Form Sf-424 - Application For Federal Assistance Sf-424 - Mandatory Page 2

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APPLICATION FOR FEDERAL ASSISTANCE SF-424 - MANDATORY
8a. TYPE OF APPLICANT:
Other (specify):
b. Additional Description:
9. Name of Federal Agency:
10. Catalog of Federal Domestic Assistance Number:
CFDA Title:
11. Descriptive Title of Applicant's Project:
12. Areas Affected by Funding:
13. CONGRESSIONAL DISTRICTS OF:
a. Applicant:
b. Program/Project:
Attach an additional list of Program/Project Congressional Districts if needed.
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14. FUNDING PERIOD:
a. Start Date:
b. End Date:
15. ESTIMATED FUNDING:
a. Federal ($):
b. Match ($):
16. IS SUBMISSION SUBJECT TO REVIEW BY STATE UNDER EXECUTIVE ORDER 12372 PROCESS?
a. This submission 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 State for review.
c. Program is not covered by E.O. 12372.

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