+------------------------------------+---------------------------------+
| **[department of transportation -  | #                               |
| federal aviation                   | ### omb no. 2120-0569 11/30/07  |
| administration]{.smallcaps}**      |                                 |
+------------------------------------+---------------------------------+
| **PART II**                        |                                 |
|                                    |                                 |
| **PROJECT APPROVAL INFORMATION**   |                                 |
+------------------------------------+---------------------------------+

+-----------------------------------+----+-----------------------------+
| Item 1.                           | Na |                             |
|                                   | me |                             |
| Does this assistance request      | of |                             |
| require State, local,\            | G  |                             |
| regional, or other priority       | ov |                             |
| rating?                           | er |                             |
|                                   | ni |                             |
|   --- ----------- --- ----------- | ng |                             |
|       Yes             No          | B  |                             |
|                                   | od |                             |
|   --- ----------- --- ----------- | y: |                             |
|                                   |    |                             |
|                                   | P  |                             |
|                                   | ri |                             |
|                                   | or |                             |
|                                   | it |                             |
|                                   | y: |                             |
+-----------------------------------+----+-----------------------------+
| [Item 2.]{.underline}             | Na |                             |
|                                   | me |                             |
| Does this assistance request      | of |                             |
| require State, or local           | Ag |                             |
|                                   | en |                             |
| advisory, educational or health   | cy |                             |
| clearances?                       | or |                             |
|                                   | Bo |                             |
|   --- ----------- --- ----------- | ar |                             |
|       Yes             No          | d: |                             |
|                                   |    |                             |
|   --- ----------- --- ----------- | (  |                             |
|                                   | At |                             |
|                                   | ta |                             |
|                                   | ch |                             |
|                                   | Do |                             |
|                                   | cu |                             |
|                                   | me |                             |
|                                   | nt |                             |
|                                   | at |                             |
|                                   | io |                             |
|                                   | n) |                             |
+-----------------------------------+----+-----------------------------+
| [Item 3.]{.underline}             | (  |                             |
|                                   | At |                             |
| Does this assistance request      | ta |                             |
| require clearinghouse review in   | ch |                             |
| accordance with OMB Circular      | C  |                             |
| A-95?                             | om |                             |
|                                   | me |                             |
|   --- ----------- --- ----------- | nt |                             |
|       Yes             No          | s) |                             |
|                                   |    |                             |
|   --- ----------- --- ----------- |    |                             |
+-----------------------------------+----+-----------------------------+
| [Item 4.]{.underline}             | Na |                             |
|                                   | me |                             |
| Does this assistance request      | of |                             |
| require State, local,\            | A  |                             |
| regional or other planning        | pp |                             |
| approval?                         | ro |                             |
|                                   | vi |                             |
|   --- ----------- --- ----------- | ng |                             |
|       Yes             No          | A  |                             |
|                                   | ge |                             |
|   --- ----------- --- ----------- | nc |                             |
|                                   | y[ |                             |
|                                   | :] |                             |
|                                   | {. |                             |
|                                   | un |                             |
|                                   | de |                             |
|                                   | rl |                             |
|                                   | in |                             |
|                                   | e} |                             |
|                                   |    |                             |
|                                   | D  |                             |
|                                   | at |                             |
|                                   | e: |                             |
|                                   | /  |                             |
|                                   | /  |                             |
+-----------------------------------+----+-----------------------------+
| [Item 5.]{.underline}             | C  |                             |
|                                   | he |                             |
| Is the proposed project covered   | ck |                             |
| by an approved\                   | on |                             |
| comprehensive plan?               | e: |                             |
|                                   |    |                             |
|   --- ----------- --- ----------- | Lo |                             |
|       Yes             No          | ca |                             |
|                                   | ti |                             |
|   --- ----------- --- ----------- | on |                             |
|                                   | of |                             |
|                                   | P  |                             |
|                                   | la |                             |
|                                   | n: |                             |
+-----------------------------------+----+-----------------------------+
| [Item 6.]{.underline}             | Na |                             |
|                                   | me |                             |
| Will the assistance requested     | of |                             |
| serve a Federal\                  | F  |                             |
| installation?                     | ed |                             |
|                                   | er |                             |
|   --- ----------- --- ----------- | al |                             |
|       Yes             No          | I  |                             |
|                                   | ns |                             |
|   --- ----------- --- ----------- | ta |                             |
|                                   | ll |                             |
|                                   | at |                             |
|                                   | io |                             |
|                                   | n: |                             |
|                                   |    |                             |
|                                   | F  |                             |
|                                   | ed |                             |
|                                   | er |                             |
|                                   | al |                             |
|                                   | Po |                             |
|                                   | pu |                             |
|                                   | la |                             |
|                                   | ti |                             |
|                                   | on |                             |
|                                   | be |                             |
|                                   | ne |                             |
|                                   | fi |                             |
|                                   | ti |                             |
|                                   | ng |                             |
|                                   | fr |                             |
|                                   | om |                             |
|                                   | Pr |                             |
|                                   | oj |                             |
|                                   | ec |                             |
|                                   | t: |                             |
+-----------------------------------+----+-----------------------------+
| [Item 7.]{.underline}             | Na |                             |
|                                   | me |                             |
| Will the assistance requested be  | of |                             |
| on Federal land\                  | F  |                             |
| or installation?                  | ed |                             |
|                                   | er |                             |
|   --- ----------- --- ----------- | al |                             |
|       Yes             No          | I  |                             |
|                                   | ns |                             |
|   --- ----------- --- ----------- | ta |                             |
|                                   | ll |                             |
|                                   | at |                             |
|                                   | io |                             |
|                                   | n[ |                             |
|                                   | :] |                             |
