Standard Form 424 PDF Details

In the world of federal assistance and grants management, successfully navigating the application process is critical for organizations seeking funding. Among the myriad of forms and paperwork, the Standard Form 424 (SF-424) plays a pivotal role as the foundational document required for the submission of pre-applications and applications for federal aid. This form, framed by the Office of Management and Budget (OMB), acts as a primary face sheet to collect essential information from applicants, such as the legal name, type of submission, funding breakdown, and project descriptions. It is meticulously designed to assist federal agencies in obtaining applicants' certification, specifically regarding states' review and comment procedures in response to Executive Order 12372. Moreover, the SF-424 seeks detailed applicant information ranging from the organization’s DUNS number and Employer Identification Number (EIN) to the proposed project's start and end dates, ensuring a comprehensive understanding of the applicant's organizational structure and project scope. Compatibility with various types of submissions—new, continuation, or revision—adds to the form’s versatility, highlighting its critical function in the federal assistance application ecosystem. Understanding the SF-424 is therefore indispensable for any entity looking to secure federal funds, as it not only encapsulates vital project and organizational details but also facilitates a streamlined review process by state and federal agencies.

QuestionAnswer
Form NameStandard Form 424
Form Length4 pages
Fillable?No
Fillable fields0
Avg. time to fill out1 min
Other namesSF-424C, A-102, Washington, DUNS

Form Preview Example

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

Pre-application

 

 

Construction

Construction

4. DATE RECEIVED BY FEDERAL AGENCY

Federal Identifier

 

 

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)

New

Continuation

Revision

 

 

 

If Revision, enter appropriate letter(s) in box(es)

 

 

 

(See back of form for description of letters.)

Other (specify)

 

 

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):

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

$

 

.00

 

a. Yes.

THIS PREAPPLICATION/APPLICATION WAS MADE

 

 

 

 

 

 

AVAILABLE TO THE STATE EXECUTIVE ORDER 12372

b. Applicant

$

 

.00

 

 

PROCESS FOR REVIEW ON

 

c. State

$

 

.00

 

 

DATE:

 

d. Local

$

 

.00

 

b. No. PROGRAM IS NOT COVERED BY E. O. 12372

 

 

 

 

 

 

e. Other

$

 

.00

 

OR PROGRAM HAS NOT BEEN SELECTED BY STATE

 

 

 

 

 

 

FOR REVIEW

 

f. Program Income

$

 

.00

 

17. IS THE APPLICANT DELINQUENT ON ANY FEDERAL DEBT?

g. TOTAL

$

 

.00

 

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

INSTRUCTIONS FOR THE SF-424

Public reporting burden for this collection of information is estimated to average 45 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 used by applicants as a required face sheet for pre-applications and applications submitted for Federal assistance. It will be used by Federal agencies to obtain applicant certification that States which have established a review and comment procedure in response to Executive Order 12372 and have selected the program to be included in their process, have been given an opportunity to review the applicant’s submission.

Item:

Entry:

 

 

 

Item:

Entry:

1.

Select Type of Submission.

 

 

11.

Enter a brief descriptive title of the project. If more than one

 

 

 

 

 

 

 

program is involved, you should append an explanation on a

 

 

 

 

 

 

 

separate sheet. If appropriate (e.g., construction or real

 

 

 

 

 

 

 

property projects), attach a map showing project location. For

 

 

 

 

 

 

 

preapplications, use a separate sheet to provide a summary

 

 

 

 

 

 

 

description of this project.

2.

Date application submitted to Federal agency (or State if applicable)

12.

List only the largest political entities affected (e.g., State,

 

and applicant’s control number (if applicable).

 

 

counties, cities).

 

 

 

 

 

 

3.

State use only (if applicable).

 

 

13

Enter the proposed start date and end date of the project.

 

 

 

 

 

4.

Enter Date Received by Federal Agency

 

14.

List the applicant’s Congressional District and any District(s)

 

Federal identifier number: If this application is a continuation or

 

affected by the program or project

 

revision to an existing award, enter the present Federal Identifier

 

 

 

number. If for a new project, leave blank.

 

 

 

5.

