Image Indicates required field This is a request for fiscal year: This is a request for fiscal year:: Year Year20262027 Your Contact Information Prefix: - Select -Ms.Miss.Mrs.Mr.Mr. and Mrs.Rev.Dr.The HonorableRabbi First Name: MI: Last Name: Suffix: - None -2nd3rd4thIIIIIIVJr.Sr.M.D.PH.D.and Family Address Address Address 2 City/Town State - Select -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming ZIP Code Email: Contact Phone Number: Phone Number Alternate Phone Number Phone Type: - None -Standard voice telephoneVideophone [VP]Text-telephone device [TTD] phone text What are these options? Constituents who are hard of hearing or use a video phone have the option to choose TDD or VP based on the type of device they are using. This allows our office to respond to them accordingly. The default option 'Voice' is a standard audible telephone. Appropriation Request Choose a Subcommittee: - Select -Agriculture, Rural Development, Food and Drug AdministrationCommerce, Justice, Science, and Related AgenciesDefenseEnergy and Water Development and Related AgenciesFinancial Services and General GovernmentHomeland SecurityInterior, Environment, and Related AgenciesLabor, Health and Human Services, EducationLegislative BranchMilitary Construction, Veterans Affairs, and Related AgenciesState, Foreign Operations, and Related ProgramsTransportation, Housing and Urban Development, and Related Agencies Request Type: - Select -Funding RequestBill LanguageReport Language Program or Language Title: (for Defense requests, include PE number) Organization Information Organization Name: Organization Head First Name: Organization Head Last Name: Organization Address Organization Street Address Street Address Continued City State - None -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming Zip Organization or Project Website: General Information Describe why this is a good use of taxpayer funds and how it benefits the district: Describe the problem or issue to be addressed through this request: Describe the project or program, what it will do and why it is necessary: Please include all such partners with whom you will be working or from whom you have requested additional funding for your program or project: Funding Information Requested Funding Action: - None -Support Total Funding Level ofSupport the Enacted LevelSupport the President's Current Budget Request Funding Request: President’s budget amount: Provide requested language and indicate whether it is bill language, report language or both: Provide previously enacted funding levels below, and list all dollar amounts in thousands (i.e. $1,500,000 not $1.5 million). Current Year This section is for FY 2024 Presidents Budget Request for FY 2024 Enter Current Year PBR amount House Appropriations Committee FY 2024 Enter Current Year HAC amount Senate Appropriations Committee FY 2024 Enter Current Year SAC amount Appropriations Conference Enacted Amount for FY 2024 Enacted Amount: Last Year This section is for FY 2023 Presidents Budget Request for FY 2023 Enter Last Year PBR amount House Appropriations Committee FY 2023 Enter Last Year HAC amount Senate Appropriations Committee FY 2023 Enter Last Year SAC amount Appropriations Conference Previous Year This section is for FY 2022 Presidents Budget Request for FY 2022 Enter Previous Year PBR amount House Appropriations Committee FY 2022 Enter Previous Year HAC amount Senate Appropriations Committee FY 2022 Enter Previous Year SAC amount Appropriations Conference CAPTCHA: enabled to secure this form. If you are having difficulty using Captcha's visual option, please visit the Accessibility page for more assistance.
