ED_SF424_Supplement_4_1-V4.1.pdf
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- Training Program for Federal TRIO Programs
- Opportunity number
- ED-GRANT-26-026
- Issued by
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Department of Labor
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ED SF424 Supplement D:20061108144631- 05'00' U.S. Department of Education Supplemental Information for the SF-424 Application for Federal Assistance
* Zip Code:
* State:
Address:
Prefix:
* First Name:
Middle Name:
* Last Name:
* Phone Number (give area code)
* Street1:
* City:
Suffix:
* Email Address:
1. Project Director and Applicable Entity Identification Numbers:
Fax Number (give area code) Street2:
* Country:
County:
OMB Number: 1894-0007 Expiration Date: 04/30/2026
* Project Director Level of Effort (percentage of time devoted to grant):
Alternate Email Address:
OPE ID(s) (if applicable) NCES School ID(s) (if applicable) NCES LEA/School District ID(s) (if applicable)
2. General Education Provision Act Section 427 Assurance:
I assure that the proposed project complies with the requirements in section 427 of the General Education Provisions Act (20 U.S.C. 1228a). Compliance can be found on the following page(s) of the application:
3. New Potential Grantee:
N/A. This item is not applicable because the program competition’s notice inviting applications (NIA) does not include a definition “New Potential Grantee.” This item is not applicable when the program competition’s NIA does not include the definition.
For NIA’s that include a definition of “New Potential Grantee,” complete the following: Are you a new potential grantee as defined in the program competition’s NIA?
New Potential Grantee is required if N/A is not checked.
New Potential Grantee is required if N/A is not checked.
4. Human Subjects Research:
Are any research activities involving human subjects planned at any time during the proposed project Period?
Are ALL the research activities proposed designated to be exempt from the regulations?
c. If applicable, please attach your "Exempt Research" or "Nonexempt Research" narrative to this form as indicated in the definitions page in the attached instructions.
Provide Federal Wide Assurance #(s), if available:
Provide Exemption(s) #(s):
b. Are ALL the research activities proposed designated to be exempt from the regulations?
a. Are any research activities involving human subjects planned at any time during the proposed Project Period?
5. Infrastructure Programs and Build America, Buy America Act Applicability:
If the competition Notice Inviting Applications (NIA) in section III. 4. “Other” states that the program under which this application is submitted is subject to the Build America, Buy America Act (Pub. L. 117-58) (BABAA) domestic sourcing requirements, complete the following:
This application does not include any infrastructure projects or activities and therefore IS NOT subject the BABAA domestic sourcing requirements.
This application IS subject to the BABAA domestic sourcing requirements, because the proposed grant project described in this application includes the following infrastructure projects or activities:
If this application IS subject to the BABAA domestic sourcing requirements, please list the page numbers from within the application narrative where the proposed infrastructure project or activities are described:
| XDPFirstField: |
| Mandatory: |
| Prefix: Enter the prefix (e.g., Mr., Mrs., Rev) for the Project Director.: |
| First Name: Enter first (given) name of the designated Project Director for the project. This field is required.: |
| Middle Name: Enter middle (family) name of the designated Project Director for the project.: |
| Last Name: Enter last (family) name of the designated Project Director for the project. This field is required.: |
| Suffix: Enter the suffix (e.g., Jr., Sr., PhD), if appropriate, for the Project Director.: |
| Street1: Enter street address for the Project Director's office. This field is required.: |
| Street2: Enter second line of the street address for the Project Director's office.: |
| City: Enter city for the Project Director's office. This field is required.: |
| County: Enter the County for the Project Director's office.: |
| State: Select the state in which the Project Director's office is found.: |
| ZIP / Postal Code: Enter the ZIP / Postal Code for the Project Director's office.: |
| Country: Select the country for the Project Director. This field is required.: USA: UNITED STATES |
| Phone Number: Project Director phone number, including area code. This field is required.: |
| Fax Number: Project Director fax number, including area code.: |
| Email Address: Project Director email address. This field is required.: |
| Project Director Level of Effort: Enter Project Director Level of Effort (percentage of time devoted to grant). This field is required.: |
| Alternate Email Address: Project Director alternate email address. : |
| OPE ID(s) (if applicable): Enter OPE ID information as appropriate.: |
| NCES School ID(s) (if applicable): Enter NCES School ID information as appropriate.: |
| NCES LEA/School District ID(s) (if applicable): Enter NCES LEA/School District ID information as appropriate.: |
| General Education Provisions Act Compliance: I assure that the proposed project complies with the requirements in section 427 of the General Education Provisions Act (20 U.S.C. 1228a). This field is required. Check to select.: |
| Page Number(s): Please list the page numbers of the application where the compliance can be found. This field is required.: |
| Not Applicable: This item is not applicable because the program competition’s notice inviting applications (NIA) does not include a definition “New Potential Grantee.” This item is not applicable when the program competition’s NIA does not include the definition. Check to select.: |
| New Potential Grantee: One selection is required if N/A is not checked. |
Yes: Check "Yes" if you meet the definition for new potential grantees specified in the program competition’s NIA and included on the attached page entitled "Definitions for U.S. Department of Education Supplemental Information for the SF-424." By checking "Yes" the applicant certifies that it meets the new potential grantee requirements.:
New Potential Grantee: One selection is required if N/A is not checked.
