Attachment III (Accessible PDF).pdf

ETA Advisory File Text

Attachment III III-1 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 03 31 2029 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 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 On April 4 2022 the DUNS Number was replaced by the Unique Entity Identifier UEI or the Entity ID a non-proprietary identifier requested in and assigned by the SAM at SAM.gov. 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-XX. Section 13 Competition Identification Number Leave Blank. Section 14 Areas Affected by Project Input the place of performance for the project Attachment III III-2 implementation Example NY for New York. This should be in the form of an attached document or PDF or entered into the field manually it cannot be blank. Section 15 Descriptive Title of Applicant s Project Input the same UIPL number as provided in Section 12. Additionally input State acknowledges and agrees to provide all confidential UC information to DOL-OIG for purposes of investigating fraud and performing audits through weeks of unemployment ending on or before the end of the period of performance . 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 Z ipcode 4. Section 17 Proposed Project Dates. a.Start Date Input a valid start date for the project. b. End Date Input a valid end date for the project. Section 18 Estimated Funding Input the applicable funding allotment. Sec tion 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 06 30 2028 OMB Control No. 4040-0006 https apply07.grants.gov apply forms sample SF424A-V1.0.pdf. S ection 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 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 Attachment III III-3 OR 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 15 percent de minimis rate.