National Park Service Cumulative Baseline Questionnaire for Certified Local Governments (CLGs)

USE THIS FORM: 1) IF YOU HAVE NOT PREVIOUSLY COMPLETED A BASELINE FORM, 2) IF YOUR PRIOR BASELINE FORM NEEDS CORRECTIONS, OR 3) IF YOU DID NOT SUBMIT AN ANNUAL FORM FOR EACH OF THE YEARS SUBSEQUENT TO YOUR MOST RECENTLY SUBMITTED CUMULATIVE BASELINE QUESTIONNAIRE.


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    Please read "Guidance for Completing the National Park Service Cumulative Baseline Questionnaire for Certified Local Governments (CLGs)" at http://www.nps.gov/history/hpg/local/clg_forms.html. This guidance defines terms, explains what to count, answers frequently-asked questions, etc.; e.g., a) the definition of “cumulative” for each question below and b), the “Baseline Federal Fiscal Year” usually is the year before the most recently completed Federal Fiscal Year.
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    If you have questions about this form, please contact your State CLG Coordinator (to find contact information for State CLG coordinators, visit http://grants.cr.nps.gov/CLG_NEW/CLG_REVIEW/search.cfm) or John Renaud, NPS project coordinator, by telephone at 202-354-2066, by fax at 202-371-1794, or by e-mail at clg_info@nps.gov. Because of its long-term uses, it will never be too late to provide this report’s information. For information collection burden language, see the guidance for completing the questionnaire by visiting http://www.nps.gov/history/hpg/local/clg_forms.html. OMB Control Number 1024-0038 Expiration Date: August 31, 2014

    Thank you for providing this information! We will put it to good use!

    Please print a copy of this survey for your records before clicking "Submit."