Project - Performance Site Location - Mandatory for Applicant & SubApplicant.pdf
PDF 117 KB Posted
- Attached to
- CONSORTIUM FOR NUCLEAR FORENSICS
- Opportunity number
- DE-FOA-0003567
About this file
This is a federal form template for documenting project and performance site locations required for grant applications submitted to the Department of Energy National Nuclear Security Administration under the Defense Nuclear Nonproliferation Research program (CFDA 81.113). The form is mandatory for both applicants and subapplicants and applies to the Consortium for Nuclear Forensics cooperative agreement opportunity, with an application deadline of June 10, 2026 at 2359 EST.
The form requires applicants to identify their primary project performance site location and any additional performance sites, including organization name, Unique Entity Identifier (UEI), street address, city, county, state or province, country, and nine-digit postal code. For U.S.-based projects, applicants must specify the congressional district in the format of two-character state abbreviation followed by a three-digit district number (e.g., CA-005), or indicate "US-all" for nationwide projects and "00-000" for projects outside the U.S. The form accommodates both organizational applicants and individual applicants not representing any organization, includes fields for optional street address line two and county information, and provides functionality to add multiple additional performance site locations. The OMB form number is 4040-0010 with an expiration date of November 30, 2025.
Project - Performance Site Location - Mandatory for Applicant & SubApplicant
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Project/Performance Site Location(s) D:20061211100000- 05'00' D:20061211100000- 05'00' Project/Performance Site Location(s) OMB Number: 4040-0010 Expiration Date: 11/30/2025 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:
* ZIP / Postal Code:
* Project/ Performance Site Congressional District:
Project/Performance Site 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:
* ZIP / Postal Code:
* Project/ Performance Site Congressional District:
Additional Location(s) Project/Performance Site Location(s)
| XDPFirstField: |
| ViewBurdenStatement: |
| TextField1: |
| FileName: |
| MimeType: |
| href: |
| hashAlgorithm: |
| HashValue_data: |
| Mandatory: |
| Individual: Select if submitting application as an individual and not on behalf of or representing any organization.: N: No |
| ORGANIZATION NAME (Project Performance Site): Indicate the organization name of the primary site where the work will be performed. If a portion of the project will be performed at any other sites(s), identify the site location(s) in the block(s) provided. (This field is not applicable for applicants using SF 424 Individual Form Set.): |
| UEI: Enter the UEI associated with the organization where the project will be performed. This field is optional.: |
| Street1 (Project Performance Site): Enter first line of the street address in "Street 1" field of the primary performance site location. This field is required.: |
| Street2 (Project Performance Site): Enter second line of the street address in "Street 2" field for the primary performance site location. This field is optional.: |
| City (Project Performance Site): Enter the City for address of the primary performance site location. This field is required.: |
| County (Project Performance Site): Enter the County of the performance site location.: |
| State (Project Performance Site): Enter the State where the primary performance site location is located. This field is required if the Project Performance Site is located in the United States.: |
| Province (Project Performance Site): Enter the Province where the primary performance site location is located. : |
| Country (Project Performance Site): Select the country for the primary performance site location.: |
| Zip / Postal Code (Project Performance Site): Enter the nine-digit Postal Code (e.g., ZIP code) of the primary performance site location. This field is required if the Project Performance Site is located in the United States.: |
| Program District: 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.
To locate your congressional district, visit the Grants.gov web site. Note it is likely that this field will be identical to the “Congressional Districts of Applicant” field provided elsewhere in this application. :
| rNo: |
| Individual: Select if submitting application as an individual and not on behalf of or representing any organization.: |
| DE: |
| ORGANIZATION NAME (Project Performance Site): Indicate the organization name of the primary site where the work will be performed. If a portion of the project will be performed at any other sites(s), identify the site location(s) in the block(s) provided. (This field is not applicable for applicants using SF 424 Individual Form Set.): |
| UEI: Enter the UEI associated with the organization where the project will be performed. This field is optional.: |
| Street1 (Project Performance Site): Enter first line of the street address in "Street 1" field of the primary performance site location. This field is required.: |
| Street2 (Project Performance Site): Enter second line of the street address in "Street 2" field for the primary performance site location. This field is optional.: |
| City (Project Performance Site): Enter the City for address of the primary performance site location. This field is required.: |
| County (Project Performance Site): Enter the County of the performance site location.: |
| State (Project Performance Site): Enter the State where the primary performance site location is located. This field is required if the Project Performance Site is located in the United States.: |
| Province (Project Performance Site): Enter the Province where the primary performance site location is located. : |
| Country (Project Performance Site): Select the name of the country for the primary project performance site.: |
| Zip / Postal Code (Project Performance Site): Enter the nine-digit Postal Code (e.g., ZIP code) of the primary performance site location. This field is required if the Project Performance Site is located in the United States.: |
| Program District: 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.
To locate your congressional district, visit the Grants.gov web site. Note it is likely that this field will be identical to the “Congressional Districts of Applicant” field provided elsewhere in this application. :
| Delete Entry: Delete the currently displayed Other Site Entry.: |
| Next Site: Press this button to show next page for Other Sites.: |
| Additional Location(s): Attach a file using the appropriate buttons.: |
| Additional Location(s) Add Attachment: Attach a file using the appropriate buttons.: |
| Additional Location(s) Delete Attachment: Attach a file using the appropriate buttons.: |
| Additional Location(s) View Attachment: Attach a file using the appropriate buttons.: |
| LastField: |
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