|                                   | {. |                             |
|                                   | un |                             |
|                                   | de |                             |
|                                   | rl |                             |
|                                   | in |                             |
|                                   | e} |                             |
|                                   |    |                             |
|                                   | Lo |                             |
|                                   | ca |                             |
|                                   | ti |                             |
|                                   | on |                             |
|                                   | of |                             |
|                                   | F  |                             |
|                                   | ed |                             |
|                                   | er |                             |
|                                   | al |                             |
|                                   | L  |                             |
|                                   | an |                             |
|                                   | d: |                             |
|                                   |    |                             |
|                                   | P  |                             |
|                                   | er |                             |
|                                   | ce |                             |
|                                   | nt |                             |
|                                   | of |                             |
|                                   | Pr |                             |
|                                   | oj |                             |
|                                   | ec |                             |
|                                   | t: |                             |
+-----------------------------------+----+-----------------------------+
| [Item 8.]{.underline}             | S  |                             |
|                                   | ee |                             |
| Will the assistance requested     | i  |                             |
| have an impact or effect\         | ns |                             |
| on the environment?               | tr |                             |
|                                   | uc |                             |
|   --- ----------- --- ----------- | ti |                             |
|       Yes             No          | on |                             |
|                                   | f  |                             |
|   --- ----------- --- ----------- | or |                             |
|                                   | ad |                             |
|                                   | di |                             |
|                                   | ti |                             |
|                                   | on |                             |
|                                   | al |                             |
|                                   | i  |                             |
|                                   | nf |                             |
|                                   | or |                             |
|                                   | ma |                             |
|                                   | ti |                             |
|                                   | on |                             |
|                                   | to |                             |
|                                   | b  |                             |
|                                   | e\ |                             |
|                                   | pr |                             |
|                                   | ov |                             |
|                                   | id |                             |
|                                   | ed |                             |
+-----------------------------------+----+-----------------------------+
| [Item 9.]{.underline}             | Nu |                             |
|                                   | mb |                             |
| Will the assistance requested     | er |                             |
| cause the displacement of\        | o  |                             |
| individuals, families,            | f: |                             |
| businesses, or farms?             |    |                             |
|                                   | In |                             |
|   --- ----------- --- ----------- | di |                             |
|       Yes             No          | vi |                             |
|                                   | du |                             |
|   --- ----------- --- ----------- | al |                             |
|                                   | s. |                             |
|                                   | [  |                             |
|                                   | .] |                             |
|                                   | {. |                             |
|                                   | un |                             |
|                                   | de |                             |
|                                   | rl |                             |
|                                   | in |                             |
|                                   | e} |                             |
|                                   |    |                             |
|                                   | F  |                             |
|                                   | am |                             |
|                                   | il |                             |
|                                   | ie |                             |
|                                   | s. |                             |
|                                   | [  |                             |
|                                   | .] |                             |
|                                   | {. |                             |
|                                   | un |                             |
|                                   | de |                             |
|                                   | rl |                             |
|                                   | in |                             |
|                                   | e} |                             |
|                                   |    |                             |
|                                   | B  |                             |
|                                   | us |                             |
|                                   | in |                             |
|                                   | es |                             |
|                                   | se |                             |
|                                   | s. |                             |
|                                   | [  |                             |
|                                   | .] |                             |
|                                   | {. |                             |
|                                   | un |                             |
|                                   | de |                             |
|                                   | rl |                             |
|                                   | in |                             |
|                                   | e} |                             |
|                                   |    |                             |
|                                   | Fa |                             |
|                                   | rm |                             |
|                                   | s. |                             |
|                                   | [  |                             |
|                                   | .] |                             |
|                                   | {. |                             |
|                                   | un |                             |
|                                   | de |                             |
|                                   | rl |                             |
|                                   | in |                             |
|                                   | e} |                             |
+-----------------------------------+----+-----------------------------+
| [Item 10.]{.underline}            | S  |                             |
|                                   | ee |                             |
| Is there other related Federal    | in |                             |
| assistance on this project\       | st |                             |
| previous, pending, or             | ru |                             |
| anticipated?                      | ct |                             |
|                                   | io |                             |
|   --- ----------- --- ----------- | ns |                             |
|       Yes             No          | f  |                             |
|                                   | or |                             |
|   --- ----------- --- ----------- | ad |                             |
|                                   | di |                             |
|                                   | ti |                             |
|                                   | on |                             |
|                                   | al |                             |
|                                   | i  |                             |
|                                   | nf |                             |
|                                   | or |                             |
|                                   | ma |                             |
|                                   | ti |                             |
|                                   | on |                             |
|                                   | to |                             |
|                                   | b  |                             |
|                                   | e\ |                             |
|                                   | p  |                             |
|                                   | ro |                             |
|                                   | vi |                             |
|                                   | de |                             |
|                                   | d. |                             |
+-----------------------------------+----+-----------------------------+
| FAA Form 5100-101 (6-73)          |    | **Page 2**                  |
| SUPERSEDES FAA FORM 5910-1 AND    |    |                             |
| 5920-1                            |    |                             |
+-----------------------------------+----+-----------------------------+

