A4- Direct Certification RFA (SLT)

Uniform Grant Application for Non-Entitlement Discretionary Grants

OMB: 0584-0512

IC ID: 235881

Documents and Forms
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Other-Request for Application Templa
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Information Collection (IC) Details

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A4- Direct Certification RFA (SLT)
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form AD-1047 DebarmentCert-PrimaryCovered AD-1047 DebarmentCert-PrimaryCovered 4-2022.pdf www.grants.gov Yes Yes Fillable Fileable Signable
Form AD-1048 DebarmentCert-LowerTierCovered AD-1048 DebarmentCert-LowerTierCovered 4-2022.pdf www.grants.gov Yes Yes Fillable Fileable Signable
Form AD-1049 DrugFreeCert-Alt1 4-2022.pdf AD-1049 DrugFreeCert-Alt1 4-2022.pdf www.grants.gov Yes Yes Fillable Fileable Signable
Form AD-1050 DrugFreeCert-Alt2 - 4-2022.pdf AD-1050 DrugFreeCert-Alt2 - 4-2022.pdf www.grants.gov Yes Yes Fillable Fileable Signable
Form AD-1052 DrugFreeCert-FedFY 4-2022.pdf AD-1052 DrugFreeCert-FedFY 4-2022.pdf www.grants.gov Yes Yes Fillable Fileable Signable
Form SF 425 Screenshots FederalFinancialReport SF-425 Screenshots.pdf www.fprs.gov Yes Yes Fillable Fileable Signable
Form SF 425 FederalFinancialReport SF425_2_0-V2.0 exp 2-2022.pdf www.grants.gov Yes Yes Fillable Fileable Signable
Form FNS 906 GRANT PROGRAM ACCOUNTING SYSTEM & FINANCIAL CAPABILITY QUESTIONNAIRE FNS-906.pdf www.grants.gov Yes Yes Fillable Fileable Signable
Form FNS 908 PERFORMANCE PROGRESS REPORT FNS-908 April 2019.pdf www.grants.gov Yes Yes Fillable Fileable Signable
Other-Request for Application Template Attachment A4 CN Direct Certification Template 7-10-19.docx www.grants.gov Yes Yes Fillable Fileable Signable

Income Security Food and Nutrition Assistance

USDA e-Authentication Service  77 FR 15024

48 0
   
State, Local, and Tribal Governments
 
   100 %

  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 1,296 0 1,296 0 0 0
Annual IC Time Burden (Hours) 3,275 0 3,275 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Award Terms and Conditions - Generic - 2.21.2019.docx Award Terms and Conditions - Generic - 2.21.2019.docx 05/07/2019
AD 3030 AD_3030_2_0-V2.0.pdf 05/30/2019
SF 424 SF424_2_1-V2.1.pdf 05/30/2019
SF 424A SF424A-V1.0.pdf 05/30/2019
SF 424B SF424B-V1.1.pdf 05/30/2019
SF 424C SF424C_2_0-V2.0.pdf 05/30/2019
SF 424D SF424D-V1.1.pdf 05/30/2019
SF LLL SFLLL_1_2-V1.2.pdf 05/30/2019
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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