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Instructions for Completing the SF 424


									                                            Instructions for Completing the SF 424
                                                      Revised April, 2009

The SF 424 must be signed and free of white-out or pen and ink changes. Errors, omissions, and/or extraneous
information may cause the form to be returned for correction.

  For the purposes of the Jobs for Veterans State Grant, the definition of "State" includes all fifty of the United
             States, the District of Columbia, Commonwealth of Puerto Rico, and the Virgin Islands.

            Type of Submission: Check "Application" for the                  Competition Identification Number/Title: Leave
 1.         first year of grant cycle funding or "Changed/                   blank
            Corrected Application" for subsequent                 14.        Areas Affected by Project: Enter "State"
            modifications                                                    Descriptive Title of Applicant's Project: Leave
            Type of Application: Check "New" for the first                   blank
            year of grant cycle funding or "Revision" for         16.        Congressional Districts of:
            subsequent modifications and enter all letters that              Enter Congressional District of the State Agency's
 2.         apply:                                                      a.
                                                                             Central Office
            A. Increase Award             B. Decrease Award             b.   Enter "Statewide"
            C. Increase Duration          D. Decrease Duration
            E. Other (specify)                                    17.        Proposed Project Start and End Dates:
 3.         Date Received: Leave blank                                       Enter the first day of the fiscal year for which funds
 4.         Applicant Identifier: Leave blank                                are requested, i.e. October 1, 20XX
 5a.        Federal Entity Identifier: Leave blank                           Enter the last day of the fiscal year for which funds
            Federal Award Identifier: Enter the Federal                      are requested, i.e. September 30, 20XX
            grant number (if known)                                          Estimated Funding (rounded to nearest
 6.         Date Received by State: Leave blank                              thousand):
 7.         State Application Identifier: Leave blank                        Enter the total amount of funds requested for
            Applicant Information: Enter complete                       a.   DVOP and LVER Activities, with or without
 8.         information for the State Agency which will receive              Incentive Award funding as appropriate
            the grant funding as follows:                                    Enter the total amount of funds requested for TAP
                                                                             (for initial grant applications) Enter the total amount
      a.    Enter the legal name of the State Agency                         of funds requested for TAP and Special Initiatives
                                                                             (for interim modifications)
      b.    Enter the agency's Employer/Taxpayer ID Number              g.   Enter the sum of Lines 18a. And 18e.
            Enter agency's DUNS or DUNS +4 number as                         Is Application Subject to Review by State Under
            provided by Dun and Bradstreet                                   Executive Order 12372 Process?
            Enter the complete address to include Street                             The JVSG is subject to E.O. 12372.
            Address, City, State, Country and Zip Code                       If the State has a Single Point of Contact (SPOC),
            Enter the name of the primary organizational unit                either
      e.                                                          19.        Check 19a. and enter the date the program was
            responsible for the grant
            Enter the last and first name, telephone number,                 reviewed;
       f.   and email address of the person to contact on                    or
            matters related to this application                              Indicate that the program has not been reviewed by
                                                                             marking 19b.
            Type of Applicant: Enter "A" for State
            Government                                                       States that do not have an SPOC must check 19b.
            Name of Federal Agency: Enter "U.S.                              Is the Applicant Delinquent on any Federal
            Department of Labor/VETS"                                        Debt? Select the appropriate box as it applies to
            Catalog of Federal Domestic Assistance                           the applicant organization. If yes, an explanation
            (CFDA) Number/Title: Enter all CFDA numbers                      must be provided on the continuation sheet.
            and titles that apply to the grant application:                  Authorized Representative: The SF 424 must be
              17.801 (DVOP) 17.804 (LVER) 17.807 (TAP)                       signed and dated by an authorized representative
                                                                             of the State Agency. Enter the name (first and
            Funding Opportunity Number/Title: Enter the           21.
                                                                             last), title, telephone number, and email address of
 12.        Funding Opportunity Number as announced and
                                                                             the person authorized to enter into agreements with
            the Title "Jobs for Veterans State Grant"
                                                                             the U.S. Department of Labor

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