PKG00254779-instructions.pdf

Instructions for Application for Federal Assistance (SF-424) This is a standard form required for use as a cover sheet for submission of pre-applications and applications and related information under discretionary programs. Some of the items are required and some are optional at the discretion of the applicant or the federal agency (agency). Required fields on the form are identified with an asterisk

(*) and are also specified as "Required" in the instructions below. In addition to these instructions, applicants must consult agency instructions to determine other specific requirements.

Item Field Name Information

1. Type of Submission: (Required) Select one type of submission in accordance with agency instructions. Select appropriate option based on NOFO.

Pre-application

Application

2.

Type of Application: (Required) Select the option below:

New - An application that is being submitted to an agency for the first time. Select this option. THE OTHER OPTIONS ARE NOT

APPLICABLE TO OUR PROGRAMS.

3. Date Received: Leave this field blank.

4. Applicant Identifier: Leave this field blank.

5a. Federal Entity Identifier: Leave this field blank.

5b. Federal Award Identifier: Leave this field blank.

6. Date Received by State: Leave this field blank.

7. State Application Identifier: Leave this field blank.

8. Applicant Information: Enter the following in accordance with agency instructions:

a. Legal Name: (Required) Enter the legal name of applicant that will undertake the assistance activity. This is the organization that has registered with SAM. Information on registering with SAM may be obtained by visiting www.sam.gov.

http://www.sam.gov./

b. Employer/Taxpayer Number

(EIN/TIN):

(Required) Enter the employer or taxpayer identification number (EIN or TIN) as assigned by the Internal Revenue Service. If your organization is not in the

US, enter 44-4444444.

c. Organizational DUNS: (Required) Enter the organization's DUNS or DUNS+4 number received from

Dun and Bradstreet. Information on obtaining a DUNS number may be obtained by visiting www.Grants.gov.

d. Address: Enter address of organization: Street 1 (Required); city (Required);

County/Parish, State (Required if country is US), Province, Country (Required), 9-digit zip/postal code (Required if country US).

e. Organizational Unit: If applicable to your organization, enter the name of the primary organizational unit, department or division that will undertake the assistance activity. f. Name and contact information of person to be contacted on matters involving this application:

Enter the first and last name (Required); prefix, middle name, suffix, title. Enter organizational affiliation if affiliated with an organization other than that in 7.a.

Telephone number and email (Required); fax number.

9. Type of Applicant: (Required)

Select up to three applicant type(s) in accordance with agency instructions.

A. State Government

B. County Government

C. City or Township Government

D. Special District Government

E. Regional Organization

F. U.S. Territory or Possession

G. Independent School District

H. Public/State Controlled Institution of Higher Education

I. Indian/Native American Tribal Government (Federally Recognized)

J. Indian/Native American Tribal Government (Other than Federally

Recognized)

K. Indian/Native American Tribally Designated Organization

L. Public/Indian Housing

M. Nonprofit

N. Private Institution of Higher Education

O. Individual

P. For-Profit Organization (Other than Small Business)

Q. Small Business

R. Hispanic-serving Institution

S. Historically Black Colleges and Universities (HBCUs) T.

Non-US Entity – Foreign entities select this option

W. Other (specify)

10. Name Of Federal Agency: (Required) Enter the name of the federal agency from which assistance is being requested with this application – U.S. Fish and Wildlife Service

11. Catalog Of Federal Domestic

Assistance Number/Title:

Enter the Catalog of Federal Domestic Assistance number and title of the program under which assistance is requested, as found in the program announcement, if applicable. Refer to top of page 1 of the NOFO.

12. Funding Opportunity

Number/Title:

(Required) Enter the Funding Opportunity Number and title of the opportunity.

Refer to top of page 1 of the NOFO.

http://www.grants.gov/

13. Competition Identification

Number/Title:

LEAVE BLANK.

14. Areas Affected By Project: (Required) Enter project location. Add attachment to enter additional areas, if needed.

15. Descriptive Title of Applicant's

Project:

(Required) Enter title of the project.

16. Congressional Districts Of: 15a. (Required) Enter the applicant's congressional district. 15b. Enter all district(s) affected by the program or project. Enter in the format: 2 characters state abbreviation - 3 characters district number, e.g., CA-005 for California 5th district, CA-012 for California 12 district, NC-103 for North Carolina's 103 district. If all congressional districts in a state are affected, enter "all" for the district number, e.g., MD-all for all congressional districts in Maryland. If nationwide, i.e. all districts within all states are affected, enter US-all.

Foreign entities enter 00-000.

17. Proposed Project Start and

End Dates:

(Required) Enter the proposed start date and end date of the project.

18. Estimated Funding: (Required) Enter the amount requested. Value of in-kind contributions should be included on appropriate lines, as applicable. If the action will result in a dollar change to an existing award, indicate only the amount of the change. For decreases, enclose the amounts in parentheses. Amounts entered in a-f will auto-calculate in Box g. Boxes c-d are not applicable.

19. Is Application Subject to

Review by State Under

Executive Order 12372

Process?

(Required) Select option c.

20. Is the Applicant Delinquent on any Federal Debt?

(Required) Select the appropriate box. This question applies to the applicant organization, not the person who signs as the authorized representative.

Categories of federal debt include; but, may not be limited to: delinquent audit disallowances, loans and taxes. If yes, include an explanation in an attachment.

21. Authorized Representative: To be signed and dated by the authorized representative in your organization. This may be the Grant Administrator, project officer, or other authorized person. Enter the first and last name (Required); prefix, middle name, suffix. Enter title, telephone number, email (Required); and fax number. A copy of the governing body's authorization for you to sign this application as the official representative must be on file in the applicant's office.

(Certain federal agencies may require that this authorization be submitted as part of the application.)