FAST-41 Initiation Notice (FIN)

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FAST-41 Initiation Notice

FAST-41 Initiation Notice
The personally identifiable information (PII) collected for the FAST-41 Initiation Notice (FIN) may be used to
coordinate administering FAST-41. We retain the information only for as long as necessary to administer FAST-41.
We maintain and destroy information submitted electronically as required by the Federal Records Act and the
National Archives and Records Administration's (NARA) records schedules. It may be subject to disclosure in certain
cases such as the Freedom of Information Act (FOIA) request, court order, or Congressional access request, or if
authorized by a Privacy Act Systems of Records Notice (SORN). 
* Indicates required field
Paperwork Reduction Act Statement – This information collection meets the requirements of 44 USC § 3507, as
amended by section 2 of the Paperwork Reduction Act of 1995. You do not need to answer these questions unless
we display a valid Office of Management and Budget (OMB) control number. The OMB control number for this
collection is 3090-0316. We estimate that it will take 180 minutes to read the instructions, gather the facts, and
answer these questions. Send only comments relating to our time estimate, including suggestions for reducing the
burden, or any other aspects of this collection of information to:

Project Information
Title *
Enter Project Title
Sector *
Privacy - Terms

Select Sector

Project Location
Project Location Type *
Select Project Location Type

Project Sponsor Contact Information
Company Name/Agency *
Enter Company Name/Agency
Project Sponsor *
Enter Project Sponsor
Street Address 1 *
Enter Street Address 1
Street Address 2 (Optional)
Enter Street Address 2

City *
Enter City
State *
Select State
Zip Code *
Enter Zip Code
POC Name *
Enter POC Name
POC Title *
Enter POC Title
POC Phone *
Enter POC Phone
POC Email Address *
Enter Email

Alternate Project Sponsor Contact Information
Check to include an additional POC for this project.

Project Purpose *
Please provide a concise overview of the purpose and objective of the proposed project.

Project Description *
Please provide a concise description, including the general location of the proposed project and a summary of
geospatial information, if available, illustrating the project area and the locations, if any, of environmental, cultural,
and historic resources.

Technical and Financial Ability *
Please provide a description regarding the technical and financial ability of the project sponsor to construct the
proposed project

Summary of Financing, Reviews and Authorizations *
Please provide a description of any Federal financing, environmental reviews, and authorizations to be required to
complete the proposed project.Summary of Financing, Reviews and Authorizations

Project Assessment *
Assessment that the project meets the definition of a covered project as defined in 42 U.S.C. §4370m(6)(A)
FAST Act and a statement of reasons supporting the assessment.

of the

Form Submitter Contact Information
Name *
Enter Name
Title *
Enter Title
Work Phone *
Enter Work Phone
Email Address *
Enter Email

Agreement
Accept Agreement
By submitting this application, I affirm that I am an authorized representative of the Sponsor indicated above
and that the facts set forth in this form are true and complete.
Submit

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