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2007 WIA incentive grant applications
Summary ETA updated the process for states to apply for WIA section 503 incentive grants based on program year 2007 performance, including eligibility, allowable uses and application materials. Two attachments provide forms. ETA now lists this year-specific change Canceled.
Document
Federal guidance
Agency
U.S. Department of Labor, Employment and Training Administration (ETA)
Document number
TEGL No. 20-01, Change 7
Date issued
May 12, 2009
Status
Withdrawn
ETA lists this change advisory Canceled as of 2026-10-24; its signed letter prints Expiration Date: Continuing and Rescissions: None. It updates TEGL 20-01 for program year 2007 awards.
Status last verified October 24, 2026
Is this still the rule?
This document has been withdrawn. Ezel checks what federal law requires today, under current federal labor law, and answers your situation with citations.
About this page: The full text below is the official document from U.S. Department of Labor, Employment and Training Administration (ETA). Ezel adds the plain-English summary and tracks the document's status. The official source linked on this page is authoritative for any reliance.
Accessible letter PDF: https://www.dol.gov/sites/dolgov/files/ETA/advisories/TEGL/2009/TEGL20-01C7acc.pdf
CLASSIFICATION
EMPLOYMENT AND TRAINING ADMINISTRATION WIA/Performance Measures
ADVISORY SYSTEM CORRESPONDENCE SYMBOL
U.S. DEPARTMENT OF LABOR PROTECH
Washington, D.C. 20210 DATE
May 12, 2009
TRAINING AND EMPLOYMENT GUIDANCE LETTER NO. 20-01, Change 7
TO: STATE WORKFORCE LIAISONS
STATE WORKFORCE AGENCIES
FROM: DOUGLAS F. SMALL /s/
Deputy Assistant Secretary
SUBJECT: Application Process for Workforce Investment Act (WIA) Section 503 Incentive
Grants, based on Program Year (PY) 2007 Performance
1. Purpose. This guidance letter updates the procedures states should follow to apply for
WIA section 503 Incentive Grants.
2. References.
• Workforce Investment Act of 1998 (WIA) (Pub. L. 105-220) sections 174, 211, and
503, (29 U.S.C. 2919, 20 U.S.C. §§ 9211, 9273)
• Carl D. Perkins Vocational and Technical Education Act of 1998 (Perkins III) 20 U.S.C.
2301 et seq., as amended by Pub. L. 105-332
• American Recovery and Reinvestment Act of 2009 (Pub. L. 111-5)
• 20 CFR part 664, 666.200 - 666.230, and 666.205(c); and Carl D. Perkins Career and
Technical Education Act of 2006 (Perkins IV). 20 U.S.C. 2301 et seq., as amended by
Pub.L. 109-270, and its predecessor
• Training and Employment Guidance Letter (TEGL) No. 9-07, Revised Incentive and
Sanction Policy for Workforce Investment Act Title IB Programs (October 10, 2007)
• TEGL No. 14-00, Change 1, Workforce Investment Act Performance Reporting System
(November 19, 2001)
• TEGL No. 14-03, Performance Reporting Submission Procedures for the Workforce
Investment Act Standardized Record Data (WIASRD) and the Annual Report under title
IB of the Workforce Investment Act (November 13, 2003)
3. Background. Section 503 of WIA provides for incentive grants to reward states for
successful performance in workforce and education programs. The provisions authorizing
funding for incentive grant awards are found in WIA section 174(b)(2)(D) for workforce
investment services (29 U.S.C. 2919(b)(2)(D)) and the Adult Education and Family Literacy Act
(AEFLA) section 211(a)(3) for adult education activities (20 U.S.C. 9211(a)(3)). A total of
$9,760,451 is appropriated for AEFLA and is available for incentive grants based on PY 2007
RESCISSIONS EXPIRATION DATE
None Continuing
performance. The Department of Labor’s (DOL) regulations on incentive awards may be found
at 20 CFR 666.200 through 666.230.
4. Eligibility. The list of states eligible to receive incentive grant awards based on PY 2007
performance, and the amounts of the awards for which they are eligible, are scheduled for
publication in the Federal Register on May 11, 2009. Eligibility for a section 503 incentive grant
award was determined by state performance under WIA title IB and AEFLA programs. States
that are eligible for incentive grant awards have 45 days from the May 11, 2009, Federal Register
notice to submit their applications for these awards.
5. Amount of Incentive Awards. WIA section 503(c)(1) sets the range of incentive grant
awards from $750,000 to $3 million, depending upon the amount of appropriated funds
available. If the total amount available for grants is insufficient to award the minimum grant to
each eligible state, the minimum and maximum grant amounts will be adjusted by a uniform
percentage as required by WIA section 503(c)(2). For the PY 2007 performance awards, the
criterion for determining the amount of the incentive grant within this range will be equal to the
size of the state’s programs, as measured by the state’s relative share of the combined title IB and
AEFLA formula grants awarded to that state.
6. Authorized Use of Funds. The regulations at 20 CFR 666.210 authorize the state to use its
incentive grant award to carry out an innovative program consistent with the requirements of any
one or more of the programs within title IB of WIA, AEFLA, or the Perkins Act. This provides
states greater flexibility in using these funds, and the Governors and state agencies are not
limited to only one type of innovative program.
Incentive grant funds awarded to states will be identified as WIA title V, Program Year 2008
funds and must be expended by June 30, 2011.1 Because this timeframe differs from the typical
program timeframes used by AEFLA and Perkins IV programs, cooperation among state
agencies to ensure timely expenditure of these funds is strongly encouraged.
States may expend funds for activities authorized under WIA title IB, AEFLA, and/or the
Perkins Act. While DOL administrative provisions apply to the statutory life of the funds, the
individual program provisions apply to the use of funds. For example, if the incentive funds will
be used for a WIA title IB activity for youth services, the applicable program requirements for
youth programs in 20 CFR 664 and WIA title IB would apply to that portion of the funds. If
innovative Adult Education and Literacy and/or Perkins IV programs are planned, the provisions
of AEFLA and/or Perkins IV would apply to that portion of the funds.
States are encouraged to plan activities that promote cooperation and collaboration among the
agencies administering WIA title IB, AEFLA, and Perkins Act programs. The Secretaries of
Labor and Education encourage Governors and their state agency representatives to take
advantage of the broad flexibility Congress intended for these funds by planning for activities
that are:
1 Typically, states would have three years to spend a Program Year’s funds. However, because incentive grants, taken from FY 2008
funds, will be awarded at the end of Program Year 2008, states will be given through June 30, 2011, to expend the funds.
