Preaward Compliance Review Report For All Applicants Requesting Federal Financial Assistance Form
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3Washington, DC 20460
Preaward Compliance Review Report for All Applicants
Requesting Federal Financial Assistance
FORM Approved
OMB Number: 2090-0014
Note: Read Instructions before completing form.
Expiration Date: 12/31/2008
I. A. Applicant (Name, City, State)
* Name:
* City:
* State:
B. Recipient (Name, City, State)
Prefix:
* First Name:
Middle Name:
* Last Name:
Suffix Name:
* City:
* State:
C. EPA Project No.
* II. Brief description of proposed project, program or activity.
* III. Are any civil rights lawsuits or complaints pending against applicant and/or recipient?
Yes
No
If yes, list those complaints and the disposition of each complaint.
EPA Form 4700-4 (Rev. 1/90) Previous editions are obsolete.
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