Benton County American Rescue Plan Proposal Submission Form

Public Health and Economic Recovery

Welcome to the Benton County American Rescue Plan Proposal Submission Form.

Please use this form to submit funding proposals or options for the County to consider as we develop the initial expenditure plan for our American Rescue Plan (ARP) funds.

Submitted proposals will be reviewed by County staff and evaluated against eligibility criteria provided by the U.S. Treasury and the ARP Guiding Principles approved by the Benton County American Rescue Plan Committee.

You can also find a Q & A as it applies to Public Health and Economic Recovery by clicking here.

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* 1. Answers to the following questions are public record. As such, any information is permittable for release under the Arkansas Freedom of Information Act. Do you agree to proceed?

Yes

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* 2. Please provide your contact information for us to follow up with you regarding this proposal:

Your Name

Organization

Email Address

Phone Number

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* 3. Project Title or Category (i.e. Affordable Housing, Child Care, etc.)

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* 4. Please provide a brief description of the funding proposal. You may find more information here through this Q & A.

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* 5. What is the approximate, total cost of the funding you are requesting?

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* 6. Is this cost one-time or ongoing?

One-time

Ongoing

Both (please explain)

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* 7. Will you be applying for other funding?

Yes

If yes, please explain the amount and the funding source.

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* 8. If ongoing, how will the program or activity be funded once the American Rescue Plan funds run out or expire?

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* 9. Does this proposal prevent or mitigate COVID19? For more details on this, please visit this Q & A.

Yes

If yes, please briefly explain below:

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* 10. Which jurisdiction(s) would this proposal primarily serve?

Countywide - within cities and unincorporated Benton County

Statewide

Rural Benton County

City in Benton County

Nationwide

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* 11. Who will be implementing this funding if granted?

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* 12. Which of the following guidelines does your proposal address? You can find an FAQ by clicking here which may provide insight into which category your proposal fits.

Prevents or mitigates COVID-19.

Addresses an economic harm caused or exacerbated by COVID-19.

Provides water, sewer, or broadband infrastructure.

Improves health or economic outcomes for communities or populations that were disproportionately impacted by the COVID-19 pandemic.

If your proposal addresses a health or economic outcome for communities or populations that were disproportionately impacted by the COVID-19 pandemic, please comment below with what population.

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* 13. If granted funding, would your organization be able to report quarterly on how funds were utilized?

Yes