No: Check "No" if you do not meet the definition for new potential grantees specified in the program competition’s NIA and included on the attached page entitled "Definitions for U.S. Department of Education Supplemental Information for the SF-424.":
| Human Subjects Research Yes: Check "Yes" if research activities involving human subjects are planned at any time during the proposed project period, either at the applicant organization or at any other performance site or collaborating institution. Check "Yes" even if the research is exempt from the regulations for the protection of human subjects. (See I.B. "Exemptions" in attached page entitled "Definitions for U.S) Department of Education Supplemental Information for the SF-424 Application for Federal Assistance Form."): |
| Human Subjects Research No: Check "No" if research activities involving human subjects are not planned at any time during the proposed project period. The remaining parts of this item are then not applicable.: |
| Exempt from Regulations Yes: Check "Yes" if all the research activities proposed are designated to be exempt from the regulations. Check the exemption number(s) corresponding to one or more of the eight exemption categories (Regulation revised in 2018 and became effective in 2019) listed in I.B. "Exemptions." In addition, follow the instructions in II.A. "Exempt Research Narrative" in the attached page entitled "Definitions for U.S. Department of Education Supplemental Information for the SF-424 Application for Federal Assistance." Attach this narrative below. : |
| Exempt from Regulations No: Check "No" if some or all of the planned research activities are covered (not exempt). In addition, follow the instructions in II.B. "Nonexempt Research Narrative" in the attached page entitled "Definitions for U.S. Department of Education Supplemental Information for the SF-424 Application for Federal Assistance." Attach this narrative below.: |
| Exemption Number 1: Check the exemption number(s) corresponding to one or more of the eight exemption categories (Regulation revised in 2018 and became effective in 2019) listed in I.B. "Exemptions." In addition, follow the instructions in II.A. "Exempt Research Narrative" in the attached page entitled "Definitions for U.S. Department of Education Supplemental Information for the SF-424 Application for Federal Assistance." Attach this narrative below. Attach this narrative below.: |
| Exemption Number 2: Check the exemption number(s) corresponding to one or more of the eight exemption categories (Regulation revised in 2018 and became effective in 2019) listed in I.B. "Exemptions." In addition, follow the instructions in II.A. "Exempt Research Narrative" in the attached page entitled "Definitions for U.S. Department of Education Supplemental Information for the SF-424 Application for Federal Assistance." Attach this narrative below. Attach this narrative below.: |
| Exemption Number 3: Check the exemption number(s) corresponding to one or more of the eight exemption categories (Regulation revised in 2018 and became effective in 2019) listed in I.B. "Exemptions." In addition, follow the instructions in II.A. "Exempt Research Narrative" in the attached page entitled "Definitions for U.S. Department of Education Supplemental Information for the SF-424 Application for Federal Assistance." Attach this narrative below. Attach this narrative below.: |
| Exemption Number 4: Check the exemption number(s) corresponding to one or more of the eight exemption categories (Regulation revised in 2018 and became effective in 2019) listed in I.B. "Exemptions." In addition, follow the instructions in II.A. "Exempt Research Narrative" in the attached page entitled "Definitions for U.S. Department of Education Supplemental Information for the SF-424 Application for Federal Assistance." Attach this narrative below. Attach this narrative below.: |
| Exemption Number 5: Check the exemption number(s) corresponding to one or more of the eight exemption categories (Regulation revised in 2018 and became effective in 2019) listed in I.B. "Exemptions." In addition, follow the instructions in II.A. "Exempt Research Narrative" in the attached page entitled "Definitions for U.S. Department of Education Supplemental Information for the SF-424 Application for Federal Assistance." Attach this narrative below. Attach this narrative below.: |
