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2021 ARPA Grant Program

2021 ARPA Formula Grant Application

Applications will be accepted through 11:59 PM (CT) on January 14, 2022.


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Applicant Name
Phone Number     Email
City      Zip
Project Director

1. Please Identify the type of Library Submitting the Application:




2. Public libraries are eligible to apply only if they are legally established in Nebraska. Please verify the following:

The library has been established for use by the inhabitants of my city, village, county, or township, free of charge, by the city council, board of trustees of an incorporated village, county board, or the electors of a township

There is a library board consisting of at least 5 members. Please notify NLC of current board members, or update via the NLC Supplemental Survey

3. In order to receive funding, you must provide NLC with a Unique Entity Identifier, as required by the federal government. Currently, this is a DUNS number provided by registration through Dun & Bradstreet.

Please enter your 9-digit DUNS Number:

4. CIPA Compliance Certification

Projects which provide access to the Internet require compliance with the Children's Internet Protection Act (CIPA); this means Internet access must be filtered as required by the federal LSTA funding. Grantees need to certify that the library complies with the Children's Internet Protection Act (CIPA) for grant proposals involving access via the Internet.

Upon submission of this grant application, I hereby certify that:

This organization is CIPA compliant. The applicant library has complied with the requirements of section 9134(f)(1) of the Library Services and Technology Act.

This organization is not CIPA compliant. Applicant understands and acknowledges that grant funds may not be used to purchase computers used to access the Internet or to pay for direct costs associated with accessing the internet.

5. Assurances

By submitting this application and completing the certification section (part 6), the applicant agrees to the timetables set forth in the formula grant notice, reporting requirements, allowable and unallowable costs, and the submission of copies of invoices to NLC in accordance with the grant timelines. Additionally, the applicant provides the following assurances:

(A) Civil Rights and Nondiscrimination Statutes and Regulations:

The Applicant shall comply with all applicable statutory and regulatory requirements. These requirements include, but are not limited to, applicable provisions of:

  • Title VI of the Civil Rights Act of 1964 [45 U.S.C. 2000d through 2000d-4]
  • Title IX of the Education Amendments of 1972 [20 U.S.C. 1681-1683]
  • Section 504 of the Rehabilitation Act of 1973 [29 U.S.C.794]
  • The Age Discrimination Act [42 U.S.C. 6101 et seq.]

(B) Allowable Costs:

Costs incurred shall be allowable under the principles established in the Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; Final Rule [2 CFR 200 Subpart E-Cost Principles].

(C) Conflict of Interest:

No board or staff member of a public library or library system may use his or her position to obtain financial gain or anything of substantial value for the private benefit of himself or herself or his or her immediate family, or for an organization with which he or she is associated, such as a royalty, commission, contingent fee, brokerage fee, consultant fee, or other benefit [Generally, see 2 CFR § 200.112].

(D) Contracts and procurement:

The Applicant will use its own procurement procedures that reflect applicable state and local laws and regulations, provided the procurements conform to applicable federal law and the standards in [2 CFR §§ 200.318-200.326] Procurement Standards.

(E) Cooperation with Evaluation:

The Applicant shall cooperate with the performance of any evaluation of the program by the Nebraska Library Commission (NLC) or the Institute of Museum and Library Services (IMLS) or by their contractors [2 CFR §200.328(1)].

(F) Copyright, Acknowledgement, and Publications:

The Applicant/ Recipient will comply with all copyright and materials acknowledgement requirements as addressed in the projects’ grant guidelines. IMLS and NLC reserve royalty-free, nonexclusive, and irrevocable licenses to reproduce, publish or otherwise use, and to authorize others to use, for their purposes. The copyright in any work developed under this subgrant or contract under this subgrant; and any rights of copyright to which the Applicant or a contractor purchases ownership with grant support. The content of any grant-funded publication or product may be reprinted in whole or in part, with credit to the IMLS acknowledged. However, reproduction of this product in whole or in part for resale must be authorized by the NLC. When issuing statements, press releases, and other documents describing projects or programs funded in whole or in part with federal grant funds, the grant award recipient shall clearly acknowledge the receipt of federal funds in a statement. Subrecipients must acknowledge IMLS in all related publications and activities supported with LSTA award money. A kit with suggestions and materials to help subrecipients publicize grant activities is available at

(G) Fiscal Control:

The Applicant will use fiscal control and fund accounting procedures and will ensure proper disbursement of, and accounting for, federal funds received and distributed under this program [2 CFR §200.328(1)].

(H) OMB Standard Form 424B:

The Applicant will comply with all applicable assurances in OMB standard Form 424B (Assurances for Non-Construction Programs), including the assurances relating to the legal authority to apply for assistance; access to records; conflict of interest; merit systems; nondiscrimination; Hatch Act provisions; labor standards; flood insurance; environmental standards wild and scenic river systems; historic preservation; protection of human subjects; animal welfare; lead-based paint; Single Audit Act; and general agreement to comply with all applicable federal laws, executive orders and regulations.

(I) Record Retention:

Applicant will ensure records are maintained for a period of at least three years after the end of the project year [2 CFR §200.333]. If any litigation, claim, negotiation, audit, or other action involving the records starts before the end of the period, the records will be retained until completion of the action and resolution of all issues.

(J) Reporting:

The Applicant will ensure all required financial and program data is reported to NLC timely on a schedule established by the NLC [2 CFR §200.302(b)(2)].

