Sample Fraudulent Financial Statement

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Sample Fraudulent Financial Statement Powered By Docstoc
					USING THE DATA ANALYSIS TEMPLATE TOOLKIT
      It is recommended that you print this sheet. To do so, click File, Print on the menu at the top the screen.
 1.
      Click on the DAT Instructions tab at the bottom of the screen. It is recommended that you print these instructions to use as a reference during the
 2.   process of creating your Data Analysis Template (DAT). To do so, click File, Print on the menu at the top the screen.

      Click on the Form Info tab at the bottom of the screen. Fill in the requested information about the form. Refer to the instructions printed in 1. for
 3.   guidance.

      Click on the Global Index tab at the bottom of the screen. The Global Index serves two purposes:
 4.
            o It gives you the ability to view the Grants.gov Global Library of standard fields and their attributes
            o It gives you the ability to utilize pre-formatted templates to be used as rows in your form's Data Analysis Template (DAT).

      Now is the time to begin preparing the Data AnalysisTemplate (DAT).


      Determine the first (next) data element on the form. A data element is a data entry field, form title, section header or label.
 5.
                 IS IT A FORM TITLE, SECTION HEADER, OR LABEL?

                       YES. Copy the Label row template into your DAT.
                       Look for Label in the Global Index section III. General Data Element Formats. Click on Label. The template row for a label will be
                       highlighted. Select Edit, Copy from the menu at the top of the screen. Click on the FORM DAT tab at the bottom of the screen. Click
                       on the appropriate row number to paste the template into. From the menu, select Edit, Paste. Use the DAT instructions as guidance
                       for filling in all columns in red.

                       NO. Then it must be a data entry field.

                             Grants.gov has created a required standard for representing names and addresses on forms. Elements related to names and
                             addresses are grouped together in data element groups. If a data element group is selected, all fields within that group must be
                             included.

                             IS THE ELEMENT PART OF A NAME OR ADDRESS?

                             YES. To use the Human Name Group or Address Group, click on the appropriate link in section II of the Global Index. Select
                             Edit, Copy from the menu at the top of the screen. Click on the FORM DAT tab at the bottom of the screen. Click on the row
                             number into which template will be pasted. From the menu, select Edit, Paste. Use the DAT instructions as guidance for filling
                             in all columns in red.

                             NO. IS THE ELEMENT A GLOBAL DATA ELEMENT?

                             A global data element is a data element that is commonly used on forms across agencies. Grants.gov has standardized the
                             attributes for global data elements. Some global data elements may be pre-populated from the application cover sheets, some
                             may be post-populated after submission to Grants.gov, and some may be forward-populated from the application cover sheets.
                             The Global Index in section I provides a list of global data elements.

                                   YES. Copy the element's template into your DAT.
                                   Click on the name of the element. The template row for a label will be highlighted. Select Edit, Copy from the menu at the
                                   top of the screen. Click on the FORM DAT tab at the bottom of the screen. Click on the row number into which the
                                   template will be pasted. From the menu, select Edit, Paste. Use the DAT instructions as guidance for filling in all columns
                                   in red.
                                   NO. THEN THE ELEMENT MUST BE AGENCY-SPECIFIC.
                                   Determine the General Field Format in section III of the Global Index that best reflects the data element. Click on the
                                   name of the format or one of the options beneath it. The template row(s) will be highlighted. Select Edit, Copy from the
                                   menu at the top of the screen. Click on the FORM DAT tab at the bottom of the screen. Click on the row number into
                                   which the template will be pasted. From the menu, select Edit, Paste. Use the DAT instructions as guidance for filling in
                                   all columns in red. For information about pre-populating, post-populating, and forward-populating, refer to the DAT
                                   instructions.

      Repeat all of the steps in 5. until all elements on the form are represented on the DAT. The data elements on the DAT should be in the same order
      they appear on the form. For answers to questions about the process of preparing a Data Analysis Template, contact the PMO Program Advisor.
FORM INFORMATION
 ROW                ROW NAME                                                                                          ROW DEFINITION
  [A]    Form Name / Title           The name of the form to be displayed on the Grants.gov system
  [B]    Form Number                 The number associated with the form within the agency.
  [C]    Version Number              The version number of the form within the agency.
  [D]    Version Date                The version date of the form.
  [E]    Description                 A short description of the form.
  [F]    OMB Control Number          The control number issued by the Office of Management and Budget (OMB) when a form is cleared.
  [G]    OMB Expiration Date         The expiration date issued by the Office of Management and Budget (OMB.)
  [H]    Form Family                 The families this form should be include with.
   [I]   Form Category               Select the most appropriate form category.




FORM ELEMENTS
COLUMN            COLUMN NAME                                                                                               COLUMN DEFINITION
  [1]  Field #                       A unique, sequential number for (a) each field on the form for which data will be entered or selected and (b) form title, section headers or labels. Use the block number on the form mock up, if
                                     any, otherwise start the count with 1. Format is <block#>-<field#> (e.g. Block 15, field 1 would be represented as 15-1.)
  [2]    Field Label                 The name of the field as presented on the form. This column is used when Field Implementation [16] is label and you are specifying the form title, section headers, or labels. You may change
                                     any Global Library template label in red to the label as specified on the form.

  [3]    Short Field Label           Enter condensed version for use at the beginning of Help Tip and Accessibility Text. Please limit to 40 characters or less and do not abbreviate words.

  [4]    Required?                   - Enter "Yes" if the field must be completed before the application can be submitted.
                                     - If the field is optional, conditional, or "Required if" then enter "No" in this column.
                                     - If the field is calculated (see BUSINESS RULES [11]) and all fields involved in the calculation are optional, enter “No” in this column.
                                     - If the field is calculated (see BUSINESS RULES [11]) and one or more of the fields involved in the calculation are mandatory, enter “Yes” in this column.
                                     - If the field is to be forward-populated (see FIELD TYPE [8]), then the value for this column should be the same as the value of the source field (e.g. if the source field is optional, the destination
                                     field is optional, if the source field is mandatory, the destination field is mandatory).
  [5]    Minimum Occurrences         - The minimum number of entries that can be made for the same field.
                                     - Enter 0 if the field is optional.
                                     - Enter 1 or more if the field must be completed before the application can be submitted.
  [6]    Maximum Occurrences         - The maximum number of entries that can be made for the same field.
                                     - Must be 1 or more.
  [7]    Agency Field Name           Short name that describes the field. This name will be used as an input to the XML schema. For Global Data Elements, a suggested name is pre-filled in red, though it may be changed.
                                     Grants.gov may modify names as needed to meet guidelines and standards. Note: Each Agency Field Name must be unique on a DAT.
  [8]    Field Type                  Select one from the following 5 options:
                                        Pre-populated                - Field will be populated with data from the application package. See Global Index Section II for a list of qualifying fields.
                                        Post-populated               - Field will be populated in a form after submission to Grants.gov. See the Global Index Section III for a list of qualifying fields.
                                        Forward-populated            - Field will be populated with data from the application cover page (e.g., SF424, SF424 (R&R)) or
                                                                     - Field will be populated with data entered earlier in the form.
                                        Global                       - Field is a global data element that is not forward-populated or a global data element group.
                                        Agency Specific              - Field is unique to your agency. Enter values in ALL columns in this DAT as indicated by the instructions.
                                        Radio Group                  - Agency-specific field that displays a limited set of alternatives. Applicant has the option of selecting one value.
   [9]   Global Library Field Name   - Pre-formatted for your convenience. No action required.
  [10]   Field Type Source              If Pre-populated             - Pre-formatted for your convenience. No action required.
                                        If Post-Populated            - Pre-formatted for your convenience. No action required.
                                        If Foward-Populated          - If "Foward-populated" was selected in the Field Type [8] column, enter the source's form name (as found on the PureEdge version of the form) and field #. Should
                                                                     be in the format <form name>-<block #>-<field #> (e.g. SF424-6-1.)
                                        If Global                    - If "Global" was selected in Field Type [8] column, enter n/a.
                                        If Agency Specific           - Pre-formatted for your convenience. No action required.
                                        If Radio Group               - If "Radio Group" was selected in the Field Type [8] column, then enter the name radio group. The radio group name may be the same as the Field Label.
  [11]   Business Rules              Simple rules about the field, such as:
                                           - Is a specific format required (e.g., 4 digit year and 5 digit code like "2004-abcdf")? Remember to indicate this format in the element's help tip.
                                           - Is a calculation required for this field (e.g., Total = 15-1 + 15-2 + 15-3 + 15-4)
                                           - Is this field conditionally required (e.g., Required if 3-1 is Yes)
                                           - NOTE: Grants.gov does not enforce business rules across forms.
                                           - Enter n/a if there are no business rules for the field.
  [12]   Data Type                   - Pre-formatted for your convenience. No action required.
FORM ELEMENTS
COLUMN           COLUMN NAME                                                                                                   COLUMN DEFINITION
  [13] List of Values                 - If theData Type [12] is LIST, provide a list of values that you want to be given to the user.
                                      - The format of each list item should be <id>: <description>. Use && to separate each value (e.g. MD: Maryland&& VA: Virginia)
                                      - For Minimum # of Characters [14] and Maximum # of Characters [15], enter the character count for the shortest and longest values in the list
                                      - If the field is required, it must have a default value. Mark the default value with an asterisk before the value, if any (e.g. *MD: Maryland.) If the user does not change
                                        the selection, the field will automatically be filled with the default value.
                                      - Enter n/a if a list of values does not apply.
                                      - NOTE: No list of values is needed for Radio Groups. This list of values is the Field Labels for the Radio Group's radio options.
  [14]   Minimum # of Characters or   - If the Data Type [12] is AN, enter the minimum number of characters that may be entered into a field (minimum field length.) If the field is optional, enter 0.
         Minimum Value                - If the Data Type [12] is INTEGER, $, or DECIMAL(2), enter the minimum value for the field including decimals where applicable
                                        (e.g. enter "5000" if the value cannot be less than 5000.)
                                      - If the Data Type [12] is LIST, FILE, MULTIFILE or DATE, enter "n/a" in this column.
                                      - A hyphen is not counted as a character if it is included on the form for presentation purposes. It is counted if it is to be stored with the data.
  [15]   Maximum # of Characters or   - If the Data Type [12] is AN, enter the maximum number of characters that may be entered into a field (maximum field length.)
         Maximum Value                - If the Data Type [12] is INTEGER, $, or DECIMAL(2), enter the maximum value for the field including decimals where applicable
                                        (e.g. enter "10,000" if the value cannot be more than 10,000.)
                                      - If the Data Type [12] is LIST, FILE, MULTIFILE, or DATE, enter "n/a" in this column.
                                      - A hyphen is not counted as a character if it is included on the form for presentation purposes. It is counted if it is to be stored with the data.
  [16]   Field Implementation         - Pre-formatted for your convenience.
  [17]   Help Tip                     Text that will be displayed when the applicant clicks on the help icon. Please compose the wording carefully, as this text will be used for the Accessibility text as well as the Help Tip. Use the
                                      following guidelines for creating help tips:

