P22AS00413 - GRCA FLAG Prescribed Fire NOFO - Extension.docx

U.S. Department of the Interior National Park Service

Financial Assistance Notice of Funding Opportunity (NOFO)

Note: Per 2 CFR 1402.204 (f) Bureaus and offices must consider the timeliness of the application submission. Applications that are submitted beyond the announced deadline date must be removed from the review process.

Applications must be emailed to: nofo-imr@nps.gov

Table of Contents

Section A: Program Description

Legislative Authority: 54 U.S. Code § 101702 - Cooperative agreements, (a)Transfer of Service Appropriated Funds. A cooperative agreement entered into by the Secretary that involves the transfer of Service appropriated funds to a State, local, or tribal government or other public entity, an educational institution, or a private nonprofit organization to carry out public purposes of a Service program is a cooperative agreement properly entered into under section 6305 of title 31.

Assistance Listing (formerly CFDA) Number: 15.954

Federal Regulations: 2 C.F.R. § 200, 2 C.F.R. § 1402

Program Background, Objectives and Goals: Grand Canyon National Park (GRCA) hosts a robust Prescribed Fire program that encompasses not only the North and South Rims of the Park, but includes Walnut Canyon (WACA), Wupatki, (WUPA), Sunset Crater (SUCR), Tuzigoot (TUZI), and Montezuma’s Castle (MOCA) National Monuments located Northern Arizona. Priority fuels reduction and ecological restoration work occurs in all listed locations and assistance from qualified cooperators will be necessary to meet the planned program of work. Federal funding will be allocated for Prescribed Fire support, ecological restoration, and hazardous fuels reduction projects, which will be necessary to meet the programmatic goals of the National Park Service (NPS). Applicants must demonstrate their ability to contribute to successful implementation of Prescribed Fire and Fuels work. Notable areas of evaluation criteria include ability to mobilize and arrive at the project site within 2-4 hours of notification, capable firefighting equipment, and personnel possessing National Wildfire Coordinating Group (NWCG) qualifications recognized within the wildland fire discipline.

Section B: Federal Award Information

Estimated Total Funding: (minimum $5,000 - maximum $100,000) The amount of funding available per award for this NOFO will be determined once final fiscal year (FY) 2023 appropriations have been made. This NOFO will be cancelled if FY 2023 appropriations are insufficient to support new awards.

Expected Award Amount:

An estimated range of $5,000 to $50,000 of funding is anticipated for each award.

The amount of funding available per award for this NOFO will be determined as part of the application review process based on applications received and funding made available through appropriations.

Anticipated Award Date:

Projects receiving funding through this NOFO will start once funding has been secured and awards have been made. Funds are targeted to be distributed during the prescribed fire season beginning in the fall of 2022 (FY23) and continue as funds become available for the subsequent five years.

Anticipated Term of the Agreement: October 01, 2022 - September 30, 2027 Agreement terms for funded projects can range between one and five years, depending on the negotiated project statement of work. Agreements are not effective until fully executed with signature from the NPS Financial Assistance Awarding Officer.

Estimated Number of Agreements to be Awarded: 2 Each activity or project under this agreement will be treated individually, with more detail through project statements, project plans and budgets developed cooperatively between the NPS and the non-Federal entity.

Funding Instrument Type - Master Cooperative Agreement: A master cooperative agreement is an agreement with a non-Federal entity in which more than one project is anticipated. This type of cooperative agreement includes a detailed description of all types of work that can be done under the agreement. The master cooperative agreement will also establish the overarching terms and conditions agreed to by the National Park Service and the non-Federal entity and are not funded. Specific projects and funding under a master agreement are identified through task agreements, which are issued under the applicable legal authority documented in the master cooperative agreement. A specific task agreement will always reference, and be subject to, the terms and conditions of the master cooperative agreement.

Substantial Involvement for Cooperative Agreement may include:

· NPS is involved with the non-Federal entity in describing the goals, jointly developing the scope and the activities to be accomplished. This must be combined with other substantial involvement, such as providing technical assistance or any of the statements listed below, that goes beyond Federal stewardship responsibilities.

· NPS staff will assist the non-Federal entity in determining projects, providing orientation to park resources, overseeing assignments, teaching new skills, distributing tools and equipment and providing technical assistance and safety training.

· NPS will provide the services of a Program Coordinator to serve as liaison to (the non-Federal entity) for the work under this agreement. This includes consulting and working specifically with the non-Federal entity’s program coordinator.

Other Information: Applications for renewal or supplementation of existing projects are not eligible to compete with applications for new Federal awards.

Section C: Eligibility Information

1. Eligible Applicants

In accordance with 54 USC §101702(a), this funding opportunity is limited to educational institutions, non-profit organizations, state and local governments and tribal governments. For profit organizations, foreign organizations, and governments outside the United States and its territories are not eligible to apply.

