Sec. 151.67 - Forms.
(a) The various forms used for the
purposes of subparts B and C are as follows:
(1) Requests for Federal-aid, FAA Form
5100-3: Contains a statement requesting Federal-aid in carrying out a
project under the Federal Airport Act, with appropriate spaces for
inserting information needed for considering the request, including the
location of the airport, the amount of funds available to the sponsor, a
description of the proposed work, and its estimated cost.
(2) Project application, Form FAA-1624:
A formal application for Federal-aid to carry out a project under this
part. It contains four parts:
(i) Part I -- For pertinent information
regarding the airport and proposed work included in the project.
(ii) Part II -- For incorporating the
representations of the sponsor relating to its legal authority to
undertake the project, the availability of funds for its share of the
project costs, approvals of other non-United States agencies, the
existence of any default on the compliance requirements of §151.77(a),
possible disabilities, and the ownership of lands and interests in lands
to be used in carrying out the project and operating the airport.
(iii) Part III -- For incorporating the
sponsor's assurances regarding the operation and maintenance of the
airport, further development of the airport, and the acquisition of any
additional interests in lands that may be needed to carry out the project
or for operating the airport.
(iv) Part IV -- For a statement of the
sponsor's acceptance, to be executed by the sponsor and certificated by
(4) Grant agreement, Form FAA-1632:
(i) Part I -- Offer by the United States
to pay a specified percentage of the allowable costs of the project, as
described therein, on specified terms relating to the undertaking and
carrying out of the project, determination of allowability of costs,
payment of the United States share, and operation and maintenance of the
airport in accordance with assurances in the proj- ect application.
(ii) Part II -- Acceptance of the offer
by the sponsor, execution of the acceptance by the sponsor, and
certification by its attorney.
(5) Periodic cost estimate, Form
FAA-1629: a certification to be executed by the contractor, with space for
information regarding the progress of construction work as of a specific
date, and the value of the completed work.
(6) Application for grant payment, FAA
Form 5100-6: Application for payment under a grant agreement for work
completed as of a specific date or to be completed by a specific date,
with space for an appropriate breakdown of project costs among the
categories shown therein, and certification provisions to be executed by
the sponsor and the Area Manager.
(7) Summary of project costs, Form
FAA-1630: For inserting the latest revised estimate of total project
costs, the total costs incurred as of a specific date, an estimate of the
aggregate of those total costs incurred to date and those to be incurred
before a specific date in the future.
(b) Copies of the forms named in this
section, and assistance in completing and executing them, are available
from the Area Manager.
[Doc. No. 1329, 27 FR 12351, Dec. 13, 1962, as
amended by Amdt. 151-8, 30 FR 8040, June 23, 1965; Amdt. 151-11, 31 FR
6686, May 5, 1966; Amdt. 151-17, 31 FR 16525, Dec. 28, 1966; Amdt. 151-25,
33 FR 14535, Sept. 27, 1968; Amdt. 151-34, 34 FR 12883, Aug. 8, 1969]