                                           - If the field is required, then the help tip should end with the statement "This field is required." Add "This field is required" to the end of global help tips if they are required.
                                           - If the field has a certain format, then the tip should contain text describing the required format.
                                           - If a Radio Group is required, then the help tip on the Radio Group Header should state "One selection is required."
FORM INFORMATION
Form Name / Title          SF 424 (R&R)
Form Number
Version Number             1.2
Version Date
Description
OMB Control Number           4040-0001
OMB Expiration Date          6/30/2011
Form Family                        SF-424 Family
(select all that apply)        X SF-424 R&R Family
                                   SF-424 Individual Family
                                   SF-424 Mandatory Family
                                   SF-424 Short Organizational Family
Form Category                  X Cover Sheet
(select the most appropriate       Certification and Assurance
category)                          Survey
                                   Budget Form
                                   Key Contacts and Personal Data
                                   Attachments
                                   Miscellaneous
ADDITIONAL FORM REQUIREMENTS (not indicated on the FORM DAT)
                                                            Grants.gov Global Index
                         Click on an element name, data element group name, or general element format to view its DAT row template.
                                         Follow the instructions to copy and paste template rows into the Form DAT.

                                    I. GLOBAL DATA ELEMENTS                                                                  III. GENERAL DATA ELEMENT FORMATS
Agency Name                                 Employer/Taxpayer Identification Number (EIN/TIN)                    Alphanumeric
Applicant ID                                Fax                                                                  Button
CFDA Number                                 Federal Award Identifier                                             Date
CFDA Title                                  Federal Entity Identifier                                            Degree Earned
Congressional District: Applicant           Organization Name (Legal Name)                                       Dollar Amount
Congressional District: Program/Project     Phone Number                                                         Dollar Amount Total
Country                                     Project Name                                                         File Attachment - Single
Department Name                             Project Title                                                             Optional              Required
Division Name                               Social Security Number                                               File Attachment - Multiple
DUNS Number                                 Title                                                                     Optional
Email                                       Type of Applicant                                                    Numeric
        DATA ELEMENTS THAT CAN BE PRE-POPULATED FROM THE APPLICATION PACKAGE                                          with 2 decimals       without decimals
Agency Name                                 Competition Identification Number                                    Label
CFDA Number                                 Competition Identification Title                                     List - Drop Down (one selection from a drop-down list of values)
CFDA Title                                  Funding Opportunity Number                                           List - Checkbox (Check for yes. May select multiple options)
                                            Funding Opportunity Title                                            List - Radio Group (one selection from a group of options)
        DATA ELEMENTS THAT ARE POST-POPULATED AFTER SUBMISSION TO GRANTS.GOV                                          Optional              Required
AOR Signature                                                                                                    Percent
Date Received                                                                                                         with 2 decimals       without decimals
Date Signed                                                                                                      Year
                                II. GLOBAL DATA ELEMENT GROUPS                                                   Yes/No Radio Group
Address Group                               Street1, Street2, City, County, Province, State, Zip Code, Country        Optional              Required
Human Name Group                            Prefix, First Name, Middle Name, Last Name, Suffix                   Yes/No/Other Radio Group
                                                                                                                      Optional              Required
                                                                                                                 Yes/No/Not Applicable
                                                                                                                      Optional              Required
FORM TITLE:                                 SF 424 (R&R)
      [1]                    [2]                      [3]                [4]          [5]           [6]                 [7]             [8]                        [9]                      [10]                   [11]                   [12]           [13]           [14]              [15]              [16]                        [17]

                                                                                                                                                                                                                                                                      Min # of           Max # of
                            Field                 Short Field                    Minimum       Maximum            Agency Field                                Global Library             Field Type                                                     List of       Chars or          Chars or         Field
 Field #                    Label                   Label           Required?   Occurrences   Occurrences            Name           Field Type                 Field Name                 Source             Business Rules           Data Type         Values        Min Value         Max Value   Implementation                   Help Tip
0-0           View Burden Statement         View Burden            n/a          n/a           n/a           n/a                   Agency-        n/a                           n/a                    Clicking displays burden      n/a           n/a             n/a             n/a               Button           View Burden Statement
                                            Statement                                                                             specific                                                            statement.
                                                                                                                                                                                                      Text for the Burden
                                                                                                                                                                                                      Statement is available on the
                                                                                                                                                                                                      website in the forms
                                                                                                                                                                                                      repository.
0-1           OMB No. 4040-0001           n/a                      n/a          n/a           n/a           n/a                   n/a            n/a                           n/a                    n/a                           n/a           n/a             n/a             n/a               Label            n/a
0-2           Expiration Date: 06/30/2011 n/a                      n/a          n/a           n/a           n/a                   n/a            n/a                           n/a                    n/a                           n/a           n/a             n/a             n/a               Label            n/a

0-3           APPLICATION FOR       n/a                            n/a          n/a           n/a           n/a                   n/a            n/a                           n/a                    n/a                          n/a            n/a             n/a             n/a               Label            n/a
              FEDERAL ASSISTANCE
0-4           SF 424 (R&R)          n/a                            n/a          n/a           n/a           n/a                   n/a            n/a                           n/a                    n/a                          n/a            n/a             n/a             n/a               Label            n/a
1-0           1. TYPE OF SUBMISSION n/a                            Yes          1             1             SubmissionTypeCode    Radio Group    n/a                           TYPE OF SUBMISSION     n/a                          LIST           n/a             n/a             n/a               Radio Group      n/a

