Project_Performance Site Location(s) Form Instructions.pdf

OMB Number: 4040-0010 1 OMB Expiration Date: 12/31/2019

Federal Agency Form Instructions Form Identifiers Information

Agency Owner Grants.gov

Form Name Project/Performance Site Location(s)

Form Version Number 2.0

OMB Number 4040-0010

OMB Expiration Date 12/31/2019

Form Field Instructions Field Name Required or

Optional Information

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.

Optional Select if submitting application as an individual and not on behalf of or representing any organization.

Organization Name: Conditionally Required

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.)

DUNS Number: Optional Enter the DUNS number associated with the organization where the project will be performed. This field is optional.

Street1: Required Enter first line of the street address in "Street 1" field of the primary performance site location. This field is required.

Street2: Optional Enter second line of the street address in "Street 2" field for the primary performance site location. This field is optional.

City: Required Enter the City for address of the primary performance site location. This field is required.

County: Optional Enter the County of the performance site location.

OMB Number: 4040-0010 2 OMB Expiration Date: 12/31/2019

Field Name Required or Optional

Information

State: Conditionally Required

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: Optional Enter the Province where the primary performance site location is located.

Country: Required Select the country for the primary performance site location.

ZIP/Postal Code: Conditionally Required

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.

Project/ Performance Site Congressional District:

Conditionally Required

This field is required if the country is ‘United States.’ 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.

Project/Performance Site Location 1

Optional Same as above.

Next Site Optional Add up to 299 additional sites.

Additional Location(s) Optional File attachments may be added to this field for additional location(s), if any.