Form SF-424B "Assurances - Non-construction Programs"

What Is Form SF-424B?

This is a legal form that was released by the U.S. Department of Health and Human Services - Federal Grants on July 1, 1997 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on July 1, 1997;
  • The latest available edition released by the U.S. Department of Health and Human Services - Federal Grants;
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  • Fill out the form in our online filing application.

Download a fillable version of Form SF-424B by clicking the link below or browse more documents and templates provided by the U.S. Department of Health and Human Services - Federal Grants.

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OMB Number: 4040-0007
Expiration Date: 02/28/2025
ASSURANCES - NON-CONSTRUCTION PROGRAMS
Public reporting burden for this collection of information is estimated to average 15 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 (0348-0040), 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.
NOTE:
Certain of these assurances may not be applicable to your project or program. If you have questions, please contact the
awarding agency. Further, certain Federal awarding agencies may require applicants to certify to additional assurances.
If such is the case, you will be notified.
As the duly authorized representative of the applicant, I certify that the applicant:
1.
Act of 1973, as amended (29 U.S.C. §794), which
Has the legal authority to apply for Federal assistance
prohibits discrimination on the basis of handicaps; (d)
and the institutional, managerial and financial capability
the Age Discrimination Act of 1975, as amended (42 U.
(including funds sufficient to pay the non-Federal share
S.C. §§6101-6107), which prohibits discrimination on
of project cost) to ensure proper planning, management
the basis of age; (e) the Drug Abuse Office and
and completion of the project described in this
Treatment Act of 1972 (P.L. 92-255), as amended,
application.
relating to nondiscrimination on the basis of drug
2.
Will give the awarding agency, the Comptroller General
abuse; (f) the Comprehensive Alcohol Abuse and
of the United States and, if appropriate, the State,
Alcoholism Prevention, Treatment and Rehabilitation
through any authorized representative, access to and
Act of 1970 (P.L. 91-616), as amended, relating to
the right to examine all records, books, papers, or
nondiscrimination on the basis of alcohol abuse or
documents related to the award; and will establish a
alcoholism; (g) §§523 and 527 of the Public Health
proper accounting system in accordance with generally
Service Act of 1912 (42 U.S.C. §§290 dd-3 and 290
accepted accounting standards or agency directives.
ee- 3), as amended, relating to confidentiality of alcohol
and drug abuse patient records; (h) Title VIII of the Civil
Rights Act of 1968 (42 U.S.C. §§3601 et seq.), as
3.
Will establish safeguards to prohibit employees from
amended, relating to nondiscrimination in the sale,
using their positions for a purpose that constitutes or
rental or financing of housing; (i) any other
presents the appearance of personal or organizational
nondiscrimination provisions in the specific statute(s)
conflict of interest, or personal gain.
under which application for Federal assistance is being
made; and, (j) the requirements of any other
4.
Will initiate and complete the work within the applicable
nondiscrimination statute(s) which may apply to the
time frame after receipt of approval of the awarding
application.
agency.
7. Will comply, or has already complied, with the
Will comply with the Intergovernmental Personnel Act of
5.
requirements of Titles II and III of the Uniform
1970 (42 U.S.C. §§4728-4763) relating to prescribed
Relocation Assistance and Real Property Acquisition
standards for merit systems for programs funded under
Policies Act of 1970 (P.L. 91-646) which provide for
one of the 19 statutes or regulations specified in
fair and equitable treatment of persons displaced or
Appendix A of OPM's Standards for a Merit System of
whose property is acquired as a result of Federal or
Personnel Administration (5 C.F.R. 900, Subpart F).
federally-assisted programs. These requirements
apply to all interests in real property acquired for
Will comply with all Federal statutes relating to
6.
project purposes regardless of Federal participation in
nondiscrimination. These include but are not limited to:
purchases.