1-1           Pre-application               TYPE OF                No           0             1             n/a                   Radio Group    n/a                           TYPE OF SUBMISSION     n/a                          n/a            n/a             n/a             n/a               Radio            Check one of the Type of Submission
                                            SUBMISSION                                                                                                                                                                                                                                                               boxes. If this submission is to change
                                                                                                                                                                                                                                                                                                                     or correct a previously submitted
                                                                                                                                                                                                                                                                                                                     “New” application, click the
                                                                                                                                                                                                                                                                                                                     Changed/Corrected Application box
                                                                                                                                                                                                                                                                                                                     and enter the Grants.gov tracking
                                                                                                                                                                                                                                                                                                                     number in the Federal Identifier field. If
                                                                                                                                                                                                                                                                                                                     this submission is to change or
                                                                                                                                                                                                                                                                                                                     correct a “resubmission”, “renewal”,
                                                                                                                                                                                                                                                                                                                     “continuation”, or “revision”
                                                                                                                                                                                                                                                                                                                     application, leave the Federal identifier
                                                                                                                                                                                                                                                                                                                     field as previously filled with the
                                                                                                                                                                                                                                                                                                                     existing identifier (e.g. Award number).
                                                                                                                                                                                                                                                                                                                     Do NOT insert the Grants.gov
                                                                                                                                                                                                                                                                                                                     tracking number in these cases.




1-2           Application                   TYPE OF                No           0             1             n/a                   Radio Group    n/a                           TYPE OF SUBMISSION     n/a                          n/a            n/a             n/a             n/a               Radio            Check one of the Type of Submission
                                            SUBMISSION                                                                                                                                                                                                                                                               boxes. If this submission is to change
                                                                                                                                                                                                                                                                                                                     or correct a previously submitted
                                                                                                                                                                                                                                                                                                                     “New” application, click the
                                                                                                                                                                                                                                                                                                                     Changed/Corrected Application box
                                                                                                                                                                                                                                                                                                                     and enter the Grants.gov tracking
                                                                                                                                                                                                                                                                                                                     number in the Federal Identifier field. If
                                                                                                                                                                                                                                                                                                                     this submission is to change or
                                                                                                                                                                                                                                                                                                                     correct a “resubmission”, “renewal”,
                                                                                                                                                                                                                                                                                                                     “continuation”, or “revision”
                                                                                                                                                                                                                                                                                                                     application, leave the Federal identifier
                                                                                                                                                                                                                                                                                                                     field as previously filled with the
                                                                                                                                                                                                                                                                                                                     existing identifier (e.g. Award number).
                                                                                                                                                                                                                                                                                                                     Do NOT insert the Grants.gov
                                                                                                                                                                                                                                                                                                                     tracking number in these cases.




1-3           Changed/Corrected             TYPE OF                No           0             1             n/a                   Radio Group    n/a                           TYPE OF SUBMISSION     n/a                          n/a            n/a             n/a             n/a               Radio            Check one of the Type of Submission
              Application                   SUBMISSION                                                                                                                                                                                                                                                               boxes. If this submission is to change
                                                                                                                                                                                                                                                                                                                     or correct a previously submitted
                                                                                                                                                                                                                                                                                                                     “New” application, click the
                                                                                                                                                                                                                                                                                                                     Changed/Corrected Application box
                                                                                                                                                                                                                                                                                                                     and enter the Grants.gov tracking
                                                                                                                                                                                                                                                                                                                     number in the Federal Identifier field. If
                                                                                                                                                                                                                                                                                                                     this submission is to change or
                                                                                                                                                                                                                                                                                                                     correct a “resubmission”, “renewal”,
                                                                                                                                                                                                                                                                                                                     “continuation”, or “revision”
                                                                                                                                                                                                                                                                                                                     application, leave the Federal identifier
                                                                                                                                                                                                                                                                                                                     field as previously filled with the
                                                                                                                                                                                                                                                                                                                     existing identifier (e.g. Award number).
                                                                                                                                                                                                                                                                                                                     Do NOT insert the Grants.gov
                                                                                                                                                                                                                                                                                                                     tracking number in these cases.




2-0           2. DATE SUBMITTED             DATE                   No           0             1             SubmittedDate         Agency-        n/a                           n/a                    n/a                          DATE           n/a             n/a             n/a               Field            Enter the date the application is
                                            SUBMITTED                                                                             specific                                                                                                                                                                           submitted to Federal agency (or State
                                                                                                                                                                                                                                                                                                                     if applicable).
2-1           Applicant Identifier          Applicant Identifier   No           0             1             ApplicantID           Global         globLib:ApplicantIDDataType   n/a                    n/a                          AN             n/a             0               30                Field            Enter the applicant's control number
                                                                                                                                                                                                                                                                                                                     (if applicable)
3-0           3. DATE RECEIVED BY           DATE RECEIVED          No           0             1             StateReceivedDate     Agency-        n/a                           n/a                    n/a                          DATE           n/a             n/a             n/a               Field            Enter the date received by state (if
              STATE                         BY STATE                                                                              specific                                                                                                                                                                           applicable).
3-1           State Application             State Application      No           0             1             StateID               Agency-        n/a                           n/a                    n/a                          AN             n/a             0               30                Field            Enter the state application identifier (if
              Identifier                    Identifier                                                                            specific                                                                                                                                                                           applicable).
4-0           4. a. Federal Identifier      Federal Identifier     No           0             1             FederalID             Global         globLib:FederalIDDataType     n/a                                                 AN             n/a             0               30                Field            New project applications should leave
                                                                                                                                                                                                      Federal Identifier should                                                                                      this field blank, unless you are
                                                                                                                                                                                                      always be active.                                                                                              submitting a Changed/Corrected
                                                                                                                                                                                                                                                                                                                     application. When submitting a
                                                                                                                                                                                                      Required if                                                                                                    changed/corrected “New” application,
                                                                                                                                                                                                      ApplicationTypeCode =                                                                                          enter the Grants.gov tracking number.
                                                                                                                                                                                                      Renewal, Continuation, or                                                                                      If this is a continuation, revision, or
                                                                                                                                                                                                      Revision.                                                                                                      renewal application, enter the
                                                                                                                                                                                                                                                                                                                     assigned Federal Identifier number
                                                                                                                                                                                                      Required if                                                                                                    (for example, award number)--even if
                                                                                                                                                                                                      SubmissionTypeCode =                                                                                           submitting a changed/corrected
                                                                                                                                                                                                      Changed/Corrected                                                                                              application.
                                                                                                                                                                                                      Application

4-1           b. Agency Routing             Agency Identifier      No           0             1             AgencyRoutingNumber   Agency-        n/a                           n/a                    Optional data entry field.   AN             n/a             1               75                Field            Enter the agency-assigned routing
              Identifier                                                                                                          specific                                                                                                                                                                           identifier per the agency-specific
                                                                                                                                                                                                                                                                                                                     instructions. This is an optional field.

5-0           5. APPLICANT                  n/a                    n/a          n/a           n/a           n/a                   n/a            n/a                           n/a                    n/a                          n/a            n/a             n/a             n/a               Label            n/a
              INFORMATION