Excluded Parties:

NPS conducts a review of the SAM.gov Exclusions database for all applicant entities and their key project personnel prior to award. The NPS cannot award funds to entities or their key project personnel identified in the SAM.gov Exclusions database as ineligible, prohibited/restricted or otherwise excluded from receiving Federal contracts, certain subcontracts, and certain Federal assistance and benefits, as their ineligibility condition applies to this Federal program.

Foreign Entities or Projects:

This program does not provide funding to foreign entities or for projects conducted outside the United States.

Section D: Application and Submission Information

1. Address to Request Application Package A complete application package is described in this Section and has been included within this NOFO for your convenience, in Appendix A. The application package contains both mandatory standard forms (SF) and various optional templates that may be used to satisfy other stated application requirements.

2. Contents and Form of Application Submission You must complete the mandatory standard forms and any applicable optional forms, in accordance with the instructions below, as required by this NOFO. Do not include any proprietary or personally identifiable information. A complete application should include:

Mandatory Requirements:

· Standard Form 424 (SF 424) - Application for Federal Assistance. Complete this form as much as possible with all applicable information.

· Standard Form 424B (SF 424B) – Assurances This form must be signed and submitted with your application.

· Project Narrative - Proposal Submission Format The proposal is a narrative description in MS Word that should specifically address each of the review criteria (see Section E). The proposal text must be no longer than 10 pages, no smaller than font size 11, and have 1-inch margins. The 10-page limit includes all text, figures, references, and resumes (Forms SF-424, SF-424B, SF-LLL, and the statement of indirect charges are not counted as part of the page limit). Additionally, only information that is pertinent to the proposal should be included.

Optional Requirements:

· Conflict of Interest Disclosure Per the Financial Assistance Interior Regulation (FAIR), 2 CFR §1402.112, applicants must state in their application if any actual or potential conflict of interest exists at the time of submission.

Applicability.

· This section intends to ensure that non-Federal entities and their employees take appropriate steps to avoid conflicts of interest in their responsibilities under or with respect to Federal financial assistance agreements.

· In the procurement of supplies, equipment, construction, and services by recipients and by sub recipients, the conflict of interest provisions in 2 CFR §200.318 apply.

Notification.

· Non-Federal entities, including applicants for financial assistance awards, must disclose in writing any conflict of interest to the DOI awarding agency or pass-through entity in accordance with 2 CFR §200.112.

· Recipients must establish internal controls that include, at a minimum, procedures to identify, disclose, and mitigate or eliminate identified conflicts of interest. The recipient is responsible for notifying the Financial Assistance Officer in writing of any conflicts of interest that may arise during the life of the award, including those that have been reported by sub recipients.

Restrictions on lobbying. Non-Federal entities are strictly prohibited from using funds under a grant or cooperative agreement for lobbying activities and must provide the required certifications and disclosures pursuant to 43 CFR §18 and 31 USC §1352.

Review procedures. The Financial Assistance Officer will examine each conflict-of-interest disclosure on the basis of its particular facts and the nature of the proposed grant or cooperative agreement and will determine whether a significant potential conflict exists and, if it does, develop an appropriate means for resolving it.

Enforcement. Failure to resolve conflicts of interest in a manner that satisfies the government may be cause for termination of the award. Failure to make required disclosures may result in any of the remedies described in 2 CFR §200.339, Remedies for noncompliance, including suspension or debarment (see also 2 CFR §180).

· Uniform Audit Reporting Statement U.S. states, local governments, federally recognized Indian tribes, institutions of higher education, and non- profit organizations expending $750,000 USD or more in Federal award funds in the applicant’s fiscal year must submit a Single Audit report for that year through the Federal Audit Clearinghouse’s Internet Data Entry System, in accordance with 2 CFR 200 subpart F. U.S. state, local government, federally recognized Indian tribes, institutions of higher education, and non-profit applicants must state if your organization was or was not required to submit a Single Audit report for the most recently closed fiscal year. If your organization was required to submit a Single Audit report for the most recently closed fiscal year, provide the EIN associated with that report and state if it is available through the Federal Audit Clearinghouse website.

· Certification Regarding Lobbying Applicants requesting more than $100,000 in Federal funding must certify to the statements in 43 CFR Part 18, Appendix A-Certification Regarding Lobbying. If this application requests more than $100,000 in Federal funds, the Authorized Official’s signature on the appropriate SF-424, Application for Federal Assistance form also represents the entity’s certification of the statements in 43 CFR Part 18, Appendix A.

