§ 1734.25 Completed application. The following items are required to be submitted to RUS in support of an application for grant funds: ( a ) An application for Federal Assistance. A completed Standard Form 424.
( b ) An executive summary of the project. The applicant must provide RUS with a general project overview that addresses the following 9 categories: ( 1 ) A description of why the project is needed;
( 2 ) An explanation of how the applicant will address the need cited in paragraph (b)(1) of this section, why the applicant requires financial assistance, the types of educational or medical services to be offered by the project, and the benefits to rural residents;
( 3 ) A description of the applicant, documenting eligibility in accordance with § 1734.4;
( 4 ) An explanation of the total project cost including a breakdown of the grant required and the source of matching contribution and other financial assistance for the remainder of the project;
( 5 ) A statement specifying whether the project is either a distance learning or telemedicine facility as defined in § 1734.3. If the project provides both distance learning and telemedicine services, the applicant must identify the predominant use of the system;
( 6 ) A general overview of the telecommunications system to be developed, including the types of equipment, technologies, and facilities used;
( 7 ) A description of the participating hubs and end user sites and the number of rural residents that will be served by the project at each end user site
( 8 ) A certification by the applicant that facilities constructed with grants do not duplicate adequate established telemedicine or distance learning services; and
( 9 ) A listing of the location of each end user site (city, town, village, borough, or rural areas) plus the State.
( c ) Scoring criteria documentation. Each grant applicant must address and provide documentation on how it meets each of the scoring criteria contained in § 1734.26, and as supplemented in the listing on *grants.gov*, the DLT Application Guide and the agency's Web site.
( d ) A scope of work. The scope of work must include, at a minimum: ( 1 ) The specific activities to be performed under the project;
( 2 ) Who will carry out the activities;
( 3 ) The time-frames for accomplishing the project objectives and activities; and
( 4 ) A budget for all capital expenditures reflecting the line item costs for approved purposes for both the grant funds and other sources of funds for the project. Separately, the budget must specify any line item costs that are non-approved purposes for grants as contained in § 1734.23.
( e ) Financial information and sustainability. The applicant must provide a narrative description demonstrating: Feasibility of the project, including having sufficient resources and expertise necessary to undertake and complete the project; and, how the project will be sustained following completion of the project.
( f ) A statement of experience. The applicant must provide a written narrative (not exceeding three single spaced pages) describing its demonstrated capability and experience, if any, in operating an educational or health care endeavor and any project similar to the project. Experience in a similar project is desirable but not required.
( g ) Funding commitment from other sources. The applicant must provide evidence, in form and substance satisfactory to RUS, that funding agreements have been obtained to ensure completion of the project. These agreements shall be sufficient to ensure: ( 1 ) Payment of all proposed expenditures for the project;
( 2 ) All required matching contributions in § 1734.22; and
( 3 ) Any other funds necessary to complete the project.
( h ) A telecommunications system plan. A telecommunications system plan consisting of the following: ( 1 ) The capabilities of the telecommunications terminal equipment, including a description of the specific equipment which will be used to deliver the proposed service. The applicant must document discussions with various technical sources which could include consultants, engineers, product vendors, or internal technical experts, provide detailed cost estimates for operating and maintaining the end user equipment and provide evidence that alternative equipment and technologies were evaluated.
( 2 ) A listing of the proposed telecommunications terminal equipment, telecommunications transmission facilities, data terminal equipment, interactive video equipment, computer hardware and software systems, and components that process data for transmission via telecommunications, computer network components, communication satellite ground station equipment, or any other elements of the telecommunications system designed to further the purposes of this subpart, that the applicant intends to build or fund using RUS financial assistance. If funds are being requested for broadband facilities, a description of the use of these facilities and how they will be used to deliver distance learning or telemedicine services.
( 3 ) A description of the consultations with the appropriate telecommunications carriers (including other interexchange carriers, cable television operators, enhanced service providers, providers of satellite services and telecommunications equipment manufacturers and distributors) and the anticipated role of such providers in the proposed telecommunications system.
( i ) Compliance with other Federal statutes. The applicant must provide evidence of compliance with other Federal statutes and regulations including, but not limited to the following: ( 1 ) E.O. 11246, Equal Employment Opportunity, as amended by E.O. 11375 and as supplemented by regulations contained in 41 CFR part 60;
( 2 ) Architectural barriers;
( 3 ) Flood hazard area precautions;
( 4 ) Assistance and Real Property Acquisition Policies Act of 1970;
( 5 ) Drug-Free Workplace Act of 1998 (41 U.S.C. 8101 *et seq.*), 2 CFR part 421;
( 6 ) E.O.s 12549 and 12689, Debarment and Suspension, 2 CFR part 180, which is adopted by USDA through 2 CFR part 417;
( 7 ) Byrd Anti-Lobbying Amendment (31 U.S.C. 1352), 2 CFR part 418.
( j ) Environmental review requirements. ( 1 ) The applicant must provide details of the project's impact on the human environment and historic properties, in accordance with 7 CFR part 1970. The application must contain a separate section entitled “Environmental Impact of the Project.”
( 2 ) The applicant must use any programmatic environmental agreements, available from RUS, in effect at the time of filing to assist in complying with the requirements of this section.
( k ) Evidence of legal authority and existence. The applicant must provide evidence of its legal existence and authority to enter into a grant agreement with RUS and perform the activities proposed under the grant application.
( l ) Federal debt certification. The applicant must provide a certification that it is not delinquent on any obligation owed to the government (31 U.S.C. 3720B).
( m ) Consultation with USDA State Director, Rural Development. The applicant must provide evidence that it has consulted with the USDA State Director, Rural Development, concerning the availability of other sources of funding available at the State or local level.
( n ) Supplemental information. The applicant should provide any additional information it considers relevant to the project and likely to be helpful in determining the extent to which the project would further the purposes of the 1996 Act.