2
A. Innovative — Services and activities beyond those the state conducts with its regular funds
from these programs, particularly activities that are authorized through more than one
program;
B. Comprehensive and coordinated — Combined activities and services that are authorized by
different programs; and
C. Targeted to improving system performance — Activities that serve needs and populations
that are likely to result in improving state systems of employment, training, and education,
including those linking to “green” occupations and high-growth industries.
As states plan how they will make use of the section 503 incentive funds, the Employment and
Training Administration (ETA) encourages them to take an expansive view of how the funds can
be integrated into efforts to improve the effectiveness of the public workforce system. State
Departments of Labor and Education can work together to focus on workforce education and
training projects that will facilitate innovative workforce and education policies within a state.
Additionally, ETA encourages these states to coordinate programs with the American Recovery
and Reinvestment Act of 2009 (Recovery Act) resources. The Recovery Act, signed by
President Obama on February 17, 2009, is intended to preserve and create jobs, promote the
nation’s economic recovery, and assist those most impacted by the recession. It is ETA’s
expectation that states will provide additional services and training to current customers as well
as provide services and training to a greater number of individuals over the next 18 months using
strategies that meet immediate needs while supporting longer-term economic recovery.
7. Application Process. To receive grant funds, states that qualify must apply by sending an
original and two copies of an application for an incentive grant to the DOL. The DOL will work
with the Department of Education to review the applications (electronic transmissions are
allowable as long as electronic signatures are included). The application may take the form of a
letter from the Governor to DOL’s Deputy Assistant Secretary for Employment and Training
(addresses are listed below), and must include the following:
A. Assurances
The application must include the Standard Form 424 and 424a (Application for Federal
Assistance) forms and assurances that:
i. The state legislature was consulted with respect to the development of the
application;
ii. The application was approved by the Governor, the eligible agency for adult
education (as defined in section 203(4) of WIA (20 U.S.C. 9202(4)) and the state
agency responsible for career and technical education programs (as defined in
section 3(12) of Perkins IV (20 U.S.C. 2302(12)); and
iii. The state and the eligible agency, as appropriate, exceeded the state adjusted
levels of performance for WIA title IB and the state adjusted levels of
performance for AEFLA in PY 2007.
3
B. Additional Information
The state must provide a description of the planned use of incentive grants as part of the
application process to ensure that the state’s planned activities are authorized under the
WIA title IB, AEFLA, and/or Perkins Act, as required by WIA section 503(a). When
describing the planned activities in response to number ii, below, the state should note under
which program the authorized activities fall.
The other descriptive information (see numbers iii and iv below) about the state’s plan is
requested for inclusion in the state’s incentive grant document. The Department of Labor
and the Department of Education will use this information in monitoring the use of
incentive grants and in reports to Congress on state performance. (Note: The state’s receipt
of an incentive grant is not contingent on this other descriptive information, but this
information is required for the WIA title V Grant Agreement.)
i. Identify the state agency and contact person that will receive and administer the
funds on behalf of all the state’s agencies. The agency may be the state workforce
agency or another state agency that receives funds under the AEFLA or Perkins
IV grants. This agency will be responsible for reporting on the use of all funds.
If agencies other than the grant recipient will be undertaking program activities
with the funds, please identify the sub-grantee(s) and the amount(s) they will be
provided.
ii. Describe the planned activities. This information should include the statutory
authority for the activity and a description of how the activities are innovative,
comprehensive and coordinated, and targeted to improving system performance in
accordance with the major objectives set forth in the state’s current WIA Strategic
Plan or the State plan modification due June 30, 2009, AEFLA State Plan or
Perkins IV State plan, as appropriate. Include information on how services build
on, rather than duplicate, services offered under the state’s plans for AEFLA,
Perkins IV or WIA title IB. Describe how these funds are being used
collaboratively with other partner programs to benefit service to clients.
iii. Describe ways in which the activities are related to improving performance levels
on the state indicators of performance for each different activity planned. For
example, describe how the activities will strengthen the state’s ability to improve
literacy levels, increase employment, increase transitions to further education and
training, and/or improve technical and academic skills.
iv. Describe any state consultation with stakeholder groups and the general public on
the use of incentive award funds. States are encouraged to seek public input on
the use of state incentive funding, including that of representatives of adult
education, career and technical education programs, and other workforce system
partners.
4
v. Provide a completed set of the attached Standard Form 424 and 424(A) Budget
Sections A, D and E only as well as a brief budget narrative.
8. Inquires. Questions concerning the WIA incentive grant application process should be
directed to Karen Staha at [email protected] (202-693-2917) or Gail Sather at
[email protected] (202-693-3995) in the Office of Performance and Technology.
9. Action Requested. As explained in 20 CFR 666.205(c), states will have 45 days from the
date of publication of the Federal Register notice announcing eligible states and incentive
amounts to submit the required application materials. Applicants are advised that mail in the
Washington, D.C. area may be delayed due to mail decontamination procedures. Therefore,
states are encouraged to submit applications electronically. Application materials are due by
June 25, 2009, and should be sent to:
Douglas F. Small
Deputy Assistant Secretary for Employment and Training
Attn: Karen Staha/Gail Sather
U.S. Department of Labor
200 Constitution Avenue, NW, Room S-5206
Washington, D.C. 20210
Or electronically:
[email protected]
[email protected]
States are encouraged to submit their applications prior to the due date. Funds must be obligated
by DOL to states by June 30, 2009. The ETA regional administrators will be available to
provide any technical assistance to states in preparing and expediting the applications.
10. Attachments. Standard Forms 424 and 424(A) are also available at:
http://www.grants.gov/agencies/aapproved_standard_forms.jsp
5
OMB Number: 4040-0004
Expiration Date: 01/31/2009
Application for Federal Assistance SF-424 Version 02
* 1. Type of Submission: * 2. Type of Application: * If Revision, select appropriate letter(s):
Preapplication New
Application Continuation * Other (Specify)
Changed/Corrected Application Revision
* 3. Date Received: 4. Applicant Identifier:
Completed by Grants.gov upon submission.