(K) Grant Evaluation:

The Applicant shall ensure that all grant evaluation reporting will be timely on a schedule established by NLC. Grant evaluation information provided to the NLC staff shall accurately assess the completeness of grant goals, activities, benchmarks and target dates [2 CFR §200.328(b)(1)].

(L) Single Audit:

Any entity that expends in total (all sources) $750,000 or more in federal funds during a fiscal year (July 1–June 30) is required to conduct a single audit [2 CFR §200.501].

(M) Text Messaging and E-Mailing While Driving:

The Applicant/ Recipient and their grant personnel are prohibited from text messaging while driving a government-owned vehicle, or while driving their own privately owned vehicle during official grant business, or from using government supplied electronic equipment to text message or e-mail when driving [Executive Order 13513, “Federal Leadership on Reducing Text Messaging While Driving October 1, 2009].

(N) Time and Effort Supporting Documentation:

For costs to be allowable, compensation for personal services must adhere to the Standards for Documentation of Personnel Expenses as identified in 2 CFR §200.430(i)(1). The subrecipient must retain records that accurately reflect the work performed and be supported by a system of internal control which provides reasonable assurance that the charges are accurate, allowable, and properly allocated.

(O) Trafficking in Persons:

The grant condition specified in 2 CFR §175.10 includes the following language: “I. Trafficking in persons. 1 You as the recipient, your employees, subrecipients under this award, and subrecipients’ employees may not i. Engage in severe forms of trafficking in persons during the period of time that the award is in effect; ii. Procure a commercial sex act during the period of time that the award is in effect; or iii. Use forced labor in the performance of the award or subawards under the award.” A subrecipient is required to inform the federal agency immediately of any information received from any source alleging a violation of this condition. The federal agency may unilaterally terminate this award, without penalty, if a subrecipient is determined to have violated this condition.

(P) Debarment and Suspension:

As required by Executive Order 12549 and implemented at 2 CFR Parts 180 and Part 3185, the undersigned, on behalf of the applicant, certifies to the best of his or her knowledge and belief that neither the applicant, nor its principals:

  1. are presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transactions by any federal department or agency;
  2. have within a three year period preceding this proposal been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (federal, state or local) transaction or contract under a public transaction, or in connection with a violation of federal or state antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property;
  3. are presently indicted for or otherwise criminally or civilly charged by a governmental entity (federal, state, or local) with commission of any of the offenses enumerated in paragraph (b) of this certification;
  4. have within a three-year period preceding this application/proposal had one or more public transactions (federal, state, or local) terminated for cause or default. Where the applicant is unable to certify to any of the statements in this certification, he or she shall attach an explanation to this application.

(Q) Lobbying:

As required by Section 1352, Title 31 of the United States Code, and implemented for persons entering into a grant or cooperative agreement over $100,000, the applicant certifies to the best of his or her knowledge and belief that:
  1. No federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of a federal contract, the making of a federal grant, the making of a federal loan, the entering into of a cooperative agreement, or the extension, continuation, renewal, amendment, or modification of a federal contract, grant, loan, or cooperative agreement.
  2. If any funds other than appropriated federal funds have been paid or will be paid to any person (other than a regularly employed officer or employee of the applicant) for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this federal contract, grant, loan, or cooperative agreement, the undersigned shall request, complete, and submit Standard Form LLL, “Disclosure of Lobbying Activities,” in accordance with its instructions. State Programs 3 Issued 2/9/2006.
  3. The undersigned shall require that the language of this certification be included in the award documents for all subawards at all tiers (including subcontracts, subgrants, and contracts under grants, loans, and cooperative agreements) and that all subrecipients shall certify and disclose accordingly.

(R) Equipment:

The applicant will not budget for or procure equipment as defined in 2 CFR 200.33 without first requesting approval from the state library administrative agency and obtaining written approval from the state library administrative agency and the Institute of Museum and Library Services.

Applicant agrees to retain title to any equipment purchased for use under this grant for the full useful life of the equipment; and in the event the equipment is no longer needed for the purposes of the agreement, disposal will be determined by mutual consultation.

(S) Access to Records:

All records, books, papers, or documents related to the grant shall be accessible and examined by NLC upon request.

6. Certification:

WE, THE UNDERSIGNED, CERTIFY that we possesses the legal authority to apply for the grant; that a resolution, motion or similar action has been duly adopted or passed as an official act of the recipient’s governing body, authorizing the filing of the applications, including all understandings and assurances contained therein, and directing and authorizing the person identified as the official representative of the applicant to act in connection with the application and to provide such additional information as may be required. Also, that the information contained in this application is complete and accurate to the best of our knowledge, that the necessary assurances of compliance with applicable state and federal statutes, rules, and regulations will be met; and, that the indicated agency designated in this application is authorized to administer this grant. The Authorized Representative of the Applicant Agency is authorized by the Library Board to approve these certifications on behalf of the Applicant Agency.

Applicant Agency/Library:
Name of Library Director/Authorized Representative:
Official Title of Director/Authorized Representative:

If you have questions about the ARPA Formula Grant Program, contact:

Sam Shaw
Nebraska Library Commission
c/o ARPA Formula Grant Applications
1200 N Street, Suite 120
Lincoln, Nebraska 68508-2023

Phone: 402-471-3216, 800-307-2665
Email: Sam Shaw

For more information, contact Sam Shaw.