously as possible.

  1. Based on the information provided in this initial form, you will be sent an additional form specific to the subcommittee corresponding to your request. Deadlines for this form will be based on guidance provided by the Appropriations Subcommittees, but we encourage early submissions.

If you have any questions or comments with regard to your project, please contact <Field rep name here> in Senator Wyden’s <Field office here> office at <put your e-mail address here> or byphone at <# for field office here> or <Field rep name here> in Senator Merkley’s <Field office here> office at <put your e-mail address here> or byphone at <# for field office here>.

Please keep in mind that projects submitted for consideration, as well as all information in these forms, will be made publicly available on both Senator Wyden’s and Senator Merkley’s websites without exception.

FY 2011- OREGON FEDERAL APPROPRIATIONS REQUEST

Senator Ron Wyden and Senator Jeff Merkley

Please fill in ALL applicable fields!

Name of Project:
Location: County(s): / City:
If the project will take place at a separate location, please also provide the address of the project:
Requesting Organization:
Describe the organization’s main activities, and whether it is a public, private, or non-profit entity.
Project Description:
How will the funds be spent? Please provide a detailed timeline and description of how the funds will be used and indicate whether funds will go toward construction, planning, or programming.
How is this project a good use of taxpayer funds?
Bill or Report Language Requested (if applicable, please provide language requested and indicate whether you are seeking bill or report language):
Anticipated Appropriations Subcommittee Bill and Account:
Federal Dollars Requested in FY11from the account list above:
Is this a multi-year project? No/Yes?
Will you be requesting funding in future years?
Often funding cannot be provided at the level requested. Is there a minimum amount that could be obligated to advance the project? If so, please list the amount and how it would be used.
Are you seeking FY11funds through other federal accounts? If yes, please specify account(s).
Previous Federal Appropriations (Please indicate which appropriations bill(s) and year(s) received):
Have you pursued or received federal grant or ARRA funding? If yes, which Department and program and how much have you requested and received?
Non-federal Contribution (Please identify funding amount and who is contributing):
Total Cost of Project:
Amount for this project in President’s FY11Budget Request:
Authorizing Statute (if authorized):
Local Contact:
Name:
Address:
City, State, Zip:
Telephone:
Fax:
Email:
DC Contact (if applicable):
Name:
Address:
City, State, Zip:
Telephone:
Fax:
Email:
Other Organizations/Community Leaders who have expressed support of this project
(please provide letters as PDF attachments or via United States Postal Service):
Organization:
Contact:
Telephone:
Organization:
Contact:
Telephone:
Organization:
Contact:
Telephone:
Organization:
Contact:
Telephone:
Organization:
Contact:
Telephone:
Organization:
Contact:
Telephone:
Organization:
Contact:
Telephone:

How many jobs will be created by this project? What type of jobs?

Does your company or organization have any plans to move or close your facilities, reduce operations, or reduce employment in Oregon?

Is your company or organization currently engaged in, or does it plan to become engaged in, any merger or acquisition talks with an outside company or organization?