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2009 Native American workforce allotments
Summary ETA provided Indian and Native American WIA section 166 grantees program year 2009 adult and youth allotments and instructions for applications or plan modifications. Five attachments give allocations and forms. ETA now lists the year-specific advisory Canceled.
Document
Federal guidance
Agency
U.S. Department of Labor, Employment and Training Administration (ETA)
Document number
TEGL No. 26-08
Date issued
May 27, 2009
Status
Withdrawn
ETA lists this advisory Canceled as of 2026-10-24; its signed letter prints Expiration Date: Continuing and Rescissions: None. It concerns program year 2009 allocations.
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This document has been withdrawn.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/TEGL26-08acc.pdf
CLASSIFICATION
EMPLOYMENT AND TRAINING ADMINISTRATION WIA Section 166 Indian and Native
ADVISORY SYSTEM American Program
U.S. DEPARTMENT OF LABOR CORRESPONDENCE SYMBOL
Washington, D.C. 20210 OWI/DAS/INAP
DATE
May 27, 2009
TRAINING AND EMPLOYMENT GUIDANCE LETTER NO. 26-08
TO: ALL WORKFORCE INVESTMENT ACT SECTION 166 INDIAN AND
NATIVE AMERICAN GRANTEES
FROM: DOUGLAS F. SMALL /s/
Deputy Assistant Secretary
SUBJECT: Workforce Investment Act (WIA), Program Year (PY) 2009 Allotments
for Section 166, Indian and Native American Programs
1. Purpose. To provide Indian and Native American grantees with WIA, Section 166,
Supplemental Youth Services Program (SYSP) and Comprehensive Service Program
(CSP) funding allotments and instructions for PY/2009 applications and plan
modifications.
2. References.
a. American Recovery and Reinvestment Act of 2009, Pub. Law 111-5;
b. The Workforce Investment Act of 1998, Pub. Law 105-220;
c. Division of Indian and Native American Program Bulletin No. 00-04 - Final WIA
Regulations - 20 Code of Federal Regulations, Part 668;
d. Training and Employment Guidance Letter (TEGL) No. 25-07- Planning
Guidance and Instructions for Submission of a Two-Year Strategic Plan for the
Indian and Native American (INA), Section 166 program for Program Years
(PY) 2008–2009; applying the Native American Talent and Economic
Development (NATED) Framework; and
e. TEGL No. 16-08 – Guidance for Implementation of the Workforce Investment
Act (WIA) Funding in the American Recovery and Reinvestment Act of 2009, as
required by Subtitle D, Section 166, Native American Programs.
RESCISSIONS EXPIRATION DATE
None Continuing
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3. Background. The funds for the allotments announced in this TEGL are part of the
funds appropriated in the Department of Labor (DOL) Appropriations Act, 2009,
Division F, Title I of the Omnibus Appropriations Act, 2009, Pub. Law 111-8, signed
into law March 11, 2009.
WIA Section 166 grantees that received the American Recovery and Reinvestment
Act of 2009 (Recovery Act) funds for the SYSP are expected to spend PY 2009 funds
concurrently with the Recovery Act funding to increase the availability of services
quickly and effectively. Successful implementation of funding includes effective
provision of services and training for at risk youth and helps enable future economic
growth and prosperity for all Indians, Native Americans, and Native Hawaiians.
In a stronger, more comprehensive workforce investment system participants are
able to reconnect through multiple pathways to education and training
opportunities necessary to enter and advance in the workforce. Education and
training at every level would be closely aligned with jobs and industries important
to local and regional economies. Every level of education and training would afford
students and trainees the ability to advance in school or at work, with assessments
and certifications linked to the requirements of the next level of education and
employment.
With this infusion of PY 2009 funding, along with the recent release of Recovery Act
funds for SYSP grantees, Indian and Native American (INA) grantees should
consider how their funding decisions and implementation activities can help achieve
this goal of workforce system transformation. New approaches should be reflected
in plans and accomplishments should be documented as this transformation process
evolves.
Under WIA Section 166(e), INA grantees have submitted and received approval of a
two-year strategic plan for PYs 2008 and 2009. However, the Employment and
Training Administration (ETA) requires a modification to the two-year strategic
plan for grantees that received SYSP funding under the Recovery Act. Guidance on
how to incorporate Recovery Act funds into the two-year strategic plan can be
found in TEGL No. 16-08 – dated March 19, 2009 (see item 11 on page 7). Grantees
that did NOT receive Recovery Act funds will NOT be required to submit a revised
two-year strategic plan unless they intend to significantly modify the current
strategic plan.
4. Information. The Grant Officer shall automatically process and issue modifications
obligating PY 2009 funds to WIA Section 166 grantees. Grantees proposing to
significantly modify the current two-year strategic plan will require Grant Officer
authorization before new services and activities can be implemented. Significant
changes to the plan may include the addition of services and activities not currently
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approved under the current two-year strategic plan. Grantees receiving Recovery
Act funding must submit a revised strategic planning narrative, in accordance with
TEGL No. 16-08.
a. Allotments:
The PY 2009 CSP allotment is $52,230,420 and the SYSP allotment is $13,861,035.
See Attachments B and C for the exact amount of PY 2009 funds to be obligated
by grantee. To allow for the full three years of expenditure, the PY 2007 CSP
and SYSP funds will be extended to June 30, 2010.
b. Waivers:
WIA Section 166(h)(3) permits waivers of any statutory or regulatory
requirement imposed upon INA grantees, except for the areas cited in the WIA
regulations at 20 CFR 668.920. Subject to those exception, grantees may seek a
waiver to any WIA statutory requirement or regulation that prohibits the
effective use of Recovery Act funds accept for the limits cited in 20 CFR 668.920.
Grantees can contact their Federal Project Officer for guidance on how to submit
a waiver.
5. Action Requested. All grantees receiving WIA Section 166 PY 09 funding are
required to submit an originally signed Standard Form 424 (SF 424) and Standard
Form 424a (SF 424a) within 30 days of this notice. This is a new SF/424 and 424a
for the most recent appropriation bill. Additionally, grantees that received
Recovery Act funds must submit three originally signed Grant Signature Sheets
(Attachment A) to incorporate Recovery Act funds into the most recent grant
designation. Grantees that recently submitted Recovery Act narratives are not
required to re-submit these with Attachment A. In addition, if grantees plan to
make significant changes to their current two-year plan, three originally signed
copies of Attachment A and three copies of the grant modification narrative must be
submitted.
Attached are the forms and instructions for completing the SF 424 and SF 424a
(Attachment D and E.) These items must be submitted electronically to
[email protected] within thirty days of this notice. However, grantees
receiving SYSP PY 09 funding should submit the information as early as necessary
to implement an effective summer program.
If you are unable to submit the required items electronically, they may be
faxed to (202) 693-3817 or sent by overnight mail to be received prior to the
deadline: attention Belinda Taylor, U. S. Department of Labor, Division of
Adult Services, Indian and Native American Programs, 200 Constitution
-4-
Avenue, NW, Room S-4209, Washington, D.C. 20210.
6. Inquiries. Questions should be directed to your designated Federal Project Officer.
Andrea Brown (202) 693-3736 Duane Hall (972) 850-4637
Craig Lewis (202) 693-3384 Si Seciwa (415) 625-7987
Dawn Anderson (202) 693-3745 Guy Suetopka (415) 625-7988
7. Attachments.
A. Grant Signature Sheet
B. PY 2009 Comprehensive Services Allotment
C. PY 2009 Supplemental Youth Services Allotment
D. Standard Form 424
E. Standard Form 424a
ATTACHMENT A
GRANT SIGNATURE SHEET
WORKFORCE INVESTMENT ACT SECTION 166
INDIAN AND NATIVE AMERICAN PROGRAM
GRANT
MODIFICATION
NUMBER NUMBER
Grantee Name and Address:
Contact Phone Number:
This document: (check only one appropriate action)
A. Submits a new Two Year Plan for the period to
B. X Modifies the Two-Year Plan for the period 4/01/2009 to 6/30/2010.
Briefly describe the purpose of the action and attach supporting documents
and/or narrative as needed.
This modification incorporates the American Recovery and Reinvestment Act
narrative previously submitted per Training and Employment Guidance Letter
16-08 and amends the approved two-year strategic plan for Program Year (PY)
2008 and 2009 through submission of amended narratives for the Comprehensive
Services and/or Supplemental Youth Service Programs and to include PY 2009
CSP and SYSP allotments, as appropriate.