5a. Federal Entity Identifier: * 5b. Federal Award Identifier:
State Use Only:
6. Date Received by State: 7. State Application Identifier:
8. APPLICANT INFORMATION:
* a. Legal Name:
* b. Employer/Taxpayer Identification Number (EIN/TIN): * c. Organizational DUNS:
d. Address:
* Street1:
Street2:
* City:
County:
* State:
Province:
* Country: USA: UNITED STATES
* Zip / Postal Code:
e. Organizational Unit:
Department Name: Division Name:
f. Name and contact information of person to be contacted on matters involving this application:
Prefix: * First Name:
Middle Name:
* Last Name:
Suffix:
Title:
Organizational Affiliation:
* Telephone Number: Fax Number:
* Email:
OMB Number: 4040-0004
Expiration Date: 01/31/2009
Application for Federal Assistance SF-424 Version 02
9. Type of Applicant 1: Select Applicant Type:
Type of Applicant 2: Select Applicant Type:
Type of Applicant 3: Select Applicant Type:
* Other (specify):
* 10. Name of Federal Agency:
NGMS Agency
11. Catalog of Federal Domestic Assistance Number:
CFDA Title:
* 12. Funding Opportunity Number:
MBL-SF424FAMILY-ALLFORMS
* Title:
MBL-SF424Family-AllForms
13. Competition Identification Number:
Title:
14. Areas Affected by Project (Cities, Counties, States, etc.):
* 15. Descriptive Title of Applicant's Project:
Attach supporting documents as specified in agency instructions.
Add Attachments Delete Attachments View Attachments
OMB Number: 4040-0004
Expiration Date: 01/31/2009
Application for Federal Assistance SF-424 Version 02
16. Congressional Districts Of:
* a. Applicant * b. Program/Project
Attach an additional list of Program/Project Congressional Districts if needed.
Add Attachment Delete Attachment View Attachment
17. Proposed Project:
* a. Start Date: * b. End Date:
18. Estimated Funding ($):
* a. Federal
* b. Applicant
* c. State
* d. Local
* e. Other
* f. Program Income
* g. TOTAL
* 19. Is Application Subject to Review By State Under Executive Order 12372 Process?
a. This application was made available to the State under the Executive Order 12372 Process for review on .
b. Program is subject to E.O. 12372 but has not been selected by the State for review.
c. Program is not covered by E.O. 12372.
* 20. Is the Applicant Delinquent On Any Federal Debt? (If "Yes", provide explanation.)
Yes No Explanation
21. *By signing this application, I certify (1) to the statements contained in the list of certifications** and (2) that the statements
herein are true, complete and accurate to the best of my knowledge. I also provide the required assurances** and agree to
comply with any resulting terms if I accept an award. I am aware that any false, fictitious, or fraudulent statements or claims
may subject me to criminal, civil, or administrative penalties. (U.S. Code, Title 218, Section 1001)
** I AGREE
** The list of certifications and assurances, or an internet site where you may obtain this list, is contained in the announcement or agency
specific instructions.
Authorized Representative:
Prefix: * First Name:
Middle Name:
* Last Name:
Suffix:
* Title:
* Telephone Number: Fax Number:
* Email:
* Signature of Authorized Representative: Completed by Grants.gov upon submission. * Date Signed: Completed by Grants.gov upon submission.
Authorized for Local Reproduction Standard Form 424 (Revised 10/2005)
Prescribed by OMB Circular A-102
OMB Number: 4040-0004
Expiration Date: 01/31/2009
Application for Federal Assistance SF-424 Version 02
* Applicant Federal Debt Delinquency Explanation
The following field should contain an explanation if the Applicant organization is delinquent on any Federal Debt. Maximum number of
characters that can be entered is 4,000. Try and avoid extra spaces and carriage returns to maximize the availability of space.
INSTRUCTIONS FOR THE SF-424
Public reporting burden for this collection of information is estimated to average 60 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 (0348-0043), 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.
This is a standard form (including the continuation sheet) required for use as a cover sheet for submission of preapplications 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 items are identified with an asterisk on the form and are specified in the instructions below. In addition to the
instructions provided below, applicants must consult agency instructions to determine specific requirements.
Item Entry: Item Entry:
1. Type of Submission: (Required): Select one type of submission in 10. Name Of Federal Agency: (Required) Enter the name of
accordance with agency instructions. the Federal agency from which assistance is being
• Preapplication requested with this application.
• Application
• Changed/Corrected Application – If requested by the agency, check if this 11. Catalog Of Federal Domestic Assistance Number/Title:
submission is to change or correct a previously submitted application. Unless Enter the Catalog of Federal Domestic Assistance number
requested by the agency, applicants may not use this to submit changes after and title of the program under which assistance is
the closing date. requested, as found in the program announcement, if
applicable.
2. Type of Application: (Required) Select one type of application in accordance 12. Funding Opportunity Number/Title: (Required) Enter the
with agency instructions. Funding Opportunity Number and title of the opportunity
under which assistance is requested, as found in the
• New – An application that is being submitted to an agency for the first time. program announcement.
• Continuation - An extension for an additional funding/budget period for a 13. Competition Identification Number/Title: Enter the
project with a projected completion date. This can include renewals. Competition Identification Number and title of the
• Revision - Any change in the Federal Government’s financial obligation or competition under which assistance is requested, if
contingent liability from an existing obligation. If a applicable.
revision, enter the appropriate letter(s). More than one may be
selected. If "Other" is selected, please specify in text box provided.
A. Increase Award B. Decrease Award
C. Increase Duration D. Decrease Duration 14. Areas Affected By Project: List the areas or entities using
E. Other (specify) the categories (e.g., cities, counties, states, etc.) specified in
agency instructions. Use the continuation sheet to enter
additional areas, if needed.
3. Date Received: Leave this field blank. This date will be assigned by the 15. Descriptive Title of Applicant’s Project: (Required) Enter
Federal agency. a brief descriptive title of the project. If appropriate, attach a
map showing project location (e.g., construction or real
4. Applicant Identifier: Enter the entity identifier assigned buy the Federal
property projects). For preapplications, attach a summary
agency, if any, or the applicant’s control number if applicable.
description of the project.