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5-1       Organizational DUNS:          Organizational        Yes         1   1   DUNSID              Global   globLib:DUNSIDDataType             n/a   If entered length is 9, then   AN     n/a                          9     13    Field      Enter the DUNS or DUNS+4 number
                                        DUNS                                                                                                            append '0000'                                                                             of the applicant organization. This
                                                                                                                                                                                                                                                  field is required.
5-2       Legal Name:                   Legal Name            Yes         1   1   OrganizationName    Global   globLib:OrganizationNameDataType   n/a   n/a                            AN     n/a                          1     60    Field
                                                                                                                                                                                                                                                  Enter legal name of applicant, which
                                        (Applicant
                                                                                                                                                                                                                                                  will undertake the assistance activity,
                                        Organization)
                                                                                                                                                                                                                                                  enter the complete address of the
                                                                                                                                                                                                                                                  applicant (including county and
                                                                                                                                                                                                                                                  country), and name, telephone
                                                                                                                                                                                                                                                  number, e-mail, and fax of the person
                                                                                                                                                                                                                                                  to contact on matters related to this
                                                                                                                                                                                                                                                  application. This field is required.
5-3       Department:                   Department            No          0   1   DepartmentName      Global   globLib:DepartmentNameDataType     n/a   n/a                            AN     n/a                          0     30    Field      Enter the name of primary
                                        (Applicant                                                                                                                                                                                                organizational department, service,
                                        Organization)                                                                                                                                                                                             laboratory, or equivalent level within
                                                                                                                                                                                                                                                  the organization which will undertake
                                                                                                                                                                                                                                                  the assistance activity.
5-4       Division:                     Division (Applicant   No          0   1   DivisionName        Global   globLib:DivisionNameDataType       n/a   n/a                            AN     n/a                          0     30    Field      Enter the name of primary
                                        Organization)                                                                                                                                                                                             organizational division, office, or major
                                                                                                                                                                                                                                                  subdivision which will undertake the
                                                                                                                                                                                                                                                  assistance activity.
5-5       n/a                           n/a                 Yes           1   1   Address             Global   globLib:AddressDataType            n/a   n/a                            n/a    n/a                          n/a   n/a   Label      n/a
5-5a      Street1:                      Street Address Line Yes           1   1   Street1             Global   globLib:Street1                    n/a   n/a                            AN     n/a                          1     55    Field      Enter first line of the street address for
                                        1                                                                                                                                                                                                         the applicant in “Street1” field. This
                                                                                                                                                                                                                                                  field is required.
5-5b      Street2:                      Street Address Line No            0   1   Street2             Global   globLib:Street2                    n/a   n/a                            AN     n/a                          0     55    Field      Enter second line of the street
                                        2                                                                                                                                                                                                         address for the applicant in “Street2”
                                                                                                                                                                                                                                                  field. This field is optional.
5-5c      City:                         City (Applicant       Yes         1   1   City                Global   globLib:City                       n/a   n/a                            AN     n/a                          1     35    Field      Enter the city for address of applicant.
                                        Organization)                                                                                                                                                                                             This field is required.
5-5d      County / Parish:              County (Applicant     No          0   1   County              Global   globLib:County                     n/a   n/a                            AN     n/a                          0     30    Field      Enter the county/parish for address of
                                        Organization)                                                                                                                                                                                             applicant.
5-5e      State:                        State (Applicant      No          0   1   State               Global   globLib:State                      n/a   Conditionally required if     LIST    50 US States, US possessions, 0    55    Popup      Enter the State where the applicant is
                                        Organization)                                                                                                   Country is US then active. If         territories, military codes                         located. This field is required if the
                                                                                                                                                        Country is not US, then                                                                   applicant is located in the United
                                                                                                                                                        inactive                                                                                  States.
5-5e1     Province:                     Province (Applicant No            0   1   Province            Global   globLib:Province                   n/a   If Country is US then         AN      n/a                          0     30    Field      Enter the Province.
                                        Organization)                                                                                                   inactive. If Country is not
                                                                                                                                                        US, then active
5-5g      Country:                      Country (Applicant    Yes         1   1   Country             Global   globLib:Country                    n/a   n/a                           LIST    ISO 3166 Country Code List   1     49    Popup      Select the country for the applicant
                                        Organization)                                                                                                                                                                                             address. This field is required.

5-5f      ZIP / Postal Code:            Zip / Postal Code     No          0   1   ZipCode             Global   globLib:ZipPostalCode              n/a   Conditionally required if    AN       n/a                          0     30    Field
                                        (Applicant                                                                                                      Country is US then required.                                                              Enter the nine-digit Postal Code (e.g.,
                                        Organization)                                                                                                   If Country is not US, then                                                                ZIP code) of the primary performance
                                                                                                                                                        optional.    If US, min                                                                   site location. This field is required if
                                                                                                                                                        character =9, max remains                                                                 the Project Performance Site is
                                                                                                                                                        the same.                                                                                 located in the United States.
5-6       Person to be contacted on     n/a                   Yes         1   1   ContactPersonInfo   Global   globLib:HumanNameDataType          n/a   n/a                          n/a      n/a                          n/a   n/a   Label      n/a
          matters involving this
          application
5-6a      Prefix:                       Prefix (Contact       No          0   1   Prefix              Global   globLib:PrefixName                 n/a   n/a                            LIST   Mr.&&Mrs.&&Miss&&Ms.&&Dr. 0        10    Combobox   Enter the prefix (e.g., Mr., Mrs., Rev.)
                                        Person)                                                                                                                                               &&Rev.                                              for the person to contact on matters
                                                                                                                                                                                                                                                  related to this application.
5-6b      First Name:                   First Name            Yes         1   1   FirstName           Global   globLib:FirstName                  n/a   n/a                            AN     n/a                          1     35    Field
                                        (Contact Person)                                                                                                                                                                                          Enter first (given) name of the person
                                                                                                                                                                                                                                                  to contact on matters related to this
                                                                                                                                                                                                                                                  application. This field is required.
5-6c      Middle Name:                  Middle Name           No          0   1   MiddleName          Global   globLib:MiddleName                 n/a   n/a                            AN     n/a                          0     25    Field      Enter the middle name of the person
                                        (Contact Person)                                                                                                                                                                                          to contact on matters related to this
                                                                                                                                                                                                                                                  application.
5-6d      Last Name:                    Last Name             Yes         1   1   LastName            Global   globLib:LastName                   n/a   n/a                            AN     n/a                          1     60    Field
                                        (Contact Person)                                                                                                                                                                                          Enter the last (family) name of the
                                                                                                                                                                                                                                                  person to contact on matters related to
                                                                                                                                                                                                                                                  this application. This field is required.
5-6e      Suffix:                       Suffix (Contact       No          0   1   Suffix              Global   globLib:SuffixName                 n/a   n/a                            LIST   Jr.&&Sr.&&MD&&PhD&&JD        0     10    Combobox
                                        Person)                                                                                                                                                                                                   Enter the suffix (e.g., Jr, Sr, PhD) for
                                                                                                                                                                                                                                                  the name of the person to contact on
                                                                                                                                                                                                                                                  matters related to this application.
5-7       Phone Number:                 Phone Number          Yes         1   1   Phone               Global   globLib:TelephoneNumberDataType    n/a   n/a                            AN     n/a                          1     25    Field      Enter the daytime phone number for
                                        (Contact Person)                                                                                                                                                                                          the person to contact on matters
                                                                                                                                                                                                                                                  related to this application. This field is
                                                                                                                                                                                                                                                  required.
5-8       Fax:                          Fax Number            No          0   1   Fax                 Global   globLib:TelephoneNumberDataType    n/a   n/a                            AN     n/a                          0     25    Field      Enter the fax number for the person to
                                        (Contact Person)                                                                                                                                                                                          contact on matters related to this
                                                                                                                                                                                                                                                  application.
5-9       Email:                        Email (Contact        No          0   1   Email               Global   globLib:EmailDataType              n/a   E-mail validation              AN     n/a                          0     60    Field      Enter the e-mail address for the
                                        Person)                                                                                                                                                                                                   person to contact on matters related to
                                                                                                                                                                                                                                                  this application.
6-0       6. EMPLOYER                   EIN/TIN               Yes         1   1   EmployerID          Global   globLib:EmployerIDDataType         n/a   n/a                            AN     n/a                          9     30    Field      Enter either TIN or EIN as assigned
          IDENTIFICATION (EIN)                                                                                                                                                                                                                    by the Internal Revenue Service. If
          OR (TIN) :                                                                                                                                                                                                                              your organization is not in the US,
                                                                                                                                                                                                                                                  enter 44-4444444. This field is
                                                                                                                                                                                                                                                  required.




