Instructions for GSA Form SF-424 "Application for Federal Assistance"

This document contains official instructions for GSA Form SF-424, Application for Federal Assistance - a form released and collected by the U.S. General Services Administration.

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Download Instructions for GSA Form SF-424 "Application for Federal Assistance"

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INSTRUCTIONS FOR THE SF-424
This is a standard form required for use as a cover sheet for submission of pre-applications and applications and related information under
discretionary programs. Some of the items are required and some are optional at the discretion of the applicant or the federal agency (agency).
Required fields on the form are identified with an asterisk (*) and are also specified as “Required” in the instructions below. In addition to these
instructions, applicants must consult agency instructions to determine other specific requirements.
Item
Entry:
Item:
Entry:
1.
Type of Submission: (Required) Select one type of
10.
Name Of Federal Agency: (Required) Enter the name of the
submission in accordance with agency instructions.
federal agency from which assistance is being requested with
• Pre-application
this application.
• Application
11.
Catalog Of Federal Domestic Assistance Number/Title:
• Changed/Corrected Application – Check if this submission
Enter the Catalog of Federal Domestic Assistance number and
is to change or correct a previously submitted application.
title of the program under which assistance is requested, as
Unless requested by the agency, applicants may not use this
found in the program announcement, if applicable.
form to submit changes after the closing date.
2.
Type of Application: (Required) Select one type of application
12.
Funding Opportunity Number/Title: (Required) Enter the
in accordance with agency instructions.
Funding Opportunity Number (FON) and title of the opportunity
under which assistance is requested, as found in the program
• New – An application that is being submitted to an agency
announcement.
for the first time.
• Continuation - An extension for an additional funding/budget
13.
Competition Identification Number/Title: Enter the competition
period for a project with a projected completion date. This
identification number and title of the competition under which
can include renewals.
assistance is requested, if applicable.
• Revision - Any change in the federal government’s financial
obligation or contingent liability from an existing obligation. If
a revision, enter the appropriate letter(s). More than one may
14.
Areas Affected By Project: This data element is intended for
be selected. If "Other" is selected, please specify in text box
use only by programs for which the area(s) affected are likely
provided.
to be different than the place(s) of performance reported on the
SF-424 Project/Performance Site Location(s) Form. Add
A. Increase Award
D. Decrease Duration
attachment to enter additional areas, if needed.
B. Decrease Award
E. Other (specify)
C. Increase Duration
3.
Date Received: Leave this field blank. This date will be
15.
Descriptive Title of Applicant’s Project: (Required) Enter a brief
assigned by the Federal agency.
descriptive title of the project. If appropriate, attach a map
showing project location (e.g., construction or real property
projects). For pre-applications, attach a summary description
of the project.
4.
Applicant Identifier: Enter the entity identifier assigned buy
the Federal agency, if any, or the applicant’s control number
if applicable.
5a.
Federal Entity Identifier: Enter the number assigned to your
16.
Congressional Districts Of: 16a. (Required) Enter the
organization by the federal agency, if any.
applicant’s congressional district. 16b. Enter all district(s)
affected by the program or project. Enter in the format: 2
5b.
Federal Award Identifier: For new applications, enter NA.
characters state abbreviation – 3 characters district number,
For a continuation or revision to an existing award, enter the
e.g., CA-005 for California 5th district, CA-012 for California 12
previously assigned federal award identifier number. If a
district, NC-103 for North Carolina’s 103 district. If all
changed/corrected application, enter the federal identifier in
congressional districts in a state are affected, enter “all” for the
accordance with agency instructions.
district number, e.g., MD-all for all congressional districts in
6.
Date Received by State: Leave this field blank. This date will
Maryland. If nationwide, i.e. all districts within all states are
be assigned by the state, if applicable.
affected, enter US-all. If the program/project is outside the US,
7.
State Application Identifier: Leave this field blank. This
enter 00-000. This optional data element is intended for use
identifier will be assigned by the state, if applicable.
only by programs for which the area(s) affected are likely to be
8.
Applicant Information: Enter the following in accordance with
different than place(s) of performance reported on the SF-424
agency instructions:
Project/Performance Site Location(s) Form. Attach an
additional list of program/project congressional districts, if
needed.
a. Legal Name: (Required) Enter the legal name of applicant
17.
