Instructions



Fiscal Year 2022 Appropriations Programmatic/Language Request FormOffice of Congressman Pat Fallon-- Requests for specific projects/earmarks in violation of House Rules will not be accepted. --InstructionsAll requests must be submitted a minimum of two weeks before the subcommittee’s posted deadline. Requests submitted late will not be considered. Please consult with the appropriate subcommittee directly for relevant deadlines.All requests must be submitted via e-mail to tx04approps@mail..Format the subject line of your e-mail as follows: FY2022 [Committee/Subcommittee] Appropriations Request – Organization Example: FY2022 DHS Appropriations Request – XYZ UniversityPlease do not include requests for multiple subcommittees in a single e-mail.The requestor agrees to allow the public disclosure of all programmatic or language requests made to the Office of Congressman Pat Fallon. Individuals/Organizations must respond to all questions on the form that begins on the next page.Submission of this form does not guarantee that the programmatic/language requested will be included in final legislation. Direct/cell phone numbers must be included when providing contact information.Section: 1 (Organization Information):Organization Name: Click or tap here to enter text.Street Address: Click or tap here to enter text.City, State, Zip Code: Click or tap here to enter text.Phone Number: Click or tap here to enter text.Website: Click or tap here to enter text.Type of Entity: Click or tap here to enter text.Co-sponsoring Organizations: Click or tap here to enter text.Section: 2 (Contact Information):Appropriations Point of ContactPlease note that our staff may need to contact this person outside of normal business hours.Full Name: Click or tap here to enter text.Street Address: Click or tap here to enter text.City, State, Zip Code: Click or tap here to enter text.Business Phone Number: Click or tap here to enter text.Cell Phone Number: Click or tap here to enter text.E-mail Address: Click or tap here to enter text.Head of your organization (if different than your point person)Full Name: Click or tap here to enter text.Street Address: Click or tap here to enter text.City, State, Zip Code: Click or tap here to enter text.Business Phone Number: Click or tap here to enter text.Cell Phone Number: Click or tap here to enter text.E-mail Address: Click or tap here to enter text.DC based point of contact (if applicable)Full Name: Click or tap here to enter text.Street Address: Click or tap here to enter text.City, State, Zip Code: Click or tap here to enter text.Business Phone Number: Click or tap here to enter text.Cell Phone Number: Click or tap here to enter text.E-mail Address: Click or tap here to enter text.Section 3: Request DetailsShort title for your request: Click or tap here to enter text.Priority of this request (If submitting multiple requests): Click or tap here to enter text.Clearly state what this programmatic/language request would do in one sentence (Max 25 words): Click or tap here to enter text.Problem/Issue Statement (Max 250 words): Click or tap here to enter text.Request Description: Click or tap here to enter text.Request goals and expected outcomes: Click or tap here to enter text.Programmatic RequestIf this is only a bill or report language request, please skip this section.Program Name and Agency:Click or tap here to enter text.Funding level last fiscal year (if applicable): Click or tap here to enter text.Funding level in the President’s Budget: Click or tap here to enter text.Amount you would like to either increase or decrease the President’s FY2021 Budget, or total amount you are requesting for FY2021:Click or tap here to enter text.If this is a defense focused request, please provide the specific account and PE/Line Number for the program: Click or tap here to enter text.Bill or Report Language RequestIf this is only a programmatic request, please skip this section.Program/Agency/Department Name and Purpose:Click or tap here to enter text.Requested Bill or Report Language:Click or tap here to enter text.Which appropriations bill and section do you think best suits your request?Click or tap here to enter text.Please list other House members to whom you are submitting your request. Click or tap here to enter text.Please list other Senators to whom you are submitting your request.Click or tap here to enter text.What other organizations might be in favor of this request?Click or tap here to enter text.What organizations might be opposed to this request?Click or tap here to enter text.What other state and local entities are supportive?Click or tap here to enter text.How does this request relate to Texas’ Fourth Congressional District?Click or tap here to enter text.Has this, or any similar request, been submitted in prior years? If so, please specify for what fiscal years and to which House and Senate Offices.Click or tap here to enter text. Section 4: Public Disclosure SectionThe information included in this section may be used to help the Office of Congressman Pat Fallon fully explain the request to Texans on our website or in the media. Information provided in this request form may be used or distributed by the Office of Congressman Pat Fallon without prior notice.Project Description (Max 150 words):Click or tap here to enter text.Importance (Max 150 words): Click or tap here to enter text.Appropriate Use (Max 150 words):Click or tap here to enter text.Clearly describe the most direct positive impacts this request will have on the surrounding community, Texas, and the Nation. (Max 150 words):Click or tap here to enter text. ................
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