5a. Federal Entity Identifier: Enter the number assigned to your 16. Congressional Districts Of: (Required) 16a. Enter the
organization by the Federal Agency, if any. applicant’s Congressional District, and 16b. Enter all
District(s) affected by the program or project. Enter in the
5b. Federal Award Identifier: For new applications leave blank. For a format: 2 characters State Abbreviation – 3 characters
continuation or revision to an existing award, enter the previously assigned District Number, e.g., CA-005 for California 5th district, CA-
Federal award identifier number. If a changed/corrected application, enter the 012 for California 12th district, NC-103 for North Carolina’s
Federal Identifier in accordance with agency instructions. 103rd district. • If all congressional districts in a state are
6. Date Received by State: Leave this field blank. This date will be assigned by affected, enter “all” for the district number, e.g., MD-all for all
the State, if applicable. congressional districts in Maryland. • If nationwide, i.e. all
districts within all states are affected, enter US-all. • If the
7. State Application Identifier: Leave this field blank. This identifier will be program/project is outside the US, enter 00-000.
assigned by the State, if applicable.
8. Applicant Information: Enter the following in accordance with agency
instructions:
a. Legal Name: (Required): Enter the legal name of applicant that will 17. Proposed Project Start and End Dates: (Required) Enter
undertake the assistance activity. This is ththat the organization has the proposed start date and end date of the project.
registered with the Central Contractor Registry. Information on registering with
CCR may be obtained by visiting the Grants.gov website.
b. Employer/Taxpayer Number (EIN/TIN): (Required): Enter the Employer 18. Estimated Funding: (Required) Enter the amount
or Taxpayer Identification Number (EIN or TIN) as assigned by the Internal requested or to be contributed during the first funding/budget
Revenue Service. If your organization is not in the US, enter 44-4444444. period by each contributor. Value of in-kind contributions
should be included 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 DUNS or 19. Is Application Subject to Review by State Under
DUNS+4 number received from Dun and Bradstreet. Information on obtaining Executive Order 12372 Process? Applicants should
a DUNS number may be obtained by visiting the Grants.gov website. contact the State Single Point of Contact (SPOC) for Federal
Executive 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 the complete address as follows: Street address (Line 1 20. Is the Applicant Delinquent on any Federal Debt?
required), City (Required), County, State (Required, if country is US), (Required) Select the appropriate box. This question applies
Province, Country (Required), Zip/Postal Code (Required, if country is US). to the applicant organization, not the person who signs as
the authorized representative. Categories of debt include
delinquent audit disallowances, loans and taxes. If yes,
include an explanation on the continuation sheet.
e. Organizational Unit: Enter the name of the primary organizational unit 21. Authorized Representative: (Required) To be signed and
(and department or division, (if applicable) that will undertake the assistance dated by the authorized representative of the applicant
activity, if applicable. organization. Enter the name (First and last name required)
title (Required), telephone number (Required), fax number,
and email address (Required) of the person authorized to
sign for the applicant. A copy of the governing body’s
authorization for you to sign this application as the official
representative must be on file in the applicant’s office.
f. Name and contact information of person to be contacted on matters (Certain Federal agencies may require that this
involving this applicat required), organizational affiliation (if affiliated with an authorization be submitted as part of the application.)
organization other on: Enter the name (First and last name than the applicant
organization), telephone number (Required), fax number, and email address
(Required) of the person to contact on matters related to this application.
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. Nonprofit
C. City or Township O. Private Institution of
Government Higher Education
D. Special District Government P. Individual
E. Regional Organization Q. For-Profit Organization
F. U.S. Territory or Possession (Other than Small
G. Independent School District Business)
H. Public/State Controlled R. Small Business
Institution of Higher S. Hispanic-serving
Education Institution
I. Indian/Native American T. Historically Black
Tribal Government Colleges and
(Federally Recognized) Universities (HBCUs)
J. Indian/Native American U. Tribally Controlled
Tribal Government (Other Colleges and
than Federally Recognized) Universities (TCCUs)
K. Indian/Native American V. Alaska Native and
Tribally Designated Native Hawaiian Serving
Organization Institutions
L. Public/Indian Housing W. Non-domestic (non-US)
Authority Entity
X. Other (specify)
OMB Approval No. 4040-0006
BUDGET INFORMATION - Non-Construction Programs Expiration Date 04/30/2008
SECTION A - BUDGET SUMMARY
Grant Program Catalog of Federal Estimated Unobligated Funds New or Revised Budget
Function Domestic Assistance
or Activity Number Federal Non-Federal Federal Non-Federal Total
(a) (b) ( c) (d) (e) (f) (g)
1. $ $ $ $ $
2.
3.
4.
5. Totals $ $ $ $ $
SECTION B - BUDGET CATEGORIES
GRANT PROGRAM, FUNCTION OR ACTIVITY Total
6. Object Class Categories
(1) (2) (3) (4) (5)
$
a. Personnel $ $ $ $
b. Fringe Benefits
c. Travel
d. Equipment
e. Supplies
f. Contractual
g. Construction
h. Other
i. Total Direct Charges (sum of 6a-6h) $
j. Indirect Charges $
k. TOTALS (sum of 6i and 6j) $ $ $ $ $
7. Program Income $ $ $ $ $
Authorized for Local Reproduction Standard Form 424A (Rev. 7- 97)
Prescribed by OMB (Circular A -102)
SECTION C - NON-FEDERAL RESOURCES
(a) Grant Program (b) Applicant (c) State (d) Other Sources (e) TOTALS
8. $ $ $ $
9.
10.
11.
12. TOTAL (sum of lines 8-11) $ $ $ $
SECTION D - FORECASTED CASH NEEDS
Total for 1st Year 1st Quarter 2nd Quarter 3rd Quarter 4th Quarter
13. Federal
$ $ $ $ $
14. Non-Federal $
15. TOTAL (sum of lines 13 and 14) $ $ $ $ $
SECTION E - BUDGET ESTIMATES OF FEDERAL FUNDS NEEDED FOR BALANCE OF THE PROJECT
(a) Grant Program FUTURE FUNDING PERIODS (Years)
(b) First (c) Second (d) Third (e) Fourth
16. 0.00
$ $ $ $
17.
18.
19.
20. TOTAL (sum of lines 16 - 19) $ $ $ $
SECTION F - OTHER BUDGET INFORMATION
21. Direct Charges: 22. Indirect Charges:
23. Remarks:
Authorized for Local Reproduction Standard Form 424A (Rev. 7-97) Page 2
Instructions For Completing SF-424A Budget Information for Non-Construction Programs
Public reporting burden for this collection of information is estimated to average 180 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 (0348-0044), 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.
