Form 4040-NEW SF-424 Site Location

SF-424 Project/Performance Site Location(s) Form

Site_Location_Form_and_Instructions_FINAL

HHS burden estimate for SF-424 Site Location Form

OMB: 4040-0010

Document [doc]
Download: doc | pdf


Attachment A


Project/Performance Site Location Instructions

Enter Project/Performance Site Primary Location

Indicate the primary site where the work will be performed. If a portion of the project will be performed at any other site(s), identify the site location(s) in the block(s) provided. If more than 8 performance site locations are proposed, provide the requested information in a separate file and attach.


Field Name

Input

Organization Name

Indicate the organization name of the primary site where the work will be performed. If a portion of the project will be performed at any other site(s), identify the site location(s) in the block(s) provided. (This field is not applicable for applicants using the SF 424 Individual Form Set.)

DUNS

Enter the DUNS number associated with the organization where the project will be performed. (Note this field is not required for applicants using the SF424 Individual Form set.)

*Street 1

Enter first line of the street address in "Street 1" field of the primary performance site location.

Street 2

Enter second line of the street address in "Street 2" field for the primary performance site location.

*City

Enter the City for address of the primary performance site location.

County

Select the County for the performance site location.

*State

Enter the State where the primary performance site location is located. This field is required if the Project Performance Site is located in the United States.

Province

Enter the Province where the primary performance site location is located.

Country

Select the name of the country for the primary project performance site

*Zip Code

Enter the nine-digit Postal Code (e.g., ZIP code) of the primary performance site location. This field is required if the Project Performance Site is located in the United States.

*Project’s Congressional District

Enter the Congressional District of the Primary Project/Performance location in the format: 2 character State Abbreviation - 3 character District Number. Examples: CA-005 for California's 5th district, CA-012 for California's 12th district. If all districts in a state are affected, enter "all" for the district number. Example: MD-all for all congressional districts in Maryland. If nationwide (all districts in all states), enter US-all. If the program/project is outside the US, enter 00-000. To locate your congressional district, visit the Grants.gov web site. Note it is likely that this field will be identical to the “Congressional Districts of Applicant” field provided elsewhere in this application.




Project/Performance Site Location 1 (Optional):

Field Name

Input

Organization Name

Indicate the organization name of the site where the work will be performed. If a portion of the project will be performed at any other site(s), identify the site location(s) in the block(s) provided. (This field is not applicable for applicants using the SF 424 Individual Form Set.)

DUNS

Enter the DUNS number associated with the organization where the project will be performed. (Note this field is not required for applicants using the SF424 Individual Form set.)

*Street 1

Enter first line of the street address in "Street 1" field of the primary performance site location. This field is required.

Street 2

Enter second line of the street address in "Street 2" field for the primary performance site location. This field is optional.

*City

Enter the City for address of the primary performance site location. This field is required.

County

Select the County for the performance site location.

*State

Enter the State where the primary performance site location is located. This field is required if the Project Performance Site is located in the United States.

Province

Enter the Province where the primary performance site location is located.

Country

Select the name of the country for the primary project performance site

*Zip Code

Enter the nine-digit Postal Code (e.g., ZIP code) of the primary performance site location. This field is required if the Project Performance Site is located in the United States.

*Project’s Congressional District

Enter the Congressional District of this Project/Performance site in the format: 2 character State Abbreviation - 3 character District Number. Examples: CA-005 for California's 5th district, CA-012 for California's 12th district. If all districts in a state are affected, enter "all" for the district number. Example: MD-all for all congressional districts in Maryland. If nationwide (all districts in all states), enter US-all. If the program/project is outside the US, enter 00-000. To locate your congressional district, visit the Grants.gov web site. Note it is likely that this field will be identical to the “Congressional Districts of Applicant” field provided elsewhere in this application.





Add additional sites as necessary using the “Next Site” button.

File Typeapplication/msword
File TitleSupporting Statement
AuthorAdministrator
Last Modified ByAdministrator
File Modified2008-03-26
File Created2008-03-26

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