OMB control number
Awardee Certifications and Disclosures
OMB 0417-0501 · IAF.
OMB 0417-0501
The IAF works to promote sustainable development in Latin America and the Caribbean by directly supporting civil society organizations through funding actions, such as grants and cooperative agreements. The purpose of this form is to ensure that grantees are complying with the necessary federal laws and regulations to receive federal funds and give grantees an opportunity to disclose any personal or organizational conflicts of interest, or potential for conflicts of interest.
The latest form for Awardee Certifications and Disclosures expires 2027-11-30 and can be found here.
Latest Forms, Documents, and Supporting Material
Document Name |
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Supplementary Document |
Supporting Statement A |
Annex G - Awardee Certifications, Assurances, and Representations.pdf
Award Certifications and Disclosures PRA Supporting Statement A and B Templates_Responses.docx
Awardee Certifications and Disclosures All Historical Document Collections
| Revision of a currently approved collection | 2024-08-28 | ||
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Approved without change |
New collection (Request for a new OMB Control Number) | 2021-08-27 |