General Instructions form does not provide adequate space for all breakdown of
data required. However, when more than one sheet is used,
This form is designed so that application can be made for the first page should provide the summary totals by
funds from one or more grant programs. In preparing the programs.
budget, adhere to any existing Federal grantor agency
guidelines which prescribe how and whether budgeted Lines 1-4, Columns (c) through (g)
amounts should be separately shown for different functions
or activities within the program. For some programs, grantor For new applications, leave Column (c) and (d) blank. For
agencies may require budgets to be separately shown by each line entry in Columns (a) and (b), enter in Columns (e),
function or activity. For other programs, grantor agencies (f), and (g) the appropriate amounts of funds needed to
may require a breakdown by function or activity. Sections A, support the project for the first funding period (usually a
B, C, and D should include budget estimates for the whole year).
project except when applying for assistance which requires
Federal authorization in annual or other funding period For continuing grant program applications, submit these
increments. In the latter case, Sections A, B, C, and D forms before the end of each funding period as required by
should provide the budget for the first budget period (usually the grantor agency. Enter in Columns (c) and (d) the
a year) and Section E should present the need for Federal estimated amounts of funds which will remain unobligated at
assistance in the subsequent budget periods. All the end of the grant funding period only if the Federal
applications should contain a breakdown by the object class grantor agency instructions provide for this. Otherwise, leave
categories shown in Lines a-k of Section B. these columns blank. Enter in columns (e) and (f) the
amounts of funds needed for the upcoming period. The
Section A. Budget Summary Lines 1-4 Columns (a) and amount(s) in Column (g) should be the sum of amounts in
(b) Columns (e) and (f).
For applications pertaining to a single Federal grant program For supplemental grants and changes to existing grants, do
(Federal Domestic Assistance Catalog number) and not not use Columns (c) and (d). Enter in Column (e) the amount
requiring a functional or activity breakdown, enter on Line 1 of the increase or decrease of Federal funds and enter in
under Column (a) the Catalog program title and the Catalog Column (f) the amount of the increase or decrease of non-
number in Column (b). Federal funds. In Column (g) enter the new total budgeted
amount (Federal and non-Federal) which includes the total
For applications pertaining to a single program requiring previous authorized budgeted amounts plus or minus, as
budget amounts by multiple functions or activities, enter the appropriate, the amounts shown in Columns (e) and (f). The
name of each activity or function on each line in Column (a), amount(s) in Column (g) should not equal the sum of
and enter the Catalog number in Column (b). For amounts in Columns (e) and (f).
applications pertaining to multiple programs where none of
the programs require a breakdown by function or activity, Line 5 - Show the totals for all columns used.
enter the Catalog program title on each line in Column (a)
and the respective Catalog number on each line in Column Section B Budget Categories
(b).
In the column headings (1) through (4), enter the titles of the
For applications pertaining to multiple programs where one same programs, functions, and activities shown on Lines 1-
or more programs require a breakdown by function or 4, Column (a), Section A. When additional sheets are
activity, prepare a separate sheet for each program requiring prepared for Section A, provide similar column headings on
the breakdown. Additional sheets should be used when one each sheet. For each program, function or activity, fill in the
total requirements for funds (both Federal and non-Federal) Line 12 -Enter the total for each of Columns (b)-(e). The
by object class categories. amount in Column (e) should be equal to the amount on Line
5, Column (f), Section A.
Line 6a-i - Show the totals of Lines 6a to 6h in each column.
Section D. Forecasted Cash Needs
Line 6j - Show the amount of indirect cost.
Line 13 -Enter the amount of cash needed by quarter from
Line 6k -Enter the total of amounts on Lines 6i and 6j. For all the grantor agency during the first year.
applications for new grants and continuation grants the total
amount in column (5), Line 6k, should be the same as the Line 14 -Enter the amount of cash from all other sources
total amount shown in Section A, Column (g), Line 5. For needed by quarter during the first year.
supplemental grants and changes to grants, the total amount
of the increase or decrease as shown in Columns (1)-(4), Line 15 - Enter the totals of amounts on Lines 13 and 14.
Line 6k should be the same as the sum of the amounts in
Section A, Columns (e) and (f) on Line 5. Section E. Budget Estimates of Federal Funds Needed
for Balance of the Project
Line 7 -Enter the estimated amount of income, if any,
expected to be generated from this project. Do not add Lines 16-19 -Enter in Column (a) the same grant program
or subtract this amount from the total project amount. titles shown in Column (a), Section A. A breakdown by
Show under the program narrative statement the function or activity is not necessary. For new applications
nature and source of income. The estimated amount of and continuation grant applications, enter in the proper
program income may be considered by the Federal columns amounts of Federal funds which will be needed to
grantor agency in determining the total amount of the complete the program or project over the succeeding funding
grant. periods (usually in years). This section need not be
completed for revisions (amendments, changes, or
Section C. Non-Federal Resources supplements) to funds for the current year of existing grants.
Lines 8-11 Enter amounts of non-Federal resources that If more than four lines are needed to list the program titles,
will be used on the grant. If in-kind contributions are submit additional schedules as necessary.
included, provide a brief explanation on a separate sheet.
Line 20 -Enter the total for each of the Columns (b)-(e).
When additional schedules are prepared for this Section,
Column (a) -Enter the program titles identical to
annotate accordingly and show the overall totals on this line.
Column (a), Section A. A breakdown by function
or activity is not necessary.
Section F. Other Budget Information
Column (b) -Enter the contribution to be made by
the applicant. Line 21 -Use this space to explain amounts for individual
direct object class cost categories that may appear to be out
Column (c) -Enter the amount of the State’s cash of the ordinary or to explain the details as required by the
and in-kind contribution if the applicant is not a Federal grantor agency.
State or State agency. Applicants which are a
State or State agencies should leave this column Line 22 -Enter the type of indirect rate (provisional,
blank. predetermined, final or fixed) that will be in effect during the
funding period, the estimated amount of the base to which
Column (d) -Enter the amount of cash and in- the rate is applied, and the total indirect expense.
kind contributions to be made from all other
sources. Line 23 -Provide any other explanations or comments
deemed necessary.
Column (e) - Enter totals of Columns (b), (c), and
(d).
Linked official document 1: https://www.dol.gov/sites/dolgov/files/ETA/advisories/TEGL/2009/TEGL20-01C7a1.pdf
OMB Number: 4040-0004
Expiration Date: 01/31/2009
Application for Federal Assistance SF-424 Version 02
* 1. Type of Submission: * 2. Type of Application: * If Revision, select appropriate letter(s):
Preapplication New
Application Continuation * Other (Specify)
Changed/Corrected Application Revision
* 3. Date Received: 4. Applicant Identifier:
Completed by Grants.gov upon submission.
