UIPL_28-20_Change2_Attachment_2.pdf

ETA Advisory File Text

II-1 Attachment II to UIPL No. 28 -20 Change 2 Instructions for Completing the SF-424 Please note that States are required to submit an SF-424 for each funding allotment i.e. one SF-424 for the Pandemic Unemployment Assistance funding and a second SF-424 for the Pandemic Emergency Unemployment Compensation funding . I. Application for Federal Assistance SF-424 Use the current version of the form for submission. Expired forms will not be accepted. SF-424 Expiration Date 12 31 2022 Office of Management and Budget OMB Control No. 4040-0004 Grants.gov . https apply07.grants.gov apply forms sample SF424 4 0-V4.0.pdf. Section 8 APPLICANT INFORMATION Legal Name The legal name must match the name submitted with the System for Award Management SAM . Please refer to instructions at https www.sam.gov SAM . Employer Tax Identification Number EIN TIN Input your correct 9-digit EIN and ensure that it is recorded within SAM. Organizational DUNS All applicants for Federal grant and funding opportunities are required to have a 9-digit Data Universal Numbering System D-U-N-S number and must supply their D-U-N-S number on the SF-424. Please ensure that your state is registered with the SAM. Instructions for registering with SAM can be found at https www.sam.gov SAM . Additionally the state must maintain an active SAM registration with current information at all times during which it has an active Federal award or an application under consideration. To remain registered in the SAM database after the initial registration there is a requirement to review and update the registration at least every 12 months from the date of initial registration or subsequently update the information in the SAM database to ensure it is current accurate and complete. Failure to register with SAM and maintain an active account will result in a rejection of your submission. Address Input your complete address including Zipcode 4 Example 20110-831. For lookup use link at https tools.usps.com go ZipLookupAction input. Organizational Unit Input appropriate Department Name and Division Name if applicable. Name and contact information of person to be contacted on matters involving this application Provide complete and accurate contact information including telephone number and email address for the point of contact. Section 9 Type of Applicant 1 Select Applicant Type Input State Government . II-2 Section 10 Name of the Federal Agency Input Employment and Training Administration . Section 11 Catalog of Federal Domestic Assistance Number Input 17.225 CFDA Title Input Unemployment Insurance . Section 12 Funding Opportunity Number and Title For Pandemic Unemployment Assistance Funding Allotment Input UIPL No. 28- 20 Change 2 Pandemic Unemployment Assistance Identity Verification Fraud Prevention and Overpayment Recovery Grants . For Pandemic Emergency Unemployment Compensation Funding Allotment Input UIPL No. 28-20 Change 2 Pandemic Emergency Unemployment Compensation Identity Verification Fraud Prevention and Overpayment Recovery Grants . Section 13 Competition Identification Number Leave Blank. Section 14 Areas Affected by Project Input the place of performance for the project implementation Example NY for New York. Section 15 Descriptive Title of Applicant s Project For Pandemic Unemployment Assistance Funding Allotment Input UIPL No. 28-20 Change 2 Pandemic Unemployment Assistance Identity Verification Fraud Prevention and Overpayment Recovery Grants . For Pandemic Emergency Unemployment Compensation Funding Allotment Input UIPL No. 28-20 Change 2 Pandemic Emergency Unemployment Compensation - Identity Verification Fraud Prevention and Overpayment Recovery Grants . Section 16 Congressional Districts of a. Applicant Input the Congressional District of your home office. For lookup use link at www.house.gov with Zipcode 4. b. Program Project Input the Congressional District where the project work is performed. If it is the same place as your home office input the congressional district for your home office. For lookup use link at www.house.gov with Zipcode 4. Section 17 Proposed Project Dates. a. Start Date Input a valid start date for the project earliest start date will be January 1 2021 . b. End Date Input a valid end date for the project June 30 2022 . II-3 Section 18 Estimated Funding Input the applicable funding allotment for each of the programs as listed for your state in Attachment I. Section s 19 20 Complete as per instructions for Form SF-424. Section 21 Authorized Representative Please select the I AGREE check box and provide complete information for your authorized signatory including contact information such as telephone number and email address. If your Authorized Representative has changed from your previous application submission for this program please include a letter from higher-level leadership authorizing the new signatory for the application submission. Remember to have the SF-424 signed and dated by the Authorized Representative.