PerformanceSite_4_0-V4.0 (optional).pdf

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Attached to
Application Instructions for the Indian Community Development Block Grant (ICDBG) Imminent Threat (IT) Program
Opportunity number
FR-6900-N-74
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About this file

This document is a Project/Performance Site Location(s) form with OMB Number 4040-0010, valid until 12/31/2026. The form is designed for applicants to provide detailed location information when submitting a grant or federal project application. It includes sections for primary location and additional performance site locations, with fields for organization name, Unique Entity Identifier (UEI), street address, city, state, country, ZIP code, and congressional district. The form allows applicants to indicate whether they are submitting as an individual or on behalf of an organization, with space to add multiple project site locations through attachment options.

PerformanceSite_4_0-V4.0 (optional).pdf

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Project/Performance Site Location(s) OMB Number: 4040-0010

Expiration Date: 12/31/2026

Project/Performance Site Primary Location I am submitting an application as an individual, and not on behalf of a company, state, local or tribal government, academia, or other type of organization.

Organization Name:

UEI:

* Street1:

Street2:

* City: County:

* State:

Province:

* Country: USA: UNITED STATES

* ZIP / Postal Code: * Project/ Performance Site Congressional District:

Project/Performance Site Location 1 I am submitting an application as an individual, and not on behalf of a company, state, local or tribal government, academia, or other type of organization.

Organization Name:

UEI:

* Street1:

Street2:

* City: County:

* State:

Province:

* Country: USA: UNITED STATES

* ZIP / Postal Code: * Project/ Performance Site Congressional District:

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File details come from the government source that posted it. Updated .