Approved for the Grantee by:
Name:
Title:
Signature Date
ATTACHMENT B
U. S. Department of Labor
Employment and Training Administration
WIA Title I Sec. 166 Comprehensive Services for Native Americans
PY 2009 Allotments
Grantee CID Grant Type Seq# State Grantee Total
Appropriation Total 52,758,000
TAT 527,580
GranteeTotal $52,230,420
1 1 1 AL Inter-Tribal Council of Alabama 277,190
2 2 1 AL Poarch Band of Creek Indians 88,865
3 477 3 2 AK Aleutian/Pribilof Islands Association 26,928
6 477 4 2 AK Association of Village Council Presidents 386,373
7 477 5 2 AK Bristol Bay Native Association 111,316
8 477 6 2 AK Central Council of Tlingit and Haida 181,928
9 477 7 2 AK Chugachmiut 26,237
10 477 8 2 AK Cook Inlet Tribal Council 416,590
189 477 9 2 AK Copper River Native Association 17,627
11 477 10 2 AK Kawerak Incorporated 144,916
12 11 2 AK Kenaitze Indian Tribe 41,637
13 477 12 2 AK Kodiak Area Native Association 27,362
196 477 13 2 AK Maniilaq Association Inc. 108,540
15 477 14 2 AK Metlakatla Indian Community 17,554
16 477 15 2 AK Orutsararmuit Native Council 49,720
17 477 16 2 AK Tanana Chiefs Conference, Inc. 272,815
19 17 4 AZ American Indian Association of Tucson 325,398
20 18 4 AZ Colorado River Indian Tribes 59,581
21 19 4 AZ Gila River Indian Community 491,148
23 20 4 AZ Hopi Tribal Council 209,160
22 21 4 AZ Hualapai Tribe 31,340
24 22 4 AZ Inter Tribal Council of Arizona, Inc. 76,735
25 23 4 AZ Native Americans for Community Action 190,197
26 24 4 AZ Navajo Nation 5,866,075
27 25 4 AZ Pasqua Yaqui Tribe 96,703
28 26 4 AZ Phoenix Indian Center, Inc. 1,182,685
29 27 4 AZ Quechan Indian Tribe 32,332
30 28 4 AZ Salt River Pima-Maricopa Indian Council 81,466
31 29 4 AZ San Carlos Apache Tribe 370,912
04/13/2009
ATTACHMENT B
Grantee CID Grant Type Seq# State Grantee Total
32 477 30 4 AZ Tohono O'Odham Nation 356,687
33 31 4 AZ White Mountain Apache Tribe 436,921
34 32 5 AR American Indian Center of Arkansas, Inc. 529,693
35 33 6 CA California Indian Manpower Consortium, Inc. 3,280,323
36 34 6 CA Candelaria American Indian Council 308,677
37 35 6 CA Indian Human Resources Center, Inc. 323,540
38 36 6 CA Northern CA Indian Development Council, Inc. 220,984
39 37 6 CA Southern CA Indian Center, Inc. 1,580,742
40 38 6 CA Tule River Tribal Council 117,970
41 39 6 CA United Indian Nations, Inc. 424,584
42 40 6 CA Ya-Ka-Ama Indian Education & Development 60,253
43 41 8 CO Denver Indian Center 598,091
44 42 8 CO Southern Ute Indian Tribe 36,038
45 43 8 CO Ute Mountain Ute Indian Tribe 83,054
47 44 12 FL Florida Governor's Council on Indian Affairs 1,098,961
48 45 12 FL Miccosukee Corporation 114,430
50 46 15 HI Alu Like, Inc. 1,266,654
51 477 47 16 ID Nez Perce Tribe 65,991
52 477 48 16 ID Shoshone-Bannock Tribes 171,425
4 49 18 IN American Indian Center of Indiana, Inc. 226,289
54 50 20 KS United Tribes of Kansas and S.E. Nebraska 191,961
55 51 22 LA Inter-Tribal Council of Louisiana, Inc. 465,403
56 52 23 ME Penobscot Nation 180,349
58 53 25 MA Mashpee-Wampahoag Indian Tribal Council, Inc. 55,496
59 54 25 MA North American Indian Center of Boston, Inc. 200,916
60 477 55 26 MI Grand Traverse Band of Ottawa & Chippewa Indians 29,656
61 56 26 MI Inter-Tribal Council of Michigan, Inc. 64,599
62 57 26 MI MI Indian Employment and Training Services, I 441,645
179 58 26 MI North American Indian Association of Detroit 131,715
63 59 26 MI Potawatomi Indian Nation 57,364
64 60 26 MI Sault Ste. Marie Tribe of Chippewa Indians 157,849
65 61 26 MI Southeastern Michigan Indians. Inc. 70,470
66 62 27 MN American Indian OIC 246,186
67 63 27 MN Bois Forte R.B.C. 18,822
68 64 27 MN Fond Du Lac R.B.C. 183,645
69 65 27 MN Leech Lake R.B.C. 141,644
70 477 66 27 MN Mille Lacs Band of Chippewa Indians 50,990
04/13/2009
ATTACHMENT B
Grantee CID Grant Type Seq# State Grantee Total
71 67 27 MN Minneapolis American Indian Center 326,775
72 477 68 27 MN Red Lake Tribal Council 205,262
73 477 69 27 MN White Earth R.B.C. 111,452
74 70 28 MS Mississippi Band of Choctaw Indians 277,614
75 71 29 MO American Indian Council 682,504
76 477 72 30 MT Assiniboine & Sioux Tribes 252,600
78 73 30 MT B.C. of the Chippewa Cree Tribe 130,561
77 477 74 30 MT Blackfeet Tribal Business Council 265,919
79 477 75 30 MT Confederated Salish & Kootenai Tribes 261,358
80 76 30 MT Crow Indian Tribe 152,184
81 477 77 30 MT Fort Belknap Indian Community 112,879
82 78 30 MT Montana United Indian Association 317,280
83 79 30 MT Northern Cheyenne Tribe 197,817
84 80 31 NE Indian Center, Inc. 261,692
85 81 31 NE Omaha Tribe of Nebraska 73,297
86 477 82 31 NE Winnebago Tribe 41,413
87 83 32 NV Inter-Tribal Council of Nevada 254,589
88 84 32 NV Las Vegas Indian Center, Inc. 176,700
188 477 85 32 NV Reno Sparks Indian Colony 15,716
89 477 86 32 NV Shoshone-Paiute Tribes 112,911
91 87 35 NM Alamo Navajo School Board 82,440
93 88 35 NM Eight Northern Indian Pueblo Council 62,529
94 89 35 NM Five Sandoval Indian Pueblos, Inc. 141,700
95 90 35 NM Jicarilla Apache Tribe 57,128
96 91 35 NM Mescalero Apache Tribe 81,079
97 92 35 NM National Indian Youth Council 1,480,573
98 93 35 NM Pueblo of Acoma 125,954
92 94 35 NM Pueblo of Isleta 36,910
99 477 95 35 NM Pueblo of Laguna 80,675
100 477 96 35 NM Pueblo of Taos 37,663
101 477 97 35 NM Pueblo of Zuni 263,696
102 98 35 NM Ramah Navajo School Board, Inc. 83,337
103 99 35 NM Santa Clara Indian Pueblo 30,010
104 100 35 NM Santo Domingo Tribe 92,659
105 101 36 NY American Indian Community House, Inc. 1,064,583
107 102 36 NY Native Am. Comm. Services of Erie & Niagara Co 147,302
106 103 36 NY Native American Cultural Center, Inc. 192,256
04/13/2009
ATTACHMENT B
Grantee CID Grant Type Seq# State Grantee Total
109 477 104 36 NY Seneca Nation of Indians 220,100
108 105 36 NY St. Regis Mohawk Tribe 128,653
110 106 37 NC Cumberland County Association for Indian People 60,136
111 107 37 NC Eastern Band of Cherokee Indians 152,994
112 108 37 NC Guilford Native American Association 72,480
113 109 37 NC Haliwa-Saponi Tribe, Inc. 56,467
114 110 37 NC Lumbee Regional Development Association 949,302
115 111 37 NC Metrolina Native American Association 108,405
116 112 37 NC North Carolina Commission of Indian Affairs 275,085
117 477 113 38 ND Spirit Lake Sioux Tribe 144,464
118 114 38 ND Standing Rock Sioux Tribe 209,141
120 477 115 38 ND Three Affiliated Tribes - Ft. Berthold Reservation 174,680
121 116 38 ND Turtle Mountain Band of Chippewa Indians 284,761
119 117 38 ND United Tribes Technical College 222,882
122 118 39 OH North America Indian Cultural Centers 488,419
123 119 40 OK Absentee Shawnee Tribe of Oklahoma 21,668
125 477 120 40 OK Cherokee Nation of Oklahoma 1,254,875
126 121 40 OK Cheyenne-Arapaho Tribes 150,266
127 477 122 40 OK Chickasaw Nation of Oklahoma 343,500
128 477 123 40 OK Choctaw Nation of Oklahoma 551,732
129 477 124 40 OK Citizen Band Potawatomi Indians of Oklahoma 308,057
130 125 40 OK Comanche Tribe of Oklahoma 146,748
131 477 126 40 OK Creek Nation of Oklahoma 690,089
133 127 40 OK Four Tribes Consortium of Oklahoma 92,655
134 128 40 OK Inter-Tribal Council of N.E. Oklahoma 71,135
135 129 40 OK Kiowa Tribe of Oklahoma 122,021
136 477 130 40 OK Osage Tribal Council 93,119
137 131 40 OK OTOE-Missouria Tribe of Oklahoma 31,432
138 477 132 40 OK Pawnee Tribe of Oklahoma 29,942
139 133 40 OK Ponca Tribe of Oklahoma 78,487
140 134 40 OK Seminole Nation of Oklahoma 95,747
181 135 40 OK Tonkawa Tribe of Oklahoma 59,908
141 136 40 OK United Urban Indian Council, Inc. 349,543
182 137 40 OK Wyandotte Tribe of Oklahoma 104,567
142 477 138 41 OR Confed. Tribes of Siletz Indians of Oregon 420,150
143 477 139 41 OR Confed. Tribes of the Umatilla Indian Res 26,212
144 140 41 OR Confederated Tribes of Warm Springs 122,984
04/13/2009
ATTACHMENT B
Grantee CID Grant Type Seq# State Grantee Total
145 141 41 OR Organization of Forgotten Americans 284,863
146 142 42 PA Council of Three Rivers 898,825
147 143 44 RI Rhode Island Indian Council 608,182
148 144 45 SC South Carolina Indian Development Council, Inc. 236,031
149 477 145 46 SD Cheyenne River Sioux Tribe 215,629
150 146 46 SD Lower Brule Sioux Tribe 54,221
151 147 46 SD Oglala Sioux Tribe 638,927
152 477 148 46 SD Rosebud Sioux Tribe 470,403
153 477 149 46 SD Sisseton-Wahpeton Sioux Tribe 119,992
154 150 46 SD United Sioux Tribe Development Corp. 544,699
180 151 46 SD Yankton Sioux Tribe 104,221
155 152 48 TX Alabama-Coushatta Indian Tribal Council 846,909
156 153 48 TX Dallas Inter-Tribal Center 373,632
157 154 48 TX Ysleta del Sur Pueblo 627,062
158 155 49 UT Indian Training & Education Center 343,473
159 156 49 UT Ute Indian Tribe 114,220
160 157 50 VT Abenaki Self-Help Association/ NH Ind. Counc. 78,120
161 158 51 VA Mattaponi Pamunkey Monacan Consortium 242,655
162 159 53 WA American Indian Community Center 389,539
184 477 160 53 WA Colville Confederated Tribes 176,550
163 161 53 WA Confederated Tribes & Bands of the Yakama Nation 195,145
165 477 162 53 WA Makah Tribal Council 33,049
166 163 53 WA Puyallup Tribe of Indians 35,380
167 164 53 WA Seattle Indian Center 275,767
197 477 165 53 WA Spokane Reservation 38,655
168 477 166 53 WA The Tulalip Tribes 42,820
169 167 53 WA Western WA Indian Empl. and Trng Pgm. 807,885
170 477 168 55 WI Ho-Chunk Nation 169,477
171 169 55 WI Lac Courte Oreilles Tribal Governing Board 82,295
172 170 55 WI Lac Du Flambeau Band of Lake Superior Chippewa 40,769
173 477 171 55 WI Menominee Indian Tribe of Wisconsin 95,159
175 172 55 WI Oneida Tribe of Indians of WI, Inc. 159,004
174 173 55 WI Spotted Eagle, Inc. 210,100
176 477 174 55 WI Stockbridge-Munsee Community 53,706
177 175 55 WI Wisconsin Indian Consortium 82,439
178 477 176 56 WY Eastern Shoshone Tribe 124,965
185 177 56 WY Northern Arapaho Business Council 212,482
04/13/2009
ATTACHMENT C
U. S. Department of Labor
Employment and Training Administration
WIA Title I Sec. 166 Supplemental Youth Services for Native Americans
PY 2009 Allotments
