"Supplemental Information for the SF-424 Application for Federal Assistance"

Supplemental Information for the SF-424 Application for Federal Assistance is a 2-page legal document that was released by the U.S. Department of Education and used nation-wide.

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U.S. Department of Education Supplemental Information for the SF-424
Application for Federal Assistance
Project Director:
1.
Prefix:
* First Name:
Middle Name:
* Last Name:
Suffix:
Project Director Level of Effort (percentage of time devoted to grant):
Address:
* Street1:
Street2:
* City:
County
:
* State:
* Zip Code:
Country:
* Phone Number (give area code):
Fax Number (give area code):
* Email Address:
Alternate Email Address
New Potential Grantee or Novice Applicant:
2.
a. Are you either a new potential grantee or novice applicant as defined in the program
competition’s notice inviting applications (NIA)?
Yes
No
b. If the program competition NIA is giving competitive preference points for a new potential
grantee or novice applicant, how many points are you claiming for your application? (the NIA
will indicate how many are available)
Qualified Opportunity Zones:
3.
If the NIA includes a Qualified Opportunity Zones (QOZ) Priority in which you propose to either provide
services in QOZ(s) or are in a QOZ, provide the QOZ census tract number(s) below:
OMB Number: 1894-0007
Expiration Date:12/31/2023
U.S. Department of Education Supplemental Information for the SF-424
Application for Federal Assistance
Project Director:
1.
Prefix:
* First Name:
Middle Name:
* Last Name:
Suffix:
Project Director Level of Effort (percentage of time devoted to grant):
Address:
* Street1:
Street2:
* City:
County
:
* State:
* Zip Code:
Country:
* Phone Number (give area code):
Fax Number (give area code):
* Email Address:
Alternate Email Address
New Potential Grantee or Novice Applicant:
2.
a. Are you either a new potential grantee or novice applicant as defined in the program
competition’s notice inviting applications (NIA)?
Yes
No
b. If the program competition NIA is giving competitive preference points for a new potential
grantee or novice applicant, how many points are you claiming for your application? (the NIA
will indicate how many are available)
Qualified Opportunity Zones:
3.
If the NIA includes a Qualified Opportunity Zones (QOZ) Priority in which you propose to either provide
services in QOZ(s) or are in a QOZ, provide the QOZ census tract number(s) below:
OMB Number: 1894-0007
Expiration Date:12/31/2023
Human Subjects Research:
4.
a. Are any research activities involving human subjects planned at any time during the
proposed Project Period?
Yes
No
b. Are ALL the research activities proposed designated to be exempt from the regulations?
Yes
Provide Exemption(s) # (s):
    
1
2
3
4
5
  
6
7
8
No
Provide Assurance #(s), if available:
c. If applicable, please attach your “Exempt Research” or “Nonexempt Research” narrative to this form
as indicated in the definitions page in the attached instructions.
OMB Number: 1894-0007
Expiration Date:12/31/2023
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