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					                                     Instructions for Completing the SF 424A (DVOP)
                                                   Revised March, 2008

Enter the abbreviation for your State name, Grant Number, and Date Prepared at the top of the SF 424A. Entering this
information on the first page of the SF 424A (DVOP) in this workbook will populate the rest of the forms. Ensure the fourth digit
of the grant number represents the fiscal year for which funding is being requested. Locked cells in this workbook contain
formulas to self-populate and do not require an entry by the State. All shaded areas on the form are to be left blank.
Section A - Budget Summary: If using the forms in this workbook, complete Section B and this section will self-populate.
Column (a), Line 1 should read "DVOP Activities" and Line             Column (e) Line 5 equals the sum of Column (e), Lines 1
2 should read "DVOP Special Initiatives."                             and 2.

Column (b), Line 1 should read "17.801."                              Column (g), Line 1 equals Column (e), Line 1 rounded to
                                                                      the nearest thousand.
Columns (c), (d), and (f) should be left blank.
                                                                      'Column (g), Line 2 equals Column (e), Line 2 rounded to
Column (e), Line 1 equals the amount in Section B, Line               the nearest thousand.
6.k., Column (1).
                                                                      Column (g), Line 5 equals the sum of Column (g) Lines 1
Column (e), Line 2 equals the amount in Section B, Line               and 2. This Total must match the SF 424A (DVOP),
6.k., Column (2).                                                     Section D, Line 15, "Total for Year."
Section B – Budget Categories: Column (1) DVOP Activities is used to enumerate staffing costs for DVOP specialists and
Column (2) Special Initiatives is used to enumerate costs for DVOP Special Initiatives.

Line 6a. Personnel: Equals the forecast salaries, wages,              Line 6f. Contractual and Line 6. g. Construction: Each
and overtime costs to be paid.                                        should be left blank.

'Line 6b. Fringe Benefits: Equals the forecast amount of              'Line 6h. Other: Equals the sum of the separate amounts
fringe benefits to be paid.                                           for:
                                                                        --- Program related staff training;
'Line 6c. Travel: Equals the forecast amount requested for              --- All other direct costs not covered by lines 6a.-6g.
DVOP related staff travel.
                                                                      6i. Total, Direct Costs: Equals the sum of the amounts
'Line 6d. Equipment: Equals the forecast cost of non-                 entered in 6a. through 6h.
expendable personal property charged to the grant only if
it has a useful life of more than one year and a per-unit             'Line 6j. Indirect Costs: Equals the forecast amount of
cost of $5,000 or more. A description and justification for           indirect costs to be charged for the funding period.
this expense must be included in the Transmittal
Memorandum.                                                           'Line 6k. TOTALS: Equals the sum of the amounts entered
                                                                      in 6i. and 6j.
'Line 6e. Supplies: Equals the cost of consumable
supplies and materials to be used during the project                  'Line 7. Program Income: Should be left blank.
period (including but not limited to computers/laptops and
other electrical/electronic equipment) with a per-unit cost
of less than $5,000.

Section C – Non-Federal Resources: Leave this section blank.
Section D – Forecasted Cash Needs:
                                                                      Line 15: This line will self-populate with the same amounts
Line 13: Enter the total amount requested for each of the
                                                                      as those entered on Line 13.
four Federal fiscal quarters, rounded to the nearest
thousand. This amount must equal the front page,
                                                                      NOTE: If the totals calculated in Section D do not match
Section A, Line 5, Column (g). The "Total for Year" will be
                                                                      the Rounded Total in Section A, the "Total for Year" will
calculated automatically.
                                                                      appear in red strikethrough.
Section E –Budget Estimates of Federal Funds Needed For Balance of the Project: Leave this section blank.
Section F – Other Budget Information: Leave this section blank.
      State Name Abbreviation:                                                Grant Number:                             Date Prepared:


                                               BUDGET INFORMATION - Non-Construction Programs                                            OMB Approval No. 0348-0044
                                                             SECTION A - BUDGET SUMMARY
                                      Catalog of
                                        Federal
                                                            Estimated Unobligated Funds                              New or Revised Budget
              Grant Program            Domestic
                 Function             Assistance
                or Activity                Number         Federal               Non-Federal           Federal            Non-Federal           Rounded Total
                    (a)                      (b)            (c)                     (d)                 (e)                  (f)                    (g)

1. DVOP Activities                         17.801                                                               $0                                             $0
2. Special Initiatives                                                                                          $0                                             $0