Grantee CID Grant Type Seq# State Grantee Total
$13,861,035
1 1 1 AL Inter-Tribal Council of Alabama 5,098
2 2 1 AL Poarch Band of Creek Indians 0
3 477 3 2 AK Aleutian/Pribilof Islands Association 12,073
6 477 4 2 AK Association of Village Council Presidents 165,274
7 477 5 2 AK Bristol Bay Native Association 48,294
8 477 6 2 AK Central Council of Tlingit and Haida 68,417
9 477 7 2 AK Chugachmiut 5,902
10 477 8 2 AK Cook Inlet Tribal Council 147,030
189 477 9 2 AK Copper River Native Association 9,390
11 477 10 2 AK Kawerak Incorporated 60,368
12 11 2 AK Kenaitze Indian Tribe 22,806
13 477 12 2 AK Kodiak Area Native Association 9,390
196 477 13 2 AK Maniilaq Association Inc. 52,319
15 477 14 2 AK Metlakatla Indian Community 5,366
16 477 15 2 AK Orutsararmuit Native Council 16,098
17 477 16 2 AK Tanana Chiefs Conference, Inc. 114,028
19 17 4 AZ American Indian Association of Tucson 0
20 18 4 AZ Colorado River Indian Tribes 32,196
21 19 4 AZ Gila River Indian Community 211,959
23 20 4 AZ Hopi Tribal Council 118,053
22 21 4 AZ Hualapai Tribe 20,123
24 22 4 AZ Inter Tribal Council of Arizona, Inc. 38,367
25 23 4 AZ Native Americans for Community Action 0
26 24 4 AZ Navajo Nation 3,077,429
27 25 4 AZ Pasqua Yaqui Tribe 55,002
28 26 4 AZ Phoenix Indian Center, Inc. 0
29 27 4 AZ Quechan Indian Tribe 17,440
30 28 4 AZ Salt River Pima-Maricopa Indian Council 52,319
31 29 4 AZ San Carlos Apache Tribe 222,691
32 477 30 4 AZ Tohono O'Odham Nation 224,033
33 31 4 AZ White Mountain Apache Tribe 266,961
04/13/2009
ATTACHMENT C
Grantee CID Grant Type Seq# State Grantee Total
34 32 5 AR American Indian Center of Arkansas, Inc. 0
35 33 6 CA California Indian Manpower Consortium, Inc. 151,859
36 34 6 CA Candelaria American Indian Council 0
37 35 6 CA Indian Human Resources Center, Inc. 0
38 36 6 CA Northern CA Indian Development Council, Inc. 24,415
39 37 6 CA Southern CA Indian Center, Inc. 0
40 38 6 CA Tule River Tribal Council 8,050
41 39 6 CA United Indian Nations, Inc. 0
42 40 6 CA Ya-Ka-Ama Indian Education & Development 0
43 41 8 CO Denver Indian Center 0
44 42 8 CO Southern Ute Indian Tribe 10,732
45 43 8 CO Ute Mountain Ute Indian Tribe 22,806
47 44 12 FL Florida Governor's Council on Indian Affairs 0
48 45 12 FL Miccosukee Corporation 5,634
50 46 15 HI Alu Like, Inc. 1,875,434
51 477 47 16 ID Nez Perce Tribe 15,561
52 477 48 16 ID Shoshone-Bannock Tribes 57,685
4 49 18 IN American Indian Center of Indiana, Inc. 0
54 50 20 KS United Tribes of Kansas and S.E. Nebraska 10,464
55 51 22 LA Inter-Tribal Council of Louisiana, Inc. 4,025
56 52 23 ME Penobscot Nation 25,221
58 53 25 MA Mashpee-Wampahoag Indian Tribal Council, Inc. 0
59 54 25 MA North American Indian Center of Boston, Inc. 0
60 477 55 26 MI Grand Traverse Band of Ottawa & Chippewa Indians 0
61 56 26 MI Inter-Tribal Council of Michigan, Inc. 29,513
62 57 26 MI MI Indian Employment and Training Services, I 0
179 58 26 MI North American Indian Association of Detroit 0
63 59 26 MI Potawatomi Indian Nation 0
64 60 26 MI Sault Ste. Marie Tribe of Chippewa Indians 19,586
65 61 26 MI Southeastern Michigan Indians. Inc. 0
66 62 27 MN American Indian OIC 0
67 63 27 MN Bois Forte R.B.C. 9,123
68 64 27 MN Fond Du Lac R.B.C. 18,244
69 65 27 MN Leech Lake R.B.C. 53,392
70 477 66 27 MN Mille Lacs Band of Chippewa Indians 23,879
71 67 27 MN Minneapolis American Indian Center 0
72 477 68 27 MN Red Lake Tribal Council 84,515
04/13/2009
ATTACHMENT C
Grantee CID Grant Type Seq# State Grantee Total
73 477 69 27 MN White Earth R.B.C. 55,002
74 70 28 MS Mississippi Band of Choctaw Indians 68,149
75 71 29 MO American Indian Council 9,390
76 477 72 30 MT Assiniboine & Sioux Tribes 138,176
78 73 30 MT B.C. of the Chippewa Cree Tribe 38,904
77 477 74 30 MT Blackfeet Tribal Business Council 127,443
79 477 75 30 MT Confederated Salish & Kootenai Tribes 139,518
80 76 30 MT Crow Indian Tribe 88,272
81 477 77 30 MT Fort Belknap Indian Community 50,977
82 78 30 MT Montana United Indian Association 0
83 79 30 MT Northern Cheyenne Tribe 99,272
84 80 31 NE Indian Center, Inc. 0
85 81 31 NE Omaha Tribe of Nebraska 46,953
86 477 82 31 NE Winnebago Tribe 21,464
87 83 32 NV Inter-Tribal Council of Nevada 46,417
88 84 32 NV Las Vegas Indian Center, Inc. 0
188 477 85 32 NV Reno Sparks Indian Colony 9,390
89 477 86 32 NV Shoshone-Paiute Tribes 14,757
91 87 35 NM Alamo Navajo School Board 49,636
93 88 35 NM Eight Northern Indian Pueblo Council 27,367
94 89 35 NM Five Sandoval Indian Pueblos, Inc. 93,638
95 90 35 NM Jicarilla Apache Tribe 28,171
96 91 35 NM Mescalero Apache Tribe 61,709
97 92 35 NM National Indian Youth Council 0
98 93 35 NM Pueblo of Acoma 30,855
92 94 35 NM Pueblo of Isleta 11,805
99 477 95 35 NM Pueblo of Laguna 37,563
100 477 96 35 NM Pueblo of Taos 18,781
101 477 97 35 NM Pueblo of Zuni 130,126
102 98 35 NM Ramah Navajo School Board, Inc. 30,855
103 99 35 NM Santa Clara Indian Pueblo 13,415
104 100 35 NM Santo Domingo Tribe 45,611
105 101 36 NY American Indian Community House, Inc. 9,123
107 102 36 NY Native Am. Comm. Services of Erie & Niagara Co 0
106 103 36 NY Native American Cultural Center, Inc. 3,219
109 477 104 36 NY Seneca Nation of Indians 32,196
108 105 36 NY St. Regis Mohawk Tribe 22,806
04/13/2009
ATTACHMENT C
Grantee CID Grant Type Seq# State Grantee Total
110 106 37 NC Cumberland County Association for Indian People 0
111 107 37 NC Eastern Band of Cherokee Indians 57,685
112 108 37 NC Guilford Native American Association 0
113 109 37 NC Haliwa-Saponi Tribe, Inc. 0
114 110 37 NC Lumbee Regional Development Association 0
115 111 37 NC Metrolina Native American Association 0
116 112 37 NC North Carolina Commission of Indian Affairs 0
117 477 113 38 ND Spirit Lake Sioux Tribe 75,125
118 114 38 ND Standing Rock Sioux Tribe 124,761
120 477 115 38 ND Three Affiliated Tribes - Ft. Berthold Reservation 56,344
121 116 38 ND Turtle Mountain Band of Chippewa Indians 128,785
119 117 38 ND United Tribes Technical College 0
122 118 39 OH North America Indian Cultural Centers 0
123 119 40 OK Absentee Shawnee Tribe of Oklahoma 13,146
125 477 120 40 OK Cherokee Nation of Oklahoma 677,732
126 121 40 OK Cheyenne-Arapaho Tribes 104,638
127 477 122 40 OK Chickasaw Nation of Oklahoma 203,641
128 477 123 40 OK Choctaw Nation of Oklahoma 292,450
129 477 124 40 OK Citizen Band Potawatomi Indians of Oklahoma 219,740
130 125 40 OK Comanche Tribe of Oklahoma 72,442
131 477 126 40 OK Creek Nation of Oklahoma 356,842
133 127 40 OK Four Tribes Consortium of Oklahoma 68,149
134 128 40 OK Inter-Tribal Council of N.E. Oklahoma 27,098
135 129 40 OK Kiowa Tribe of Oklahoma 90,418
136 477 130 40 OK Osage Tribal Council 52,319
137 131 40 OK OTOE-Missouria Tribe of Oklahoma 16,903
138 477 132 40 OK Pawnee Tribe of Oklahoma 14,757
139 133 40 OK Ponca Tribe of Oklahoma 56,075
140 134 40 OK Seminole Nation of Oklahoma 72,442
181 135 40 OK Tonkawa Tribe of Oklahoma 28,171
141 136 40 OK United Urban Indian Council, Inc. 199,885
182 137 40 OK Wyandotte Tribe of Oklahoma 0
142 477 138 41 OR Confed. Tribes of Siletz Indians of Oregon 1,073
143 477 139 41 OR Confed. Tribes of the Umatilla Indian Res 14,757
144 140 41 OR Confederated Tribes of Warm Springs 41,587
145 141 41 OR Organization of Forgotten Americans 6,171
146 142 42 PA Council of Three Rivers 0
04/13/2009
ATTACHMENT C
Grantee CID Grant Type Seq# State Grantee Total
147 143 44 RI Rhode Island Indian Council 0
148 144 45 SC South Carolina Indian Development Council, Inc. 2,683
149 477 145 46 SD Cheyenne River Sioux Tribe 142,201
150 146 46 SD Lower Brule Sioux Tribe 20,123
151 147 46 SD Oglala Sioux Tribe 417,210
152 477 148 46 SD Rosebud Sioux Tribe 245,496
153 477 149 46 SD Sisseton-Wahpeton Sioux Tribe 59,026
154 150 46 SD United Sioux Tribe Development Corp. 13,415
180 151 46 SD Yankton Sioux Tribe 53,661
155 152 48 TX Alabama-Coushatta Indian Tribal Council 1,073
156 153 48 TX Dallas Inter-Tribal Center 0
157 154 48 TX Ysleta del Sur Pueblo 17,440
158 155 49 UT Indian Training & Education Center 5,902
159 156 49 UT Ute Indian Tribe 60,368
160 157 50 VT Abenaki Self-Help Association/ NH Ind. Counc. 0
161 158 51 VA Mattaponi Pamunkey Monacan Consortium 0
162 159 53 WA American Indian Community Center 18,244
184 477 160 53 WA Colville Confederated Tribes 49,636
163 161 53 WA Confederated Tribes & Bands of the Yakama Nation 109,736
165 477 162 53 WA Makah Tribal Council 13,415
166 163 53 WA Puyallup Tribe of Indians 14,488
167 164 53 WA Seattle Indian Center 0
197 477 165 53 WA Spokane Reservation 24,148
168 477 166 53 WA The Tulalip Tribes 21,464
169 167 53 WA Western WA Indian Empl. and Trng Pgm. 105,443
170 477 168 55 WI Ho-Chunk Nation 4,829
171 169 55 WI Lac Courte Oreilles Tribal Governing Board 33,538
172 170 55 WI Lac Du Flambeau Band of Lake Superior Chippewa 12,073
173 477 171 55 WI Menominee Indian Tribe of Wisconsin 49,636
175 172 55 WI Oneida Tribe of Indians of WI, Inc. 16,098
174 173 55 WI Spotted Eagle, Inc. 0
176 477 174 55 WI Stockbridge-Munsee Community 3,756
177 175 55 WI Wisconsin Indian Consortium 26,562
178 477 176 56 WY Eastern Shoshone Tribe 35,952
185 177 56 WY Northern Arapaho Business Council 80,759
04/13/2009
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:
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:
*Street 1:
Street 2:
*City:
County:
*State:
Province:
*Country:
*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:
11. Catalog of Federal Domestic Assistance Number:
CFDA Title:
*12 Funding Opportunity Number:
*Title:
13. Competition Identification Number:
Title:
14. Areas Affected by Project (Cities, Counties, States, etc.):
*15. Descriptive Title of Applicant’s Project:
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:
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
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: *Date Signed:
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 should contain an explanation if the Applicant organization is delinquent of any Federal Debt.
