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(03-23)
www.penndot.pa.gov
ARLE Funding Program
Pre-Application Scoping Form
A - Project Overview
District
1-0
2-0
3-0
4-0
5-0
6-0
8-0
9-0
10-0
11-0
12-0
County
Adams
Primary Municipality
Project Name
Project Type (check one)
Access Management
Advanced Technology and ITS
Alignment
Bicyclists
Delineation
Highway Lighting
Intersection Geometry
On-Street Parking
Pedestrians
Railroad Grade Crossings
Roadside
Roadway
Shoulder Treatments
Signs
Speed Management
Intersection Traffic Control
Traffic Signal Modernization
Traffic Signal Adaptive System
Traffic Signal Battery Backup Upgrade
Traffic Signal Detection Upgrade
Emergency Preemption System
LED Upgrade (Signals or Flash Signs)
Isolated Signal(s)
Signal System Installation
Project Description (include narrative to describe the project scope of work)
Project Justification (Briefly explain why this project is being nominated and the expected benefits)
Potential Improvements (Briefly describe potential improvements upon project completion)
Additional Information (Describe any additional information that helps to justify the project)
B - Crash Modification Factor
Purpose: The crash modification factor (CMF) identifies the anticipated safety benefits of the proposed project. For example, a CMF of 0.975 indicates a countermeasure is expected to reduce the indicated type of crashes by 2.5%. Projects with a lower CMF (higher crash reduction) will score more points in the safety evaluation for the ARLE Funding Program. The CMF Clearinghouse website (
http://www.cmfclearinghouse.org/
) contains thousands of studies on safety benefits of various types of projects.
Use the CMF Clearinghouse website to identify the countermeasure which is most closely aligned with your proposed project by entering search terms, and enter the information for the most relevant study below.
Counter Measure
Targeted Crash Type(s)
CMF ID
CMF Value
C - Cost Estimate
Phase
Requested Funding
Municipal Match
Engineering/Design
Utilities
Right-of-Way
Construction
Municipal Match %
Total
To submit this form, click "Save" and then attach the file to an email and send to ARLE@pa.gov. Please also attach a detailed cost estimate and project location map.
D - PennDOT Review
To be completed by PennDOT Bureau of Operations
Review Comments
The Crash Modification Factor information below has been reviewed by PennDOT. Please enter this information into Item 2 on the addenda tab in the eGrants application form.
Counter Measure
Targeted Crash Type(s)
CMF ID
CMF Value
Reviewer
Date