· Disclosure of Lobbying Activities Applicants and recipients must not use any federally appropriated funds (annually appropriated or continuing appropriations) or matching funds under a Federal award to pay any person for lobbying in connection with the award. Lobbying is influencing or attempting to influence an officer or employee of any U.S. agency, a Member of the U.S. Congress, an officer or employee of the U.S. Congress, or an employee of a Member of the U.S. Congress connection with the award. Applicants and recipients must complete and submit the SF-LLL, “Disclosure of Lobbying Activities” form if the Federal share of the proposal or award is more than $100,000 and the applicant or recipient has made or has agreed to make any payment using non-appropriated funds for lobbying in connection with the application or award. The SF-LLL form is available with this Funding Opportunity on Grants.gov. See 43 CFR, Subpart 18.100 and 31 USC 1352 for more information on when additional submission of this form is required.

· Overlap or Duplication of Effort Statement If the project proposed in this application is funded through another Federal financial assistance award, in part or in whole, the applicant must provide a statement detailing the potential funding overlap in regard to activities, costs, or time commitment of key personnel. Provide a copy of any overlapping or duplicative proposal submitted to any other potential funding entity and identify when that proposal was submitted or copy of Federal financial assistance award covering activities covered under this proposal. The statement and the description of overlap or duplication, when applicable, may be provided within the proposal or as a separate attachment to the application. Any overlap or duplication of funding between the proposed project and other active or anticipated projects may impact selection and/or funding amount. If no such overlap or duplication exists, state, “There are no overlaps or duplication between this application and any of our other Federal applications or funded projects”.

If selected for award, NPS reserves the right to request additional or clarifying information for any reason deemed necessary, including, but not limited to:

(a) Other budget information

(b) Financial capability

(c) Evaluation of risk

(d) Name and phone number of the Designated Responsible Employee for complying with national policies prohibiting discrimination (See 43 C.F.R. § 17)

3. Unique Entity Identifier and System for Award Management (SAM)

This requirement does not apply to individuals applying for funds as an individual (i.e., unrelated to any business or nonprofit organization you may own, operate, or work within), or any entity with an exception to bypass SAM.gov registration with prior approval from the funding bureau or office in accordance with bureau or office policy. All other applicants are required to register in SAM.gov prior to submitting a Federal award application and obtain a Unique Entity Identifier (UEI) which replaced Data Universal Numbering System (DUNS) number from Dun & Bradstreet in April 2022. A Federal award may not be made to an applicant that has not completed the SAM.gov registration. If an applicant selected for funding has not completed their SAM.gov registration by the time the program is ready to make an award, the program may determine the applicant is not qualified to receive an award. Federal award recipients must also continue to maintain an active SAM.gov registration with current information through the life of their Federal award(s). See the “Submission Requirements” section of this document below for more information on SAM.gov registration. There is no cost to register with Dun & Bradstreet or SAM.gov. There are third-party vendors who will charge a fee in exchange for registering entities with Dun & Bradstreet and SAM.gov; please be aware you can register and request help for free.

Obtain a UEI Entities doing business with the government will use the Unique Entity Identifier (UEI) created in SAM.gov. A UEI will be assigned to entities upon registering with SAM.

Register with the System for Award Management (SAM) Applicants can register on the SAM.gov website. The “Help” tab on the website contains User Guides and other information to assist you with registration. The Grants.gov “Register with SAM” page also provides detailed instructions. Applicants can contact the supporting Federal Service Desk for help registering in SAM. Once registered in SAM, entities must renew and revalidate their SAM registration at least once every 12 months from the date previously registered. Entities are strongly encouraged to revalidate their registration as often as needed to ensure their information is up to date and reflects changes that may have been made to the entity’s IRS information. If applicable, foreign entities who want to receive payment directly to a U.S. bank account must enter and maintain valid, current banking information in SAM.

4. Submission Dates and Times Applicants are held responsible for their proposals being submitted to the National Park Service. Applications must be received by Tuesday September 6th by 4:00 PM MT. Applicants are encouraged to submit the application well before the deadline. Note: Per 2 CFR 1402.204 (f) Bureaus and offices must consider the timeliness of the application submission. Applications that are submitted beyond the announced deadline date must be removed from the review process.

Application preparation time may take several weeks, so please start the application process as soon as possible. If it is determined that a proposal was not considered due to lateness, the applicant will be notified during the selection process.

5. Intergovernmental Review This funding opportunity is not subject to Executive Order (EO) 12372 “Intergovernmental Review of Federal Programs.” Applicants subject to EO 12372 must contact their State’s Single Point of Contact (SPOC) to find out about and comply with the State’s process. The names and addresses of the SPOC’s are listed in the OMB’s home page at: http://www.whitehouse.gov/omb/grants_spoc/

6. Funding Restrictions Costs incurred by the applicant prior to the start date of the period of performance of a signed Federal award are only allowable with written approval by a Financial Assistance Awarding Officer.