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)
APPLICATION FOR Version 7/03
FEDERAL ASSISTANCE 2. DATE SUBMITTED Applicant Identifier
1. TYPE OF SUBMISSION: 3. DATE RECEIVED BY STATE State Application Identifier
Application Preapplication
Construction Construction 4. DATE RECEIVED BY FEDERAL AGENCY Federal Identifier
X Non-Construction Non-Construction
5. APPLICANT INFORMATION
Legal Name: Organizational Unit:
Department:
Organizational DUNS: Division:
Address: Name and telephone number of person to be contacted on matters
Street: involving this application (give area code)
Prefix: First Name:
City: Middle Name
County: Last Name
State: Zip Code Suffix:
Country: Email:
6. EMPLOYER IDENTIFICATION NUMBER (EIN): Phone Number (give area code) Fax Number (give area code)
8. TYPE OF APPLICATION: 7. TYPE OF APPLICANT: (See back of form for Application Types)
State
New Continuation Revision
If Revision, enter appropriate letter(s) in box(es) Other (specify)
(See back of form for description of letters.)
Other (specify) 9. NAME OF FEDERAL AGENCY:
10. CATALOG OF FEDERAL DOMESTIC ASSISTANCE NUMBER: 11. DESCRIPTIVE TITLE OF APPLICANT'S PROJECT:
TITLE (Name of Program):
Public Health and Social Services Emergency Fund
12. AREAS AFFECTED BY PROJECT (Cities, Counties, States, etc.):
13. PROPOSED PROJECT 14. CONGRESSIONAL DISTRICTS OF:
Start Date: Ending Date: a. Applicant b. Project
15. ESTIMATED FUNDING: 16. IS APPLICATION SUBJECT TO REVIEW BY STATE EXECUTIVE
ORDER 12372 PROCESS?
a. Federal $ THIS PREAPPLICATION/APPLICATION WAS MADE
a. YES. AVAILABLE TO THE STATE EXECUTIVE ORDER 12372
b. Applicant $ - PROCESS FOR REVIEW ON
c. State $ - DATE:
d. Local $ -
b. NO. PROGRAM IS NOT COVERED BY E.O. 12372
e. Other $ - OR PROGRAM HAS NOT BEEN SELECTED BY
STATE FOR REVIEW
f. Program Income $ 17. IS THE APPLICANT DELINQUENT ON ANY FEDERAL DEBT
g. TOTAL $ - Yes. If "Yes," attach an explanation. No.
18. TO THE BEST OF MY KNOWLEDGE AND BELIEF, ALL DATA IN THIS APPLICATION/PREAPPLICATION ARE TRUE AND CORRECT. THE
DOCUMENT HAS BEEN DULY AUTHORIZED BY THE GOVERNING BODY OF THE APPLICANT AND THE APPLICANT WILL COMPLY WITH THE
ATTACHED ASSURANCES IF THE ASSISTANCE IS AWARDED.
a. Authorized Representative
Prefix First Name Middle Name
Last Name Suffix
b. Title c. Telephone Number (give area code)
d. Signature of Authorized Representative e. Date Signed
Previous Edition Usable Standard form 424 (Rev.9-2003)
Authorized for Local Reproduction Prescribed by OMB Circular A-102
OMB Approval No. 0348-0044
BUDGET INFORMATION -- Non-Construction Programs
SECTION A - BUDGET SUMMARY
Grant Program Catalog of Federal Estimated Unobligated Funds New or Revised Budget
Function Domestic Assistance Number
or Activity Federal Non-Federal Federal Non-Federal Total
(a) (b) (c) (d) (e) (f) (g)
1 $0 $0
2
3.
4.
5. TOTALS $0 $0
SECTION B - BUDGET CATEGORIES
GRANT PROGRAM, FUNCTION OR ACTIVITY Total
6. Object Class Categories (5)
(3) (4)
a. Personnel $0.00
b. Fringe Benefits $0.00
c. Travel $0.00
d. Equipment $0.00
e. Supplies $0.00
f. Contractual $0.00
g. Construction $0.00
h. Other $0.00
i. Total Direct Charges (sum of 6a - 6h) $0.00
j. Indirect Charge $0.00
k. TOTALS (sum of 6i and 6j) $0.00
7. Program Income
SECTION C - NON-FEDERAL RESOURCES
(a) Grant Program (b) Applicant ( c ) State (d) Other Resources (e) TOTALS
8. $0
9.
10.
11.
12. TOTALS (sum of lines 8-11) $0 $0 $0 $0
SECTION D - FORECASTED CASH NEEDED
Total for 1st Year 1st Quarter 2nd Quarter 3rd Quarter 4th Quarter
13. Federal
14. NonFederal
15. TOTAL (sum of lines 13 and 14)
SECTION E - BUDGET ESTIMATES OF FEDERAL FUNDS NEEDED FOR BALANCE OF THE PROJECT
FUTURE FUNDING PERIODS (YEARS)
Grant Program
(b) First ( c) Second (d) Third (e) Fourth
$0.00
17. $0
18. $0
19. $0
20. Totals (sum of lines 16-19) $0.00
SECTION F - OTHER BUDGET INFORMATION
(Attach additional Sheets if Necessary)
21. Direct Charges:
22. Indirect Changes: Prelimary Indirect Cost Rate
23. Remarks:
SF 424A (4-88) Page 2Prescribed by OMB Circular A-102
INSTRUCTIONS FOR THE SF-424A
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
For continuing grant program applications , submit these forms
This form is designed so that application can be made for funds before the end of each funding period as required by the grantor
from one or more grant programs. In preparing the budget, agency. Enter in Columns (c) and (d) the estimated amounts of
adhere to any existing Federal grantor agency guidelines which funds which will remain unobligated at the end of the grant
prescribe how and whether budgeted amounts should be funding period only if the Federal grantor agency instructions
separately shown for different functions or activities within the provide for this. Otherwise, leave these columns blank. Enter in
program. For some programs, grantor agencies may require columns (e) and (f) the amounts of funds needed for the
budgets to be separately shown by function or activity. For other upcoming period. The amount(s) in Column (g) should be the
programs, grantor agencies may require a breakdown by function sum of amounts in Columns (e) and (f).
or activity. Sections A, B, C, and D should include budget
estimates for the whole project except when applying for For supplemental grants and changes to existing grants, do not
assistance which requires Federal authorization in annual or use Columns (c) and (d). Enter in Column (e) the amount of the
other funding period increments. In the latter case, Sections A, B, increase or decrease of Federal funds and enter in Column (f) the
C, and D should provide the budget for the first budget period amount of the increase or decrease of non-Federal funds. In
(usually a year) and Section E should present the need for Column (g) enter the new total budgeted amount (Federal and
Federal assistance in the subsequent budget periods. All non-Federal) which includes the total previous authorized
applications should contain a breakdown by the object class budgeted amounts plus or minus, as appropriate, the amounts
categories shown in Lines a-k of Section B. shown in Columns (e) and (f). The amount(s) in Column (g)
should not equal the sum of amounts in Columns (e) and (f).
Section A. Budget Summary Lines 1-4 Columns (a) and (b)
Line 5 - Show the totals for all columns used.
For applications pertaining to a single Federal grant program
(Federal Domestic Assistance Catalog number) and not requiring Section B Budget Categories
a functional or activity breakdown, enter on Line 1 under Column
(a) the Catalog program title and the Catalog number in Column In the column headings (1) through (4), enter the titles of the
(b). same programs, functions, and activities shown on Lines 1-4,
Column (a), Section A. When additional sheets are prepared for
For applications pertaining to a single program requiring budget Section A, provide similar column headings on each sheet. For
amounts by multiple functions or activities, enter the name of each program, function or activity, fill in the total requirements for
each activity or function on each line in Column (a), and enter the funds (both Federal and non-Federal) by object class categories.
Catalog number in Column (b). For applications pertaining to
multiple programs where none of the programs require a Line 6a-i - Show the totals of Lines 6a to 6h in each column.
breakdown by function or activity, enter the Catalog program title
on each line in Column (a) and the respective Catalog number on Line 6j - Show the amount of indirect cost.
each line in Column (b).