5a. Federal Entity Identifier: * 5b. Federal Award Identifier:
State Use Only:
6. Date Received by State: 7. State Application Identifier:
8. APPLICANT INFORMATION:
* a. Legal Name:
* b. Employer/Taxpayer Identification Number (EIN/TIN): * c. Organizational DUNS:
d. Address:
* Street1:
Street2:
* City:
County:
* State:
Province:
* Country: USA: UNITED STATES
* Zip / Postal Code:
e. Organizational Unit:
Department Name: Division Name:
f. Name and contact information of person to be contacted on matters involving this application:
Prefix: * First Name:
Middle Name:
* Last Name:
Suffix:
Title:
Organizational Affiliation:
* Telephone Number: Fax Number:
* Email:
OMB Number: 4040-0004
Expiration Date: 01/31/2009
Application for Federal Assistance SF-424 Version 02
9. Type of Applicant 1: Select Applicant Type:
Type of Applicant 2: Select Applicant Type:
Type of Applicant 3: Select Applicant Type:
* Other (specify):
* 10. Name of Federal Agency:
NGMS Agency
11. Catalog of Federal Domestic Assistance Number:
CFDA Title:
* 12. Funding Opportunity Number:
MBL-SF424FAMILY-ALLFORMS
* Title:
MBL-SF424Family-AllForms
13. Competition Identification Number:
Title:
14. Areas Affected by Project (Cities, Counties, States, etc.):
* 15. Descriptive Title of Applicant's Project:
Attach supporting documents as specified in agency instructions.
Add Attachments Delete Attachments View Attachments
OMB Number: 4040-0004
Expiration Date: 01/31/2009
Application for Federal Assistance SF-424 Version 02
16. Congressional Districts Of:
* a. Applicant * b. Program/Project
Attach an additional list of Program/Project Congressional Districts if needed.
Add Attachment Delete Attachment View Attachment
17. Proposed Project:
* a. Start Date: * b. End Date:
18. Estimated Funding ($):
* a. Federal
* b. Applicant
* c. State
* d. Local
* e. Other
* f. Program Income
* g. TOTAL
* 19. Is Application Subject to Review By State Under Executive Order 12372 Process?
a. This application was made available to the State under the Executive Order 12372 Process for review on .
b. Program is subject to E.O. 12372 but has not been selected by the State for review.
c. Program is not covered by E.O. 12372.
* 20. Is the Applicant Delinquent On Any Federal Debt? (If "Yes", provide explanation.)
Yes No Explanation
21. *By signing this application, I certify (1) to the statements contained in the list of certifications** and (2) that the statements
herein are true, complete and accurate to the best of my knowledge. I also provide the required assurances** and agree to
comply with any resulting terms if I accept an award. I am aware that any false, fictitious, or fraudulent statements or claims
may subject me to criminal, civil, or administrative penalties. (U.S. Code, Title 218, Section 1001)
** I AGREE
** The list of certifications and assurances, or an internet site where you may obtain this list, is contained in the announcement or agency
specific instructions.
Authorized Representative:
Prefix: * First Name:
Middle Name:
* Last Name:
Suffix:
* Title:
* Telephone Number: Fax Number:
* Email:
* Signature of Authorized Representative: Completed by Grants.gov upon submission. * Date Signed: Completed by Grants.gov upon submission.
Authorized for Local Reproduction Standard Form 424 (Revised 10/2005)
Prescribed by OMB Circular A-102
OMB Number: 4040-0004
Expiration Date: 01/31/2009
Application for Federal Assistance SF-424 Version 02
* Applicant Federal Debt Delinquency Explanation
The following field should contain an explanation if the Applicant organization is delinquent on any Federal Debt. Maximum number of
characters that can be entered is 4,000. Try and avoid extra spaces and carriage returns to maximize the availability of space.
INSTRUCTIONS FOR THE SF-424
Public reporting burden for this collection of information is estimated to average 60 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 (0348-0043), 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.
This is a standard form (including the continuation sheet) required for use as a cover sheet for submission of preapplications 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 items are identified with an asterisk on the form and are specified in the instructions below. In addition to the
instructions provided below, applicants must consult agency instructions to determine specific requirements.
Item Entry: Item Entry:
1. Type of Submission: (Required): Select one type of submission in 10. Name Of Federal Agency: (Required) Enter the name of
accordance with agency instructions. the Federal agency from which assistance is being
• Preapplication requested with this application.
• Application
• Changed/Corrected Application – If requested by the agency, check if this 11. Catalog Of Federal Domestic Assistance Number/Title:
submission is to change or correct a previously submitted application. Unless Enter the Catalog of Federal Domestic Assistance number
requested by the agency, applicants may not use this to submit changes after and title of the program under which assistance is
the closing date. requested, as found in the program announcement, if
applicable.
2. Type of Application: (Required) Select one type of application in accordance 12. Funding Opportunity Number/Title: (Required) Enter the
with agency instructions. Funding Opportunity Number and title of the opportunity
under which assistance is requested, as found in the
• New – An application that is being submitted to an agency for the first time. program announcement.
• Continuation - An extension for an additional funding/budget period for a 13. Competition Identification Number/Title: Enter the
project with a projected completion date. This can include renewals. Competition Identification Number and title of the
• Revision - Any change in the Federal Government’s financial obligation or competition under which assistance is requested, if
contingent liability from an existing obligation. If a applicable.
revision, enter the appropriate letter(s). More than one may be
selected. If "Other" is selected, please specify in text box provided.
A. Increase Award B. Decrease Award
C. Increase Duration D. Decrease Duration 14. Areas Affected By Project: List the areas or entities using
E. Other (specify) the categories (e.g., cities, counties, states, etc.) specified in
agency instructions. Use the continuation sheet to enter
additional areas, if needed.
3. Date Received: Leave this field blank. This date will be assigned by the 15. Descriptive Title of Applicant’s Project: (Required) Enter
Federal agency. a brief descriptive title of the project. If appropriate, attach a
map showing project location (e.g., construction or real
4. Applicant Identifier: Enter the entity identifier assigned buy the Federal
property projects). For preapplications, attach a summary
agency, if any, or the applicant’s control number if applicable.
description of the project.