7. Other Submission Requirements Applications must be submitted by email to the National Park Service by the deadline identified in paragraph 4 above. Applications submitted by other means or not received by the deadline will not be considered.

Applications must be sent via email to: nofo-imr@nps.gov

In the event the applicant experiences technical difficulties with submitting their application, please contact: Todd Wilson at todd_wilson@nps.gov or Matthew Brown matthew_brown@nps.gov

START THIS PROCESS EARLY DON’T DELAY!

Section E: Application Review Information

1. Criteria NPS will evaluate and consider only those applications that separately address each of the merit review criteria in the project Narrative application requirement. Each applicant is required to provide a detailed project narrative, in accordance with section D.2., of the following criteria elements. It is HIGHLY recommended that the project narrative has sections labeled by criterion.

Criterion 1

Title / Description

Weight 50%

Describe how your unit will demonstrate the ability to efficiently mobilize and arrive to any of the referenced Prescribed Fire sites in Northern Arizona within 2-4 hours of notification. Prescribed fire sites include both the North and South Rims of the Grand Canyon as well as Northern Arizona National Monuments listed in the program background, objectives, and goals on page 1.

Criterion 2

Title / Description

Weight 20%

Describe how you will provide qualified staff that is “red carded” and carry National Wildfire Coordinating Group (NWCG) qualifications such as, but not limited to: Firefighter 2 (FFT2), Firefighter 1 (FFT1), Firing Boss (FIRB), Engine Operator (ENOP), Engine Boss (ENGB), Crew Boss (CRWB), Task Force Leader (TFLD), Division Group Supervisor (DIVS), Burn Boss Type 2 (RXB2), Emergency Medical Technician (EMT), and Paramedic Fireline (EMPF).

Please list specific fire-line and medical qualifications that are represented within your organization and how many individuals you will be able to make available for assistance.

Criterion 3

Title / Description

Weight 20%

Please describe what specialized equipment and wildland crew configurations will be provided by your unit to assist in implementation of prescribed fire operations. Specialized equipment includes but is not limited to: Type 6 (T6) or Type 3 (T3) engines, Utility Task Vehicle (UTV), water tender, hand tools, chainsaws, drip torches, and fuel trailer. Also state what other specialized equipment your unit will provide to be in accordance with fire line rules and regulations such as Personal Protective Equipment (PPE) (backpacks, boots, nomex, etc).

Criterion 4

Title / Description

Weight 10%

Please describe how you will be self-sufficient for travel and per diem to and from job sites while conducting Prescribed Fire activities.

2. Review and Selection Process NPS personnel, and in some cases independent reviewers, will review all proposals. All proposals for funding will be considered using the criteria outlined above. A summary of the review panel comments may be provided to the applicant if requested.

a. Initial Review Prior to conducting the comprehensive merit review, an initial review will be performed to determine whether: (1) the applicant is eligible for an award; (2) the information required by the NOFO has been submitted; (3) all mandatory requirements of the NOFO are satisfied; and (4) the proposed project is responsive to the program objectives of the NOFO (program determination). If an applicant fails to meet the requirements or objectives of the NOFO, or does not provide sufficient information for review, the applicant will be considered non-responsive and eliminated from further review.

b. Comprehensive Merit Review All applications that satisfactorily pass the initial review will be eligible for the Comprehensive Merit Review. Each criteria element will be scored on a 0-10 point scale:

The following numerical rating values may be assigned: 10, 9, 8, 7, 6, 5, 4, 3, 2, 1, and 0.

The scoring of each criterion must be based on the strengths and weaknesses of the application narrative. To assist in assigning an appropriate score, the following will be used as a guideline:

c. Selection The Selection Official may consider the merit review recommendation, program policy factors, and the amount of funds available to select applications for funding.

Program Policy factors that may be considered: geographic distribution of project performance and impact, project addresses a critical resource, diversity of project partners, leveraging of programmatic resources.

d. Discussions and Award The Government may enter into discussions with a selected applicant for any reason deemed necessary, including, but not limited to: (1) only a portion of the application is selected for award; (2) the Government needs additional information to determine that the applicant is capable of complying with the requirements of DOI Financial Assistance Regulations, and/or (3) additional specific terms and conditions are required. Failure to satisfactorily resolve the issues identified by the Government may preclude award to the applicant.

3. CFR – Regulatory Information See the National Park Service’s Award Terms and Conditions for the general administrative and national policy requirements applicable to Service awards. The Service will communicate any other program- or project-specific special terms and conditions to recipients in their notices of award.