Line 6k - Enter the total of amounts on Lines 6i and 6j. For all
For applications pertaining to multiple programs where one or applications for new grants and continuation grants the total
more programs require a breakdown by function or activity, amount in column (5), Line 6k, should be the same as the total
prepare a separate sheet for each program requiring the amount shown in Section A, Column (g), Line 5. For
breakdown. Additional sheets should be used when one form supplemental grants and changes to grants, the total amount of
does not provide adequate space for all breakdown of data the increase or decrease as shown in Columns (1)-(4), Line 6k
required. However, when more than one sheet is used, the first should be the same as the sum of the amounts in Section A,
page should provide the summary totals by programs. Columns (e) and (f) on Line 5.
Lines 1-4, Columns (c) through (g) Line 7 - Enter the estimated amount of income, if any, expected
to be generated from this project. Do not add or subtract this
For new applications , leave Column (c) and (d) blank. For each amount from the total project amount, Show under the program
line entry in Columns (a) and (b), enter in Columns (e), (f), and
(g) the appropriate amounts of funds needed to support the
project for the first funding period (usually a year).
SF-424A (Rev. 7-97) Page 3
INSTRUCTIONS FOR THE SF-424A (continued)
narrative statement the nature and source of income. The Line 15 - Enter the totals of amounts on Lines 13 and 14.
estimated amount of program income may be considered by the
Federal grantor agency in determining the total amount of the Section E. Budget Estimates of Federal Funds Needed for
grant. Balance of the Project
Section C. Non-Federal Resources Lines 16-19 - Enter in Column (a) the same grant program titles
shown in Column (a), Section A. A breakdown by function or
Lines 8-11 Enter amounts of non-Federal resources that will be activity is not necessary. For new applications and continuation
used on the grant. If in-kind contributions are included, provide a grant applications, enter in the proper columns amounts of Federal
brief explanation on a separate sheet. funds which will be needed to complete the program or project over
the succeeding funding periods (usually in years). This section
need not be completed for revisions (amendments, changes, or
Column (a) - Enter the program titles identical to supplements) to funds for the current year of existing grants.
Column (a), Section A. A breakdown by function or
activity is not necessary. If more than four lines are needed to list the program titles, submit
additional schedules as necessary.
Column (b) - Enter the contribution to be made by the
applicant. Line 20 - Enter the total for each of the Columns (b)-(e). When
additional schedules are prepared for this Section, annotate
Column (c) - Enter the amount of the State’s cash and accordingly and show the overall totals on this line.
in-kind contribution if the applicant is not a State or
State agency. Applicants which are a State or State Section F. Other Budget Information
agencies should leave this column blank.
Line 21 - Use this space to explain amounts for individual direct
Column (d) - Enter the amount of cash and in-kind
object class cost categories that may appear to be out of the
contributions to be made from all other sources.
ordinary or to explain the details as required by the Federal grantor
agency.
Column (e) - Enter totals of Columns (b), (c), and (d).
Line 22 - Enter the type of indirect rate (provisional, predetermined,
final or fixed) that will be in effect during the funding period, the
Line 12 - Enter the total for each of Columns (b)-(e). The amount estimated amount of the base to which the rate is applied, and the
in Column (e) should be equal to the amount on Line 5, Column total indirect expense.
(f), Section A.
Line 23 - Provide any other explanations or comments deemed
Section D. Forecasted Cash Needs necessary.
Line 13 - Enter the amount of cash needed by quarter from the
grantor agency during the first year.
Line 14 - Enter the amount of cash from all other sources needed
by quarter during the first year.
SF-424A (Rev. 7-97) Page 4
Linked official document 1: https://www.dol.gov/sites/dolgov/files/ETA/advisories/TEGL/2009/TEGL26-08aA.pdf
ATTACHMENT A
GRANT SIGNATURE SHEET
WORKFORCE INVESTMENT ACT SECTION 166
INDIAN AND NATIVE AMERICAN PROGRAM
GRANT
MODIFICATION
NUMBER NUMBER
Grantee Name and Address:
Contact Phone Number:
This document: (check only one appropriate action)
A. Submits a new Two Year Plan for the period to
B. X Modifies the Two-Year Plan for the period 4/01/2009 to 6/30/2010.
Briefly describe the purpose of the action and attach supporting documents
and/or narrative as needed.
This modification incorporates the American Recovery and Reinvestment Act
narrative previously submitted per Training and Employment Guidance Letter
16-08 and amends the approved two-year strategic plan for Program Year (PY)
2008 and 2009 through submission of amended narratives for the Comprehensive
Services and/or Supplemental Youth Service Programs and to include PY 2009
CSP and SYSP allotments, as appropriate.
Approved for the Grantee by:
Name:
Title:
Signature Date
Linked official document 2: https://www.dol.gov/sites/dolgov/files/ETA/advisories/TEGL/2009/TEGL26-08aB.pdf
ATTACHMENT B
U. S. Department of Labor
Employment and Training Administration
WIA Title I Sec. 166 Comprehensive Services for Native Americans
PY 2009 Allotments
Grantee CID Grant Type Seq# State Grantee Total
Appropriation Total 52,758,000
TAT 527,580
GranteeTotal $52,230,420
1 1 1 AL Inter-Tribal Council of Alabama 277,190
2 2 1 AL Poarch Band of Creek Indians 88,865
3 477 3 2 AK Aleutian/Pribilof Islands Association 26,928
6 477 4 2 AK Association of Village Council Presidents 386,373
7 477 5 2 AK Bristol Bay Native Association 111,316
8 477 6 2 AK Central Council of Tlingit and Haida 181,928
9 477 7 2 AK Chugachmiut 26,237
10 477 8 2 AK Cook Inlet Tribal Council 416,590
189 477 9 2 AK Copper River Native Association 17,627
11 477 10 2 AK Kawerak Incorporated 144,916
12 11 2 AK Kenaitze Indian Tribe 41,637
13 477 12 2 AK Kodiak Area Native Association 27,362
196 477 13 2 AK Maniilaq Association Inc. 108,540
15 477 14 2 AK Metlakatla Indian Community 17,554
16 477 15 2 AK Orutsararmuit Native Council 49,720
17 477 16 2 AK Tanana Chiefs Conference, Inc. 272,815
19 17 4 AZ American Indian Association of Tucson 325,398
20 18 4 AZ Colorado River Indian Tribes 59,581
21 19 4 AZ Gila River Indian Community 491,148
23 20 4 AZ Hopi Tribal Council 209,160
22 21 4 AZ Hualapai Tribe 31,340
24 22 4 AZ Inter Tribal Council of Arizona, Inc. 76,735
25 23 4 AZ Native Americans for Community Action 190,197
26 24 4 AZ Navajo Nation 5,866,075
27 25 4 AZ Pasqua Yaqui Tribe 96,703
28 26 4 AZ Phoenix Indian Center, Inc. 1,182,685
29 27 4 AZ Quechan Indian Tribe 32,332
30 28 4 AZ Salt River Pima-Maricopa Indian Council 81,466
31 29 4 AZ San Carlos Apache Tribe 370,912
04/13/2009
ATTACHMENT B
Grantee CID Grant Type Seq# State Grantee Total
32 477 30 4 AZ Tohono O'Odham Nation 356,687
33 31 4 AZ White Mountain Apache Tribe 436,921
34 32 5 AR American Indian Center of Arkansas, Inc. 529,693
35 33 6 CA California Indian Manpower Consortium, Inc. 3,280,323
36 34 6 CA Candelaria American Indian Council 308,677
37 35 6 CA Indian Human Resources Center, Inc. 323,540
38 36 6 CA Northern CA Indian Development Council, Inc. 220,984
39 37 6 CA Southern CA Indian Center, Inc. 1,580,742
40 38 6 CA Tule River Tribal Council 117,970
41 39 6 CA United Indian Nations, Inc. 424,584
42 40 6 CA Ya-Ka-Ama Indian Education & Development 60,253
43 41 8 CO Denver Indian Center 598,091
44 42 8 CO Southern Ute Indian Tribe 36,038
45 43 8 CO Ute Mountain Ute Indian Tribe 83,054
47 44 12 FL Florida Governor's Council on Indian Affairs 1,098,961
48 45 12 FL Miccosukee Corporation 114,430
50 46 15 HI Alu Like, Inc. 1,266,654
51 477 47 16 ID Nez Perce Tribe 65,991
52 477 48 16 ID Shoshone-Bannock Tribes 171,425
4 49 18 IN American Indian Center of Indiana, Inc. 226,289
54 50 20 KS United Tribes of Kansas and S.E. Nebraska 191,961
55 51 22 LA Inter-Tribal Council of Louisiana, Inc. 465,403
56 52 23 ME Penobscot Nation 180,349
58 53 25 MA Mashpee-Wampahoag Indian Tribal Council, Inc. 55,496
59 54 25 MA North American Indian Center of Boston, Inc. 200,916
60 477 55 26 MI Grand Traverse Band of Ottawa & Chippewa Indians 29,656
61 56 26 MI Inter-Tribal Council of Michigan, Inc. 64,599
62 57 26 MI MI Indian Employment and Training Services, I 441,645
179 58 26 MI North American Indian Association of Detroit 131,715
63 59 26 MI Potawatomi Indian Nation 57,364
64 60 26 MI Sault Ste. Marie Tribe of Chippewa Indians 157,849
65 61 26 MI Southeastern Michigan Indians. Inc. 70,470