**INSTRUCTIONS\
PART II**

Negative answers will not require an explanation unless the federal
agency requests more information at a later date. Provide supplementary
data for all \"Yes\" answers in the space provided in accordance with
the following instructions.

**Item 1** - Provide the name of the governing body establishing the
priority system and the priority rating assigned to this project.

**Item 2** - Provide the name of the agency or board which issued the
clearance and attach the documentation of status or approval

**Item 3** - Attach the clearinghouse comments for the application in
accordance with the instructions contained in Office of Management and
Budget Circular No. A-95. If comments were submitted previously with a
preapplication, do not submit them again but any additional comments
received from the clearinghouse should be submitted with this
application.

**Item 4** - Furnish the name of the approving agency and the approval
date.

**Item 5 -** Show whether the approved comprehensive plan is State,
local, or regional, or if none of these, explain the scope of the plan.
Give the location where the approved plan is available for examination
and state whether this project is in conformance with the plan.

**Item 6 -** Show the Federal population residing or working on the
federal installation that will benefit from this project.

**Item 7 -** Show the percentage of the project work that will be
conducted on federally-owned or leased land. Give the name of the
Federal installation and its location.

**Item 8 -** Briefly describe the possible beneficial and/or harmful
impact on the environment because of the proposed project. If an adverse
environment impact is anticipated, explain what action will be taken to
minimize the impact. Federal agencies will provide separate instructions
if additional data is needed.

**Item 9 -** State the number of individuals, families, businesses, or
farms this project will displace. Federal agencies will provide separate
instructions if additional data is needed.

**Item 10 -** Show the Federal Domestic Assistance Catalog number, the
program name, the type of assistance, the status and amount of each
project where there is related previous, pending, or anticipated
assistance. Use additional sheets, if needed.

  -----------------------------------------------------------------------
  Paperwork Reduction Act Statement: The information collected on this
  form allows sponsors of public use airports or public agencies to apply
  for one or more projects in a form prescribed by the Secretary of
  Transportation. Title 49, United States Code (U.S.C.), Section 47105,
  identifies the information required to apply for this program. The
  forms prescribed to meet this requirement are developed to provide a
  comprehensive format that allows sponsors to provide the data needed to
  evaluate the request for funds. The burden for each response is
  estimated to be 28 hours. Approved applications benefit the sponsor by
  providing Federal funding to protect the Federal interest in safety,
  efficiency, and utility of the Nation's airport system. No assurance of
  confidentiality can be given since these become public records. If you
  wish to make any comments concerning the accuracy of this burden
  estimate or any suggestions for reducing this burden, send to Federal
  Aviation Administration, ARP-10, 800 Independence AVE, SW, Washington,
  DC 20591. Please note that an agency may not conduct or sponsor, and a
  person is not required to respond to, a collection of information
  unless it displays a currently valid OMB control number, which is
  2120-0569 for this collection. Comments concerning the accuracy of this
  burden and suggestions for reducing the burden should be directed to
  the FAA at: 800 Independence Ave SW, Washington, DC 20591, Attn:
  Information Collection Clearance Officer, ABA-20.