(a) Title VI of the Civil Rights Act of 1964 (P.L. 88-352)
which prohibits discrimination on the basis of race, color
8. Will comply, as applicable, with provisions of the
or national origin; (b) Title IX of the Education
Hatch Act (5 U.S.C. §§1501-1508 and 7324-7328)
Amendments of 1972, as amended (20 U.S.C.§§1681-
which limit the political activities of employees whose
1683, and 1685-1686), which prohibits discrimination on
principal employment activities are funded in whole
the basis of sex; (c) Section 504 of the Rehabilitation
or in part with Federal funds.
Previous Edition Usable
Standard Form 424B (Rev. 7-97)
Prescribed by OMB Circular A-102
Authorized for Local Reproduction
OMB Number: 4040-0007
Expiration Date: 02/28/2025
ASSURANCES - NON-CONSTRUCTION PROGRAMS
Public reporting burden for this collection of information is estimated to average 15 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 (0348-0040), 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.
NOTE:
Certain of these assurances may not be applicable to your project or program. If you have questions, please contact the
awarding agency. Further, certain Federal awarding agencies may require applicants to certify to additional assurances.
If such is the case, you will be notified.
As the duly authorized representative of the applicant, I certify that the applicant:
1.
Act of 1973, as amended (29 U.S.C. §794), which
Has the legal authority to apply for Federal assistance
prohibits discrimination on the basis of handicaps; (d)
and the institutional, managerial and financial capability
the Age Discrimination Act of 1975, as amended (42 U.
(including funds sufficient to pay the non-Federal share
S.C. §§6101-6107), which prohibits discrimination on
of project cost) to ensure proper planning, management
the basis of age; (e) the Drug Abuse Office and
and completion of the project described in this
Treatment Act of 1972 (P.L. 92-255), as amended,
application.
relating to nondiscrimination on the basis of drug
2.
Will give the awarding agency, the Comptroller General
abuse; (f) the Comprehensive Alcohol Abuse and
of the United States and, if appropriate, the State,
Alcoholism Prevention, Treatment and Rehabilitation
through any authorized representative, access to and
Act of 1970 (P.L. 91-616), as amended, relating to
the right to examine all records, books, papers, or
nondiscrimination on the basis of alcohol abuse or
documents related to the award; and will establish a
alcoholism; (g) §§523 and 527 of the Public Health
proper accounting system in accordance with generally
Service Act of 1912 (42 U.S.C. §§290 dd-3 and 290
accepted accounting standards or agency directives.
ee- 3), as amended, relating to confidentiality of alcohol
and drug abuse patient records; (h) Title VIII of the Civil
Rights Act of 1968 (42 U.S.C. §§3601 et seq.), as
3.
Will establish safeguards to prohibit employees from
amended, relating to nondiscrimination in the sale,
using their positions for a purpose that constitutes or
rental or financing of housing; (i) any other
presents the appearance of personal or organizational
nondiscrimination provisions in the specific statute(s)
conflict of interest, or personal gain.
under which application for Federal assistance is being
made; and, (j) the requirements of any other
4.
Will initiate and complete the work within the applicable
nondiscrimination statute(s) which may apply to the
time frame after receipt of approval of the awarding
application.
agency.
7. Will comply, or has already complied, with the
Will comply with the Intergovernmental Personnel Act of
5.
requirements of Titles II and III of the Uniform
1970 (42 U.S.C. §§4728-4763) relating to prescribed
Relocation Assistance and Real Property Acquisition
standards for merit systems for programs funded under
Policies Act of 1970 (P.L. 91-646) which provide for
one of the 19 statutes or regulations specified in
fair and equitable treatment of persons displaced or
Appendix A of OPM's Standards for a Merit System of
whose property is acquired as a result of Federal or
Personnel Administration (5 C.F.R. 900, Subpart F).
federally-assisted programs. These requirements
apply to all interests in real property acquired for
Will comply with all Federal statutes relating to
6.
project purposes regardless of Federal participation in
nondiscrimination. These include but are not limited to:
purchases.
(a) Title VI of the Civil Rights Act of 1964 (P.L. 88-352)
which prohibits discrimination on the basis of race, color
8. Will comply, as applicable, with provisions of the
or national origin; (b) Title IX of the Education
Hatch Act (5 U.S.C. §§1501-1508 and 7324-7328)
Amendments of 1972, as amended (20 U.S.C.§§1681-
which limit the political activities of employees whose
1683, and 1685-1686), which prohibits discrimination on
principal employment activities are funded in whole
the basis of sex; (c) Section 504 of the Rehabilitation
or in part with Federal funds.
