DEFERRED MAINTENANCE AND CAPITAL IMPROVEMENT PLAN
FY 2011 – 2015
Total Project Score/Ranking:
Programmed Funding FY:
Funding Source:
[Bureau Name]
PROJECT DATA SHEET
Project Identification
Project Title:
Project No.:
Unit/Facility Name:
Region/Area/District:
Congressional District:
State:
Project Justification
DOI Asset Code:
Real Property Unique Identifier:
API:
FCI-Before:
FCI-Projected:
1.________
2.________
3. ________
Project Description:
Project Need/Benefit:
Ranking Categories: Identify the percent of the project that is in the following categories of need.
___ % Critical Health or Safety Deferred Maintenance (10)
___ % Energy Policy, High Performance Sustain Bldg CI (5)
___ % Critical Health or Safety Capital Improvement
(9)
___ % Critical Mission Deferred Maintenance
(4)
___ % Critical Resource Protection Deferred Maintenance(7)
___ % Code Compliance Capital Improvement
(4)
___ % Critical Resource Protection Capital Improvement (6)
___ % Other Deferred Maintenance
(3)
% Other Capital Improvement
(1)
Capital Asset Planning Required? (Y or N):
Total Project Score:
VE Required (Y or N):
Type:
Scheduled (YY):
Completed (YY):
Project Costs and Status
Project Cost Estimate (This PDS):
$’s
Deferred Maintenance Work:
_____________
Capital Improvement Work:
_____________
Total:
_____________
%
____
____
100%
Project Funding History (Entire Project): $’s
Appropriated to Date:
_____________
Requested in FY___ Budget:
_____________
Future Funding to Complete Project: _____________
Total:
_____________
Class of Estimate (circle one): A B C D
Estimate Escalated To FY:______(yy)
Planning and Design Funds
Planning Funds Received in FY______ $_______
Design Funds Received in FY______ $_______
Dates:
Sch’d
Construction Start/Award: (QTR/YY) ______/_____
Project Complete: (QTR/YY)
______/_____
Project Data Sheet
Prepared/Last Updated: _____/_____
mm/yy
DOI Approved:
YES
NO
Annual Operation & Maintenance Costs ($s)
Current:
Projected:
Net Change:
Attachment 1-1