  -----------------------------------------------------------------------

<table>
<colgroup>
<col style="width: 14%" />
<col style="width: 14%" />
<col style="width: 0%" />
<col style="width: 3%" />
<col style="width: 0%" />
<col style="width: 9%" />
<col style="width: 0%" />
<col style="width: 3%" />
<col style="width: 0%" />
<col style="width: 9%" />
<col style="width: 0%" />
<col style="width: 2%" />
<col style="width: 1%" />
<col style="width: 11%" />
<col style="width: 3%" />
<col style="width: 10%" />
<col style="width: 0%" />
<col style="width: 3%" />
<col style="width: 12%" />
</colgroup>
<tbody>
<tr class="odd">
<td colspan="12"><strong>DEPARTMENT OF TRANSPORTATION - FEDERAL AVIATION
ADMINISTRATION</strong></td>
<td colspan="7"><h5 id="omb-no.-2120-0569">omb no. 2120-0569 </h5></td>
</tr>
<tr class="even">
<td colspan="19"><h3 id="part-iii---budget-information">PART III -
BUDGET INFORMATION</h3></td>
</tr>
<tr class="odd">
<td colspan="19"><h1 id="section-a---budget-summary">SECTION A - BUDGET
SUMMARY</h1></td>
</tr>
<tr class="even">
<td rowspan="2"><p><strong>Grant Program,</strong></p>
<p><strong>Function</strong></p>
<p><strong>Or Activity</strong></p>
<p>(a)</p></td>
<td rowspan="2"><p><strong>Federal</strong></p>
<p><strong>Catalog No</strong>.</p>
<p>(b)</p></td>
<td colspan="9"><strong>Estimated Unobligated Funds</strong></td>
<td colspan="8"><h2 id="new-or-revised-budget">New or Revised
Budget</h2></td>
</tr>
<tr class="odd">
<td colspan="4"><h2 id="federal">Federal</h2>
<p>(c)</p></td>
<td colspan="5"><h2 id="non-federal">Non-Federal</h2>
<p>(d)</p></td>
<td colspan="3"><h2 id="federal-1">Federal</h2>
<p>(e)</p></td>
<td colspan="3"><h2 id="non-federal-1">Non-Federal</h2>
<p>(f)</p></td>
<td colspan="2"><h2 id="total">Total</h2>
<p>(g)</p></td>
</tr>
<tr class="even">
<td>1.</td>
<td></td>
<td colspan="2">$</td>
<td colspan="2"></td>
<td colspan="2">$</td>
<td colspan="3"></td>
<td colspan="2">$</td>
<td></td>
<td>$</td>
<td colspan="2"></td>
<td>$</td>
<td></td>
</tr>
<tr class="odd">
<td>2.</td>
<td></td>
<td colspan="4"></td>
<td colspan="5"></td>
<td colspan="3"></td>
<td colspan="3"></td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td>3.</td>
<td></td>
<td colspan="4"></td>
<td colspan="5"></td>
<td colspan="3"></td>
<td colspan="3"></td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td>4.</td>
<td></td>
<td colspan="4"></td>
<td colspan="5"></td>
<td colspan="3"></td>
<td colspan="3"></td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="2">5. TOTALS</td>
<td colspan="2">$</td>
<td colspan="2"></td>
<td colspan="2">$</td>
<td colspan="3"></td>
<td colspan="2">$</td>
<td></td>
<td>$</td>
<td colspan="2"></td>
<td>$</td>
<td></td>
</tr>
<tr class="odd">
<td colspan="19"><h2 id="section-b---budget-categories">SECTION B -
BUDGET CATEGORIES</h2></td>
</tr>
<tr class="even">
<td colspan="3" rowspan="2">6. <strong>Object Class
Categories</strong></td>
<td colspan="13"><strong>Grant Program, Function or
Activity</strong></td>
<td colspan="3"><h2 id="total-1">Total</h2></td>
</tr>
<tr class="odd">
<td colspan="4">(1)</td>
<td colspan="3">(2)</td>
<td colspan="4">(3)</td>
<td colspan="2">(4)</td>
<td colspan="3">(5)</td>
</tr>
<tr class="even">
<td colspan="3">a. Personnel</td>
<td>$</td>
<td colspan="3"></td>
<td colspan="2">$</td>
<td></td>
<td colspan="3">$</td>
<td></td>
<td>$</td>
<td></td>
<td colspan="2">$ $    </td>
<td></td>
</tr>
<tr class="odd">
<td colspan="3">b. Fringe Benefits</td>
<td colspan="4"></td>
<td colspan="3"></td>
<td colspan="4"></td>
<td colspan="2"></td>
<td colspan="3"></td>
</tr>
<tr class="even">
<td colspan="3">c. Travel</td>
<td colspan="4"></td>
<td colspan="3"></td>
<td colspan="4"></td>
<td colspan="2"></td>
<td colspan="3"></td>
</tr>
<tr class="odd">
<td colspan="3">d. Equipment</td>
<td colspan="4"></td>
<td colspan="3"></td>
<td colspan="4"></td>
<td colspan="2"></td>
<td colspan="3"></td>
</tr>
<tr class="even">
<td colspan="3">e. Supplies</td>
<td colspan="4"></td>
<td colspan="3"></td>
<td colspan="4"></td>
<td colspan="2"></td>
<td colspan="3"></td>
</tr>
<tr class="odd">
<td colspan="3">f. Contractual</td>
<td colspan="4"></td>
<td colspan="3"></td>
<td colspan="4"></td>
<td colspan="2"></td>
<td colspan="3"></td>
</tr>
<tr class="even">
<td colspan="3">g. Construction</td>
<td colspan="4"></td>
<td colspan="3"></td>
<td colspan="4"></td>
<td colspan="2"></td>
<td colspan="3"></td>
</tr>
<tr class="odd">
<td colspan="3">h. Other</td>
<td colspan="4"></td>
<td colspan="3"></td>
<td colspan="4"></td>
<td colspan="2"></td>
<td colspan="3"></td>
</tr>
<tr class="even">
<td colspan="3">i. Total Direct Charges</td>
<td colspan="4"></td>
<td colspan="3"></td>
<td colspan="4"></td>
<td colspan="2"></td>
<td colspan="3"></td>
</tr>
<tr class="odd">
<td colspan="3">j. Indirect Charges</td>
<td colspan="4"></td>
<td colspan="3"></td>
<td colspan="4"></td>
<td colspan="2"></td>
<td colspan="3"></td>
</tr>
<tr class="even">
<td colspan="3">k. TOTALS</td>
<td colspan="2">$</td>
<td colspan="2"></td>
<td colspan="2">$</td>
<td></td>
<td colspan="3">$</td>
<td></td>
<td>$</td>
<td></td>
<td colspan="2">$</td>
<td></td>
</tr>
<tr class="odd">
<td colspan="3">l. Program Income</td>
<td colspan="2">$</td>
<td colspan="2"></td>
<td colspan="2">$</td>
<td></td>
<td colspan="3">$</td>
<td></td>
<td>$</td>
<td></td>
<td colspan="2">$</td>
<td></td>
</tr>
<tr class="even">
<td colspan="12">FAA Form 5100-101 (6-73) SUPERSEDES FAA FORM 5910-1 AND
5920-1</td>
<td colspan="7"><h2 id="page-3">Page 3</h2></td>
</tr>
</tbody>
</table>