Enter legal name of applicant, name of primary organizational unit

15

Amount requested or to be contributed during the first

 

(including division, if applicable), which will undertake the

 

funding/budget period by each contributor. Value of in kind

 

assistance activity, enter the organization’s DUNS number

 

contributions should be included on appropriate lines as

 

(received from Dun and Bradstreet), enter the complete address of

 

applicable. If the action will result in a dollar change to an

 

the applicant (including country), and name, telephone number, e-

 

existing award, indicate only the amount of the change. For

 

mail and fax of the person to contact on matters related to this

 

decreases, enclose the amounts in parentheses. If both basic

 

application.

 

 

 

and supplemental amounts are included, show breakdown on

 

 

 

 

 

 

 

an attached sheet. For multiple program funding, use totals

 

 

 

 

 

 

 

and show breakdown using same categories as item 15.

6.

Enter Employer Identification Number (EIN) as assigned by the

16.

Applicants should contact the State Single Point of Contact

 

Internal Revenue Service.

 

 

 

(SPOC) for Federal Executive Order 12372 to determine

 

 

 

 

 

 

 

whether the application is subject to the State

 

 

 

 

 

 

 

intergovernmental review process.

7.

Select the appropriate letter in

 

 

17.

This question applies to the applicant organization, not the

 

the space provided.

I.

State Controlled

 

person who signs as the authorized representative. Categories

 

 

A.

State

 

Institution of Higher

 

of debt include delinquent audit disallowances, loans and

 

 

B.

County

 

Learning

 

taxes.

 

 

C.

Municipal

J.

Private University

 

 

 

 

D.

Township

K.

Indian Tribe

 

 

 

 

E.

Interstate

L.

Individual

 

 

 

 

F.

Intermunicipal

M.

Profit Organization

 

 

 

 

G.

Special District

N.

Other (Specify)

 

 

 

 

H.

Independent School

O.

Not for Profit

 

 

 

 

 

District

 

Organization

 

 

8.

Select the type from the following list:

 

 

18

To be signed by the authorized representative of the applicant.

 

"New" means a new assistance award.

 

 

A copy of the governing body’s authorization for you to sign

 

“Continuation” means an extension for an additional

 

this application as official representative must be on file in the

 

 

funding/budget period for a project with a projected completion

 

applicant’s office. (Certain Federal agencies may require that

 

 

date.

 

 

 

 

this authorization be submitted as part of the application.)

 

“Revision” means any change in the Federal Government’s

 

 

 

 

financial obligation or contingent liability from an existing

 

 

 

 

obligation. If a revision enter the appropriate letter:

 

 

 

 

 

A. Increase Award

B. Decrease Award

 

 

 

 

 

C. Increase Duration

D. Decrease Duration

 

 

9.

Name of Federal agency from which assistance is being requested

 

 

 

with this application.

 

 

 

 

 

 

 

 

10.

Use the Catalog of Federal Domestic Assistance number and title of

 

 

 

the program under which assistance is requested.

 

 

 

 

 

 

 

 

 

 

SF-424 (Rev. 7-97) Back

OMB Approval No. 0348-0041

BUDGET INFORMATION - Construction Programs

NOTE: Certain Federal assistance programs require additional computations to arrive at the Federal share of project costs eligible for participation. If such is the case, you will be notified.

 

COST CLASSIFICATION

 

a. Total Cost

 

b. Costs Not Allowable

 

c. Total Allowable Costs

 

 

 

 

for Participation

 

(Columns a-b)

 

 

 

 

 

 

 

 

1.

Administrative and legal expenses

$

.00

 

$

.00

$

.00

 

 

 

 

 

 

 

 

 

2.

Land, structures, rights-of-way, appraisals, etc.

$

.00

 

$

.00

$

.00

 

 

 

 

 

 

 

 

 

3.

Relocation expenses and payments

$

.00

 

$

.00

$

.00

 

 

 

 

 

 

 

 

 

4.

Architectural and engineering fees

$

.00

 

$

.00

$

.00

 

 

 

 

 

 

 

 

 

5.

Other architectural and engineering fees

$

.00

 

$

.00

$

.00

 

 

 

 

 

 

 

 

 

6.

Project inspection fees

$

.00

 

$

.00

$

.00

 

 

 

 

 

 

 

 

 

7.

Site work

$

.00

 

$

.00

$

.00

 

 

 

 

 

 

 

 

 

8.

Demolition and removal

$

.00

 

$

.00

$

.00

 

 

 

 

 

 

 

 

 

9.

Construction

$

.00

 

$

.00

$

.00

 

 

 

 

 

 

 

 

 

10.