Evaluation of Applicant Risk In accordance with 2 C.F.R. § 200.205, applications selected for funding will be subject to a pre-award risk assessment which may include a review of information contained within the applicant’s proposal, past audits, Federal Awardee Performance and Integrity Information System (FAPIIS), and/or past performance on previous Federal financial assistance awards. Negative information that leads to an applicant being designated as “Medium Risk” or “High Risk” may result in specific conditions, as identified in 2 C.F.R. § 200.207, being incorporated into the final award.

Prior to making a Federal award, any information about the applicant that is in the designated integrity and performance (currently FAPIIS) will be reviewed and considered (see 41 U.S.C. § 2313). Applicants may review and comment about any information about itself in FAPIIS. The Federal awarding agency will consider any comments by the applicant, in addition to the other information in the designated integrity and performance system, in making a judgment about the applicant's integrity, business ethics, and record of performance under Federal awards when completing the review of risk posed by applicants as described in 2 C.F.R. §200.205

4. Anticipated Announcement and Federal Award Dates

Estimated date of Federal Award: October 15, 2022.

Estimated date notifying successful and unsuccessful applicants: September 15, 2022.

Section F: Federal Award Administration Information

1. Federal Award Notices Upon being selected for the award, successful applicants will receive a notification of the selection of their application for funding. NPS estimates it will notify the applicant selected for award by September 1, 2022. A notice of selection is not an authorization to begin performance on an agreement. This notice will detail the next steps in the awarding process. Once all clearances and reviews have been conducted, a grant/cooperative agreement will be sent for signature.

Work cannot begin before the non-Federal entity receives a fully executed copy of the grant/cooperative agreement which contains the signature of the Financial Assistance Awarding Officer. Any pre-award costs incurred prior to the receipt of a signed agreement or written notice signed by a Financial Assistance Awarding Officer authorizing pre-award costs, is at the applicant’s own risk. A signed grant/cooperative agreement signed by a Financial Assistance Awarding Officer is the only authorizing document to begin performance.

Organizations whose applications have not been selected will be advised as promptly as possible.

2. Administrative and National Policy Requirements

See the “DOI Standard Terms and Conditions” for the administrative and national policy requirements applicable to DOI awards.

Data Availability Per the Financial Assistance Interior Regulation (FAIR), 2 CFR §1402.315:

(a) All data, methodology, factual inputs, models, analyses, technical information, reports, conclusions, valuation products or other scientific assessments in any medium or form, including textual, numerical, graphic, cartographic, narrative, or audiovisual, resulting from a financial assistance agreement is available for use by the Department of the Interior, including being available in a manner that is sufficient for independent verification.

(b) The Federal Government has the right to:

(1) Obtain, reproduce, publish, or otherwise use the data, methodology, factual inputs, models, analyses, technical information, reports, conclusions, or other scientific assessments, produced under a Federal award; and

(2) Authorize others to receive, reproduce, publish, or otherwise use such data, methodology, factual inputs, models, analyses, technical information, reports, conclusions, or other scientific assessments, for Federal purposes, including to allow for meaningful third-party evaluation.

3. Reporting

a. Financial Reports: All recipients must use the SF-425, Federal Financial Report form for financial reporting. At a minimum, all recipients must submit a final financial report. Final reports are due no later than 120 calendar days after the award period of performance end date or termination date. For awards with periods of performance longer than 12 months, recipients are required to submit interim financial reports on the frequency established in the Notice of Award. The only exception to the interim financial reporting requirement is if the recipient is required to use the SF 270/271 to request payment and requests payment at least once annually through the entire award period of performance. We will describe all financial reporting requirements in the Notice of Award.

b. Performance Reports: Performance reports must contain a comparison of actual accomplishments with the established goals and objectives of the award; a description of reasons why established goals were not met, if appropriate; and any other pertinent information relevant to the project results. Final reports are due no later than 120 calendar days after the award period of performance end date or termination date. For awards with periods of performance longer than 12 months, recipients are required to submit interim financial reports on the frequency established in the Notice of Award.

c. Real Property Reports: Recipients and subrecipients are required to submit status reports on the status of real property acquired under the award in which the Federal government retains an interest. The required frequency of these reports will depend on the anticipated length of the Federal interest period. The Bureau will include recipient-specific real property reporting requirements, including the required data elements, reporting frequency, and report due dates, in the Notice of Award when applicable.