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7-0       7. TYPE OF APPLICANT: TYPE OF                       Yes         1   1   ApplicantTypeCode        Global        globLib:ApplicantTypeCodeDataType   n/a                   n/a                           LIST   A. State Government&&              15   82    Popup         Select from the menu or enter the
                                APPLICANT                                                                                                                                                                               B. County Government&&                                      appropriate letter in the space
                                                                                                                                                                                                                        C. City or Township                                         provided.
                                                                                                                                                                                                                        Government&&
                                                                                                                                                                                                                        D. Special District Government&&
                                                                                                                                                                                                                                                                                    If Small Business is selected as Type
                                                                                                                                                                                                                        E. Regional Organization&&
                                                                                                                                                                                                                        F. U.S. Territory or Possession&&                           of Applicant, then note if the
                                                                                                                                                                                                                        G. Independent School District&&                            organization is Woman-owned and/or
                                                                                                                                                                                                                        H. Public/State Controlled                                  Socially and Economically
                                                                                                                                                                                                                        Institution of                                              Disadvantaged
                                                                                                                                                                                                                            Higher Education&&
                                                                                                                                                                                                                        I. Indian/Native American Tribal
                                                                                                                                                                                                                            Government (Federally
                                                                                                                                                                                                                        Recognized)&&
                                                                                                                                                                                                                        J. Indian/Native American
                                                                                                                                                                                                                        Tribal&&
                                                                                                                                                                                                                           Government (Other than
                                                                                                                                                                                                                        Federally
                                                                                                                                                                                                                           Recognized)&&
                                                                                                                                                                                                                        K. Indian/Native American Tribally
                                                                                                                                                                                                                           Designated Organization&&
                                                                                                                                                                                                                        L. Public/Indian Housing
                                                                                                                                                                                                                        Authority&&
                                                                                                                                                                                                                        M. Nonprofit with 501C3 IRS
                                                                                                                                                                                                                        Status (Other
                                                                                                                                                                                                                            than Institution of Higher
                                                                                                                                                                                                                        Education)&&
                                                                                                                                                                                                                        N. Nonprofit without 501C3 IRS
                                                                                                                                                                                                                        Status
                                                                                                                                                                                                                            (Other than Institution of
                                                                                                                                                                                                                        Higher
                                                                                                                                                                                                                            Education)&&
                                                                                                                                                                                                                        O. Private Institution of Higher
                                                                                                                                                                                                                        Education&&
                                                                                                                                                                                                                        P. Individual&&
                                                                                                                                                                                                                        Q. For-Profit Organization (Other
7-1       Other (Specify):              Other (Specify)       No          0   1   ApplicantTypeCodeOther Agency-         n/a                                 n/a                   Other Field remain grayed     AN     n/a                               0     50    Field         Complete only if "Other" is selected as
                                                                                  Explanation            specific                                                                  out unless they select "Other                                                                    the Type of Applicant.
                                                                                                                                                                                   as the Applicant Type.
                                                                                                                                                                                   Required if "Other" is
                                                                                                                                                                                   selected as the Applicant
                                                                                                                                                                                   Type.
7-2       Women Owned                   Women Owned           No          0   1   isWomenOwned             Agency-       globLib:YesNoDataType               n/a                   If Small Business             n/a    n/a                               n/a   n/a   Check         Check if you are a women-owned
                                                                                                           specific                                                                Organization is selected                                                                         small business - a small business that
                                                                                                                                                                                   above, please answer, but                                                                        is at least 51% owned by a woman or
                                                                                                                                                                                   not required. Grayed out                                                                         women, who also control and operate
                                                                                                                                                                                   until Small Business                                                                             it."
                                                                                                                                                                                   Organzation is selected.

                                                                                                                                                                                   Not a picklist. Each is own
                                                                                                                                                                                   checkbox
7-3       Socially and Economically     Socially and          No          0   1   isSociallyEconomicallyDi Agency-       globLib:YesNoDataType               n/a                   If Small Business            n/a     n/a                               n/a   n/a   Check         Check if you are a socially and
          Disadvantaged                 Economically                              sadvantaged              specific                                                                Organization is selected                                                                         economically disadvantaged small
                                        Disadvantaged                                                                                                                              above, please answer but not                                                                     business, as determined by the U.S.
                                                                                                                                                                                   required. Grayed out until                                                                       Small Business Administration
                                                                                                                                                                                   Small Business Organzation                                                                       pursuant to section 8(a) of the Small
                                                                                                                                                                                   is selected.                                                                                     Business Act U.S.C. 637(a)."

                                                                                                                                                                                   Not a picklist. Each is own
                                                                                                                                                                                   checkbox
8-0       8. TYPE OF                    n/a                   Yes         1   1   ApplicationTypeCode      Radio Group   n/a                                 TYPE OF APPLICATION   n/a                           LIST   n/a                               n/a   n/a   Radio Group   n/a
          APPLICATION:
8-0-1     New                           TYPE OF               No          0   1   n/a                      Radio Group   n/a                                 TYPE OF APPLICATION   n/a                           n/a    n/a                               n/a   n/a   Radio         Select the type from the following list.
                                        APPLICATION                                                                                                                                                                                                                                 Check only one:

                                                                                                                                                                                                                                                                                    New: An application that is being
                                                                                                                                                                                                                                                                                    submitted to an agency for the first
                                                                                                                                                                                                                                                                                    time.

                                                                                                                                                                                                                                                                                    Resubmission: An application that
                                                                                                                                                                                                                                                                                    has been previously submitted, but
                                                                                                                                                                                                                                                                                    was not funded, and is being
                                                                                                                                                                                                                                                                                    resubmitted for new consideration.

                                                                                                                                                                                                                                                                                    Renewal: An application requesting
                                                                                                                                                                                                                                                                                    additional funding for a period
                                                                                                                                                                                                                                                                                    subsequent to that provided by a
                                                                                                                                                                                                                                                                                    current award. A renewal application
                                                                                                                                                                                                                                                                                    competes with all other applications
                                                                                                                                                                                                                                                                                    and must be developed as fully as
                                                                                                                                                                                                                                                                                    though the applicant is applying for the
                                                                                                                                                                                                                                                                                    first time.

                                                                                                                                                                                                                                                                                    Continuation: A non-competing
                                                                                                                                                                                                                                                                                    application for an additional
                                                                                                                                                                                                                                                                                    funding/budget period within a
                                                                                                                                                                                                                                                                                    previously approved project period.

                                                                                                                                                                                                                                                                                    Revision: An application that
                                                                                                                                                                                                                                                                                    proposes a change in: 1) the Federal
                                                                                                                                                                                                                                                                                    Government's financial obligations or
                                                                                                                                                                                                                                                                                    contingent liability from an existing
                                                                                                                                                                                                                                                                                    obligation; or, 2) any other change in
                                                                                                                                                                                                                                                                                    the terms and conditions of the
                                                                                                                                                                                                                                                                                    existing award.




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8-0-2     Resubmission                  TYPE OF               No          0   1   n/a   Radio Group   n/a   TYPE OF APPLICATION   n/a   n/a   n/a   n/a   n/a   Radio   Select the type from the following list.
                                        APPLICATION                                                                                                                     Check only one:

                                                                                                                                                                        New: An application that is being
                                                                                                                                                                        submitted to an agency for the first
                                                                                                                                                                        time.

                                                                                                                                                                        Resubmission: An application that
                                                                                                                                                                        has been previously submitted, but
                                                                                                                                                                        was not funded, and is being
                                                                                                                                                                        resubmitted for new consideration.

                                                                                                                                                                        Renewal: An application requesting
                                                                                                                                                                        additional funding for a period
                                                                                                                                                                        subsequent to that provided by a
                                                                                                                                                                        current award. A renewal application
                                                                                                                                                                        competes with all other applications
                                                                                                                                                                        and must be developed as fully as
                                                                                                                                                                        though the applicant is applying for the
                                                                                                                                                                        first time.

                                                                                                                                                                        Continuation: A non-competing
                                                                                                                                                                        application for an additional
                                                                                                                                                                        funding/budget period within a
                                                                                                                                                                        previously approved project period.

                                                                                                                                                                        Revision: An application that
                                                                                                                                                                        proposes a change in: 1) the Federal
                                                                                                                                                                        Government's financial obligations or
                                                                                                                                                                        contingent liability from an existing
                                                                                                                                                                        obligation; or, 2) any other change in
                                                                                                                                                                        the terms and conditions of the
8-0-3     Renewal                       TYPE OF               No          0   1   n/a   Radio Group   n/a   TYPE OF APPLICATION   n/a   n/a   n/a   n/a   n/a   Radio   existing award.
                                                                                                                                                                        Select the type from the following list.
                                        APPLICATION                                                                                                                     Check only one:

                                                                                                                                                                        New: An application that is being
                                                                                                                                                                        submitted to an agency for the first
                                                                                                                                                                        time.

                                                                                                                                                                        Resubmission: An application that
                                                                                                                                                                        has been previously submitted, but
                                                                                                                                                                        was not funded, and is being
                                                                                                                                                                        resubmitted for new consideration.

