Instructions For Form Sf 424-M printable pdf download

INSTRUCTIONS FOR SF 424-M

Public reporting burden for this collection is estimated to average 1 hour 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 OMB), Paperwork Reduction Project (4040-0002), Washington, DC 20503. Please do not return your completed form to

OMB.

This is a standard form (including the continuation sheet) required for use as a cover sheet for submission of applications, plans, and related

information under mandatory grant programs. Some of the items are required and some are optional at the discretion of the applicant or the

Federal agency (agency). Required items are identified with an asterisk on the form. In addition to the instructions provided below, applicants must

consult agency instructions to determine agency-specific requirements.

Item:

Entry:

Item:

Entry:

a. Select one Type of Submission in accordance with agency

Enter name of Federal agency from which assistance is

instructions.

being requested.

b. Select applicable frequency for the Type of Submission in 1.a.

c. Indicate if the submission is a consolidated application/plan/funding

request.

10.

Enter the Catalog of Federal Domestic Assistance

d. Select the applicable version for the Type of Submission in 1.a.:

(CFDA) number and title of the program under which



Initial (first submission)

assistance is requested. Use the continuation sheet to



enter multiple CFDA numbers and titles.

Resubmission (repeating the submission without change due to

problems with the initial submission)



11.

List areas or entities affected using categories specified in

Revision (any change to a submission that has not yet been

agency instructions. Use the continuation sheet to enter

accepted or approved by the agency)



multiple entities beyond the space provided.

Update (any change to an accepted or approved submission).

Applicant – Enter the applicant’s congressional

Federal use only.

12.

district.

b. Program/Project – Enter the congressional district(s)

Applicant use only.

affected by the program or project. If all congressional

districts are included for a State, use “all”, e.g., all

a. Enter Federal entity identifier, if any, as specified in agency

instructions.

congressional districts in Maryland would show as MD-

b. Enter Federal award identifier assigned by agency (if applicable).

all). Use the continuation sheet to enter multiple

congressional districts that represent less than all

State use only.

congressional districts in a State or congressional districts

in multiple States.

State use only.

Enter the following:



7.a. Legal name of applicant,



a. Enter the start date of the funding period for this

7.b. Employer/Taxpayer Identification Number (EIN/TIN) as

submission.

assigned by the Internal Revenue Service.



b. Enter the end date of the funding period for this

7.c. Organization’s DUNS number (received from Dun and

submission.

Bradstreet) or the DUNS+4 number (if available),



7.d. Complete address of the applicant;

a. Federal – Enter the amount requested from the



14.

7.e. Name of primary organizational unit (and

Federal agency. If the agency has specified an amount,

department/division, if applicable), which will undertake the

enter that amount.

b. Match – Enter the amount of funds from all other

assistance activity,



7.f. For the person to contact on matters related to this

sources.

submission: name, organizational affiliation (if affiliated with an

organization other than the applicant organization), e-mail

address, phone number, and fax number.

15.

Applicants should contact the State Single Point of

Contact (SPOC) for Federal Executive Order 12372 to

a. Select the appropriate letter

Indian/Native American Tribal

determine whether the application is subject to the State

and enter in the space provided.

Government (Other than

intergovernmental review process. Check appropriate

Letters O, P, Q, R, S. T, U, V,

Federally Recognized)

box. If “a.” is selected, insert date application was

and W are not applicable.

Indian/Native American

Tribally Designated

submitted to the State.

State Government

Organization

County Government

Public/Indian Housing

16.

Select the appropriate box. This question applies to the

City or Township

Authority

applicant organization, not the person who signs as the

Government

Nonprofit with 501C3 IRS

authorized representative. Categories of debt include

Special District

Status (Other than Institution

delinquent audit disallowances, loans and taxes.

Government

of Higher Education)

Regional Organization

Nonprofit without 501C3 IRS

If yes, include an explanation.

U.S. Territory or

Status (Other than Institution

Possession

of Higher Education)

17.

To be signed by the authorized representative of the

Independent School

Other (specify in accordance

applicant organization. Enter the name, title, phone

District

with agency instructions)

number, e-mail address, and fax number of authorized

Public/State Controlled

representative.

Institution of Higher

b. Enter secondary description of

Education

applicant type if required by the

Indian/Native American

agency.

Tribal Government

(Federally Recognized)

Instructions For Form Sf 424-M

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