66 62 27 MN American Indian OIC 246,186
67 63 27 MN Bois Forte R.B.C. 18,822
68 64 27 MN Fond Du Lac R.B.C. 183,645
69 65 27 MN Leech Lake R.B.C. 141,644
70 477 66 27 MN Mille Lacs Band of Chippewa Indians 50,990
04/13/2009
ATTACHMENT B
Grantee CID Grant Type Seq# State Grantee Total
71 67 27 MN Minneapolis American Indian Center 326,775
72 477 68 27 MN Red Lake Tribal Council 205,262
73 477 69 27 MN White Earth R.B.C. 111,452
74 70 28 MS Mississippi Band of Choctaw Indians 277,614
75 71 29 MO American Indian Council 682,504
76 477 72 30 MT Assiniboine & Sioux Tribes 252,600
78 73 30 MT B.C. of the Chippewa Cree Tribe 130,561
77 477 74 30 MT Blackfeet Tribal Business Council 265,919
79 477 75 30 MT Confederated Salish & Kootenai Tribes 261,358
80 76 30 MT Crow Indian Tribe 152,184
81 477 77 30 MT Fort Belknap Indian Community 112,879
82 78 30 MT Montana United Indian Association 317,280
83 79 30 MT Northern Cheyenne Tribe 197,817
84 80 31 NE Indian Center, Inc. 261,692
85 81 31 NE Omaha Tribe of Nebraska 73,297
86 477 82 31 NE Winnebago Tribe 41,413
87 83 32 NV Inter-Tribal Council of Nevada 254,589
88 84 32 NV Las Vegas Indian Center, Inc. 176,700
188 477 85 32 NV Reno Sparks Indian Colony 15,716
89 477 86 32 NV Shoshone-Paiute Tribes 112,911
91 87 35 NM Alamo Navajo School Board 82,440
93 88 35 NM Eight Northern Indian Pueblo Council 62,529
94 89 35 NM Five Sandoval Indian Pueblos, Inc. 141,700
95 90 35 NM Jicarilla Apache Tribe 57,128
96 91 35 NM Mescalero Apache Tribe 81,079
97 92 35 NM National Indian Youth Council 1,480,573
98 93 35 NM Pueblo of Acoma 125,954
92 94 35 NM Pueblo of Isleta 36,910
99 477 95 35 NM Pueblo of Laguna 80,675
100 477 96 35 NM Pueblo of Taos 37,663
101 477 97 35 NM Pueblo of Zuni 263,696
102 98 35 NM Ramah Navajo School Board, Inc. 83,337
103 99 35 NM Santa Clara Indian Pueblo 30,010
104 100 35 NM Santo Domingo Tribe 92,659
105 101 36 NY American Indian Community House, Inc. 1,064,583
107 102 36 NY Native Am. Comm. Services of Erie & Niagara Co 147,302
106 103 36 NY Native American Cultural Center, Inc. 192,256
04/13/2009
ATTACHMENT B
Grantee CID Grant Type Seq# State Grantee Total
109 477 104 36 NY Seneca Nation of Indians 220,100
108 105 36 NY St. Regis Mohawk Tribe 128,653
110 106 37 NC Cumberland County Association for Indian People 60,136
111 107 37 NC Eastern Band of Cherokee Indians 152,994
112 108 37 NC Guilford Native American Association 72,480
113 109 37 NC Haliwa-Saponi Tribe, Inc. 56,467
114 110 37 NC Lumbee Regional Development Association 949,302
115 111 37 NC Metrolina Native American Association 108,405
116 112 37 NC North Carolina Commission of Indian Affairs 275,085
117 477 113 38 ND Spirit Lake Sioux Tribe 144,464
118 114 38 ND Standing Rock Sioux Tribe 209,141
120 477 115 38 ND Three Affiliated Tribes - Ft. Berthold Reservation 174,680
121 116 38 ND Turtle Mountain Band of Chippewa Indians 284,761
119 117 38 ND United Tribes Technical College 222,882
122 118 39 OH North America Indian Cultural Centers 488,419
123 119 40 OK Absentee Shawnee Tribe of Oklahoma 21,668
125 477 120 40 OK Cherokee Nation of Oklahoma 1,254,875
126 121 40 OK Cheyenne-Arapaho Tribes 150,266
127 477 122 40 OK Chickasaw Nation of Oklahoma 343,500
128 477 123 40 OK Choctaw Nation of Oklahoma 551,732
129 477 124 40 OK Citizen Band Potawatomi Indians of Oklahoma 308,057
130 125 40 OK Comanche Tribe of Oklahoma 146,748
131 477 126 40 OK Creek Nation of Oklahoma 690,089
133 127 40 OK Four Tribes Consortium of Oklahoma 92,655
134 128 40 OK Inter-Tribal Council of N.E. Oklahoma 71,135
135 129 40 OK Kiowa Tribe of Oklahoma 122,021
136 477 130 40 OK Osage Tribal Council 93,119
137 131 40 OK OTOE-Missouria Tribe of Oklahoma 31,432
138 477 132 40 OK Pawnee Tribe of Oklahoma 29,942
139 133 40 OK Ponca Tribe of Oklahoma 78,487
140 134 40 OK Seminole Nation of Oklahoma 95,747
181 135 40 OK Tonkawa Tribe of Oklahoma 59,908
141 136 40 OK United Urban Indian Council, Inc. 349,543
182 137 40 OK Wyandotte Tribe of Oklahoma 104,567
142 477 138 41 OR Confed. Tribes of Siletz Indians of Oregon 420,150
143 477 139 41 OR Confed. Tribes of the Umatilla Indian Res 26,212
144 140 41 OR Confederated Tribes of Warm Springs 122,984
04/13/2009
ATTACHMENT B
Grantee CID Grant Type Seq# State Grantee Total
145 141 41 OR Organization of Forgotten Americans 284,863
146 142 42 PA Council of Three Rivers 898,825
147 143 44 RI Rhode Island Indian Council 608,182
148 144 45 SC South Carolina Indian Development Council, Inc. 236,031
149 477 145 46 SD Cheyenne River Sioux Tribe 215,629
150 146 46 SD Lower Brule Sioux Tribe 54,221
151 147 46 SD Oglala Sioux Tribe 638,927
152 477 148 46 SD Rosebud Sioux Tribe 470,403
153 477 149 46 SD Sisseton-Wahpeton Sioux Tribe 119,992
154 150 46 SD United Sioux Tribe Development Corp. 544,699
180 151 46 SD Yankton Sioux Tribe 104,221
155 152 48 TX Alabama-Coushatta Indian Tribal Council 846,909
156 153 48 TX Dallas Inter-Tribal Center 373,632
157 154 48 TX Ysleta del Sur Pueblo 627,062
158 155 49 UT Indian Training & Education Center 343,473
159 156 49 UT Ute Indian Tribe 114,220
160 157 50 VT Abenaki Self-Help Association/ NH Ind. Counc. 78,120
161 158 51 VA Mattaponi Pamunkey Monacan Consortium 242,655
162 159 53 WA American Indian Community Center 389,539
184 477 160 53 WA Colville Confederated Tribes 176,550
163 161 53 WA Confederated Tribes & Bands of the Yakama Nation 195,145
165 477 162 53 WA Makah Tribal Council 33,049
166 163 53 WA Puyallup Tribe of Indians 35,380
167 164 53 WA Seattle Indian Center 275,767
197 477 165 53 WA Spokane Reservation 38,655
168 477 166 53 WA The Tulalip Tribes 42,820
169 167 53 WA Western WA Indian Empl. and Trng Pgm. 807,885
170 477 168 55 WI Ho-Chunk Nation 169,477
171 169 55 WI Lac Courte Oreilles Tribal Governing Board 82,295
172 170 55 WI Lac Du Flambeau Band of Lake Superior Chippewa 40,769
173 477 171 55 WI Menominee Indian Tribe of Wisconsin 95,159
175 172 55 WI Oneida Tribe of Indians of WI, Inc. 159,004
174 173 55 WI Spotted Eagle, Inc. 210,100
176 477 174 55 WI Stockbridge-Munsee Community 53,706
177 175 55 WI Wisconsin Indian Consortium 82,439
178 477 176 56 WY Eastern Shoshone Tribe 124,965
185 177 56 WY Northern Arapaho Business Council 212,482
04/13/2009
Linked official document 3: https://www.dol.gov/sites/dolgov/files/ETA/advisories/TEGL/2009/TEGL26-08aC.pdf
ATTACHMENT C
U. S. Department of Labor
Employment and Training Administration
WIA Title I Sec. 166 Supplemental Youth Services for Native Americans
PY 2009 Allotments
Grantee CID Grant Type Seq# State Grantee Total
$13,861,035
1 1 1 AL Inter-Tribal Council of Alabama 5,098
2 2 1 AL Poarch Band of Creek Indians 0
3 477 3 2 AK Aleutian/Pribilof Islands Association 12,073
6 477 4 2 AK Association of Village Council Presidents 165,274
7 477 5 2 AK Bristol Bay Native Association 48,294
8 477 6 2 AK Central Council of Tlingit and Haida 68,417
9 477 7 2 AK Chugachmiut 5,902
10 477 8 2 AK Cook Inlet Tribal Council 147,030
189 477 9 2 AK Copper River Native Association 9,390
11 477 10 2 AK Kawerak Incorporated 60,368
12 11 2 AK Kenaitze Indian Tribe 22,806
13 477 12 2 AK Kodiak Area Native Association 9,390
196 477 13 2 AK Maniilaq Association Inc. 52,319
15 477 14 2 AK Metlakatla Indian Community 5,366
16 477 15 2 AK Orutsararmuit Native Council 16,098
17 477 16 2 AK Tanana Chiefs Conference, Inc. 114,028
19 17 4 AZ American Indian Association of Tucson 0
20 18 4 AZ Colorado River Indian Tribes 32,196
21 19 4 AZ Gila River Indian Community 211,959
23 20 4 AZ Hopi Tribal Council 118,053
22 21 4 AZ Hualapai Tribe 20,123
24 22 4 AZ Inter Tribal Council of Arizona, Inc. 38,367
25 23 4 AZ Native Americans for Community Action 0
26 24 4 AZ Navajo Nation 3,077,429
27 25 4 AZ Pasqua Yaqui Tribe 55,002
28 26 4 AZ Phoenix Indian Center, Inc. 0
29 27 4 AZ Quechan Indian Tribe 17,440
30 28 4 AZ Salt River Pima-Maricopa Indian Council 52,319
31 29 4 AZ San Carlos Apache Tribe 222,691
32 477 30 4 AZ Tohono O'Odham Nation 224,033
33 31 4 AZ White Mountain Apache Tribe 266,961
04/13/2009
ATTACHMENT C
Grantee CID Grant Type Seq# State Grantee Total
34 32 5 AR American Indian Center of Arkansas, Inc. 0
35 33 6 CA California Indian Manpower Consortium, Inc. 151,859
36 34 6 CA Candelaria American Indian Council 0
37 35 6 CA Indian Human Resources Center, Inc. 0
38 36 6 CA Northern CA Indian Development Council, Inc. 24,415
39 37 6 CA Southern CA Indian Center, Inc. 0
40 38 6 CA Tule River Tribal Council 8,050
41 39 6 CA United Indian Nations, Inc. 0
42 40 6 CA Ya-Ka-Ama Indian Education & Development 0
43 41 8 CO Denver Indian Center 0
44 42 8 CO Southern Ute Indian Tribe 10,732
45 43 8 CO Ute Mountain Ute Indian Tribe 22,806
47 44 12 FL Florida Governor's Council on Indian Affairs 0
48 45 12 FL Miccosukee Corporation 5,634
50 46 15 HI Alu Like, Inc. 1,875,434
51 477 47 16 ID Nez Perce Tribe 15,561