<table>
<colgroup>
<col style="width: 25%" />
<col style="width: 3%" />
<col style="width: 11%" />
<col style="width: 0%" />
<col style="width: 3%" />
<col style="width: 11%" />
<col style="width: 0%" />
<col style="width: 2%" />
<col style="width: 0%" />
<col style="width: 0%" />
<col style="width: 11%" />
<col style="width: 0%" />
<col style="width: 3%" />
<col style="width: 0%" />
<col style="width: 12%" />
<col style="width: 3%" />
<col style="width: 10%" />
</colgroup>
<tbody>
<tr class="odd">
<td colspan="8"><strong>DEPARTMENT OF TRANSPORTATION - FEDERAL AVIATION
ADMINISTRATION</strong></td>
<td colspan="9"><strong><span class="smallcaps">omb no.
2120-0569</span></strong></td>
</tr>
<tr class="even">
<td colspan="17"><h3 id="section-c---non-federal-resources">SECTION C -
NON-FEDERAL RESOURCES</h3></td>
</tr>
<tr class="odd">
<td colspan="4">(a) GRANT PROGRAM</td>
<td colspan="3">(b) APPLICANT</td>
<td colspan="5">(c) STATE</td>
<td colspan="3">(d) OTHER SOURCES</td>
<td colspan="2">(e) TOTALS</td>
</tr>
<tr class="even">
<td colspan="4">8.</td>
<td>$</td>
<td colspan="2"></td>
<td colspan="3">$</td>
<td colspan="2"></td>
<td colspan="2">$</td>
<td></td>
<td>$</td>
<td></td>
</tr>
<tr class="odd">
<td colspan="4">9.</td>
<td colspan="3"></td>
<td colspan="5"></td>
<td colspan="3"></td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="4">10.</td>
<td colspan="3"></td>
<td colspan="5"></td>
<td colspan="3"></td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="4">11.</td>
<td colspan="3"></td>
<td colspan="5"></td>
<td colspan="3"></td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="4">12. TOTALS</td>
<td>$</td>
<td colspan="2"></td>
<td colspan="3">$</td>
<td colspan="2"></td>
<td colspan="2">$</td>
<td></td>
<td>$</td>
<td></td>
</tr>
<tr class="odd">
<td colspan="17"><strong>SECTION D - FORECASTED CASH NEEDS</strong></td>
</tr>
<tr class="even">
<td></td>
<td colspan="2">Total for 1<sup>st</sup> Year</td>
<td colspan="3">1<sup>st</sup> Quarter</td>
<td colspan="5">2<sup>nd</sup> Quarter</td>
<td colspan="4">3<sup>rd</sup> Quarter</td>
<td colspan="2">4th Quarter</td>
</tr>
<tr class="odd">
<td>13. Federal</td>
<td>$</td>
<td></td>
<td colspan="2">$</td>
<td></td>
<td colspan="4">$</td>
<td></td>
<td colspan="3">$</td>
<td></td>
<td>$</td>
<td></td>
</tr>
<tr class="even">
<td>14. Non-Federal</td>
<td colspan="2"></td>
<td colspan="3"></td>
<td colspan="5"></td>
<td colspan="4"></td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td>15. TOTAL</td>
<td>$</td>
<td></td>
<td colspan="2">$</td>
<td></td>
<td colspan="4">$</td>
<td></td>
<td colspan="3">$</td>
<td></td>
<td>$</td>
<td></td>
</tr>
<tr class="even">
<td colspan="17"><h3
id="section-e---budget-estimates-of-federal-funds-needed-for-balance-of-the-project">SECTION
E - BUDGET ESTIMATES OF FEDERAL FUNDS NEEDED FOR BALANCE OF THE
PROJECT</h3></td>
</tr>
<tr class="odd">
<td colspan="4" rowspan="2">(a) GRANT PROGRAM</td>
<td colspan="13">FUTURE FUNDING PERIODS (YEARS)</td>
</tr>
<tr class="even">
<td colspan="3">(b) FIRST</td>
<td colspan="5">(c) SECOND</td>
<td colspan="3">(d) THIRD</td>
<td colspan="2">(e) FOURTH</td>
</tr>
<tr class="odd">
<td colspan="4">16.</td>
<td>$</td>
<td colspan="2"></td>
<td colspan="2">$</td>
<td colspan="3"></td>
<td>$</td>
<td colspan="2"></td>
<td>$</td>
<td></td>
</tr>
<tr class="even">
<td colspan="4">17.</td>
<td colspan="3"></td>
<td colspan="5"></td>
<td colspan="3"></td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="4">18.</td>
<td colspan="3"></td>
<td colspan="5"></td>
<td colspan="3"></td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="4">19.</td>
<td colspan="3"></td>
<td colspan="5"></td>
<td colspan="3"></td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="4">20. TOTALS</td>
<td>$</td>
<td colspan="2"></td>
<td colspan="2">$</td>
<td colspan="3"></td>
<td>$</td>
<td colspan="2"></td>
<td>$</td>
<td></td>
</tr>
<tr class="even">
<td colspan="17"><h3 id="section-f---other-budget-information">SECTION F
- OTHER BUDGET INFORMATION</h3>
<p>(Attach additional sheets if necessary)</p></td>
</tr>
<tr class="odd">
<td colspan="17"><p>21 Direct Charges:</p>
<p>22. Indirect Charges:</p>
<p>23. Remarks:</p></td>
</tr>
<tr class="even">
<td colspan="17"><h3
id="part-iv-program-narrative-attach-per-instruction">PART IV PROGRAM
NARRATIVE <em>(Attach per instruction)</em></h3></td>
</tr>
<tr class="odd">
<td colspan="8">FAA Form 5100-101 (6-73) SUPERSEDES FAA FORM 5910-1 AND
5920-1</td>
<td colspan="9"><h2 id="page-4">Page 4</h2></td>
</tr>
</tbody>
</table>

