Application For Federal Assistance Form Page 2
Download a blank fillable Application For Federal Assistance Form in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Application For Federal Assistance Form with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2INSTRUCTIONS FOR THE SF-424
Public reporting burden for this collection of information is estimated to average 45 minutes per response, including time for reviewing
instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of
information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for
reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project (0348-0043), Washington, DC 20503.
PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE OFFICE OF MANAGEMENT AND BUDGET.
SEND IT TO THE ADDRESS PROVIDED BY THE SPONSORING AGENCY.
This is a standard form used by applicants as a required facesheet for preapplications and applications submitted for Federal assistance. It
will be used by Federal agencies to obtain applicant certification that States which have established a review and comment procedure in
response to Executive Order 12372 and have selected the program to be included in their process, have been given an opportunity to review
the applicant’s submission.
Item:
Entry:
Item:
Entry:
1.
Self-explanatory.
12.
List only the largest political entities affected (e.g., State,
counties, cities).
2.
Date application submitted to Federal agency (or State if
applicable) and applicant’s control number (if applicable).
13.
Self-explanatory.
3.
State use only (if applicable).
14.
List the applicant’s Congressional District and any
District(s) affected by the program or project.
4.
If this application is to continue or revise an existing award,
enter present Federal identifier number. If for a new project,
15.
Amount requested or to be contributed during the first
leave blank.
funding/budget period by each contributor. Value of in-
kind contributions should be included on appropriate
lines as applicable. If the action will result in a dollar
5.
Legal name of applicant, name of primary organizational unit
change to an existing award, indicate only the amount
which will undertake the assistance activity, complete address of
of the change. For decreases, enclose the amounts in
the applicant, and name and telephone number of the person to
parentheses. If both basic and supplemental amounts
contact on matters related to this application.
are included, show breakdown on an attached sheet.
For multiple program funding, use totals and show
6.
Enter Employer Identification Number (EIN) as assigned by the
breakdown using same categories as item 15.
Internal Revenue Service.
7.
Enter the appropriate letter in the space provided.
Applicants should contact the State Single Point of
16.
Contact (SPOC) for Federal Executive Order 12372 to
determine whether the application is subject to the
8.
Check appropriate box and enter appropriate letter(s) in the
State intergovernmental review process.
space(s) provided:
-- "New" means a new assistance award.
17.
This question applies to the applicant organization, not
the person who signs as the authorized representative.
Categories of debt include delinquent audit
-- "Continuation" means an extension for an additional
disallowances, loans and taxes.
funding/budget period for a project with a projected
completion date.
18.
To be signed by the authorized representative of the
-- "Revision" means any change in the Federal
applicant. A copy of the governing body’s
authorization for you to sign this application as official
Government’s financial obligation or contingent
representative must be on file in the applicant’s office.
liability from an existing obligation.
(Certain Federal agencies may require that this
authorization be submitted as part of the application.)
9.
Name of Federal agency from which assistance is being
requested with this application.
10.
Use the Catalog of Federal Domestic Assistance number and
title of the program under which assistance is requested.
11.
Enter a brief descriptive title of the project. If more than one
program is involved, you should append an explanation on a
separate sheet. If appropriate (e.g., construction or real
property projects), attach a map showing project location. For
preapplications, use a separate sheet to provide a summary
SF-424 (Rev. 7-97) Back
description of this project.
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Business