                                                                                                                                                                        Renewal: An application requesting
                                                                                                                                                                        additional funding for a period
                                                                                                                                                                        subsequent to that provided by a
                                                                                                                                                                        current award. A renewal application
                                                                                                                                                                        competes with all other applications
                                                                                                                                                                        and must be developed as fully as
                                                                                                                                                                        though the applicant is applying for the
                                                                                                                                                                        first time.

                                                                                                                                                                        Continuation: A non-competing
                                                                                                                                                                        application for an additional
                                                                                                                                                                        funding/budget period within a
                                                                                                                                                                        previously approved project period.

                                                                                                                                                                        Revision: An application that
                                                                                                                                                                        proposes a change in: 1) the Federal
                                                                                                                                                                        Government's financial obligations or
                                                                                                                                                                        contingent liability from an existing
                                                                                                                                                                        obligation; or, 2) any other change in
                                                                                                                                                                        the terms and conditions of the
8-0-4     Continuation                  TYPE OF               No          0   1   n/a   Radio Group   n/a   TYPE OF APPLICATION   n/a   n/a   n/a   n/a   n/a   Radio   existing award.
                                                                                                                                                                        Select the type from the following list.
                                        APPLICATION                                                                                                                     Check only one:

                                                                                                                                                                        New: An application that is being
                                                                                                                                                                        submitted to an agency for the first
                                                                                                                                                                        time.

                                                                                                                                                                        Resubmission: An application that
                                                                                                                                                                        has been previously submitted, but
                                                                                                                                                                        was not funded, and is being
                                                                                                                                                                        resubmitted for new consideration.

                                                                                                                                                                        Renewal: An application requesting
                                                                                                                                                                        additional funding for a period
                                                                                                                                                                        subsequent to that provided by a
                                                                                                                                                                        current award. A renewal application
                                                                                                                                                                        competes with all other applications
                                                                                                                                                                        and must be developed as fully as
                                                                                                                                                                        though the applicant is applying for the
                                                                                                                                                                        first time.

                                                                                                                                                                        Continuation: A non-competing
                                                                                                                                                                        application for an additional
                                                                                                                                                                        funding/budget period within a
                                                                                                                                                                        previously approved project period.

                                                                                                                                                                        Revision: An application that
                                                                                                                                                                        proposes a change in: 1) the Federal
                                                                                                                                                                        Government's financial obligations or
                                                                                                                                                                        contingent liability from an existing
                                                                                                                                                                        obligation; or, 2) any other change in
                                                                                                                                                                        the terms and conditions of the
                                                                                                                                                                        existing award.




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8-0-5     Revision                      TYPE OF               No          0     1     n/a            Radio Group   n/a                     TYPE OF APPLICATION   n/a                            n/a   n/a   n/a   n/a   Radio   Select the type from the following list.
                                        APPLICATION                                                                                                                                                                             Check only one:

                                                                                                                                                                                                                                New: An application that is being
                                                                                                                                                                                                                                submitted to an agency for the first
                                                                                                                                                                                                                                time.

                                                                                                                                                                                                                                Resubmission: An application that
                                                                                                                                                                                                                                has been previously submitted, but
                                                                                                                                                                                                                                was not funded, and is being
                                                                                                                                                                                                                                resubmitted for new consideration.

                                                                                                                                                                                                                                Renewal: An application requesting
                                                                                                                                                                                                                                additional funding for a period
                                                                                                                                                                                                                                subsequent to that provided by a
                                                                                                                                                                                                                                current award. A renewal application
                                                                                                                                                                                                                                competes with all other applications
                                                                                                                                                                                                                                and must be developed as fully as
                                                                                                                                                                                                                                though the applicant is applying for the
                                                                                                                                                                                                                                first time.

                                                                                                                                                                                                                                Continuation: A non-competing
                                                                                                                                                                                                                                application for an additional
                                                                                                                                                                                                                                funding/budget period within a
                                                                                                                                                                                                                                previously approved project period.

                                                                                                                                                                                                                                Revision: An application that
                                                                                                                                                                                                                                proposes a change in: 1) the Federal
                                                                                                                                                                                                                                Government's financial obligations or
                                                                                                                                                                                                                                contingent liability from an existing
                                                                                                                                                                                                                                obligation; or, 2) any other change in
                                                                                                                                                                                                                                the terms and conditions of the
8-1       If Revision, mark             n/a                   n/a         n/a   n/a   n/a            n/a           n/a                     n/a                   n/a                            n/a   n/a   n/a   n/a   Label   existing award.
                                                                                                                                                                                                                                n/a
          appropriate box(es):
8-1-1     A. Increase Award             IF REVISION,          No          0     1     RevisionCode   Agency-       globLib:YesNoDataType   n/a                   Can select two.                n/a   n/a   n/a   n/a   Check   If a revision mark the appropriate
                                        ENTER                                                        specific                                                                                                                   box(es):
                                        APPROPRIATE                                                                                                              Checkbox Implementation                                        A. Increase Award
                                        LETTER(S) IN                                                                                                                                                                            B. Decrease Award
                                        BOX(ES)                                                                                                                  Grayed-out until                                               C. Increase Duration
                                                                                                                                                                 ApplicationTypeCode =                                          D. Decrease Duration
                                                                                                                                                                 Revision.                                                      E. Other
                                                                                                                                                                                                                                If "Other" is selected, please specify in
                                                                                                                                                                 Not a picklist. Each is own                                    text box provided. May select more
                                                                                                                                                                 checkbox.                                                      than one.

                                                                                                                                                                 Valid combinations are AC,
                                                                                                                                                                 AD, BC, BD, or E

                                                                                                                                                                 Enumerations in schema
                                                                                                                                                                 should include: A, B, C, D,
                                                                                                                                                                 E, AC, AD, BC, BD to
                                                                                                                                                                 enforce stricter validation.
8-1-2     B. Decrease Award             IF REVISION,          No          0     1     RevisionCode   Agency-       globLib:YesNoDataType   n/a                   Can select two.                n/a   n/a   n/a   n/a   Check   If a revision mark the appropriate
                                        ENTER                                                        specific                                                                                                                   box(es):
                                        APPROPRIATE                                                                                                              Checkbox Implementation                                        A. Increase Award
                                        LETTER(S) IN                                                                                                                                                                            B. Decrease Award
                                        BOX(ES)                                                                                                                  Grayed-out until                                               C. Increase Duration
                                                                                                                                                                 ApplicationTypeCode =                                          D. Decrease Duration
                                                                                                                                                                 Revision.                                                      E. Other
                                                                                                                                                                                                                                If "Other" is selected, please specify in
                                                                                                                                                                 Not a picklist. Each is own                                    text box provided. May select more
                                                                                                                                                                 checkbox.                                                      than one.

                                                                                                                                                                 Valid combinations are AC,
                                                                                                                                                                 AD, BC, BD, or E

                                                                                                                                                                 Enumerations in schema
                                                                                                                                                                 should include: A, B, C, D,
                                                                                                                                                                 E, AC, AD, BC, BD to
                                                                                                                                                                 enforce stricter validation.
8-1-3     C. Increase Duration          IF REVISION,          No          0     1     RevisionCode   Agency-       globLib:YesNoDataType   n/a                   Can select two.                n/a   n/a   n/a   n/a   Check   If a revision mark the appropriate
                                        ENTER                                                        specific                                                                                                                   box(es):
                                        APPROPRIATE                                                                                                              Checkbox Implementation                                        A. Increase Award
                                        LETTER(S) IN                                                                                                                                                                            B. Decrease Award
                                        BOX(ES)                                                                                                                  Grayed-out until                                               C. Increase Duration
                                                                                                                                                                 ApplicationTypeCode =                                          D. Decrease Duration
                                                                                                                                                                 Revision.                                                      E. Other
                                                                                                                                                                                                                                If "Other" is selected, please specify in
                                                                                                                                                                 Not a picklist. Each is own                                    text box provided. May select more
                                                                                                                                                                 checkbox.                                                      than one.

                                                                                                                                                                 Valid combinations are AC,
                                                                                                                                                                 AD, BC, BD, or E

                                                                                                                                                                 Enumerations in schema
                                                                                                                                                                 should include: A, B, C, D,
                                                                                                                                                                 E, AC, AD, BC, BD to
                                                                                                                                                                 enforce stricter validation.