**INSTRUCTIONS**

**PART III**

**GENERAL INSTRUCTIONS**

This form is designed so that application can be made for funds from one
or more grant programs. In preparing the budget, adhere to any existing
Federal grantor agency guidelines, which prescribe how and whether
budgeted amounts should be separately shown for different functions or
activities within the program. For some programs, grantor agencies may
require budgets to be separately shown by function or activity. For
other programs, grantor agencies may not require a breakdown by function
or activity. Sections A, B, C, and D should include budget estimates for
the whole project except when applying for assistance which requires
Federal authorization in annual or other funding period increments. In
the latter case, Sections A, B, C, and D should provide the budget for
the first budget period (usually a year) and Section E should present
the need for Federal assistance in the subsequent budget periods. All
applications should contain a breakdown by the object class categories
shown in Lines a-k of Section B.

**Section A Budget Summary**

**Lines 1-4, Columns (a) and (b).**

For applications pertaining to a single Federal grant program (Federal
Domestic Assistance Catalog number) and not requiring a functional or
activity breakdown, enter on Line 1 under Column (a) the catalog program
title and the catalog number in Column (b).

For applications pertaining to a single program requiring budget amounts
by multiple functions of activities, enter the name of each activity or
function on each line in Column (a), and enter the catalog number in
Column (b). For applications pertaining to multiple programs where none
of the programs requires a breakdown by function or activity, enter the
catalog program title on each line in Column (a) and the respective
catalog number on each line in Column (b).