5. Totals                                                                                                       $0                                             $0
                                                         SECTION B - BUDGET CATEGORIES
                                                                            GRANT PROGRAM, FUNCTION OR ACTIVITY
6. Object Class Categories                                                                                                                          Total
                                                     (1) DVOP Activities    (2) Special Initiatives                                                  (5)
  a. Personnel                                                                                                                                                  $0
  b. Fringe Benefits                                                                                                                                            $0
  c. Travel                                                                                                                                                     $0
  d. Equipment                                                                                                                                                  $0
  e. Supplies                                                                                                                                                   $0
  f. Contractual
  g. Construction
  h. Other                                                                                                                                                      $0
  i. Total Direct Charges (sum of 6a-6h)                               $0                        $0                                                             $0
  j. Indirect Charges                                                                                                                                           $0
  k. TOTALS (sum of 6i and 6j)                                         $0                        $0                                                             $0

7. Program Income
Previous Edition Usable                             Authorized for Local Reproduction                                              Standard Form 424A (Rev. 7-97)
                                                                                                                                 Prescribed by OMB Circular A-102



March, 2008 Revision
                    State Name Abbreviation:              0                   Grant Number:              0              Date Prepared:                 1/0/00



                                                         SECTION C - NON-FEDERAL RESOURCES

                                (a) Grant Program                              (b) Applicant         (c) State         (d) Other Sources            (e) TOTALS

8.
9.
10.

11.
12. TOTAL (sum of lines 8-11)

                                                          SECTION D - FORECASTED CASH NEEDS
                                                    Total for Year              1st Quarter         2nd Quarter           3rd Quarter                4th Quarter
13. Federal (DVOP)
                                                                     $0
14. Non-Federal

15. Total                                                            $0                        $0                 $0                       $0                       $0
                           SECTION E - BUDGET ESTIMATES OF FEDERAL FUNDS NEEDED FOR BALANCE OF THE PROJECT
                                                                              FUTURE FUNDING PERIODS (Quarters)
      (a) Grant Program              (b) First       (c) Second                  (d) Third           (e) Fourth               (f)                     (g) Total

16.
17.
18.
19.
20. TOTAL (lines 15-19)

                                                       SECTION F - OTHER BUDGET INFORMATION

21. Direct Charges:                                                       22. Indirect Charges
23. Remarks
                                                                          Authorized for Local Reproduction                         Standard Form 424A (Rev. 7-97) Page 2




March, 2008 Revision
                                    Instructions for Completing the SF 424A (LVER)
                                                  Revised March, 2008

Enter the abbreviation for your State name, Grant Number, and Date Prepared at the top of the SF 424A if it did not populate
after entering it on the first page of the SF 424A (DVOP) in this workbook. Ensure the fourth digit of the grant number represents
the fiscal year for which funding is being requested. Locked cells in this workbook contain formulas to self-populate and do not
require an entry by the State. All shaded areas on the form are to be left blank.
Section A - Budget Summary: If using the forms in this workbook, complete Section B and this section will self-populate.
Column (a), Line 1 should read "LVER Activities," Line 2                Column (e), Line 4 equals the amount in Section B, Line
should read "LVER Special Initiatives," Line 3 should read              6.k., Column (4).
"Incentive Awards," and Line 4 should read "TAP"
                                                                        Column (e), Line 5 equals the sum of Column (e), Lines 1
Column (b), Line 1 should read "17.801," and Line 4                     through 4.
should read "17.807"
                                                                        Column (g) 1 equals the sum of Column (e), Lines 1 and 3,
Columns (c), (d), and (f) should be left blank.                         rounded to the nearest thousand.

Column (e), Line 1 equals the amount in Section B, Line               'Column (g), Lines 2 and 4 equals the amount on the
6.k., Column (1).                                                     corresponding line in Column (3), rounded to the nearest
                                                                      thousand.
Column (e), Line 2 equals the amount in Section B, Line
6.k., Column (2).                                                     'The Total in Column (g) is the sum of Column (g) Lines 1,
                                                                      2, and 4. It must match the total from Section D, Line 15,
Column (e), Line 3 equals the amount in Section B, Line               "Total for Year."
6.k., Column (3).
Section B – Budget Categories: Column (1) LVER Activities is used to enumerate staffing costs for LVER staff, Column (2)
Special Initiatives is used to enumerate staffing costs for LVER Special Initiatives, Column (3) is used to enumerate costs for
Incentive Awards, and Column (4) is used to enumerate costs to facilitate TAP Employment Workshops.
Line 6a. Personnel: Equals the forecast salaries, wages,
and overtime costs to be paid.                                         'Line 6f. Contractual and Line 6. g. Construction: Each
                                                                       should be left blank.
'Line 6b. Fringe Benefits: Equals the forecast amount of
fringe benefits to be paid.                                            'Line 6h. Other: Equals the sum of the separate amounts
                                                                       for:
'Line 6c. Travel: Equals the forecast amount requested for               --- Program related staff training;
LVER related staff travel.                                               --- All other direct costs not covered by lines 6a.-6g.

