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Att.achrœntM GENERAL 8TRUCTIONS This is a rnuIIi-pI.wpoIe 8f8ndard form. First, It wit be used by appticants as a required facesheet for pre.applicatlons and 8PPIications submitted in accordance with OMS Circufar A-102. Second. it will be used by Federal agencies to repor1 to cIearinghouIes on major actions taken on applications reviewed by clearinghouses in accordance with OMS Circular A-95. Third. It will be used by Federal agencies to notify States of grants-in-aKI awarded in accordance with Treasury Circular 1082. Fourth. It may be used. on an optional basis. as a notification of intent from app(icants to clearinghouses. as an early initial notice that Federal assistance is to be applied tor (clearinghouse proc:edIns will govern). APPLICANT PROCEDURES FOR SECTION I AppIicaf1t will ~ II iI8mI in S8ction I. "en item it not 8PP11c8b18. write "NA". "8ddItionaI1ØIC8 it Meded. insert an uterisll "... end UN the remartIs section on the beck of the tarm. An explanation follows for 88Ch item: ".", ".", 1 M8Itt ~ box. ~ end application 10. Goo.eI.IoI...ntal unit wheAllignificant and meaningful im- guidance it in OMS QrcuIar ,1.-1 02 and Fed8r8I egency pact could be ob8aMId. Lilt only Iargast unit or units PR98"' instruc:ti0n8. Notification of intent guid8nca is in 1Iffec:t8d. IUCh .. State, county, or CIty If entire unit Circular ,1.-95 and prcIC8dur8s ftom d88t;.IghouM. AppIi. 8ffectad, IiIC it ra1h8r thin 1UOunIts. C8'1t will not UN "Report of federal Action" box. 11. Estim8ted number of parsons dirac:tty benefiting from 2a Applicant's own c:onIrOI number, if cIeIir8d. pro¡ect. 21:1. D8te Section I it I'8Ø8I'tId. 12. Use appropriate code 1eIter. Definitions Ire: 38. Number aSIIgMd ÞÝ State cI88ringhouse. or if cIeIagated A. New. A IUbmittII for the first time for a Mw project by State. by areawide ~. All r8qUftts to B. Renewal, An extension for an adcIItlOl1l1 funding/ Federal agencies must contain thiS identifier if the pro. budget penod for I project having no prO8Cted com. gram is covered by QrcuIar ,1.-95 and required by appIica. pIetion data, but for whIch Federal supøor1 must be bI8 State/areawide clearinghouse procedures. " in renewed each year doIIbt, consult your clearinghouse. 3b. Data applicant notified of clearinghouse identifier. C. Revision. A modification to project nature or scope which may result in fundIng change (increase or de. 4a-4h. legal name of applicant/recipient, name of primary orga. aease) . naational unit which will undertake the assistance lC1iv- D. ContInuation. An extension for enldclitionat funding/ ity, complete addrns of applicant, and name and budget panod for a project the agency 111ItIa11y agreed telephone numbef of penon. who can provide f~ to fund for a defnte number of ~ars informabOn abOut 1hiI request. E. Augmentation. A requirement for acIddIOI1Il funds for I 5. Employer identific8tion number of applicant 81 aSSigned project previauIIy awarded funds in the uma funding/ by Internal Revenue s.w:e. budget penoø. Projec:I nature and SCOSMI unchanged. 68. Use Catalog of Federal Domestic AI8iIt8nc:e number 13. Amount ~ or 10 be contribut8d dum(¡ the first assigned to program under which ISIiStance is I'8QU8St. funding/budget penoø by each contributor. Value of in- ed. II more then one PR98"' (e.g., joint-funding) write kind contributions will be included. if the lCtion il I "multiple" and explain in remarIIl. If unknown, cite PublIc change in dollar amoun1 of an elUlting grant (a reviSIOn or I.Iw or U.S. Code. 8Iqft8fttation). indicate 0f'I.y the amount 0( the d\ange. 60. Program title from Federal Catalog. AÞbr8Yi8te if necea. For d8creases enclose the amount In parentheses II both basic and auøøtamantal amounts are Inctuded, sary. Þreak out in ~s. For muItJpa program funding, use 7 Bnef title and ~te d8scnption of project. For totals and show program breakouts In remarks. Item notification of intent, continue in remartli section if necea- defiI litioo II: 138. amount requested from Federal Govern- sary to convey proper deacription. ment; 13b, amount appIic;ant WIll contribute; 13c, amount 8. Mostly setf-explanatory. "City" includes town, township or from State, if applicant is not a State; 13d, amount from other municipality. lOcal government, if applicant is not a Iocat goyernment; 138, emount from any 0Ih8r sources, e.." In remarks. 9. 0** the type(s) of ILfltanœ ~. The cI8fn. tionS of tne terms -: 141. Setf explanatory. A. 8asJC Gr8nt. An anginal NIqWSt for Federal lunda. 14b. The district(s) where mo81 of actual work will be accorn. This would not include any camriÞuIion prO\/Id8d un. pIi8h8d. If city-wide or State-wide. covering several áis- d8r a 8UppIamer1Cllf gr8I1I. tricIs, WI'iIi8 "CiIy-wide" or "State-wide." B. Supplemental Gr8nL A NIqWSt 80 incr8ua a b8Iic 15. Complete only for nNi8Ions (Item 12cl, or augmentallOna gr8I1I in certain ~ wheAl 1h8 8IiIÞIe IPPIicant (118m 12e1' CIIMOC IUPPY the I8QUiwd matcning .... of the 1e. ApproIàmete date pro¡ect 8IIP8Cted 80 begin (UIUIIfIy .... b8Iic F8dIIraI pragrwn (e.g.. grantS award8cI by the IDCia18d wiI'I 88\1m8ted date of 8VIiIIbìIity of tunding). ~ R8gion8I Co........... 10 provide 1h8 applicant a matcning 8IW8). 17. EIlirnaI8d number of months 10 compI88e project after F8dIIraI funds - 1YIIitaÞI8. C. lo8n. Setf 8IqIIaI18tory. 18. Estimated dale In-appticationl8PQliCltiOn will be submit- D. 1Nur8nc:e. Self apIanatory. ted to F:8dIIraI 8g8nc:y if ... project r8QUII'8I d8anng. heMe f8W1w. If f8WIw not required, 1hiI date would E. 0II'Ier. EJIDIIin on I8m8b JI8g8. UIU8I1y be same .. da1e in item 2b. StIollDUlD~"U'_"- ..n) Exhibit M-l. Preapplication for Federal Assistance (page 3 of 6) 6