For applications pertaining to multiple programs where one or more
programs require a breakdown by function or activity, prepare a separate
sheet for each program requiring the breakdown. Additional sheets should
be used when one form does not provide adequate space for all breakdown
of data required. However, when more than one sheet is used, the first
page should provide the summary totals by programs.

**Lines 1-4, Columns (c) through (g).**

For new applications, leave Columns (c) and (d) blank. For each line
entry in Columns (a) and (b), enter in Columns (e), (f), and (g) the
appropriate amounts of funds needed to support the project for the first
funding period (usually a year).

For continuing grant program applications, submit these forms before the
end of each funding period as required by the grantor agency. Enter in
Columns (c) and (d) the estimated amounts of funds that will remain
un-obligated at the end of the grant-funding period only if the Federal
grantor agency instructions provide for this. Otherwise, leave these
columns blank. Enter in columns (e) and (f) the amounts of funds needed
for the upcoming period. The amount(s) in Column (g) should be the sum
of amounts in Columns (e) and (f).

For supplemental grants and changes to existing grants, do not use
Columns (c) and (d). Enter in Column (e) the amount of the increase or
decrease of Federal funds and enter in Column (f) the amount of the
increase or decrease of non-Federal funds. In Column (g) enter the new
total budgeted amount (Federal and non-Federal) which includes the total
previous authorized budgeted amounts plus of minus, as appropriate, the
amounts shown in Columns (e) and (f). The amount(s) in Column (g) should
not equal the sum of amounts in Columns (e) and (f).

**Line 5 -** Show the totals for all columns used.

**Section B. Budget Categories**

In the column headings (1) through (4), enter the titles of the same
programs, functions, and activities shown on Lines 1-4, Column (a),
Section A. When additional sheets were prepared for Section A, provide
similar column headings on each sheet. For each program, function, or
activity, fill in the total requirements for funds (both Federal and
non-Federal) by object class categories.

**Lines 6 a-h -** Show the estimated amount for each direct cost budget
(object class) category for each column with program, function, or
activity heading.

**Line 6i -** Show the totals of Lines 6a to 6h in each column.

**Line 6j -** Show the amount of indirect cost. Refer to Office of
Management and Budget Circular No. A-87.

**Line 6k -** Enter the total amounts on Lines 6i and 6j. For all
applications for new grants and continuation grants the total amount in
column (5), Line 6k, should be the same as the total amount shown in
Section A, Column (g), Line 5.

For supplemental grants and changes to grants, the total amount of the
increase or decrease as shown in Columns (1) - (4), Line 6k should be
the same as the sum of the amounts in Section A, Column (e) and (f) on
Line 5. When additional sheets were prepared, the last two sentences
apply only to the first page with summary totals.

**Line 7 -** Enter the estimated amount of income, if any, expected to
be generated from this project. Do not add or subtract this amount from
the total project amount. Show under the program narrative statement the
nature and source of income. The estimated amount of program income may
be considered by the Federal grantor agency in determining the total
amount of the grant.

**INSTRUCTIONS**

# Part III (Continued)

**Section C. Source of Non-Federal Resources**

**Line 8-11** - Enter amounts of non-Federal resources that will be used
on the grant. If in-kind contributions are included, provide a brief
explanation on a separate sheet. (See Attachment F, Office of Management
and Budget Circular No. A-102.)

> **Column (a)** - Enter the program titles identical to Column (a),
> Section A, A breakdown by function or activity is not necessary.
>
> **Column (b)** - Enter the amount of cash and in-kind contributions to
> be made by the applicant as shown in Section A. (See also Attachment
> F, Office of Management and Budget Circular No. A-102).
>
> **Column (c)** - Enter the State contribution if the applicant is not
> a State or State agency. Applicants that are a State or State agencies
> should leave this column blank.
>
> **Column (d)** - Enter the amount of cash and inn-kind contributions
> to be made from all other sources.
>
> **Column (e)** - Enter the totals of Columns (b), (c), and (d).

**Line 12** - Enter the total for each of Columns (b)-(e). The amount in
Column (e) should be equal to the amount on Line 5, Column (f), Section
A.

**Section D. Forecasted Cash Needs**

**Line 13** - Enter the amount of cash needed by quarter from the
grantor agency during the first year.

**Line 14** - Enter the amount of cash from all other sources needed by
quarter during the first year.

**Line 15** - Enter the totals of amounts on Lines 13 and 14.

**Section E. Budget Estimates of Federal Funds Needed for Balance of the
Project**

**Lines 16 - 19** - Enter in Column (a) the same grant program titles
shown in Column (a), Section A. A breakdown by function or activity is
not necessary. For new applications and continuing grant applications,
enter in the proper columns amounts of Federal funds, which will be
needed to complete the program or project over the succeeding funding
periods (usually in years). This Section need not be completed for
amendments, changes, or supplements to funds for the current year of
existing grants.