'Line 6d. Equipment: Equals the forecast cost of non-                 6i. Total, Direct Costs: Equals the sum of the amounts
expendable personal property charged to the grant only if             entered in 6a. through 6h.
it has a useful life of more than one year and a per-unit
cost of $5,000 or more. A description and justification               'Line 6j. Indirect Costs: Equals the forecast amount of
must be included in the Transmittal Memorandum.                       indirect costs to be charged for the funding period.

'Line 6e. Supplies: Equals the cost of consumable                     'Line 6k. TOTALS: Equals the sum of the amounts entered
supplies to be used during the project period, including but          in 6i. and 6j.
not limited to computers/laptops and other electronic
equipment with a per-unit cost of $5,000 or more.                     'Line 7. Program Income: Should be left blank.
Section C – Non-Federal Resources: Leave this section blank.
Section D – Forecasted Cash Needs:
                                                                      Line 15: This line will self-populate with the same amounts
Line 13: Enter the total amount requested for each of the
                                                                      as those entered on Line 13.
four Federal fiscal quarters, rounded to the nearest
thousand. This amount must equal the front page,
                                                                      NOTE: If the totals calculated in Section D do not match
Section A, Line 5, Column (g). The "Total for Year" will be
                                                                      the Rounded Total in Section A, the "Total for Year" will
calculated automatically.
                                                                      appear in red strikethrough.
Section E –Budget Estimates of Federal Funds Needed For Balance of the Project: Leave this section blank.
Section F – Other Budget Information: Leave this section blank.
      State Name Abbreviation:                        0                       Grant Number:                    0                 Date Prepared:                1/0/00


                                      BUDGET INFORMATION - Non-Construction Programs                                                      OMB Approval No. 0348-0044

                                                             SECTION A - BUDGET SUMMARY
                                      Catalog of
                                        Federal
                                                            Estimated Unobligated Funds                                       New or Revised Budget
              Grant Program            Domestic
                 Function             Assistance
                or Activity                Number         Federal               Non-Federal                 Federal               Non-Federal              Rounded Total
                    (a)                      (b)            (c)                     (d)                       (e)                     (f)                       (g)

1. LVER Activities                         17.804                                                                      $0                                                  $0
2. Special Initiatives                                                                                                 $0                                                  $0
3. Incentive Awards                                                                                                     $0
4. TAP                                     17.807                                                                      $0                                                  $0
5. Totals                                                                                                              $0                                                  $0
                                                          SECTION B - BUDGET CATEGORIES
                                                                            GRANT PROGRAM, FUNCTION OR ACTIVITY
6. Object Class Categories                                                                                                                                      Total
                                                     (1) LVER Activities    (2) Special Initiatives   (3) Incentive Awards          (4) TAP                      (5)
  a. Personnel                                                                                                                                                             $0
  b. Fringe Benefits                                                                                                                                                       $0
  c. Travel                                                                                                                                                                $0
  d. Equipment                                                                                                                                                             $0
  e. Supplies                                                                                                                                                              $0
  f. Contractual                                                                                                                                                           $0
  g. Construction                                                                                                                                                          $0
  h. Other                                                                                                                                                                 $0
  i. Total Direct Charges (sum of 6a-6h)                               $0                        $0                      $0                       $0                       $0
  j. Indirect Charges                                                                                                                                                      $0
  k. TOTALS (sum of 6i and 6j)                                         $0                        $0                      $0                       $0                       $0

7. Program Income
Previous Edition Usable                             Authorized for Local Reproduction                                                         Standard Form 424A (Rev. 7-97)
                                                                                                                                          Prescribed by OMB Circular A-102

March, 2008 Revision
                    State Name Abbreviation:          0                   Grant Number:              0          Date Prepared:                 1/0/00


                                                     SECTION C - NON-FEDERAL RESOURCES

                            (a) Grant Program                              (b) Applicant          (c) State    (d) Other Sources            (e) TOTALS

8.
9.
10.

