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Thom Tillis U.S. Senator for North Carolina

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CDS Request Form

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CDS Request Form

Please complete the following form in its entirety. When submitting a request, please be sure to coordinate with relevant policy staff leads for specific subcommittee requirements and program requests. All congressionally directed spending requests are due March 24, 2023.

How does this project benefit North Carolina? Please check the box or boxes below that best indicate which issue area the project falls within.^*

Veterans, Servicemembers, Military Spouses

Law Enforcement, First Responders

Rural Communities

Disaster Prone Communities

Competitive Advantage Against Foreign Adversaries

Working Families

Other

If "Other" please specify *

Please select which Appropriations Subcommittee has jurisdiction over this request.^*

Which Subcommittee account authorizes funding for this request?

What is the project name? ^*

What is the project purpose? Please note, the information provided to this question will be filed publicly.^*

Please fully describe and justify the request, including why the request is an appropriate use of federal taxpayer dollars.^*

What is the total funding amount requested? In the space below, please include a detailed summary of the cost breakdown.^*

Please list the Project City or County.^*

What is the recipient’s name? Please note, the information provided to this question will be filed publicly.^*

Please provide the point of contact’s full name, email address, phone number, and physical address.^*

Is there any precedent for this funding request? If so, please provide examples of similar projects that were funded in prior years. ^*

Yes

No

Please provide examples of similar projects that were funded in prior years. *

If applicable, please include examples of any compelling community support (i.e. Support from elected officials, community organizations, etc.).

If applicable, please list all public, private, and/or tribal partners involved with this project.

Please list every Congressional Member (Senate and House) submitting this request on the applicant’s behalf.

What are the funding sources for this project? Please also indicate the amount of funding secured through those channels.^*

Local

State

Federal

Private

Other

Amount of funding secured:^*

What will be the local, regional, and state benefit(s) of this project?^*

Please disclose the projected job creation associated with this request, along with the timeline for the anticipated job creation.^*

What is the projected return on investment for this request?^*

Please describe the projected economic impact of this project/request.^*

What is the cost benefit analysis? Please be sure to highlight elements specifically dedicated to resiliency. (i.e. The project’s ability to withstand adverse events such as severe weather, flooding, and other threats and vulnerabilities that can severely damage or destroy infrastructure and facilities)^*

Please provide an estimated timeline for project completion.^*

Please include any innovative strategies deployed. (i.e. new technology, public-private partnerships, and/or project delivery)

If applicable, please summarize below how this funding will contribute to project readiness.

A. Environmental Risk and Permitting

B. Technical Feasibility and Capacity

C. Funding and Financial Readiness (Obligating Funds in a Reasonable Amount of Time)

Human Validation

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