FISCAL YEAR 2010 HOMELAND SECURITY GRANT PROGRAM INVESTMENT PLANNING WORKSHEET DECEMBER 2009 U.S. DEPARTMENT OF HOMELAND SECURITY U.S. DEPARTMENT OF HOMELAND SECURITY HSGP INVESTMENT PLANNING WORKSHEET Worksheet Overview and Helpful Tools A. Overview This FY 2010 HSGP Investment Planning Worksheet provides applicants an optional, off- line tool (in MS Word format) to help in the drafting of each Investment to be included as part of the final Investment Justification (IJ). Please Note: If applicants decide to use the Investment Planning Worksheet while drafting the IJ, all responses completed in the worksheet must be transferred to the applicant’s official IJ located on the Grants Reporting Tool (GRT): https://www.reporting.odp.dhs.gov/. This is also the location through which applicants can access the GRT IJ Submissions Technical User’s Guide, which includes instructions on how to log into the GRT and complete the IJ. Please allow enough time before and no later than 11:59 p.m. EDT, April 19, 2010 to complete the IJ in the GRT and submit the required application materials using www.grants.gov. This worksheet applies only to SHSP, UASI, MMRS, and CCP applicants. Operation Stonegarden (OPSG) applicants should refer to Part VIII – “Other Information,” Section E – “OPSG Operations Order Template” of the FY 2010 HSGP Guidance and Application Kit for the OPSG application template. B. Helpful Tools . Spell Check: - Click on the [Tools] menu - Select [Spelling] and all spelling issues will be displayed . Character Count: - Highlight the response text that you would like to count; then click on the [Tools] menu - Select [Word Count], then [Characters (with spaces)] to view the character count - Character count limits within the IJ include spaces between words, periods, commas, semi-colons and other forms of punctuation Investment Planning Worksheet Investment Information State or territory Name: FY 2010 Urban Area (if applicable): Investment Number: Investment Name: (100 characters max) Yes No Is this a Multi-Applicant Investment: (Please note: This will only need to be filled out if the applicant is the submitting partner) I. Baseline I.A. Baseline – Previous HSGP Request Name and Funding Investment Phase: (Place an “X” in the corresponding box) New Ongoing If the Investment is Ongoing, identify the corresponding FY 2006 – 2009 Investment Name(s) and Funding Amount(s) for each year, as applicable. FY 2006 Investment Name: (100 characters max) FY 2006 Funding Amount: $ FY 2007 Investment Name: (100 characters max) FY 2007 Funding Amount: $ FY 2008 Investment Name: (100 characters max) FY 2008 Funding Amount: $ FY 2009 Investment Name: (100 characters max) FY 2009 Funding Amount: $ II. Strategy II.A. Strategy – Investment Description Provide a description of this Investment and identify all goals and objectives in your State and/or Urban Area Homeland Security Strategy supported by this Investment. (2,500 characters max) (Please note: The text box below will not automatically calculate the number of characters. For further guidance, see Helpful Tools on page 1) II.B. Strategy – National Priorities Identify up to four National Priorities that are supported by this Investment. (Place an “X” in the corresponding boxes) Available National Priorities (Check up to four) Expand Regional Collaboration Implement the National Incident Management System (NIMS) and National Response Plan (NRP) Implement the National Infrastructure Protection Plan (NIPP) Strengthen Information Sharing and Collaboration Capabilities Strengthen Interoperable and Operable Communications Capabilities Strengthen Chemical, Biological, Radiological/Nuclear, and Explosive (CBRNE) Detection, Response, and Decontamination Capabilities Strengthen Medical Surge and Mass Prophylaxis Capabilities Strengthen Planning and Citizen Preparedness Capabilities For Further Information, Visit: http://www.fema.gov/pdf/emergency/nrf/National_Preparedness_Guidelines.pdf III. Funding and Target Capabilities III.A. Funding Program and Proposed Funding The FY 2010 Funding Program and Proposed Funding amount identified for this Investment are as follows. FY 2010 HSGP Funding Program: (Select one funding source: SHSP, UASI, CCP, or MMRS) FY 2010 Proposed Funding (for this Investment): $ III.B. Target Capabilities From the 37 Target Capabilities, select all Target Capabilities supported by this Investment. (Place an “X” in the corresponding boxes) Available Target Capabilities (Check all that apply) Planning