11.
12. TOTAL (sum of lines 8-11)

                                                      SECTION D - FORECASTED CASH NEEDS
                                                Total for Year              1st Quarter          2nd Quarter      3rd Quarter                4th Quarter
13. Federal (LVER)
                                                                 $0
14. Non-Federal

15. Total                                                        $0            $0                   $0               $0                          $0
                          SECTION E - BUDGET ESTIMATES OF FEDERAL FUNDS NEEDED FOR BALANCE OF THE PROJECT
                                                                            FUTURE FUNDING PERIODS (Years)
      (a) Grant Program          (b) First       (c) Second                  (d) Third           (e) Fourth           (f)                     (g) Total

16.

17.

18.

19.

20. TOTAL (Lines 15-19)

                                                   SECTION F - OTHER BUDGET INFORMATION

21. Direct Charges:                                                   22. Indirect Charges
23. Remarks
                                                                      Authorized for Local Reproduction                     Standard Form 424A (Rev. 7-97) Page 2




March, 2008 Revision
                                        Instructions for Completing the SF 424
                                                  Revised March, 2008

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.
 1.     Type of Submission: Check "Application" for the first
                                                                      Competition Identification Number/Title: Leave
        year of grant cycle funding or "Changed/ Corrected      13.
                                                                      blank
        Application" for subsequent modifications
 2.                                                        14. Areas Affected by Project: Enter "State"
    Type of Application: Check "New" for the first year of
    grant cycle funding. Check "Revision" for subsequent 15. Descriptive Title of Applicant's Project: Enter "Jobs
    modifications and enter all letters that apply:             for Veterans State Grant"
    A. Increase Award            B. Decrease Award
    C. Increase Duration         D. Decrease Duration      16. Congressional Districts of: 16a. Enter Congressional
    E. Other (specify)                                          District of the State Agency's Central Office; 16b. Enter
                                                                "Statewide"
 3. Date Received: Leave blank
 4. Applicant Identifier: Leave blank
                                                                Proposed Project Start and End Dates: 17a. Enter
5a. Federal Entity Identifier: Leave blank                 17.
                                                                the first day of the fiscal year for which funds would be
5b. Federal Award Identifier: Enter the grant number to         awarded, i.e. October 1, 20XX and 17b. Enter the last
    which the funding will apply                                day of the fiscal year for which funds would be awarded,
 6. Date Received by State: Leave blank                         i.e. September 30, 20XX
 7. State Application Identifier: Leave blank              18. Estimated Funding (rounded to nearest thousand):
 8. Applicant Information: Enter complete information
    for the State Agency which will receive the grant        a. Enter the total amount of funds requested for DVOP
                                                                and LVER, with or without Incentives as appropriate
    funding as follows:
   a. Enter the legal name of the State Agency                    e. Enter the total amount of funds requested for TAP and
   b. Enter the agency's Employer/Taxpayer ID Number                 Special Initiatives
   c. Enter agency's DUNS or DUNS +4 number as
                                                                  g. Enter the sum of Lines 18a. And 18e.
      provided by Dun and Bradstreet
   d. Enter the complete address to include Street Address,           Is Application Subject to Review by State Under
      City, County, State, Country and Zip Code                 19.
                                                                      Executive Order 12372 Process?
   e. Enter the name of the primary organizational unit               The Jobs for Veterans State Grant is subject to E.O.
      responsible for the grant                                       12372.
  f. Enter the last and first name, telephone number, and               --If the State has a Single Point of Contact (SPOC),
      email address of the person to contact on matters                   either check 19a. and enter the date the program
      related to this modification                                        was reviewed; or
 9. Type of Applicant: Enter "A" for State Government                   --Indicate that the program has not been reviewed by
10. Name of Federal Agency: Enter "U.S. Department of                     marking 19b.
      Labor/VETS"                                                       --States that do not have an SPOC must check 19b.
11. Catalog of Federal Domestic Assistance (CFDA)               20. Is the Applicant Delinquent on any Federal Debt?
      Number/Title: Enter all CFDA numbers that apply to            Select the appropriate box as it applies to the applicant
      the application:                                              organization. If yes, an explanation must be provided
        17.801 (DVOP) 17.804 (LVER) 17.807 (TAP)                    on the continuation sheet.
12. Funding Opportunity Number/Title: Enter all                 21. Authorized Representative: The SF 424 must be
      Funding Opportunity Numbers that apply to the                 signed and dated by an authorized representative of
      application:                                                  the State Agency. Enter the name (first and last), title,
        17.801 (DVOP)        17.807 (TAP) 17.804 (LVER)             telephone number, and email address of the person
      and                                                           authorized to enter into agreements with the U.S.
      Enter "Jobs for Veterans State Grant" for Title               Department of Labor.
                                                                                                                     OMB Number: 4040-0004
                                                                                                                    Expiration Date: 01/31/2009