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8-1-4     D. Decrease Duration          IF REVISION,          No          0     1     RevisionCode           Agency-       globLib:YesNoDataType                n/a                                      Can select two.                n/a    n/a   n/a   n/a   Check         If a revision mark the appropriate
                                        ENTER                                                                specific                                                                                                                                                          box(es):
                                        APPROPRIATE                                                                                                                                                      Checkbox Implementation                                               A. Increase Award
                                        LETTER(S) IN                                                                                                                                                                                                                           B. Decrease Award
                                        BOX(ES)                                                                                                                                                          Grayed-out until                                                      C. Increase Duration
                                                                                                                                                                                                         ApplicationTypeCode =                                                 D. Decrease Duration
                                                                                                                                                                                                         Revision.                                                             E. Other
                                                                                                                                                                                                                                                                               If "Other" is selected, please specify in
                                                                                                                                                                                                         Not a picklist. Each is own                                           text box provided. May select more
                                                                                                                                                                                                         checkbox.                                                             than one.

                                                                                                                                                                                                         Valid combinations are AC,
                                                                                                                                                                                                         AD, BC, BD, or E

                                                                                                                                                                                                         Enumerations in schema
                                                                                                                                                                                                         should include: A, B, C, D,
                                                                                                                                                                                                         E, AC, AD, BC, BD to
                                                                                                                                                                                                         enforce stricter validation.
8-1-5     E. Other                      IF REVISION,          No          0     1     RevisionCode           Agency-       globLib:YesNoDataType                n/a                                      Can select two.                n/a    n/a   n/a   n/a   Check         If a revision mark the appropriate
                                        ENTER                                                                specific                                                                                                                                                          box(es):
                                        APPROPRIATE                                                                                                                                                      Checkbox Implementation                                               A. Increase Award
                                        LETTER(S) IN                                                                                                                                                                                                                           B. Decrease Award
                                        BOX(ES)                                                                                                                                                          Grayed-out until                                                      C. Increase Duration
                                                                                                                                                                                                         ApplicationTypeCode =                                                 D. Decrease Duration
                                                                                                                                                                                                         Revision.                                                             E. Other
                                                                                                                                                                                                                                                                               If "Other" is selected, please specify in
                                                                                                                                                                                                         Not a picklist. Each is own                                           text box provided. May select more
                                                                                                                                                                                                         checkbox.                                                             than one.

                                                                                                                                                                                                         Valid combinations are AC,
                                                                                                                                                                                                         AD, BC, BD, or E

                                                                                                                                                                                                         Enumerations in schema
                                                                                                                                                                                                         should include: A, B, C, D,
                                                                                                                                                                                                         E, AC, AD, BC, BD to
                                                                                                                                                                                                         enforce stricter validation.
8-1-6     (specify):                    OTHER                 No          0     1     RevisionCodeOtherExpla Agency-       n/a                                  n/a                                      Required if RevisionCode =     AN     n/a   0     45    Field          If "other" is selected for Revision, add
                                        (SPECIFY)                                     nation                 specific                                                                                    E. Other                                                              text to explain.

                                                                                                                                                                                                         Grayed out until 'E' is
                                                                                                                                                                                                         selected for RevisionCode.
8-2       Is this application being     n/a                   Yes         1     1     isOtherAgencySubmissio Radio Group   globLib:YesNoDataType                Is this application being submitted to   n/a                            LIST   n/a   n/a   n/a   Radio Group   n/a
          submitted to other                                                          n                                                                         other agencies
          agencies?
8-2-1     Yes                           Is this application   No          0     1     n/a                    Radio Group   n/a                                  Is this application being submitted to   n/a                            n/a    Yes   n/a   n/a   Radio         Check box if applicable. This field is
                                        being submitted to                                                                                                      other agencies                                                                                                 required.
                                        other agencies
8-2-2     No                            Is this application   No          0     1     n/a                    Radio Group   n/a                                  Is this application being submitted to   n/a                            n/a    No    n/a   n/a   Radio         Check box if applicable. This field is
                                        being submitted to                                                                                                      other agencies                                                                                                 required.
                                        other agencies
8-2-3     What other Agencies?          What other            No          0     1     OtherAgencySubmission Agency-        n/a                                  n/a                                      Required if                    AN     n/a   0     20    Field         Enter Agency name.
                                        Agencies                                      Explanation           specific                                                                                     OtherAgencySubmission =
                                                                                                                                                                                                         Y.

                                                                                                                                                                                                         Grayed out until
                                                                                                                                                                                                         OtherAgencySubmission =
                                                                                                                                                                                                         Y.
9-0       9. NAME OF FEDERAL            NAME OF               Yes         1     1     FederalAgencyName      Pre-populated globLib:AgencyNameDataType           SubmissionDef.AgencyName                 n/a                            AN     n/a   1     60    Field         Name the Federal agency from which
          AGENCY:                       FEDERAL                                                                                                                                                                                                                                assistance is being requested with
                                        AGENCY                                                                                                                                                                                                                                 this application. This information is pre-
                                                                                                                                                                                                                                                                               populated by Grants.gov.

10-1      10. CATALOG OF                CATALOG OF            No          0     1     CFDANumber             Pre-populated globLib:CFDANumberDataType           SubmissionDef.CFDANumber                 n/a                            AN     n/a   0     15    Field         Use the Catalog of Federal Domestic
          FEDERAL DOMESTIC              FEDERAL                                                                                                                                                                                                                                Assistance number and title of the
          ASSISTANCE NUMBER:            DOMESTIC                                                                                                                                                                                                                               program under which assistance is
                                        ASSISTANCE                                                                                                                                                                                                                             requested. This information is pre-
                                        (CFDA) NUMBER                                                                                                                                                                                                                          populated by Grants.gov.

10-2      n/a                           TITLE (CFDA)          No          0     1     ActivityTitle          Pre-populated globLib:CFDATitleDataType            SubmissionDef.CFDATitle                  n/a                            AN     n/a   0     120   Field         Use the Catalog of Federal Domestic
                                                                                                                                                                                                                                                                               Assistance number and title of the
                                                                                                                                                                                                                                                                               program under which assistance is
                                                                                                                                                                                                                                                                               requested. This information is pre-
                                                                                                                                                                                                                                                                               populated by Grants.gov.

11-0      11. DESCRIPTIVE TITLE         DESCRIPTIVE           Yes         1     1     ProjectTitle           Agency-       n/a                                  n/a                                      n/a                            AN     n/a   1     200   Field         Enter a brief descriptive title of the
          OF APPLICANT'S                TITLE OF                                                             specific                                                                                                                                                          project. This field is required.
          PROJECT:                      APPLICANT'S
                                        PROJECT
13-0      12. PROPOSED                  n/a                   n/a         n/a   n/a   n/a                    n/a           n/a                                  n/a                                      n/a                            n/a    n/a   n/a   n/a   Label         n/a
          PROJECT:
13-1      Start Date                    START DATE            Yes         1     1     ProposedStartDate      Agency-       n/a                                  n/a                                                                     DATE   n/a   n/a   n/a   Field         Enter the proposed start date of the
                                                                                                                                                                                                         ProposedStartDate should be
                                                                                                             specific                                                                                                                                                          project. This field is required.
                                                                                                                                                                                                         less than ProposedEndDate
13-2      Ending Date                   ENDING DATE           Yes         1     1     ProposedEndDate        Agency-       n/a                                  n/a                                      ProposedEndDate should be DATE        n/a   n/a   n/a   Field         Enter the proposed end date of the
                                                                                                             specific                                                                                    greater than                                                          project. This field is required.
                                                                                                                                                                                                         ProposedStartDate
13-5      13. CONGRESSIONAL     n/a                           n/a         n/a   n/a   n/a                    n/a           n/a                                  n/a                                      n/a                       n/a         n/a   n/a   n/a   Label         n/a
          DISTRICT OF APPLICANT

13-6                                    CONGRESSIONA Yes                  1     1     ApplicantCongression   Global        globLib:CongressionalDistrictDataTyp n/a                                      n/a                            AN     n/a   1     6     Field         Enter the Congressional District in
                                        L DISTRICT                                    alDistrict                           e                                                                                                                                                   the format: 2 character State
                                        APPLICANT                                                                                                                                                                                                                              Abbreviation - 3 character District
                                                                                                                                                                                                                                                                               Number. Examples: CA-005 for
                                                                                                                                                                                                                                                                               California's 5th district, CA-012 for
                                                                                                                                                                                                                                                                               California's 12th district.

