Appendix D-9 FNS- 529

Print

OMB APPROVED NO. 0584-0512
Expiration Date: XX/XX/XXXX

UNITED STATES DEPARTMENT OF AGRICULTURE

Food and Nutrition Service

GRANT/COOPERATIVE AGREEMENT
1. GRANT/AGREEMENT NO.

2. FEDERAL AWARD DATE

3. IS THIS AN R&D AWARD?
YES

4. CFDA NUMBER

5. UNIVERSAL IDENTIFIER NUMBER (DUNS)

NO
6. FEDERAL AWARD IDENTIFICATION
NUMBER (FAIN)

7. FEDERAL AWARDING AGENCY

8. CFDA NAME

9. RECIPIENT NAME

10. ACCOUNTING AND APPROPRIATION DATA
11. AMOUNT OF FEDERAL
FUNDS OBLIGATED BY
THIS ACTION

12. TOTAL AMOUNT OF FEDERAL
FUNDS OBLIGATED

13. TOTAL AMOUNT OF THE FEDERAL AWARD
14. PLACE OF PERFORMANCE

15. BUDGET APPROVED BY AWARDING AGENCY
16. TOTAL APPROVED COST
SHARING/MATCHING
(WHERE APPLICABLE)

18. MAIL REQUESTS FOR REIMBURSEMENT TO

17. INDIRECT COST RATE FOR
THE FEDERAL AWARD
(PLEASE INCLUDE IF THE DE
MINIMIS RATE IS CHARGED)

19. SPONSOR (SPONSORING FNS PROGRAM)
20. START DATE

21. END DATE

22. FEDERAL AWARD PROJECT DESCRIPTION

The Grantee/Cooperator hereby assures and certifies that they will comply with the regulations, policies, guidelines and requirements as they relate
to the applications, acceptance, and use of Federal funds for this Federally-assisted project including: 2 CFR Chapter I (Office of Management and
Budget Government-wide Guidance for Grants and Agreements) and Chapter II (Office of Management and Budget Guidance) as well as 2 CFR
Part 200 (Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards); and any USDA implementing
regulations, such as 2 CFR Part 400 (Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards), 2 CFR
Part 415 (General Program Administrative Regulations), 2 CFR Part 416 (General Program Administrative Regulations for Grants and Cooperat ive
Agreements to State and Local Governments), and 2 CFR Part 418 (New Restrictions on Lobbying).
23. REMARKS

SIGNATURE OF GRANTEE/COOPERATOR
SIGNATURE (Authorized Individual)

DATE

UNITED STATES OF AMERICA
SIGNATURE (Grant Official)

NAME (Type)

NAME (TYPE)

TITLE

TITLE

TELEPHONE NUMBER

TELEPHONE NUMBER

FNS-529 (04-19) Previous Editions Obsolete

SBU

DATE

Electronic Form Designed in AEM Version 6.4