Previous Edition Usable
Standard Form 424B (Rev. 7-97)
Prescribed by OMB Circular A-102
Authorized for Local Reproduction
Will comply, as applicable, with the provisions of the Davis-
9.
13. Will assist the awarding agency in assuring compliance
Bacon Act (40 U.S.C. §§276a to 276a-7), the Copeland Act
with Section 106 of the National Historic Preservation
(40 U.S.C. §276c and 18 U.S.C. §874), and the Contract
Act of 1966, as amended (16 U.S.C. §470), EO 11593
Work Hours and Safety Standards Act (40 U.S.C. §§327-
(identification and protection of historic properties), and
333), regarding labor standards for federally-assisted
the Archaeological and Historic Preservation Act of
construction subagreements.
1974 (16 U.S.C. §§469a-1 et seq.).
14. Will comply with P.L. 93-348 regarding the protection of
10. Will comply, if applicable, with flood insurance purchase
human subjects involved in research, development, and
requirements of Section 102(a) of the Flood Disaster
related activities supported by this award of assistance.
Protection Act of 1973 (P.L. 93-234) which requires
recipients in a special flood hazard area to participate in the
15. Will comply with the Laboratory Animal Welfare Act of
program and to purchase flood insurance if the total cost of
1966 (P.L. 89-544, as amended, 7 U.S.C. §§2131 et
insurable construction and acquisition is $10,000 or more.
seq.) pertaining to the care, handling, and treatment of
warm blooded animals held for research, teaching, or
11. Will comply with environmental standards which may be
other activities supported by this award of assistance.
prescribed pursuant to the following: (a) institution of
environmental quality control measures under the National
16. Will comply with the Lead-Based Paint Poisoning
Environmental Policy Act of 1969 (P.L. 91-190) and
Prevention Act (42 U.S.C. §§4801 et seq.) which
Executive Order (EO) 11514; (b) notification of violating
prohibits the use of lead-based paint in construction or
facilities pursuant to EO 11738; (c) protection of wetlands
rehabilitation of residence structures.
pursuant to EO 11990; (d) evaluation of flood hazards in
floodplains in accordance with EO 11988; (e) assurance of
17. Will cause to be performed the required financial and
project consistency with the approved State management
compliance audits in accordance with the Single Audit
program developed under the Coastal Zone Management
Act Amendments of 1996 and OMB Circular No. A-133,
Act of 1972 (16 U.S.C. §§1451 et seq.); (f) conformity of
"Audits of States, Local Governments, and Non-Profit
Federal actions to State (Clean Air) Implementation Plans
Organizations."
under Section 176(c) of the Clean Air Act of 1955, as
amended (42 U.S.C. §§7401 et seq.); (g) protection of
18. Will comply with all applicable requirements of all other
underground sources of drinking water under the Safe
Federal laws, executive orders, regulations, and policies
Drinking Water Act of 1974, as amended (P.L. 93-523);
governing this program.
and, (h) protection of endangered species under the
Endangered Species Act of 1973, as amended (P.L. 93-
Will comply with the requirements of Section 106(g) of
19.
205).
the Trafficking Victims Protection Act (TVPA) of 2000, as
amended (22 U.S.C. 7104) which prohibits grant award
Will comply with the Wild and Scenic Rivers Act of
12.
recipients or a sub-recipient from (1) Engaging in severe
1968 (16 U.S.C. §§1271 et seq.) related to protecting
forms of trafficking in persons during the period of time
components or potential components of the national
that the award is in effect (2) Procuring a commercial
wild and scenic rivers system.
sex act during the period of time that the award is in
effect or (3) Using forced labor in the performance of the
award or subawards under the award.
SIGNATURE OF AUTHORIZED CERTIFYING OFFICIAL
TITLE
APPLICANT ORGANIZATION
DATE SUBMITTED
Standard Form 424B (Rev. 7-97) Back
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