d. Conflict of Interest Disclosures: Recipients must notify the program immediately in writing of any conflict of interest that arise during the life of their Federal award, including those reported to them by any subrecipient under the award. Recipients must notify the program in writing if any employees, including subrecipient and contractor personnel, are related to, married to, or have a close personal relationship with any Federal employee in the Federal funding program or who otherwise may have been involved in the review and selection of the award. The term employee means any individual engaged in the performance of work pursuant to the Federal award. Recipients may not have a former Federal employee as a key project official, or in any other substantial role related to their award, whose participation put them out of compliance with the legal authorities addressing post-Government employment restrictions. See the U.S. Office of Government Ethics website for more information on these restrictions. The Service will examine each conflict-of-interest disclosure based on its particular facts and the nature of the project and will determine if a significant potential conflict exists. If it does, the Service will work with the recipient to determine an appropriate resolution. Failure to disclose and resolve conflicts of interest in a manner that satisfies the Service may result in any of the remedies described in 2 CFR 200.339 Remedies for Noncompliance, including termination of the award.

e. Other Mandatory Disclosures: The Non-Federal entity or applicant for a Federal award must disclose, in a timely manner, in writing to the Federal awarding agency or pass-through entity all violations of Federal criminal law involving fraud, bribery, or gratuity violations potentially affecting the Federal award. Non-Federal entities that receive a Federal award including the terms and conditions outlined in 2 CFR 200, Appendix XII—Award Term and Condition for Recipient Integrity and Performance Matters are required to report certain civil, criminal, or administrative proceedings to SAM. Failure to make required disclosures can result in any of the remedies described in 2 CFR 200.339 Remedies for Noncompliance, including suspension or debarment.

4. Reporting Matters Related to Recipient Integrity and Performance:

If the total value of your currently active grants, cooperative agreements, and procurement contracts from all Federal awarding agencies exceeds $10,000,000 for any period of time during the period of performance of this Federal award, then you as the recipient during that period of time must maintain the currency of information reported to the System for Award Management (SAM) that is made available in the designated integrity and performance system (currently the Federal Awardee Performance and Integrity Information System (FAPIIS)) about civil, criminal, or administrative proceedings in accordance with Appendix XII to 2 C.F.R. 200.

5. Significant Developments Reports:

Events may occur between the scheduled performance reporting dates which have significant impact upon the supported activity. In such cases, recipients are required to notify the Bureau in writing as soon as the recipient becomes aware of any problems, delays, or adverse conditions that will materially impair the ability to meet the objective of the Federal award. This disclosure must include a statement of any corrective action(s) taken or contemplated, and any assistance needed to resolve the situation. The recipient should also notify the Service in writing of any favorable developments that enable meeting time schedules and objectives sooner or at less cost than anticipated or producing more or different beneficial results than originally planned.

Section G: Federal Awarding Agency Contacts

Program Technical Contact:

Program Administration Contact:

Name:

Todd Wilson

Application System Technical Support:

For Grants.gov technical registration and submission, downloading forms and application packages, contact Grants.gov Customer Support at 1-800-518-4726 or Support@grants.gov.

Section H: Other Information:

Payments Domestic recipients are required to register in and receive payment through the U.S. Treasury’s Automated Standard Application for Payments (ASAP), unless approved for a waiver by the Service program. Foreign recipients receiving funds to a final destination bank outside the U.S. are required to receive payment through the U.S. Treasury’s International Treasury Services (ITS) System. Foreign recipients receiving funds to a final destination bank in the U.S. are required to enter and maintain current banking details in their SAM.gov entity profile and receive payment through the Automated Clearing House network by electronic funds transfer (EFT). The Bureau will include recipient-specific instructions on how to request payment, including identification of any additional information required and where to submit payment requests, as applicable, in all Notices of Award.

Appendix A - Application Package Forms SF424, SF424B image1.jpg image2.emf

SF 424 Application for Federal Assistance.pdf

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SF424_Mandatory_3_0 Page 1 mhughes

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APPLICATION FOR FEDERAL ASSISTANCE SF-424 - MANDATORY

OMB Number: 4040-0020

Expiration Date: 01/31/2023

1.a. Type of Submission:

Other (specify):

1.b. Frequency:

Other (specify):

1.d. Version:

2. Date Received:

3. Applicant Identifier:

4a. Federal Entity Identifier:

4b. Federal Award Identifier:

5. Date Received by State:

6. State Application Identifier:

c. UEI:

Department Name:

Division Name:

Street1:

Street2:

City:

County / Parish:

State:

Province:

Zip / Postal Code:

Country:

b. Employer/Taxpayer Identification Number (EIN/TIN):

Prefix:

First Name:

Middle Name:

Last Name:

Suffix:

Title:

Organizational Affiliation:

Telephone Number:

Fax Number:

Email:

STATE USE ONLY:

7. APPLICANT INFORMATION:

d. Address:

a. Legal Name:

e. Organizational Unit:

f. Name and contact information of person to be contacted on matters involving this submission:

Type of Submission: Select one type of submission in accordance with agency instructions. This field is required.

Type of Submission is required: Select one type of submission in accordance with agency instructions.

