G. Activities by Other Agencies

If other State or local public agencies are to receive a portion of the Federal funds under Part C, the Application must include:

  • The name of each public agency expected to receive funds;
  • The approximate amount of funds each public agency will receive; and
  • A summary of the purposes for which the funds will be used.

Provide subtotal of amount. (Add columns and rows as needed.)

Agency Receiving Funds Amount of Funds Purpose
Subtotal of amount under G: $0