SF424_Short_3_0-V3.0-Instructions.pdf

Standard Form PDF 290 KB Posted

Attached to
Lewis Houghton Civics and Democracy Initiative - Continuing Awards
Opportunity number
030ADV26R0020
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About this file

This document is the form instructions for the Grants.gov Application for Federal Domestic Assistance—Short Organizational form (OMB Number 4040-0003, expiring 02/28/2025).

The instructions detail the completion requirements for nine field categories. Fields 1-4 are pre-populated from the application cover sheet and include the federal agency name, assistance listing number and title, date received, and funding opportunity number. Field 5 requires applicant information: legal name registered with SAM.gov, complete address, website URL, applicant type code selected from 23 classifications (ranging from state and local governments to nonprofits, educational institutions, tribal organizations, businesses, and non-US entities), EIN/TIN, UEI, and congressional district in the specified format. Field 6 requires project information including a brief title, description, and proposed start and end dates in MM/DD/YYYY format. Field 7 requires the project director's complete name, title, email, telephone, fax, and nine-digit ZIP code. Field 8 requires the primary contact/grants administrator information with the same contact details, with an option to designate this person as the same as the project director. Field 9 requires the authorizing official's signature, name, title, telephone, fax, and email, along with documentation that the governing body has authorized this person to sign on behalf of the applicant organization.

SF424_Short_3_0-V3.0-Instructions

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Pennsylvania 1

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Text version

OMB Number: 4040-0003 1 OMB Expiration Date: 02/28/2025

Grants.gov Form Instructions Form Identifiers Information

Agency Owner Grants.gov

Form Name Application for Federal Domestic Assistance-Short Organizational V3.0

OMB Number 4040-0003 OMB Expiration Date 02/28/2025

Form Field Instructions Field Number

Field Name Required or Optional

Information

1. NAME OF FEDERAL

AGENCY

Required Pre-populated from the Application cover sheet

2. ASSISTANCE LISTING

NUMBER:

Required Pre-populated from the Application cover sheet

ASSISTANCE LISTING

TITLE

Required Pre-populated from the Application cover sheet

3. DATE RECEIVED Required Completed by Grants.gov upon submission

4. FUNDING

OPPORTUNITY

NUMBER:

Required Pre-populated from the Application cover sheet

TITLE: Required Pre-populated from the Application cover sheet

5. APPLICANT

INFORMATION

a. Legal Name Required Enter the legal name of applicant that will undertake the assistance activity. This is the name that the organization has registered with the System for Award Management (SAM.gov). Information on registering with SAM may be obtained by visiting the Grants.gov website.

b. Address Enter the complete address as follows:

Street address or PO Box (Line 1 required), City (required), State (required if country is US), County/Parish, Province, Country (required), ZIP/Postal Code (required if country is US).

OMB Number: 4040-0003 2

Field Number

Field Name Required or Optional

Information

c. Web Address: Enter the website address or uniform record locator (URL) of the applicant organization.

d. Type of Applicant:

Select Applicant Type Code(s):

Required Select a minimum of one applicant type or select up to three applicant types in accordance with agency instructions. If “Other” is selected, then specify Other Type of Applicant in text box.

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 with 501C3 IRS Status (Other than Institution of Higher Education) N. Nonprofit without 501C3 IRS Status

(Other than Institution of Higher Education

O. Private Institution of Higher Education P. Individual Q. For-Profit Organization (Other than Small

Business) R. Small Business S. Hispanic-serving Institution T. Historically Black Colleges and

Universities (HBCUs) U. Tribally Controlled Colleges and

Universities (TCCUs) V. Alaska Native and Native Hawaiian

Serving Institutions W. Non-US Entity

X. Other (specify)

OMB Number: 4040-0003 3

Field Number

Field Name Required or Optional

Information

e. Employer/Taxpayer Identification 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.

f. UEI: Required Enter the organization’s UEI. Information on registering with System for Award Management (SAM.gov) may be obtained by visiting the Grants.gov website.

g. Congressional District of Applicant:

Required 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, NC-103 for North Carolina’s 103rd district. If outside the US, enter 00-000.

6. Project Information

a. Project Title Required Enter a brief, descriptive title of the project.

b. Project Description Required Enter a brief description of the project.

c. Proposed Project

Start Date/End Date

Required Start Date: Enter the start date for the proposed project. Enter in the format MM/DD/YYYY. End Date: Enter the end date for the proposed project. Enter in the format MM/DD/YYYY.

7. Project Director Required Enter the name (first and last name required), title (required), email, telephone (required), and fax number of the project director. Enter the complete address as follows: Street Address (Line 1 required), City (required), County/Parish, State (required if country is US), Province, Country (required), nine-digit ZIP/Postal Code (required, if country is US).

OMB Number: 4040-0003 4

Field Number

Field Name Required or Optional

Information

8. Primary Contact/Grants Administrator

Required Check if this person is also the project director and skip to Item 9. If not the same, enter the name (first and last name required), title (required), email, telephone number, and fax number of the person to contact on matters related to this application. Enter the complete address as follows: Street address (Line 1 required), City (required), County/Parish, State (required if country is US), Province, Country (required), nine-digit ZIP/Postal Code (required, if country is US).

If Primary Contact/Grants Administrator is same as Authorizing Official, please complete both 8 and 9.

9. Authorizing Official:

Required To be signed and dated by the authorized representative of the applicant organization. Enter the name (first and last name required), title (required), telephone number (required), fax number and email address (required) of the person authorized to sign for the applicant. 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).

Signature of Authorized Representative completed upon submission to Grants.gov.

Grants.gov Form Instructions
Form Field Instructions

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