Communications Community Preparedness and Participation Risk Management Intelligence and Information Sharing and Dissemination Information Gathering and Recognition of Indicators Intelligence Analysis and Production Counter Terror Investigation and Law Enforcement CBRNE Detection Critical Infrastructure Protection Food and Agriculture Safety and Defense Epidemiological Surveillance and Investigation Laboratory Testing On-Sight Incident Management Emergency Operations Center Management Critical Resource Logistics and Distribution Volunteer Management and Donations Responder Safety and Health Emergency Public Safety and Security Animal Disease Emergency Support Environmental Health Explosive Device Response Operations Fire Incident Response Support WMD and Hazardous Materials Response and Decontamination Citizen Evacuation and Shelter-in-Place Isolation and Quarantine Search and Rescue (Land-Based) Emergency Public Information and Warning Emergency Triage and Pre-Hospital Treatment Medical Surge Medical Supplies Management and Distribution Mass Prophylaxis Mass Care (Sheltering, Feeding, and Related Services) Fatality Management Structural Damage Assessment Restoration of Lifelines Economic and Community Recovery For More Information, Visit: http://www.fema.gov/pdf/government/training/tcl.pdf III.C. Proposed Funding by Target Capabilities For each of the selected Target Capabilities in Question III.B., provide the Proposed Funding amount to be obligated from this Investment. (Add rows if needed) (Please note: The table below will not automatically calculate the Total Amount of Proposed Funding. The GRT will automatically calculate the total as you transfer your answers. The Total Amount of Proposed Funding should match the amount you entered in question III.A. above.) Target Capabilities (Identified in Question III.B.) Amount of Proposed Funding ($) Percent of Proposed Funding (%) $ Percent of Proposed Funding will be automatically calculated by the GRT as you enter the Amount of Proposed Funding across your assigned Target Capabilities $ $ $ $ $ $ $ $ $ Total Proposed Funding: $ 100% III.D. Proposed Funding by Solution Area Provide the Proposed Funding amount to be obligated from this Investment towards Planning, Organization, Equipment, Training, and Exercises (POETE). (Please provide amounts for all that apply) (Please note: The table below will not automatically calculate the Total Amount of Proposed Funding. The GRT will automatically calculate the total as you transfer your answers. The Total Amount of Proposed Funding should match the amount you entered in question III.A. above.) Solution Area Amount of Proposed Funding ($) Percent of Proposed Funding (%) Planning $ Percent of Proposed Funding will be automatically calculated by the GRT as you enter the Amount of Proposed Funding across the POETE categories Organization $ Equipment $ Training $ Exercises $ Total Proposed Funding: $ 100% III.E. Law Enforcement Terrorism Prevention Activities Funding (LETPA) If applicable, provide the proposed funding amount that is expected to be obligated towards LETPA. LETPA Funding Amount: $ III.F. Optional Cost Sharing If desired, provide the optional cost share source and funding amount for this Investment. Ensure that the cost share amount entered on the SF-424 and SF 424 A forms equals the total cost share amount for all Investments submitted as part of the IJ. (1,500 char. max) (Please note: In FY 2010, an applicant’s willingness to contribute an optional cost share will not impact allocation amounts identified in the FY 2010 HSGP Guidance and Application Kit. FEMA administers cost sharing requirements in accordance with 44 CFR §13.24, which is located at http://www.access.gpo.gov/nara/cfr/waisidx_07/44cfrv1_07.html. To meet matching requirements, the grantee contributions must be reasonable, allowable, allocable and necessary under the grant program and must comply with all Federal requirements and regulations. The text box below will not automatically calculate the number of characters. For further guidance, see Helpful Tools on page 1.) IV. Project Management IV.A. Milestones Identify up to ten milestones, with start and end dates, which will be achieved within the three-year period of performance. Depending on the timing of award allocations, the FY 2010 period of performance is estimated to occur from approximately September 2010 - September 2013. Milestone Number Milestone Name Start Date (mm/dd/yyyy) End Date (mm/dd/yyyy) 1 2 3 4 5 6 7 8 9 10