52 477 48 16 ID Shoshone-Bannock Tribes 57,685
4 49 18 IN American Indian Center of Indiana, Inc. 0
54 50 20 KS United Tribes of Kansas and S.E. Nebraska 10,464
55 51 22 LA Inter-Tribal Council of Louisiana, Inc. 4,025
56 52 23 ME Penobscot Nation 25,221
58 53 25 MA Mashpee-Wampahoag Indian Tribal Council, Inc. 0
59 54 25 MA North American Indian Center of Boston, Inc. 0
60 477 55 26 MI Grand Traverse Band of Ottawa & Chippewa Indians 0
61 56 26 MI Inter-Tribal Council of Michigan, Inc. 29,513
62 57 26 MI MI Indian Employment and Training Services, I 0
179 58 26 MI North American Indian Association of Detroit 0
63 59 26 MI Potawatomi Indian Nation 0
64 60 26 MI Sault Ste. Marie Tribe of Chippewa Indians 19,586
65 61 26 MI Southeastern Michigan Indians. Inc. 0
66 62 27 MN American Indian OIC 0
67 63 27 MN Bois Forte R.B.C. 9,123
68 64 27 MN Fond Du Lac R.B.C. 18,244
69 65 27 MN Leech Lake R.B.C. 53,392
70 477 66 27 MN Mille Lacs Band of Chippewa Indians 23,879
71 67 27 MN Minneapolis American Indian Center 0
72 477 68 27 MN Red Lake Tribal Council 84,515
04/13/2009
ATTACHMENT C
Grantee CID Grant Type Seq# State Grantee Total
73 477 69 27 MN White Earth R.B.C. 55,002
74 70 28 MS Mississippi Band of Choctaw Indians 68,149
75 71 29 MO American Indian Council 9,390
76 477 72 30 MT Assiniboine & Sioux Tribes 138,176
78 73 30 MT B.C. of the Chippewa Cree Tribe 38,904
77 477 74 30 MT Blackfeet Tribal Business Council 127,443
79 477 75 30 MT Confederated Salish & Kootenai Tribes 139,518
80 76 30 MT Crow Indian Tribe 88,272
81 477 77 30 MT Fort Belknap Indian Community 50,977
82 78 30 MT Montana United Indian Association 0
83 79 30 MT Northern Cheyenne Tribe 99,272
84 80 31 NE Indian Center, Inc. 0
85 81 31 NE Omaha Tribe of Nebraska 46,953
86 477 82 31 NE Winnebago Tribe 21,464
87 83 32 NV Inter-Tribal Council of Nevada 46,417
88 84 32 NV Las Vegas Indian Center, Inc. 0
188 477 85 32 NV Reno Sparks Indian Colony 9,390
89 477 86 32 NV Shoshone-Paiute Tribes 14,757
91 87 35 NM Alamo Navajo School Board 49,636
93 88 35 NM Eight Northern Indian Pueblo Council 27,367
94 89 35 NM Five Sandoval Indian Pueblos, Inc. 93,638
95 90 35 NM Jicarilla Apache Tribe 28,171
96 91 35 NM Mescalero Apache Tribe 61,709
97 92 35 NM National Indian Youth Council 0
98 93 35 NM Pueblo of Acoma 30,855
92 94 35 NM Pueblo of Isleta 11,805
99 477 95 35 NM Pueblo of Laguna 37,563
100 477 96 35 NM Pueblo of Taos 18,781
101 477 97 35 NM Pueblo of Zuni 130,126
102 98 35 NM Ramah Navajo School Board, Inc. 30,855
103 99 35 NM Santa Clara Indian Pueblo 13,415
104 100 35 NM Santo Domingo Tribe 45,611
105 101 36 NY American Indian Community House, Inc. 9,123
107 102 36 NY Native Am. Comm. Services of Erie & Niagara Co 0
106 103 36 NY Native American Cultural Center, Inc. 3,219
109 477 104 36 NY Seneca Nation of Indians 32,196
108 105 36 NY St. Regis Mohawk Tribe 22,806
04/13/2009
ATTACHMENT C
Grantee CID Grant Type Seq# State Grantee Total
110 106 37 NC Cumberland County Association for Indian People 0
111 107 37 NC Eastern Band of Cherokee Indians 57,685
112 108 37 NC Guilford Native American Association 0
113 109 37 NC Haliwa-Saponi Tribe, Inc. 0
114 110 37 NC Lumbee Regional Development Association 0
115 111 37 NC Metrolina Native American Association 0
116 112 37 NC North Carolina Commission of Indian Affairs 0
117 477 113 38 ND Spirit Lake Sioux Tribe 75,125
118 114 38 ND Standing Rock Sioux Tribe 124,761
120 477 115 38 ND Three Affiliated Tribes - Ft. Berthold Reservation 56,344
121 116 38 ND Turtle Mountain Band of Chippewa Indians 128,785
119 117 38 ND United Tribes Technical College 0
122 118 39 OH North America Indian Cultural Centers 0
123 119 40 OK Absentee Shawnee Tribe of Oklahoma 13,146
125 477 120 40 OK Cherokee Nation of Oklahoma 677,732
126 121 40 OK Cheyenne-Arapaho Tribes 104,638
127 477 122 40 OK Chickasaw Nation of Oklahoma 203,641
128 477 123 40 OK Choctaw Nation of Oklahoma 292,450
129 477 124 40 OK Citizen Band Potawatomi Indians of Oklahoma 219,740
130 125 40 OK Comanche Tribe of Oklahoma 72,442
131 477 126 40 OK Creek Nation of Oklahoma 356,842
133 127 40 OK Four Tribes Consortium of Oklahoma 68,149
134 128 40 OK Inter-Tribal Council of N.E. Oklahoma 27,098
135 129 40 OK Kiowa Tribe of Oklahoma 90,418
136 477 130 40 OK Osage Tribal Council 52,319
137 131 40 OK OTOE-Missouria Tribe of Oklahoma 16,903
138 477 132 40 OK Pawnee Tribe of Oklahoma 14,757
139 133 40 OK Ponca Tribe of Oklahoma 56,075
140 134 40 OK Seminole Nation of Oklahoma 72,442
181 135 40 OK Tonkawa Tribe of Oklahoma 28,171
141 136 40 OK United Urban Indian Council, Inc. 199,885
182 137 40 OK Wyandotte Tribe of Oklahoma 0
142 477 138 41 OR Confed. Tribes of Siletz Indians of Oregon 1,073
143 477 139 41 OR Confed. Tribes of the Umatilla Indian Res 14,757
144 140 41 OR Confederated Tribes of Warm Springs 41,587
145 141 41 OR Organization of Forgotten Americans 6,171
146 142 42 PA Council of Three Rivers 0
04/13/2009
ATTACHMENT C
Grantee CID Grant Type Seq# State Grantee Total
147 143 44 RI Rhode Island Indian Council 0
148 144 45 SC South Carolina Indian Development Council, Inc. 2,683
149 477 145 46 SD Cheyenne River Sioux Tribe 142,201
150 146 46 SD Lower Brule Sioux Tribe 20,123
151 147 46 SD Oglala Sioux Tribe 417,210
152 477 148 46 SD Rosebud Sioux Tribe 245,496
153 477 149 46 SD Sisseton-Wahpeton Sioux Tribe 59,026
154 150 46 SD United Sioux Tribe Development Corp. 13,415
180 151 46 SD Yankton Sioux Tribe 53,661
155 152 48 TX Alabama-Coushatta Indian Tribal Council 1,073
156 153 48 TX Dallas Inter-Tribal Center 0
157 154 48 TX Ysleta del Sur Pueblo 17,440
158 155 49 UT Indian Training & Education Center 5,902
159 156 49 UT Ute Indian Tribe 60,368
160 157 50 VT Abenaki Self-Help Association/ NH Ind. Counc. 0
161 158 51 VA Mattaponi Pamunkey Monacan Consortium 0
162 159 53 WA American Indian Community Center 18,244
184 477 160 53 WA Colville Confederated Tribes 49,636
163 161 53 WA Confederated Tribes & Bands of the Yakama Nation 109,736
165 477 162 53 WA Makah Tribal Council 13,415
166 163 53 WA Puyallup Tribe of Indians 14,488
167 164 53 WA Seattle Indian Center 0
197 477 165 53 WA Spokane Reservation 24,148
168 477 166 53 WA The Tulalip Tribes 21,464
169 167 53 WA Western WA Indian Empl. and Trng Pgm. 105,443
170 477 168 55 WI Ho-Chunk Nation 4,829
171 169 55 WI Lac Courte Oreilles Tribal Governing Board 33,538
172 170 55 WI Lac Du Flambeau Band of Lake Superior Chippewa 12,073
173 477 171 55 WI Menominee Indian Tribe of Wisconsin 49,636
175 172 55 WI Oneida Tribe of Indians of WI, Inc. 16,098
174 173 55 WI Spotted Eagle, Inc. 0
176 477 174 55 WI Stockbridge-Munsee Community 3,756
177 175 55 WI Wisconsin Indian Consortium 26,562
178 477 176 56 WY Eastern Shoshone Tribe 35,952
185 177 56 WY Northern Arapaho Business Council 80,759
04/13/2009
Linked official document 4: https://www.dol.gov/sites/dolgov/files/ETA/advisories/TEGL/2009/TEGL26-08aD.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:
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:
*Street 1:
Street 2:
*City:
County:
*State:
Province:
*Country:
*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:
11. Catalog of Federal Domestic Assistance Number:
CFDA Title:
*12 Funding Opportunity Number:
*Title:
13. Competition Identification Number:
Title:
14. Areas Affected by Project (Cities, Counties, States, etc.):
*15. Descriptive Title of Applicant’s Project:
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:
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
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: *Date Signed:
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 should contain an explanation if the Applicant organization is delinquent of any Federal Debt.
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 5: https://www.dol.gov/sites/dolgov/files/ETA/advisories/TEGL/2009/TEGL26-08aE.pdf
APPLICATION FOR Version 7/03
FEDERAL ASSISTANCE 2. DATE SUBMITTED Applicant Identifier
1. TYPE OF SUBMISSION: 3. DATE RECEIVED BY STATE State Application Identifier
Application Preapplication
Construction Construction 4. DATE RECEIVED BY FEDERAL AGENCY Federal Identifier
X Non-Construction Non-Construction
5. APPLICANT INFORMATION
Legal Name: Organizational Unit:
Department:
Organizational DUNS: Division:
Address: Name and telephone number of person to be contacted on matters
Street: involving this application (give area code)
Prefix: First Name:
City: Middle Name
County: Last Name
State: Zip Code Suffix:
Country: Email:
6. EMPLOYER IDENTIFICATION NUMBER (EIN): Phone Number (give area code) Fax Number (give area code)
8. TYPE OF APPLICATION: 7. TYPE OF APPLICANT: (See back of form for Application Types)
State
New Continuation Revision
If Revision, enter appropriate letter(s) in box(es) Other (specify)
(See back of form for description of letters.)