Proposed Project Start and End Dates: (Required) Enter the
that will undertake the assistance activity. This is the
proposed start date and end date of the project.
organization that has registered with the Central Contractor
Registry (CCR). Information on registering with CCR may be
obtained by visiting www.Grants.gov.
b. Employer/Taxpayer Number (EIN/TIN): (Required) Enter
18.
Estimated Funding: (Required) Enter the amount requested, or
the employer or taxpayer identification number (EIN or TIN)
to be contributed during the first funding/budget period by each
as assigned by the Internal Revenue Service. If your
contributor. Value of in-kind contributions should be included
organization is not in the US, enter 44-4444444.
on appropriate lines, as applicable. If the action will result in a
dollar change to an existing award, indicate only the amount of
the change. For decreases, enclose the amounts in
parentheses.
INSTRUCTIONS FOR THE SF-424
This is a standard form required for use as a cover sheet for submission of pre-applications and applications and related information under
discretionary programs. Some of the items are required and some are optional at the discretion of the applicant or the federal agency (agency).
Required fields on the form are identified with an asterisk (*) and are also specified as “Required” in the instructions below. In addition to these
instructions, applicants must consult agency instructions to determine other specific requirements.
Item
Entry:
Item:
Entry:
1.
Type of Submission: (Required) Select one type of
10.
Name Of Federal Agency: (Required) Enter the name of the
submission in accordance with agency instructions.
federal agency from which assistance is being requested with
• Pre-application
this application.
• Application
11.
Catalog Of Federal Domestic Assistance Number/Title:
• Changed/Corrected Application – Check if this submission
Enter the Catalog of Federal Domestic Assistance number and
is to change or correct a previously submitted application.
title of the program under which assistance is requested, as
Unless requested by the agency, applicants may not use this
found in the program announcement, if applicable.
form to submit changes after the closing date.
2.
Type of Application: (Required) Select one type of application
12.
Funding Opportunity Number/Title: (Required) Enter the
in accordance with agency instructions.
Funding Opportunity Number (FON) and title of the opportunity
under which assistance is requested, as found in the program
• New – An application that is being submitted to an agency
announcement.
for the first time.
• Continuation - An extension for an additional funding/budget
13.
Competition Identification Number/Title: Enter the competition
period for a project with a projected completion date. This
identification number and title of the competition under which
can include renewals.
assistance is requested, if applicable.
• Revision - Any change in the federal government’s financial
obligation or contingent liability from an existing obligation. If
a revision, enter the appropriate letter(s). More than one may
14.
Areas Affected By Project: This data element is intended for
be selected. If "Other" is selected, please specify in text box
use only by programs for which the area(s) affected are likely
provided.
to be different than the place(s) of performance reported on the
SF-424 Project/Performance Site Location(s) Form. Add
A. Increase Award
D. Decrease Duration
attachment to enter additional areas, if needed.
B. Decrease Award
E. Other (specify)
C. Increase Duration
3.
Date Received: Leave this field blank. This date will be
15.
Descriptive Title of Applicant’s Project: (Required) Enter a brief
assigned by the Federal agency.
descriptive title of the project. If appropriate, attach a map
showing project location (e.g., construction or real property
projects). For pre-applications, attach a summary description
of the project.
4.
Applicant Identifier: Enter the entity identifier assigned buy
the Federal agency, if any, or the applicant’s control number
if applicable.
5a.
Federal Entity Identifier: Enter the number assigned to your
16.
Congressional Districts Of: 16a. (Required) Enter the
organization by the federal agency, if any.
applicant’s congressional district. 16b. Enter all district(s)
affected by the program or project. Enter in the format: 2
5b.
Federal Award Identifier: For new applications, enter NA.
characters state abbreviation – 3 characters district number,
For a continuation or revision to an existing award, enter the
e.g., CA-005 for California 5th district, CA-012 for California 12
previously assigned federal award identifier number. If a
district, NC-103 for North Carolina’s 103 district. If all
changed/corrected application, enter the federal identifier in
congressional districts in a state are affected, enter “all” for the
accordance with agency instructions.
district number, e.g., MD-all for all congressional districts in
6.
Date Received by State: Leave this field blank. This date will
Maryland. If nationwide, i.e. all districts within all states are
be assigned by the state, if applicable.
affected, enter US-all. If the program/project is outside the US,
7.