| Exemption Number 6: Check the exemption number(s) corresponding to one or more of the eight exemption categories (Regulation revised in 2018 and became effective in 2019) listed in I.B. "Exemptions." In addition, follow the instructions in II.A. "Exempt Research Narrative" in the attached page entitled "Definitions for U.S. Department of Education Supplemental Information for the SF-424 Application for Federal Assistance." Attach this narrative below. Attach this narrative below.: |
| Exemption Number 7: Check the exemption number(s) corresponding to one or more of the eight exemption categories (Regulation revised in 2018 and became effective in 2019) listed in I.B. "Exemptions." In addition, follow the instructions in II.A. "Exempt Research Narrative" in the attached page entitled "Definitions for U.S. Department of Education Supplemental Information for the SF-424 Application for Federal Assistance." Attach this narrative below. Attach this narrative below.: |
| Exemption Number 8: Check the exemption number(s) corresponding to one or more of the eight exemption categories (Regulation revised in 2018 and became effective in 2019) listed in I.B. "Exemptions." In addition, follow the instructions in II.A. "Exempt Research Narrative" in the attached page entitled "Definitions for U.S. Department of Education Supplemental Information for the SF-424 Application for Federal Assistance." Attach this narrative below. Attach this narrative below.: |
| Provide Assurance Number: If the applicant has an approved Federal Wide (FWA) on file with the Office for Human Research Protections (OHRP), U.S. Department of Health and Human Services, that covers the specific activity, insert the number in the space provided. (A list of current FWAs is available at: http://ohrp.cit.nih.gov/search/search.aspx?styp=bsc.) If the applicant does not have an approved assurance on file with OHRP, enter "None." In this case, the applicant, by signature on the SF-424, is declaring that it will comply with 34 CFR part 97 and proceed to obtain the human subjects assurance upon request by the designated ED official. If the application is recommended/selected for funding, the designated ED official will request that the applicant obtain the assurance within 30 days after the specific formal request.: |
| Narrative: If applicable, please attach your "Exempt Research" or "Nonexempt Research" narrative to your submission of the U.S. Department of Education Supplemental Information for the SF-424 form as instructed in item II, “Instructions for Exempt and Nonexempt Human Subjects Research Narratives” in the attached page entitled “Definitions for U.S. Department of Education Supplemental Information for the SF-424 Application for Federal Assistance.”: |
| Narrative - Add Attachment: If applicable, please attach your "Exempt Research" or "Nonexempt Research" narrative to your submission of the U.S. Department of Education Supplemental Information for the SF-424 form as instructed in item II, “Instructions for Exempt and Nonexempt Human Subjects Research Narratives” in the attached page entitled “Definitions for U.S. Department of Education Supplemental Information for the SF-424 Application for Federal Assistance.” : |
| Narrative - Delete Attachment: |
| Narrative - View Attachment: |
| FileName: |
| MimeType: |
| href: |
| hashAlgorithm: |
| HashValue_data: |
| Subject to BABAA: One selection is required. |
Subject to BABAA No: This application does not include any infrastructure projects or activities and therefore IS NOT subject the BABAA domestic sourcing requirements. Check to select.:
Subject to BABAA: One selection is required.
Subject to BABAA Yes: This application IS subject to the BABAA domestic sourcing requirements, because the proposed grant project described in this application includes the following infrastructure projects or activities. Check to select.:
| Construction: Check to select.: |
| Remodeling: Check to select.: |
| Broadband Infrastructure: Check to select.: |
| Page Numbers: If this application IS subject to the BABAA domestic sourcing requirements, please list the page numbers from within the application narrative where the proposed infrastructure project or activities are described.: |
| LastField: |
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