Other (specify) 9. NAME OF FEDERAL AGENCY:
10. CATALOG OF FEDERAL DOMESTIC ASSISTANCE NUMBER: 11. DESCRIPTIVE TITLE OF APPLICANT'S PROJECT:
TITLE (Name of Program):
Public Health and Social Services Emergency Fund
12. AREAS AFFECTED BY PROJECT (Cities, Counties, States, etc.):
13. PROPOSED PROJECT 14. CONGRESSIONAL DISTRICTS OF:
Start Date: Ending Date: a. Applicant b. Project
15. ESTIMATED FUNDING: 16. IS APPLICATION SUBJECT TO REVIEW BY STATE EXECUTIVE
ORDER 12372 PROCESS?
a. Federal $ THIS PREAPPLICATION/APPLICATION WAS MADE
a. YES. AVAILABLE TO THE STATE EXECUTIVE ORDER 12372
b. Applicant $ - PROCESS FOR REVIEW ON
c. State $ - DATE:
d. Local $ -
b. NO. PROGRAM IS NOT COVERED BY E.O. 12372
e. Other $ - OR PROGRAM HAS NOT BEEN SELECTED BY
STATE FOR REVIEW
f. Program Income $ 17. IS THE APPLICANT DELINQUENT ON ANY FEDERAL DEBT
g. TOTAL $ - Yes. If "Yes," attach an explanation. No.
18. TO THE BEST OF MY KNOWLEDGE AND BELIEF, ALL DATA IN THIS APPLICATION/PREAPPLICATION ARE TRUE AND CORRECT. THE
DOCUMENT HAS BEEN DULY AUTHORIZED BY THE GOVERNING BODY OF THE APPLICANT AND THE APPLICANT WILL COMPLY WITH THE
ATTACHED ASSURANCES IF THE ASSISTANCE IS AWARDED.
a. Authorized Representative
Prefix First Name Middle Name
Last Name Suffix
b. Title c. Telephone Number (give area code)
d. Signature of Authorized Representative e. Date Signed
Previous Edition Usable Standard form 424 (Rev.9-2003)
Authorized for Local Reproduction Prescribed by OMB Circular A-102
OMB Approval No. 0348-0044
BUDGET INFORMATION -- Non-Construction Programs
SECTION A - BUDGET SUMMARY
Grant Program Catalog of Federal Estimated Unobligated Funds New or Revised Budget
Function Domestic Assistance Number
or Activity Federal Non-Federal Federal Non-Federal Total
(a) (b) (c) (d) (e) (f) (g)
1 $0 $0
2
3.
4.
5. TOTALS $0 $0
SECTION B - BUDGET CATEGORIES
GRANT PROGRAM, FUNCTION OR ACTIVITY Total
6. Object Class Categories (5)
(3) (4)
a. Personnel $0.00
b. Fringe Benefits $0.00
c. Travel $0.00
d. Equipment $0.00
e. Supplies $0.00
f. Contractual $0.00
g. Construction $0.00
h. Other $0.00
i. Total Direct Charges (sum of 6a - 6h) $0.00
j. Indirect Charge $0.00
k. TOTALS (sum of 6i and 6j) $0.00
7. Program Income
SECTION C - NON-FEDERAL RESOURCES
(a) Grant Program (b) Applicant ( c ) State (d) Other Resources (e) TOTALS
8. $0
9.
10.
11.
12. TOTALS (sum of lines 8-11) $0 $0 $0 $0
SECTION D - FORECASTED CASH NEEDED
Total for 1st Year 1st Quarter 2nd Quarter 3rd Quarter 4th Quarter
13. Federal
14. NonFederal
15. TOTAL (sum of lines 13 and 14)
SECTION E - BUDGET ESTIMATES OF FEDERAL FUNDS NEEDED FOR BALANCE OF THE PROJECT
FUTURE FUNDING PERIODS (YEARS)
Grant Program
(b) First ( c) Second (d) Third (e) Fourth
$0.00
17. $0
18. $0
19. $0
20. Totals (sum of lines 16-19) $0.00
SECTION F - OTHER BUDGET INFORMATION
(Attach additional Sheets if Necessary)
21. Direct Charges:
22. Indirect Changes: Prelimary Indirect Cost Rate
23. Remarks:
SF 424A (4-88) Page 2Prescribed by OMB Circular A-102
INSTRUCTIONS FOR THE SF-424A
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
For continuing grant program applications , submit these forms
This form is designed so that application can be made for funds before the end of each funding period as required by the grantor
from one or more grant programs. In preparing the budget, agency. Enter in Columns (c) and (d) the estimated amounts of
adhere to any existing Federal grantor agency guidelines which funds which will remain unobligated at the end of the grant
prescribe how and whether budgeted amounts should be funding period only if the Federal grantor agency instructions
separately shown for different functions or activities within the provide for this. Otherwise, leave these columns blank. Enter in
program. For some programs, grantor agencies may require columns (e) and (f) the amounts of funds needed for the
budgets to be separately shown by function or activity. For other upcoming period. The amount(s) in Column (g) should be the
programs, grantor agencies may require a breakdown by function sum of amounts in Columns (e) and (f).
or activity. Sections A, B, C, and D should include budget
estimates for the whole project except when applying for For supplemental grants and changes to existing grants, do not
assistance which requires Federal authorization in annual or use Columns (c) and (d). Enter in Column (e) the amount of the
other funding period increments. In the latter case, Sections A, B, increase or decrease of Federal funds and enter in Column (f) the
C, and D should provide the budget for the first budget period amount of the increase or decrease of non-Federal funds. In
(usually a year) and Section E should present the need for Column (g) enter the new total budgeted amount (Federal and
Federal assistance in the subsequent budget periods. All non-Federal) which includes the total previous authorized
applications should contain a breakdown by the object class budgeted amounts plus or minus, as appropriate, the amounts
categories shown in Lines a-k of Section B. shown in Columns (e) and (f). The amount(s) in Column (g)
should not equal the sum of amounts in Columns (e) and (f).
Section A. Budget Summary Lines 1-4 Columns (a) and (b)
Line 5 - Show the totals for all columns used.
For applications pertaining to a single Federal grant program
(Federal Domestic Assistance Catalog number) and not requiring Section B Budget Categories
a functional or activity breakdown, enter on Line 1 under Column
(a) the Catalog program title and the Catalog number in Column In the column headings (1) through (4), enter the titles of the
(b). same programs, functions, and activities shown on Lines 1-4,
Column (a), Section A. When additional sheets are prepared for
For applications pertaining to a single program requiring budget Section A, provide similar column headings on each sheet. For
amounts by multiple functions or activities, enter the name of each program, function or activity, fill in the total requirements for
each activity or function on each line in Column (a), and enter the funds (both Federal and non-Federal) by object class categories.
Catalog number in Column (b). For applications pertaining to
multiple programs where none of the programs require a Line 6a-i - Show the totals of Lines 6a to 6h in each column.
breakdown by function or activity, enter the Catalog program title
on each line in Column (a) and the respective Catalog number on Line 6j - Show the amount of indirect cost.
each line in Column (b).
Line 6k - Enter the total of amounts on Lines 6i and 6j. For all
For applications pertaining to multiple programs where one or applications for new grants and continuation grants the total
more programs require a breakdown by function or activity, amount in column (5), Line 6k, should be the same as the total
prepare a separate sheet for each program requiring the amount shown in Section A, Column (g), Line 5. For
breakdown. Additional sheets should be used when one form supplemental grants and changes to grants, the total amount of
does not provide adequate space for all breakdown of data the increase or decrease as shown in Columns (1)-(4), Line 6k
required. However, when more than one sheet is used, the first should be the same as the sum of the amounts in Section A,
page should provide the summary totals by programs. Columns (e) and (f) on Line 5.
Lines 1-4, Columns (c) through (g) Line 7 - Enter the estimated amount of income, if any, expected
to be generated from this project. Do not add or subtract this
For new applications , leave Column (c) and (d) blank. For each amount from the total project amount, Show under the program
line entry in Columns (a) and (b), enter in Columns (e), (f), and
(g) the appropriate amounts of funds needed to support the
project for the first funding period (usually a year).
SF-424A (Rev. 7-97) Page 3
INSTRUCTIONS FOR THE SF-424A (continued)
narrative statement the nature and source of income. The Line 15 - Enter the totals of amounts on Lines 13 and 14.
estimated amount of program income may be considered by the
Federal grantor agency in determining the total amount of the Section E. Budget Estimates of Federal Funds Needed for
grant. Balance of the Project
Section C. Non-Federal Resources Lines 16-19 - Enter in Column (a) the same grant program titles
shown in Column (a), Section A. A breakdown by function or
Lines 8-11 Enter amounts of non-Federal resources that will be activity is not necessary. For new applications and continuation
used on the grant. If in-kind contributions are included, provide a grant applications, enter in the proper columns amounts of Federal
brief explanation on a separate sheet. funds which will be needed to complete the program or project over
the succeeding funding periods (usually in years). This section
need not be completed for revisions (amendments, changes, or
Column (a) - Enter the program titles identical to supplements) to funds for the current year of existing grants.
Column (a), Section A. A breakdown by function or
activity is not necessary. If more than four lines are needed to list the program titles, submit
additional schedules as necessary.
Column (b) - Enter the contribution to be made by the
applicant. Line 20 - Enter the total for each of the Columns (b)-(e). When
additional schedules are prepared for this Section, annotate
Column (c) - Enter the amount of the State’s cash and accordingly and show the overall totals on this line.
in-kind contribution if the applicant is not a State or
State agency. Applicants which are a State or State Section F. Other Budget Information
agencies should leave this column blank.
Line 21 - Use this space to explain amounts for individual direct
Column (d) - Enter the amount of cash and in-kind
object class cost categories that may appear to be out of the
contributions to be made from all other sources.
ordinary or to explain the details as required by the Federal grantor
agency.
Column (e) - Enter totals of Columns (b), (c), and (d).
Line 22 - Enter the type of indirect rate (provisional, predetermined,
final or fixed) that will be in effect during the funding period, the
Line 12 - Enter the total for each of Columns (b)-(e). The amount estimated amount of the base to which the rate is applied, and the
in Column (e) should be equal to the amount on Line 5, Column total indirect expense.
(f), Section A.
Line 23 - Provide any other explanations or comments deemed
Section D. Forecasted Cash Needs necessary.
Line 13 - Enter the amount of cash needed by quarter from the
grantor agency during the first year.
Line 14 - Enter the amount of cash from all other sources needed
by quarter during the first year.
SF-424A (Rev. 7-97) Page 4
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