Attachment V (Accessible PDF).pdf

ETA Advisory File Text

V-1 Attachment V to UIPL No. XX-23 Instructions for Completing the SF-424 and SF-424A 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 11 30 2025 Office of Management and Budget OMB Control No. 4040-0004 Grants.gov . 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. Unique Entity Identifier UEI Starting on April 4 2022 the DUNS Number was replaced by a new non-proprietary identifier requested in and assigned by the System for Award Management SAM at SAM.gov. This new identifier is being called the Unique Entity Identifier UEI or the Entity ID. To learn more about SAM s rollout of the UEI please visit the U.S. General Service Administration GSA Unique Entity Identifier Update webpage. Before submitting a state must also ensure its registration with SAM.gov is current. SAM replaced the Central Contractor Registry. States can find instructions for registering with SAM at https sam.gov content entity-registration. An awardee 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 states must review and update the registration at least every 12 months from the date of initial registration. 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 20110-0831. For lookup use the 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 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 Input UIPL No. XX-23 UI IT Modernization Grant 2023 . 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. V-2 Section 15 Descriptive Title of Applicant s Project Input UIPL No. XX-23 UI IT Modernization Grant 2023 . Additionally input State acknowledges and agrees that prior to accessing any funding under this grant award State must submit the required amendments to the award including all the components described as part of the Full Project Amendment and or Participation Package and within the timeframe described in UIPL No. XX-23 cooperate in the resolution of any issues with final approval of the modified grant provided by the Grant Officer . Section 16 Congressional Districts of a. Applicant Input the Congressional District of your home office. For lookup use link at www.house.gov with Zip code 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 April 1 2023 . b. End Date Input a valid end date for the project March 31 2028 . Section 18 Estimated Funding Input the applicable funding allotment as listed for your modernization activity 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. Budget Information - Non-Construction Programs SF-424A Use the current version of the form for the submission. Expired forms will not be accepted. SF 424A Expiration Date 02 28 2025 OMB Control No. 4040-0006 https apply07.grants.gov apply forms sample SF424A-V1.0.pdf Section B Budget Categories Ensure that TOTALS in Section 6 Object Class Categories matches the Estimated Funding requested in the SF-424. If indirect charges are specified in Section 6 Object Class Categories then include either o a The approved indirect cost rate with a copy of the Negotiated Indirect Cost Rate Agreement NICRA a description of the base used to calculate indirect costs along with the amount of the base and the total indirect costs requested OR o b For those applicant states that meet the requirements to use the 10 percent de minimis rate as described in 2 C.F.R. 200.414 f a description of the modified total direct cost base see 2 C.F.R. 200.1 for definition used in the calculation along with the amount of the base and the total indirect costs requested based on the 10 percent de minimis rate.