If more than four lines are needed to list the program titles, submit
additional schedules, as needed.

**Line 20** - Enter the total for each of the Columns (b) - (e). When
additional schedules are prepared for this Section, annotate accordingly
and show the overall totals on this line.

**Section F. Other Budget Information**

**Line 21** - Use this space to explain amounts for individual direct
object cost categories that may appear to be out of the ordinary or to
explain the details as required by the Federal grantor agency.

**Line 22** - Enter the type of indirect rate (provisional,
predetermined, final or fixed) that will be in effect during the funding
period, the estimated amount of the base to which the rate is applied,
and the total indirect expense.

**Line 23** - Provide any other explanations required herein or any
other comments deemed necessary.

**PART IV**

**PROGRAM NARRATIVE**

*(Suggested Format)*

  ------------------------------------- -------------------------- -----------------------------
  **[department of transportation -     **[omb no.                 
  federal aviation                      2120-0569]{.smallcaps}**   
  administration]{.smallcaps}**                                    

  **PROJECT :**                                                    

  **AIRPORT :**                                                    

  **1. Objective:**                                                

                                                                   

  **2. Benefits Anticipated:**                                     

                                                                   

  **3. Approach :** *(See approved                                 
  Scope of Work in Final Application)*                             

                                                                   

  **4. Geographic Location:**                                      

                                                                   

  **5. If Applicable, Provide                                      
  Additional Information:**                                        

                                                                   

  **6. Sponsor's Representative:**                                 
  *(include address & telephone                                    
  number)*                                                         

                                                                   

  FAA Form 5100-101 (9-03) SUPERSEDES                              **Page 6**
  FAA FORM 5910-1 and 5920-1                                       
  ------------------------------------- -------------------------- -----------------------------

**INSTRUCTIONS**

**PART IV**

# PROGRAM NARRATIVE

Prepare the program narrative statement in accordance with the following
instructions for all new grant programs. Requests for supplemental
assistance should be responsive to Item 5b only. Requests for
continuation or refunding or other changes of an approved project should
be responsive to Item 5c only.

**1. OBJECTIVES AND NEED FOR THIS ASSISTANCE.**

Pinpoint any relevant physical, economic, social, financial,
institutional, or other problems requiring a solution.

Demonstrate the need for assistance and state the principal and
subordinate objectives of the project. Supporting documentation or other
testimonies from concerned interests other than the applicant may be
used. Any relevant data based on planning studies should be included or
footnoted.

**2. RESULTS OR BENEFITS EXPECTED.**

Identify results and benefits to be derived. For example, include a
description of who will occupy the facility and show how the facility
will be used. For land acquisition or development projects, explain how
the project will benefit the public.

**3. APPROACH**

**a.** Outline a plan of action pertaining to the scope and detail of
how the proposed work will be accomplished for each grant program. Cite
factors, which might accelerate or decelerate the work, and your reason
for taking this approach as opposed to others. Describe any unusual
features of the project such as design or technological innovations,
reductions in cost or time, or extraordinary social and community
involvements.

**b.** Provide each grant program monthly or quarterly quantitative
projections of the accomplishments to be achieved, if possible. When
accomplishments cannot be quantified, list the activities in
chronological order to show the schedule of accomplishments and their
target dates.

**c.** Identify the kinds of data to be collected and maintained, and
discuss the criteria to be used to evaluate the results and success of
the project. Explain the methodology that will be used to determine if
the needs identified and discussed are being met and if the results and
benefits identified in Item 2 are being achieved.

**d.** List each organization, cooperator, consultant, or other key
individuals who will work on the project along with a short description
of the nature of their effort or contribution.

**4. GEOGRAPHIC LOCATION.**

Give a precise location of the project and area to be served by the
proposed project. Maps or other graphic aids may be attached.

**5. IF APPLICABLE, PROVIDE THE FOLLOWING INFORMATION:**

**a.** Describe the relationship between this project and other work
planned, anticipated, or underway under the Federal Assistance listed
under Part II, Section A, Item 10.

**b.** Explain the reason for all requests for supplemental assistance
and justify the need for additional funding.

**c.** Discuss accomplishments to date and list in chronological order a
schedule of accomplishments, progress, or milestones anticipated with
the new funding re-quest. If there have been significant changes in the
project objectives, location, approach or time delays, explain and
justify. For other requests for changes or amendments, explain the
reason for the change(s). If the scope or objectives have changed or an
extension of time is necessary, explain the circumstances and justify.
If the total budget has been exceeded or if individual budget items have
changed more than the prescribed limits contained in Attachment K,
Office of Management and Budget Circular No. A-102, explain and justify
the change and its effect on the project.