5a. Federal Entity Identifier: Enter the number assigned to your 16. Congressional Districts Of: (Required) 16a. Enter the
organization by the Federal Agency, if any. applicant’s Congressional District, and 16b. Enter all
District(s) affected by the program or project. Enter in the
5b. Federal Award Identifier: For new applications leave blank. For a format: 2 characters State Abbreviation – 3 characters
continuation or revision to an existing award, enter the previously assigned District Number, e.g., CA-005 for California 5th district, CA-
Federal award identifier number. If a changed/corrected application, enter the 012 for California 12th district, NC-103 for North Carolina’s
Federal Identifier in accordance with agency instructions. 103rd district. • If all congressional districts in a state are
6. Date Received by State: Leave this field blank. This date will be assigned by affected, enter “all” for the district number, e.g., MD-all for all
the State, if applicable. congressional districts in Maryland. • If nationwide, i.e. all
districts within all states are affected, enter US-all. • If the
7. State Application Identifier: Leave this field blank. This identifier will be program/project is outside the US, enter 00-000.
assigned by the State, if applicable.
8. Applicant Information: Enter the following in accordance with agency
instructions:
a. Legal Name: (Required): Enter the legal name of applicant that will 17. Proposed Project Start and End Dates: (Required) Enter
undertake the assistance activity. This is ththat the organization has the proposed start date and end date of the project.
registered with the Central Contractor Registry. Information on registering with
CCR may be obtained by visiting the Grants.gov website.
b. Employer/Taxpayer Number (EIN/TIN): (Required): Enter the Employer 18. Estimated Funding: (Required) Enter the amount
or Taxpayer Identification Number (EIN or TIN) as assigned by the Internal requested or to be contributed during the first funding/budget
Revenue Service. If your organization is not in the US, enter 44-4444444. period by each contributor. Value of in-kind contributions
should be included 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 DUNS or 19. Is Application Subject to Review by State Under
DUNS+4 number received from Dun and Bradstreet. Information on obtaining Executive Order 12372 Process? Applicants should
a DUNS number may be obtained by visiting the Grants.gov website. contact the State Single Point of Contact (SPOC) for Federal
Executive 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 the complete address as follows: Street address (Line 1 20. Is the Applicant Delinquent on any Federal Debt?
required), City (Required), County, State (Required, if country is US), (Required) Select the appropriate box. This question applies
Province, Country (Required), Zip/Postal Code (Required, if country is US). to the applicant organization, not the person who signs as
the authorized representative. Categories of debt include
delinquent audit disallowances, loans and taxes. If yes,
include an explanation on the continuation sheet.
e. Organizational Unit: Enter the name of the primary organizational unit 21. Authorized Representative: (Required) To be signed and
(and department or division, (if applicable) that will undertake the assistance dated by the authorized representative of the applicant
activity, if applicable. organization. Enter the name (First and last name required)
title (Required), telephone number (Required), fax number,
and email address (Required) of the person authorized to
sign for the applicant. A copy of the governing body’s
authorization for you to sign this application as the official
representative must be on file in the applicant’s office.
f. Name and contact information of person to be contacted on matters (Certain Federal agencies may require that this
involving this applicat required), organizational affiliation (if affiliated with an authorization be submitted as part of the application.)
organization other on: Enter the name (First and last name than the applicant
organization), telephone number (Required), fax number, and email address
(Required) of the person to contact on matters related to this application.
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. Nonprofit
C. City or Township O. Private Institution of
Government Higher Education
D. Special District Government P. Individual
E. Regional Organization Q. For-Profit Organization
F. U.S. Territory or Possession (Other than Small
G. Independent School District Business)
H. Public/State Controlled R. Small Business
Institution of Higher S. Hispanic-serving
Education Institution
I. Indian/Native American T. Historically Black
Tribal Government Colleges and
(Federally Recognized) Universities (HBCUs)
J. Indian/Native American U. Tribally Controlled
Tribal Government (Other Colleges and
than Federally Recognized) Universities (TCCUs)
K. Indian/Native American V. Alaska Native and
Tribally Designated Native Hawaiian Serving
Organization Institutions
L. Public/Indian Housing W. Non-domestic (non-US)
Authority Entity
X. Other (specify)
Linked official document 2: https://www.dol.gov/sites/dolgov/files/ETA/advisories/TEGL/2009/TEGL20-01C7a2.pdf
OMB Approval No. 4040-0006
BUDGET INFORMATION - Non-Construction Programs Expiration Date 04/30/2008
SECTION A - BUDGET SUMMARY
Grant Program Catalog of Federal Estimated Unobligated Funds New or Revised Budget
Function Domestic Assistance
or Activity Number Federal Non-Federal Federal Non-Federal Total
(a) (b) ( c) (d) (e) (f) (g)
1. $ $ $ $ $
2.
3.
4.
5. Totals $ $ $ $ $
SECTION B - BUDGET CATEGORIES
GRANT PROGRAM, FUNCTION OR ACTIVITY Total
6. Object Class Categories
(1) (2) (3) (4) (5)
$
a. Personnel $ $ $ $
b. Fringe Benefits
c. Travel
d. Equipment
e. Supplies
f. Contractual
g. Construction
h. Other
i. Total Direct Charges (sum of 6a-6h) $
j. Indirect Charges $
k. TOTALS (sum of 6i and 6j) $ $ $ $ $
7. Program Income $ $ $ $ $
Authorized for Local Reproduction Standard Form 424A (Rev. 7- 97)
Prescribed by OMB (Circular A -102)
SECTION C - NON-FEDERAL RESOURCES
(a) Grant Program (b) Applicant (c) State (d) Other Sources (e) TOTALS
8. $ $ $ $
9.
10.
11.
12. TOTAL (sum of lines 8-11) $ $ $ $
SECTION D - FORECASTED CASH NEEDS
Total for 1st Year 1st Quarter 2nd Quarter 3rd Quarter 4th Quarter
13. Federal
$ $ $ $ $
14. Non-Federal $
15. TOTAL (sum of lines 13 and 14) $ $ $ $ $
SECTION E - BUDGET ESTIMATES OF FEDERAL FUNDS NEEDED FOR BALANCE OF THE PROJECT
(a) Grant Program FUTURE FUNDING PERIODS (Years)
(b) First (c) Second (d) Third (e) Fourth
16. 0.00
$ $ $ $
17.
18.
19.
