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Project Name
First Name
Last Name
Title
Assistance Description
Briefly describe the assistance you need from FEMP.
Phone
Email
City
Other Assistance Type
Is there another type of assistance you would like to request that is not listed above? Briefly describe.
Project Location
State
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AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
AS
GU
MP
PR
VI
FM
MH
PW
AA
AE
AP
N/A
Other Technologies
Are there any other technologies you are considering?
Project Description and Status
Briefly describe the project you are pursuing and the current status of it.
Agency
- Select a value -
Department of Agriculture (USDA)
Department of Commerce (DOC)
Department of Defense (DOD)
Department of Energy (DOE)
Department of Health and Human Services (HHS)
Department of Homeland Security (DHS)
Department of Housing and Urban Development (HUD)
Department of the Interior (DOI)
Department of Justice (DOJ)
Department of Labor (DOL)
Department of State (STATE)
Department of Transportation (DOT)
Department of Veterans Affairs (VA)
Federal Deposit Insurance Corporation (FDIC)
General Services Administration (GSA)
National Archives and Records Administration (NARA)
National Aeronautics and Space Administration (NASA)
Nuclear Regulatory Commission (NRC)
Office of Personnel Management (OPM)
Railroad Retirement Board (RRB)
Smithsonian Institution (SI)
Social Security Administration (SSA)
Department of the Treasury (TREASURY)
Tennessee Valley Authority (TVA)
U.S. Army Corp of Engineers (USACE)
U.S. Environmental Protection Agency (EPA)
U.S. Postal Service (USPS)
Other
Cost Sharing
Would your agency consider cost sharing the technical assistance? If so, how much?
Project Champion and Team Members
List the on-site project champion and team members (e.g., contracting officer, regional support staff, technical support staff, etc.).
Subagency
Other Initiatives
Are there other initiatives within your agency that this project will support? How will this project support your organization's mission?
Directive
Explain how this project has been directed by your agency? Was there a department or agency directive?
Lessons Learned
Explain how lessons learned from this project can be shared with others.
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