Frequency: Select the applicable frequency for the type of submission. This field is required.

Frequency is required: Select the applicable frequency for the type of submission.

1.c. Consolidated Application/Plan/Funding Request?

Consolidated Application/Plan/Funding Request: Indicate if the submission is a consolidated application/plan/funding request.

Version: Select the applicable version for the type of submission. This field is required.

Version is required: Select the applicable version for the type of submission.

8a. TYPE OF APPLICANT:

Other (specify):

b. Additional Description:

9. Name of Federal Agency:

10. Catalog of Federal Domestic Assistance Number:

CFDA Title:

a. Applicant:

b. Program/Project:

a. Start Date:

b. End Date:

a. Federal ($):

b. Match ($):

16. IS SUBMISSION SUBJECT TO REVIEW BY STATE UNDER EXECUTIVE ORDER 12372 PROCESS?

Is Submission Subject to Review: Applicants should contact the State Single Point of Contact (SPOC) for Federal Executive Order 12372 to determine whether the application is subject to the State intergovernmental review process. This field is required.

13. CONGRESSIONAL DISTRICTS OF:

14. FUNDING PERIOD:

15. ESTIMATED FUNDING:

APPLICATION FOR FEDERAL ASSISTANCE SF-424 - MANDATORY

Attach an additional list of Program/Project Congressional Districts if needed.

11. Descriptive Title of Applicant's Project:

12. Areas Affected by Funding:

Is Submission Subject to Review is required: Applicants should contact the State Single Point of Contact (SPOC) for Federal Executive Order 12372 to determine whether the application is subject to the State intergovernmental review process.

17. Is The Applicant Delinquent On Any Federal Debt?

Prefix:

First Name:

Middle Name:

Last Name:

Suffix:

Title:

Organizational Affiliation:

Telephone Number:

Email:

Fax Number:

Signature of Authorized Representative:

Date Signed:

18. By signing this application, I certify (1) to the statements contained in the list of certifications** and (2) that the statements herein are true, complete and accurate to the best of my knowledge. I also provide the required assurances** and agree to comply with any resulting terms if I accept an award. I am aware that any false, fictitious, or fraudulent statements or claims may subject me to criminal, civil, or administrative penalties. (U.S. Code, Title 218, Section 1001)

Authorized Representative:

Attach supporting documents as specified in agency instructions.

APPLICATION FOR FEDERAL ASSISTANCE SF-424 - MANDATORY

** This list of certifications and assurances, or an internet site where you may obtain this list, is contained in the announcement or agency specific instructions.

Is The Applicant Delinquent On Any Federal Debt: This question applies to the applicant organization, not the person who signs as the authorized representative. This field is required.

Is The Applicant Delinquent On Any Federal Debt is required: This question applies to the applicant organization, not the person who signs as the authorized representative.

** I Agree

Form Attachments:

APPLICATION FOR FEDERAL ASSISTANCE SF-424 - MANDATORY

Consolidated Application/Plan/Funding Request Explanation:

APPLICATION FOR FEDERAL ASSISTANCE SF-424 - MANDATORY

Applicant Federal Debt Delinquency Explanation:

APPLICATION FOR FEDERAL ASSISTANCE SF-424 - MANDATORY

XDPFirstField:

Mandatory:

ViewBurdenStatement:

TextField1:

Type of Submission: Select one type of submission in accordance with agency instructions. This field is required.

Application: Select if the type of submission is an Application.:

Type of Submission: Select one type of submission in accordance with agency instructions. This field is required.

Plan: Select if the type of submission is a Plan.:

Type of Submission: Select one type of submission in accordance with agency instructions. This field is required.

Funding Request: Select if the type of submission is a Funding Request.:

Type of Submission: Select one type of submission in accordance with agency instructions. This field is required.

Other: Select "Other" if submission is not an application, plan, or funding request.:

Other (specify): Specify the type of submission in the text box.:

Frequency: Select the applicable frequency for the type of submission. This field is required.

Annual: Select if the frequency of the submission is Annual.:

Frequency: Select the applicable frequency for the type of submission. This field is required.

Quarterly: Select if the frequency of the submission is Quarterly.:

Frequency: Select the applicable frequency for the type of submission. This field is required.

Other: Select "Other" if the frequency of the submission is other than quarterly or annual.:

Other (specify): Specify the frequency of the submission.:

Consolidated Request: Indicate if the submission is a consolidated application/plan/funding request.

Yes: Select if the submission is a consolidated application/plan/funding request.:

Consolidated Request: Indicate if the submission is a consolidated application/plan/funding request.

No: Select if the submission is not a consolidated application/plan/funding request.:

Version: Select the applicable version for the type of submission. This field is required.