20. TOTAL (sum of lines 16 - 19) $ $ $ $
SECTION F - OTHER BUDGET INFORMATION
21. Direct Charges: 22. Indirect Charges:
23. Remarks:
Authorized for Local Reproduction Standard Form 424A (Rev. 7-97) Page 2
Instructions For Completing SF-424A Budget Information for Non-Construction Programs
Public reporting burden for this collection of information is estimated to average 180 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 (0348-0044), 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.
General Instructions form does not provide adequate space for all breakdown of
data required. However, when more than one sheet is used,
This form is designed so that application can be made for the first page should provide the summary totals by
funds from one or more grant programs. In preparing the programs.
budget, adhere to any existing Federal grantor agency
guidelines which prescribe how and whether budgeted Lines 1-4, Columns (c) through (g)
amounts should be separately shown for different functions
or activities within the program. For some programs, grantor For new applications, leave Column (c) and (d) blank. For
agencies may require budgets to be separately shown by each line entry in Columns (a) and (b), enter in Columns (e),
function or activity. For other programs, grantor agencies (f), and (g) the appropriate amounts of funds needed to
may require a breakdown by function or activity. Sections A, support the project for the first funding period (usually a
B, C, and D should include budget estimates for the whole year).
project except when applying for assistance which requires
Federal authorization in annual or other funding period For continuing grant program applications, submit these
increments. In the latter case, Sections A, B, C, and D forms before the end of each funding period as required by
should provide the budget for the first budget period (usually the grantor agency. Enter in Columns (c) and (d) the
a year) and Section E should present the need for Federal estimated amounts of funds which will remain unobligated at
assistance in the subsequent budget periods. All the end of the grant funding period only if the Federal
applications should contain a breakdown by the object class grantor agency instructions provide for this. Otherwise, leave
categories shown in Lines a-k of Section B. these columns blank. Enter in columns (e) and (f) the
amounts of funds needed for the upcoming period. The
Section A. Budget Summary Lines 1-4 Columns (a) and amount(s) in Column (g) should be the sum of amounts in
(b) Columns (e) and (f).
For applications pertaining to a single Federal grant program For supplemental grants and changes to existing grants, do
(Federal Domestic Assistance Catalog number) and not not use Columns (c) and (d). Enter in Column (e) the amount
requiring a functional or activity breakdown, enter on Line 1 of the increase or decrease of Federal funds and enter in
under Column (a) the Catalog program title and the Catalog Column (f) the amount of the increase or decrease of non-
number in Column (b). Federal funds. In Column (g) enter the new total budgeted
amount (Federal and non-Federal) which includes the total
For applications pertaining to a single program requiring previous authorized budgeted amounts plus or minus, as
budget amounts by multiple functions or activities, enter the appropriate, the amounts shown in Columns (e) and (f). The
name of each activity or function on each line in Column (a), amount(s) in Column (g) should not equal the sum of
and enter the Catalog number in Column (b). For amounts in Columns (e) and (f).
applications pertaining to multiple programs where none of
the programs require a breakdown by function or activity, Line 5 - Show the totals for all columns used.
enter the Catalog program title on each line in Column (a)
and the respective Catalog number on each line in Column Section B Budget Categories
(b).
In the column headings (1) through (4), enter the titles of the
For applications pertaining to multiple programs where one same programs, functions, and activities shown on Lines 1-
or more programs require a breakdown by function or 4, Column (a), Section A. When additional sheets are
activity, prepare a separate sheet for each program requiring prepared for Section A, provide similar column headings on
the breakdown. Additional sheets should be used when one each sheet. For each program, function or activity, fill in the
total requirements for funds (both Federal and non-Federal) Line 12 -Enter the total for each of Columns (b)-(e). The
by object class categories. amount in Column (e) should be equal to the amount on Line
5, Column (f), Section A.
Line 6a-i - Show the totals of Lines 6a to 6h in each column.
Section D. Forecasted Cash Needs
Line 6j - Show the amount of indirect cost.
Line 13 -Enter the amount of cash needed by quarter from
Line 6k -Enter the total of amounts on Lines 6i and 6j. For all the grantor agency during the first year.
applications for new grants and continuation grants the total
amount in column (5), Line 6k, should be the same as the Line 14 -Enter the amount of cash from all other sources
total amount shown in Section A, Column (g), Line 5. For needed by quarter during the first year.
supplemental grants and changes to grants, the total amount
of the increase or decrease as shown in Columns (1)-(4), Line 15 - Enter the totals of amounts on Lines 13 and 14.
Line 6k should be the same as the sum of the amounts in
Section A, Columns (e) and (f) on Line 5. Section E. Budget Estimates of Federal Funds Needed
for Balance of the Project
Line 7 -Enter the estimated amount of income, if any,
expected to be generated from this project. Do not add Lines 16-19 -Enter in Column (a) the same grant program
or subtract this amount from the total project amount. titles shown in Column (a), Section A. A breakdown by
Show under the program narrative statement the function or activity is not necessary. For new applications
nature and source of income. The estimated amount of and continuation grant applications, enter in the proper
program income may be considered by the Federal columns amounts of Federal funds which will be needed to
grantor agency in determining the total amount of the complete the program or project over the succeeding funding
grant. periods (usually in years). This section need not be
completed for revisions (amendments, changes, or
Section C. Non-Federal Resources supplements) to funds for the current year of existing grants.
Lines 8-11 Enter amounts of non-Federal resources that If more than four lines are needed to list the program titles,
will be used on the grant. If in-kind contributions are submit additional schedules as necessary.
included, provide a brief explanation on a separate sheet.
Line 20 -Enter the total for each of the Columns (b)-(e).
When additional schedules are prepared for this Section,
Column (a) -Enter the program titles identical to
annotate accordingly and show the overall totals on this line.
Column (a), Section A. A breakdown by function
or activity is not necessary.
Section F. Other Budget Information
Column (b) -Enter the contribution to be made by
the applicant. Line 21 -Use this space to explain amounts for individual
direct object class cost categories that may appear to be out
Column (c) -Enter the amount of the State’s cash of the ordinary or to explain the details as required by the
and in-kind contribution if the applicant is not a Federal grantor agency.
State or State agency. Applicants which are a
State or State agencies should leave this column Line 22 -Enter the type of indirect rate (provisional,
blank. predetermined, final or fixed) that will be in effect during the
funding period, the estimated amount of the base to which
Column (d) -Enter the amount of cash and in- the rate is applied, and the total indirect expense.
kind contributions to be made from all other
sources. Line 23 -Provide any other explanations or comments
deemed necessary.
Column (e) - Enter totals of Columns (b), (c), and
(d).
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