Equipment

$

.00

 

$

.00

$

.00

 

 

 

 

 

 

 

 

 

11.

Miscellaneous

$

.00

 

$

.00

$

.00

 

 

 

 

 

 

 

 

12. SUBTOTAL (sum of lines 1-11)

$

.00

 

$

.00

$

.00

 

 

 

 

 

 

 

 

 

13.

Contingencies

$

.00

 

$

.00

$

.00

 

 

 

 

 

 

 

 

 

14.

SUBTOTAL

$

.00

 

$

.00

$

.00

 

 

 

 

 

 

 

 

 

15.

Project (program) income

$

.00

 

$

.00

$

.00

 

 

 

 

 

 

 

 

 

16.

TOTAL PROJECT COSTS (subtract #15 from #14)

$

.00

 

$

.00

$

.00

 

 

 

 

 

 

 

 

 

 

 

 

FEDERAL FUNDING

 

 

 

 

17. Federal assistance requested, calculate as follows:

 

 

 

 

 

 

 

 

(Consult Federal agency for Federal percentage share.)

 

Enter eligible costs from line 16c Multiply X _______%

 

$

.00

 

Enter the resulting Federal share.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Previous Edition Usable

Authorized for Local Reproduction

 

 

Standard Form 424C (Rev. 7-97)

 

 

 

 

 

 

 

 

Prescribed by OMB Circular A-102

INSTRUCTIONS FOR THE SF-424C

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 (0348-0041), 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 sheet is to be used for the following types of applications: (1) "New" (means a new [previously unfunded] assistance award); (2) "Continuation" (means funding in a succeeding budget period which stemmed from a prior agreement to fund); and (3) "Revised" (means any changes in the Federal Government’s financial obligations or contingent liability from an existing obligation). If there is no change in the award amount, there is no need to complete this form. Certain Federal agencies may require only an explanatory letter to effect minor (no cost) changes. If you have questions, please contact the Federal agency.

Column a. - If this is an application for a "New" project, enter the total estimated cost of each of the items listed on lines 1 through 16 (as applicable) under "COST CLASSIFICATION."

If this application entails a change to an existing award, enter the eligible amounts approved under the previous award for the items under "COST CLASSIFICATION."

Column b. - If this is an application for a "New" project, enter that portion of the cost of each item in Column a. which is not allowable for Federal assistance. Contact the Federal agency for assistance in determining the allowability of specific costs.

If this application entails a change to an existing award, enter the adjustment [+ or (-)] to the previously approved costs (from column a.) reflected in this application.

Column . - This is the net of lines 1 through 16 in columns "a." and "b."

Line 1 - Enter estimated amounts needed to cover administrative expenses. Do not include costs which are related to the normal functions of government. Allowable legal costs are generally only those associated with the purchases of land which is allowable for Federal participation and certain services in support of construction of the project.

Line 2 - Enter estimated site and right(s)-of-way acquisition costs (this includes purchase, lease, and/or easements).

Line 3 - Enter estimated costs related to relocation advisory assistance, replacement housing, relocation payments to displaced persons and businesses, etc.

Line 4 - Enter estimated basic engineering fees related to construction (this includes start-up services and preparation of project performance work plan).

Line 5 - Enter estimated engineering costs, such as surveys, tests, soil borings, etc.

Line 6 - Enter estimated engineering inspection costs.

Line 7 - Enter estimated costs of site preparation and restoration which are not included in the basic construction contract.

Line 9 - Enter estimated cost of the construction contract.

Line 10 - Enter estimated cost of office, shop, laboratory, safety equipment, etc. to be used at the facility, if such costs are not included in the construction contract.

Line 11 - Enter estimated miscellaneous costs.

Line 12 - Total of items 1 through 11.

Line 13 - Enter estimated contingency costs. (Consult the Federal agency for the percentage of the estimated construction cost to use.)

Line 14 - Enter the total of lines 12 and 13.

Line 15 - Enter estimated program income to be earned during the grant period, e.g., salvaged materials, etc.

Line 16 - Subtract line 15 from line 14.

Line 17 - This block is for the computation of the Federal share. Multiply the total allowable project costs from line 16, column "c." by the Federal percentage share (this may be up to 100 percent; consult Federal agency for Federal percentage share) and enter the product on line 17.

SF-424C (Rev. 7-97) Back