Update: Select if this is a change to an accepted or approved submission.:

DateReceived:

Applicant Identifier: If you wish to use a unique identification number for your own purposes, enter it here.:

Federal Entity ID: Enter the number assigned to your organization by the Federal agency.:

Federal Award ID: Enter the award number previously assigned by the Federal agency, if any.:

Date Received State: Enter the date received by the State, if applicable. Enter in the format mm/dd/yyyy.:

State Application ID: Enter the identifier assigned by the State, if applicable.:

Delinquent Federal Debt Explanation Button: Please indicate the amount of the debt(s) owed and to whom.:

Organization Name: Enter the legal name of the applicant that will undertake the assistance activity. This field is required.:

EIN/TIN: Enter either TIN or EIN as assigned by the Internal Revenue Service. If your organization is not in the US, enter 44-4444444. This field is required.:

Enter the UEI of the applicant organization. This field is required.:

Street1: Enter the first line of the Street Address. This field is required.:

Street2: Enter the second line of the Street Address.:

City: Enter the City. This field is required.:

County / Parish: Enter the County / Parish.:

State: Select the state, US possession or military code from the provided list. This field is required if Country is the United States.:

Province: Enter the Province.:

Country: Select the Country from the provided list. This field is required.:

ZIP/ Postal Code: Enter the nine-digit Postal Code (e.g., ZIP code). This field is required if the country is the United States.:

Department Name: Enter the name of primary organizational department, service, laboratory, or equivalent level within the organization which will undertake the assistance activity.:

Division Name: Enter the name of primary organizational division, office, or major subdivision which will undertake the assistance activity.:

Prefix: Select the Prefix from the provided list or enter a new Prefix not provided on the list.:

First Name: Enter the First Name. This field is required.:

Middle Name: Enter the Middle Name.:

Last Name: Enter the Last Name. This field is required.:

Suffix: Select the Suffix from the provided list or enter a new Suffix not provided on the list.:

Title: Enter the position title.:

Organizational Affiliation: Enter the Organizational Affiliation of the person to contact on matters related to this application.:

Telephone Number: Enter the daytime Telephone Number. This field is required.:

Fax Number: Enter the Fax Number.:

Email: Enter a valid Email Address. This field is required.:

Type of Applicant: Select the appropriate applicant type code. This field is required.:

Other (specify): If you selected "Other" in 8a, specify your applicant type here.:

Additional Description: Enter a secondary description of applicant type, if required by the agency.:

Name of Federal Agency: Pre-populated from the Application cover sheet.:

CFDA Number: Pre-populated from the Application cover sheet.:

CFDA Title: Pre-populated from the Application cover sheet.:

Descriptive Title of Applicant Project: Enter a descriptive title of the project. This field is required.:

Areas Affected by Funding: Enter areas or entities affected using categories specified in the agency instructions.:

Applicant: Enter the Congressional District in the format: 2 character State Abbreviation - 3 character District Number. Examples: CA-005 for California's 5th district, CA-012 for California's 12th district.

If outside the US, enter 00-000.

This field is required.:

Project: Enter the Congressional District in the format: 2 character State Abbreviation - 3 character District Number. Examples: CA-005 for California's 5th district, CA-012 for California's 12th district.

If all districts in a state are affected, enter "all" for the district number. Example: MD-all for all congressional districts in Maryland.

If nationwide (all districts in all states), enter US-all.

If the program/project is outside the US, enter 00-000.:

Start Date: Enter the start date of the funding period for this submission. Enter in the format mm/dd/yyyy. This field is required.:

End Date: Enter the end date of the funding period for this submission. Enter in the format mm/dd/yyyy. This field is required.:

Federal: Enter the dollar amount. This field is required.:

Match: Enter the dollar amount.:

State Review Date: Enter the date the submission was provided to the State for review. Enter in the format mm/dd/yyyy.:

Is Submission Subject to Review: Applicants should contact the State Single Point of Contact (SPOC) for Federal Executive Order 12372 to determine whether the application is subject to the State intergovernmental review process. This field is required.

State Review Available: Select if this submission was made available to the State Executive Order 12372 process for review.:

Is Submission Subject to Review: Applicants should contact the State Single Point of Contact (SPOC) for Federal Executive Order 12372 to determine whether the application is subject to the State intergovernmental review process. This field is required.

State Review not selected: Select if the program is subject to E.O. 12372 but has not been selected by State for review.:

Is Submission Subject to Review: Applicants should contact the State Single Point of Contact (SPOC) for Federal Executive Order 12372 to determine whether the application is subject to the State intergovernmental review process. This field is required.

State Review not needed: Select if the program is not covered by E.O. 12372.:

Additional Congressional Districts - View Attachment Button: Select to view attachment.:

Additional Congressional Districts - Delete Attachment Button: Select to…