State Application Identifier: Leave this field blank. This
enter 00-000. This optional data element is intended for use
identifier will be assigned by the state, if applicable.
only by programs for which the area(s) affected are likely to be
8.
Applicant Information: Enter the following in accordance with
different than place(s) of performance reported on the SF-424
agency instructions:
Project/Performance Site Location(s) Form. Attach an
additional list of program/project congressional districts, if
needed.
a. Legal Name: (Required) Enter the legal name of applicant
17.
Proposed Project Start and End Dates: (Required) Enter the
that will undertake the assistance activity. This is the
proposed start date and end date of the project.
organization that has registered with the Central Contractor
Registry (CCR). Information on registering with CCR may be
obtained by visiting www.Grants.gov.
b. Employer/Taxpayer Number (EIN/TIN): (Required) Enter
18.
Estimated Funding: (Required) Enter the amount requested, or
the employer or taxpayer identification number (EIN or TIN)
to be contributed during the first funding/budget period by each
as assigned by the Internal Revenue Service. If your
contributor. Value of in-kind contributions should be included
organization is not in the US, enter 44-4444444.
on appropriate lines, as applicable. If the action will result in a
dollar change to an existing award, indicate only the amount of
the change. For decreases, enclose the amounts in
parentheses.
c. Organizational DUNS: (Required) Enter the organization’s
19.
Is Application Subject to Review by State Under Executive
Order 12372 Process? (Required) Applicants should contact the
DUNS or DUNS+4 number received from Dun and
Bradstreet. Information on obtaining a DUNS number may be
State Single Point of Contact (SPOC) for Federal Executive
obtained by visiting www.Grants.gov.
Order 12372 to determine whether the application is subject to
the State intergovernmental review process. Select the
appropriate box. If “a.” is selected, enter the date the
application was submitted to the State.
d. Address: Enter address: Street 1 (Required); city
20.
Is the Applicant Delinquent on any Federal Debt?
(Required); County/Parish, State (Required if country is US),
(Required) Select the appropriate box. This question applies to
Province, Country (Required), 9-digit zip/postal code
the applicant organization, not the person who signs as the
(Required if country US).
authorized representative. Categories of federal debt include;
but, may not be limited to: delinquent audit disallowances,
loans and taxes. If yes, include an explanation in an
attachment.
e. Organizational Unit: Enter the name of the primary
21.
Authorized Representative: To be signed and dated by the
organizational unit, department or division that will undertake
authorized representative of the applicant organization. Enter
the assistance activity.
the first and last name (Required); prefix, middle name, suffix.
Enter title, telephone number, email (Required); and fax
number. A copy of the governing body’s authorization for you
f. Name and contact information of person to be contacted on
to sign this application as the official representative must be on
matters involving this application: Enter the first and last name
file in the applicant’s office. (Certain federal agencies may
(Required); prefix, middle name, suffix, title. Enter
organizational affiliation if affiliated with an organization other
require that this authorization be submitted as part of the
than that in 7.a. Telephone number and email (Required);
application.)
fax number.
9.
Type of Applicant: (Required) Select up to three applicant
type(s) in accordance with agency instructions.
A.
State Government
M. Nonprofit
B.
County Government
N.
Private Institution of
C.
City or Township
Higher Education
Government
O. Individual
D.
Special District
P.
For-Profit
Government
Organization (Other
E.
Regional Organization
than Small Business)
F.
U.S. Territory or
Q. Small Business
R.
Hispanic-serving
Possession
G. Independent School
Institution
District
S.
Historically Black
H.
Public/State
Colleges and
Controlled Institution of
Universities (HBCUs)
T.
Tribally Controlled
Higher Education
I.
Indian/Native
Colleges and
American Tribal
Universities (TCCUs)
Government (Federally
U.
Alaska Native and
Recognized)
Native Hawaiian
J.
Indian/Native
Serving Institutions
American Tribal
V.
Non-US Entity
Government (Other
W. Other (specify)
than Federally
Recognized)
K.
Indian/Native
American Tribally
Designated
Organization
L.
Public/Indian Housing
Authority
[U.S Department of Education note: As of spring, 2010, the FON discussed in Block 12 of the instructions can be found via the
following URL: http://www.grants.gov/applicants/find_grant_opportunities.jsp.]
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