533 hpgapplication checklist.doc

Section 533 Housing Preservation Grant

In accordance with RD Instruction 1944-N, Exhibit C, Page 2 the following items are to be submitted for the Section 533 Housing Preservation Grant Preapplication package:

(1) Standard Form (SF) 424.1, "Application for Federal Assistance (for Non-construction)";

(2) Form RD 400-1, "Equal Opportunity Agreement";

(3) Form RD 400-4, "Assurance Agreement";

(4) Form RD 1940-20, "Request for Environmental Information"

(5) Exhibit F-1 of subpart 1944-N;

(6) Exhibit F-2 of subpart 1944-N;

(7) A copy of RD Instruction 2000-FF; (applicants must adhere to guidelines in this instruction).

(8) Form AD-1047, "Certification Regarding Debarment, Suspension, and (9) Other Responsibility Matters - Primary Covered Transactions,"

(10) Form AD-1048, "Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion - Lower Tier Covered Transactions,"

(11) AD-1049, "Certification Regarding Drugfree Workplace Requirements (Grants) Alternative I - for Grantees Other Than Individuals";

Applicants should refer to:

(12) RD Instruction 1944-N. and

(13) RD Instruction 1994-N Exhibit C Page 3.

for information that should be submitted in the Statement of Activities. The Statement of Activities must be submitted in narrative form in a Microsoft Word file as an attachment to the electronic application.

For Hardcopy Applications Only:

Applicants selected by Rural Development will be advised to submit a full application in an original and two copies of SF 424.1, and are to include any condition or amendments that must be incorporated into the statement of activities prior to submitting a full application.