SF424_2_1-V2.1.pdf
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- Fueling AI Innovation and Adoption
- Opportunity number
- DFOP0017898
- Issued by
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Department of State
About this file
This is the Application for Federal Assistance SF-424 form, a standardized federal template used to submit grant applications across multiple agencies. The form serves as the primary mechanism for collecting essential applicant information and project details required for federal funding consideration.
The form requires completion of applicant identification information including legal name, Employer/Taxpayer Identification Number (EIN/TIN), organizational DUNS number, and complete address. Section 8 requests the primary contact person's name, title, telephone number, and email address. Applicants must identify their organization type (federal, state, local, or other) in Section 9 and specify the federal agency, Catalog of Federal Domestic Assistance (CFDA) number, funding opportunity number, and project title in Sections 10-15. Section 16 requires Congressional District information for both the applicant and the project location. Section 17 establishes the project start and end dates, while Section 18 itemizes estimated funding from federal, applicant, state, local, and other sources, with a total project cost line. Section 19 addresses Executive Order 12372 review requirements, and Section 20 requires disclosure of any federal debt delinquency. The authorized representative must certify the application's accuracy and agree to comply with resulting award terms in Section 21. The form includes attachment capability for supporting documentation as specified by the funding agency and was designed for completion through Grants.gov submission.
SF 424 (Required)
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Other files
| File | Type | Posted |
|---|---|---|
| FIIA NOFO Questions and Answers.xlsx | XLSX spreadsheet | |
| NOFO Applicant Checklist.docx | DOCX document | |
| FAIIA NOFO.docx | DOCX document | |
| SFLLL_2_0-V2.0.pdf | ||
| SF424B-V1.1.pdf | ||
| SF424A-V1.0.pdf | ||
| Attachment 3 - FAIIA Budget Narrative Template.docx | DOCX document | |
| Attachment 2 - FAIIA Detailed Budget.xlsx | XLSX spreadsheet | |
| Attachment 1 - FAIIA Project Proposal Template.docx | DOCX document |
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Text version
OMB Number: 4040-0004 Expiration Date: 12/31/2022
* 1. Type of Submission: * 2. Type of Application:
* 3. Date Received: 4. Applicant Identifier:
5a. Federal Entity Identifier: 5b. Federal Award Identifier:
6. Date Received by State: 7. State Application Identifier:
* a. Legal Name:
* b. Employer/Taxpayer Identification Number (EIN/TIN): * c. Organizational DUNS:
* Street1:
Street2:
* City:
County/Parish:
* State:
Province:
* Country:
* Zip / Postal Code:
Department Name: Division Name:
Prefix: * First Name:
Middle Name:
* Last Name:
Suffix:
Title:
Organizational Affiliation:
* Telephone Number: Fax Number:
* Email:
* If Revision, select appropriate letter(s):
* Other (Specify):
State Use Only:
8. APPLICANT INFORMATION:
d. Address:
e. Organizational Unit:
f. Name and contact information of person to be contacted on matters involving this application:
Application for Federal Assistance SF-424
Preapplication
Application
Changed/Corrected Application
New
Continuation
Revision
Completed by Grants.gov upon submission.
USA: UNITED STATES
* 9. Type of Applicant 1: Select Applicant Type:
Type of Applicant 2: Select Applicant Type:
Type of Applicant 3: Select Applicant Type:
* Other (specify):
* 10. Name of Federal Agency:
11. Catalog of Federal Domestic Assistance Number:
CFDA Title:
* 12. Funding Opportunity Number:
* Title:
13. Competition Identification Number:
Title:
14. Areas Affected by Project (Cities, Counties, States, etc.):
* 15. Descriptive Title of Applicant's Project:
Attach supporting documents as specified in agency instructions.
Application for Federal Assistance SF-424
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* a. Federal
* b. Applicant
* c. State
* d. Local
* e. Other
* f. Program Income
* g. TOTAL
Prefix: * First Name:
Middle Name:
* Last Name:
Suffix:
* Title:
* Telephone Number:
* Email:
Fax Number:
* Signature of Authorized Representative: * Date Signed:
18. Estimated Funding ($):
21. *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)
** The list of certifications and assurances, or an internet site where you may obtain this list, is contained in the announcement or agency specific instructions.
Authorized Representative:
Application for Federal Assistance SF-424
* a. Applicant
Attach an additional list of Program/Project Congressional Districts if needed.
* b. Program/Project
* a. Start Date: * b. End Date:
16. Congressional Districts Of:
17. Proposed Project:
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a. This application was made available to the State under the Executive Order 12372 Process for review on
b. Program is subject to E.O. 12372 but has not been selected by the State for review.
c. Program is not covered by E.O. 12372.
Yes No
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** I AGREE
Completed by Grants.gov upon submission.
* 20. Is the Applicant Delinquent On Any Federal Debt? (If "Yes," provide explanation in attachment.)
* 19. Is Application Subject to Review By State Under Executive Order 12372 Process?
Completed by Grants.gov upon submission.
If "Yes", provide explanation and attach
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