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Text field [7 000] 2.1.3. Indicators Reference: point (e)(ii) of Article 17(3), point (c)(iii) of Article 17(9) Table 2 Output indicators Priority Specific objective ID [5] Indicator Measurement unit [255] Milestone (2024) [200] Final target (2029) [200] Table 3 Result indicators Priority Specific objective ID Indicator Measurement unit Baseline Reference year Final target (2029) Source of data Comments 2.1.4. Main target groups Reference: point (e)(iii) of Article 17(3), point (c)(iv) of Article 17(9) Text field [7 000] 2.1.5. Indication of the specific territories targeted, including the planned use of ITI, CLLD or other territorial tools Reference: Article point (e)(iv) of 17(3) Text field [7 000] 2.1.6. Planned use of financial instruments Reference: point (e)(v) of Article 17(3) Text field [7 000]

2.1.7. Indicative breakdown of the EU programme resources by type of intervention Reference: point (e)(vi) of Article 17(3), point (c)(v) of Article 17(9) Table 4 Dimension 1 – intervention field Priority no Fund Specific objective Code Amount (EUR) Table 5 Dimension 2 – form of financing Priority no Fund Specific objective Code Amount (EUR) Table 6 Dimension 3 – territorial delivery mechanism and territorial focus Priority No Fund Specific objective Code Amount (EUR) 3. Financing plan Reference: point (f) of Article 17(3) 3.1. Financial appropriations by year Reference: point (g)(i) of Article 17(3), points (a) to (d) of Article 17(4) Table 7 Fund 2021 2022 2023 2024 2025 2026 2027 Total ERDF (territorial cooperation goal) IPA III CBC NDICI-CBC IPA III NDICI OCTP Interreg funds Total

3.2. Total financial appropriations by fund and national co-financing Reference: point (f)(ii) of Article 17(3), points (a) to (d) of Article 17(4) Table 8 Policy objective No Priority Fund (as applicable) Basis for calculation EU support (total eligible cost or public contribution) EU contribution (a)=(a1)+(a2) Indicative breakdown of the EU contribution National contribution (b)=(c)+(d) Indicative breakdown of the national counterpart Total (e)=(a)+(b) Co-financing rate (f)=(a)/(e) Contributions from the third countries (for information) without TA pursuant to Article 27(1) (a1) for TA pursuant to Article 27(1) (a2) National public (c) National private (d) Priority 1 ERDF IPA III CBC NDICI- CBC IPA III NDICI OCTP Interreg funds Priority 2 (funds as above) Total All funds ERDF IPA III CBC NDICI-CBC IPA III NDICI OCTP Interreg funds Total All funds 4. Action taken to involve the relevant programme partners in the preparation of the Interreg programme and the role of those programme partners in the implementation, monitoring and evaluation Reference: point (g) of Article 17(3) Text field [10 000]

5. Approach to communication and visibility for the Interreg programme (objectives, target audiences, communication channels, including social media outreach, where appropriate, planned budget and relevant indicators for monitoring and evaluation) Reference: point (h) of Article 17(3) Text field [4 500] 6. Indication of support to small-scale projects, including small projects within small project funds Reference: point (i) of Article 17(3), Article 24 Text field [7 000] 7. Implementing provisions 7.1. Programme authorities Reference: point (a) of Article 17(6) Table 9 Programme authorities Name of the institution [255] Contact name [200] E-mail [200] Managing authority National authority (for programmes with participating third or partner countries, if appropriate) Audit authority Group of auditors representatives Body to which the payments are to be made by the Commission 7.2. Procedure for setting up the joint secretariat Reference: point (b) of Article 17(6) Text field [3 500]

7.3. Apportionment of liabilities among participating Member States and where applicable, the third or partner countries and OCTs, in the event of financial corrections imposed by the managing authority or the Commission Reference: point (c) of Article 17(6) Text field [10 500] 8. Use of unit costs, lump sums, flat rates and financing not linked to costs Reference: Articles 94 and 95 of Regulation (EU) 2021/1060 (CPR) Table 10 Use of unit costs, lump sums, flat rates and financing not linked to costs Intended use of Articles 94 and 95 YES NO From the adoption the programme will make use of reimbursement of the Union contribution based on unit costs, lump sums and flat rates under priority according to Article 94 CPR (if yes, fill in Appendix 1) ☐ ☐ From the adoption the programme will make use of reimbursement of the Union contribution based on financing not linked to costs according to Article 95 CPR (if yes, fill in Appendix 2) ☐ ☐ Map Map of the programme area

TEMPLATE FOR INTERREG PROGRAMMES CCI [15 characters] Title [255] Version First year [4] Last year [4] Eligible from Eligible until Commission decision number Commission decision date Programme amending decision number [20] Programme amending decision entry into force date NUTS regions covered by the programme Strand 1. Joint programme strategy: main development challenges and policy responses 1.1. Programme area (not required for Interreg C programmes) Reference: point (a) of Article 17(3), point (a) of Article 17(9) Text field [2 000] 1.2. Joint programme strategy: Summary of main joint challenges, taking into account economic, social and territorial disparities as well as inequalities, joint investment needs and complimentary and synergies with other funding programmes and instruments, lessons-learnt from past experience and macro-regional strategies and sea-basin strategies where the programme area as a whole or partially is covered by one or more strategies. Reference: point (b) of Article 17(3), point (b) of Article 17(9) Text field [50 000]

1.3. Justification for the selection of policy objectives and the Interreg-specific objectives, corresponding priorities, specific objectives and the forms of support, addressing, where appropriate, missing links in cross-border infrastructure Reference: point (c) of Article 17(3) Table 1 Selected policy objective or selected Interreg-specific objective Selected specific objective Priority Justification for selection [2 000 per objective] 2. Priorities [300] Reference: points (d) and (e) of Article 17(3) 2.1. Title of the priority (repeated for each priority) Reference: point (d) of Article 17(3) Text field: [300] 2.1.1. Specific objective (repeated for each selected specific objective) Reference: point (e) of Article 17(3) Text field: [300] 2.1.2. Related types of action, and their expected contribution to those specific objectives and to macro-regional strategies and sea-basis strategies, where appropriate Reference: point (e)(i) of Article 17(3), point (c)(ii) of Article 17(9) Text field [7 000] For the INTERACT and ESPON programme: Reference: point (c)(i) of Article 17(9) Definition of a single beneficiary or a limited list of beneficiaries and the granting procedure