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<br /> ~achrren t M Item <br /> 19. Exlsbng Federal idef1tiflCabOn number if thts is not a ~ 20. Indicate Fedef31 agency to wt1Ich this reques\' is ad- <br /> request and dIrectly r~les to It previous Federal actIOn. messed. Slree1 address not required, but do use ZIP. <br /> Otherwise write "NA" 21. Check appropriate box as to whether Section IV of form <br /> conlalns rematks and/or addibOnal remarks are attached. <br /> APPLICANT PROCEDURES FOR SECTION II <br /> ApplICants WIll always compJete items 234. 230. and 23c. If cleannghouse rEMeW IS reqUITed. item 22b must be fully completed. An <br /> explanatIOn follows fOf each Item. <br /> Item (tem <br /> 22tJ ust cleannghOuses to wT1lch submitted and show In 23b Self explanatory <br /> approprIate blocks 1M status of tne,r responses For <br /> more than three cleanngtlouses. cont,nue ,n remarks 23c Self explanatory. <br /> sect,oo. All wntten comments submitted by or through <br /> cleannghous~s must be attached. <br /> 23a Name and title ot auttlonzed representatIve of legal Nole ApplICant completes only Sections I and II. SectJon III IS <br /> epphcant completed by Federal agencies. <br /> FEDERAL AGENCY PROCEDURES FOR SECTION III <br /> If applIcant-supplIed Informat,on In Sections ¡ and II needs no updating or adJustment to fit the final Federal acl1on, tht Federal agency WIll <br /> complete Section III only. An explanation fo, each Item follows <br /> lIem Item <br /> 24. Executive department 0' Independent agency havIng pro- 35. Name and telephone no of agency person who can <br /> gram adm'nlstratlonresponsibility provlfje more information r~ardin9 this assistance. <br /> 25 Self explanatory 36 Dale atter wT11Ch funds WIll no longer be available <br /> 2b Pnmary organtzatlonal Untt below department level havtn9 37 Check appropnate box as to whether Section IV of form <br /> dueel program management responsibIlIty contains Federal remarks and/or attachment of addItion- <br /> 27 OHlce dtrectly monltonng the program. al remarks <br /> 28 Use to IdentIfy non-award actIons where Federal grant 38 For use WIth A-95 action notices only. Name and tele- <br /> IdentIfier In Item 30 IS not applicable or WIll not suffice phone of person who can assure that appropnate A.95 <br /> achon has been taken-I! same as person shown In ilem <br /> 29 Complete adoress of admlOlstenng office shown ." Item 35. wnte "same" If not applIcable, write "NA". <br /> 26 <br /> 30 Use to IdentJIy awa,d act,ons where different from Feder. Federal Agency Procedures-special considerations <br /> al applicatIon Identifier In Item 28. A. TrfJasury Drcular 1082 compll8nce. Fe-:1eral agency will assure <br /> 31 Self explanatory. Use remarks section to amplIfy where proper _completion of Sections I and !II. If SectIOn I is belO9 <br /> appropnate completed by Federal agency, all applicable Items must be filled <br /> 32 Amount to be contributed dunng tne first fundlOg/budget in. Addresses of Slate Information Reçepitori AgencIeS <br /> period by each contnbutor. Value of in-Im'ld contributions (SCIRA's) are provided by Treasury DepartlMnt to each agency. <br /> will be included If the actIOn is a change in dollar This fom1 replaces SF 240, which will no longer be used. <br /> amount 01 an existing 9,8Ot (a revision or augmen\ation), S. OM8 Drcular A-95 compliance Faderat agency will assure <br /> Indlcaté only the amount of change. For decreases, proper compJetion of Sections " II, and III. This fom1 is reqUM'ed <br /> enclose the amount in par_theses. If both basic and for notifyIng all reviewing clearinghouses of major 8C1ions on all <br /> supplemental amounts arel1'Cluded, bl"eak out in remarks programs reviewed under "-95. Aòdress.es of State and <br /> For multiple program fum:!ing. use totals and show pro- areawide clearinghous.es are provided by OMS to each agency <br /> gram blea!<.OU1s in.remar\(s. Item definitions: 328, amount Substantive differences between apphc.ant's request and/or <br /> awarded by Faderal Government; 32b, amount applicant dea.nnghouse recommendatIOns, and the project as finally <br /> will conmbute; 32c, amount from Slate, if applICant is not awarOed will be explained in A-95 notrtiƓ\ions to clearing- <br /> n State; 32d, amount from local government ¡f applicant IS houses <br /> not a local government; 328. amount from any other C Specl81 note. In most. but nvt till States. 1M A-95 State clearing- <br /> sourc»-s. explain In remarks. ~ and 1M erG 1082) SCIRA are 1M aame oHlCe. In such <br /> 33 Date 8l;tlon was tailen on this raquest cases, 1M A-95 award notICe to 1M State cleannghouse will <br /> fu/1IU the TC 1082 award moce reqL""etnent to the State SCIRA. <br /> 34. Date tur.ds ...,11 become availabl!!. DupliC.!tte notlfiC.!tOOn shoukl be IIVoíóed <br /> Exhibit N-3. Application for Federal Assistance <br /> (Nonconstruction Prcgral'T\S) <br /> (Page 4 of 13) <br /> ST~ fOI* U4 pt.>"" 4 f""" 0-77) <br /> 14 <br />