Application for Federal Assistance SF-424                                                              Version 02

*1. Type of Submission:                             *2. Type of Application: *If Revision, select appropriate letter(s)

     Preapplication                                      New

     Application                                         Continuation       *Other (Specify)

     Changed/Corrected Application                       Revision

3. Date Received:                              4.   Applicant Identifier:


5a. Federal Entity Identifier:                                              *5b. Federal Award Identifier:
                                                                            0
State Use Only:

6. Date Received by State:                                     7. State Application Identifier:

8. APPLICANT INFORMATION:

*a. Legal Name:

*b. Employer/Taxpayer Identification Number (EIN/TIN):                      *c. Organizational DUNS:



d. Address:

*Street 1:

Street 2:

*City:

County:

*State:

Province:

*Country:

*Zip / Postal Code:

e. Organizational Unit:
Department Name:                                                            Division Name:


f. Name and contact information of person to be contacted on matters involving this application:

Prefix:                                                      *First Name:

Middle Name:

*Last Name:

Suffix:

Title:

Organizational Affiliation:


*Telephone Number:                                          Fax Number:

*Email:



          March, 2008 Revison
                                                                   OMB Number: 4040-0004
                                                                  Expiration Date: 01/31/2009

'Application for Federal Assistance SF-424

*9. Type of Applicant 1: Select Applicant Type:
A-State Government

Type of Applicant 2: Select Applicant Type:



Type of Applicant 3: Select Applicant Type:



*Other (Specify)



*10. Name of Federal Agency:
U.S. Department of Labor/VETS


11. Catalog of Federal Domestic Assistance Number:



CFDA Title:



*12. Funding Opportunity Number:



*Title:
Jobs for Veterans State Grant

13. Competition Identification Number:



Title:



14. Areas Affected by Project (Cities, Counties, States, etc.):
    State




15. Descriptive Title of Applicant's Project:
    Jobs for Veterans State Grant




          March, 2008 Revison
                                                                                                                             OMB Number: 4040-0004
                                                                                                                           Expiration Date: 01/31/2009

  'Application for Federal Assistance SF-424

  16. Congressional Districts Of:
                    *a. Applicant:                                                      *b. Program/Project:

  17. Proposed Project:
  *a. Start Date:                                                                               *b. End Date:

  18. Estimated Funding ($):
  *a. Federal                                                                  $0
  *b. Applicant
  *c. State
  *d. Local
  *e. Other                                                                    $0
  *f. Program Income
  *g. TOTAL                                                                    $0

  *19. Is Application Subject to Review by State Under Executive Order (E.O.) 12372 Process?

      a. This application was made available to the State under E.O.12372 for review on:

      b. Program is subject to E.O. 12372 but has not been selected by the State for review.

      c. Program is not covered by E.O. 12372.

  *20. Is the Applicant Delinquent On Any Federal Debt? (If "Yes", provide explanation.)

      Yes                                                       No


  21. *By signing this application, I certify (1) to the statements contained in the list of certifications** and (2) that the statements herein are
  true, complete and accurate to the best of my knowledge. I also provide the required assurances** and agree to comply with any resulting
  terms if I accept an award. I am aware that any false, fictitious, or fraudulent statements or claims may subject me to criminal, civil, or
  administrative penalties. (U.S. Code Title 218, Section 1001)

      ** I AGREE

  ** The list of certifications and assurances, or an internet site where you may obtain this list is contained in the announcement or agency
  specific instructions.

  Authorized Representative:
      Prefix:                                                        *First Name:
      Middle Name:
      *Last Name:
      Suffix:

  *'Title:
  *Telephone Number:                                                                           Fax Number:
  *Email:
*Signature of Authorized Representative:                                                      Date Signed:

  Authorized for Local Reproduction                                                                                 Standard Form 424 (Revised 10/2005)
                                                                                                                       Prescribed by OMB Circular A-102




             March, 2008 Revison
                                                                                                               OMB Number: 4040-0004
                                                                                                              Expiration Date: 01/31/2009

'Application for Federal Assistance SF-424

*Applicant Federal Debt Delinquency Explanation
The following should contain an explanaiton if the Applicant organization is delinquent of an Federal Debt.




      March, 2008 Revison

				
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