                                                                                                                                                                                                                                                                               If outside the US, enter 00-000.

                                                                                                                                                                                                                                                                               To locate your congressional
                                                                                                                                                                                                                                                                               district, visit the Grants.gov web
                                                                                                                                                                                                                                                                               site.

                                                                                                                                                                                                                                                                               This field is required.




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14-0        14. PROJECT         n/a                             Yes         1     1     Name                   Global      globLib:HumanNameDataType           n/a                n/a                            n/a    n/a                          n/a    n/a              Label      n/a
            DIRECTOR/PRINCIPAL
            INVESTIGATOR
            CONTACT INFORMATION

14-1        Prefix:                       PREFIX (PD/PI)        No          0     1     Prefix                 Global      globLib:PrefixName                  n/a                n/a                            LIST   Mr.&&Mrs.&&Miss&&Ms.&&Dr. 0         10               Combobox   Enter the prefix of the individual
                                                                                                                                                                                                                        &&Rev.                                                          responsible for the overall scientific
                                                                                                                                                                                                                                                                                        and technical direction of the project.

14-2        First Name:                   FIRST NAME            Yes         1     1     FirstName              Global      globLib:FirstName                   n/a                n/a                            AN     n/a                          1      35               Field      Enter the first name of the individual
                                          (PD/PI)                                                                                                                                                                                                                                       responsible for the overall scientific
                                                                                                                                                                                                                                                                                        and technical direction of the project.
                                                                                                                                                                                                                                                                                        This is required information

14-3        Middle Name:                  MIDDLE NAME           No          0     1     MiddleName             Global      globLib:MiddleName                  n/a                n/a                            AN     n/a                          0      25               Field      Enter the middle name of the
                                          (PD/PI)                                                                                                                                                                                                                                       individual responsible for the overall
                                                                                                                                                                                                                                                                                        scientific and technical direction of the
                                                                                                                                                                                                                                                                                        project.
14-4        Last Name:                    LAST NAME             Yes         1     1     LastName               Global      globLib:LastName                    n/a                n/a                            AN     n/a                          1      60               Field      Enter the last name of the individual
                                          (PD/PI)                                                                                                                                                                                                                                       responsible for the overall scientific
                                                                                                                                                                                                                                                                                        and technical direction of the project.
                                                                                                                                                                                                                                                                                        This is required information

14-5        Suffix:                       SUFFIX (PD/PI)        No          0     1     Suffix                 Global      globLib:SuffixName                  n/a                n/a                            LIST   Jr.&&Sr.&&MD&&PhD&&JD        0      10               Combobox   Enter the suffix of the individual
                                                                                                                                                                                                                                                                                        responsible for the overall scientific
                                                                                                                                                                                                                                                                                        and technical direction of the project.

14-6        Position/Title:               POSITION/TITLE        No          0     1     Title                  Global      globLib:HumanTitleDataType          n/a                n/a                            AN     n/a                          0      45               Field      Enter the position/title of the individual
                                          (PD/PI)                                                                                                                                                                                                                                       responsible for the overall scientific
                                                                                                                                                                                                                                                                                        and technical direction of the project.

14-7        Organization Name:            ORGANIZATION          Yes         1     1     OrganizationName       Forward-    globLib:OrganizationNameDataType    SF424(R&R)-5-2     Pre-populated from applicant AN       n/a                          1      60               Field      Enter the organization name of the
                                          NAME (PD/PI)                                                         populated                                                          information. Provide                                                                                  individual responsible for the overall
                                                                                                                                                                                  overwrite capability.                                                                                 scientific and technical direction of the
                                                                                                                                                                                                                                                                                        project
14-8        Department:                   DEPARTMENT            No          0     1     DepartmentName         Forward-    globLib:DepartmentNameDataType      SF424(R&R)-5-3     Pre-populated from applicant AN       n/a                          0      30               Field      Enter the department of the individual
                                          (PD/PI):                                                             populated                                                          information. Provide                                                                                  responsible for the overall scientific
                                                                                                                                                                                  overwrite capability.                                                                                 and technical direction of the project.

14-9        Division:                     DIVISION (PD/PI)      No          0     1     DivisionName           Forward-    globLib:DivisionNameDataType        SF424(R&R)-5-4     Pre-populated from applicant AN       n/a                          0      30               Field      Enter the division of the individual
                                                                                                               populated                                                          information. Provide                                                                                  responsible for the overall scientific
                                                                                                                                                                                  overwrite capability.                                                                                 and technical direction of the project.

14-10       n/a                           n/a            Yes                1     1     Address                Global      globLib:AddressDataType             n/a                n/a                          n/a      n/a                          n/a    n/a              Label      n/a
14-10a      Street1:                      STREET         Yes                1     1     Street1                Forward-    globLib:Street1                     SF424(R&R)-5-5a    Pre-populated from applicant AN       n/a                          1      55               Field      Enter first line of the street address for
                                          ADDRESS LINE 1                                                       populated                                                          information. Provide                                                                                  the PD/PI in the “Street1” field. This
                                          (PD/PI)                                                                                                                                 overwrite capability.                                                                                 field is required.

14-10b      Street2:                      STREET         No                 0     1     Street2                Forward-    globLib:Street2                     SF424(R&R)-5-5b    Pre-populated from applicant AN       n/a                          0      55               Field      Enter second line of the street
                                          ADDRESS LINE 2                                                       populated                                                          information. Provide                                                                                  address for the PD/PI in “Street2”
                                          (PD/PI)                                                                                                                                 overwrite capability.                                                                                 field. This field is optional.

14-10c      City:                         CITY (PD/PI)          Yes         1     1     City                   Forward-    globLib:City                        SF424(R&R)-5-5c    Pre-populated from applicant AN       n/a                          1      35               Field      Enter the City for address of the
                                                                                                               populated                                                          information. Provide                                                                                  PD/PI. This field is required.
                                                                                                                                                                                  overwrite capability.

14-10d      County / Parish:              COUNTY (PD/PI)        No          0     1     County                 Forward-    globLib:County                      SF424(R&R)-5-5d    Pre-populated from applicant AN       n/a                          0      30               Field      Enter the county/parish for address of
                                                                                                               populated                                                          information. Provide                                                                                  the PD/PI.
                                                                                                                                                                                  overwrite capability.

14-10e      State:                        STATE (PD/PI)         No          0     1     State                  Forward-    globLib:State                       SF424(R&R)-5-5e    Conditionally required if     LIST    50 US States, US possessions, 0     55               Popup      Enter the State where the PD/PI is
                                                                                                               populated                                                          Country is US then active. If         territories, military codes                                     located. This field is required if the
                                                                                                                                                                                  Country is not US, then                                                                               PD/PI is located in the United States.
                                                                                                                                                                                  inactive

                                                                                                                                                                                  Pre-populated from applicant
                                                                                                                                                                                  information. Provide
                                                                                                                                                                                  overwrite capability.

14-10e1     Province:                     Province (PD/PI)      No          0     1     Province               Forward-    globLib:Province                    SF424(R&R)-5-5e1   If Country is US then          AN     n/a                          0      30               Field      Enter the Province for PD/PI.
                                                                                                               populated                                                          inactive. If Country is not
                                                                                                                                                                                  US, then active

                                                                                                                                                                                  Pre-populated from applicant
                                                                                                                                                                                  information. Provide
                                                                                                                                                                                  overwrite capability.

14-10g      Country:                      COUNTRY (PD/PI) Yes               1     1     Country                Forward-    globLib:Country                     SF424(R&R)-5-5g    Pre-populated from applicant LIST     ISO 3166 Country Code List   1      49               Popup      Select the country for the PD/PI
                                                                                                               populated                                                          information. Provide                                                                                  address.
                                                                                                                                                                                  overwrite capability.

14-10f      ZIP / Postal Code:            ZIP / Postal CODE No              0     1     ZipCode                Forward-    globLib:ZipPostalCode               SF424(R&R)-5-5f    Conditionally required if      AN     n/a                          0      30               Field      Enter the Postal Code (e.g., ZIP code)
                                          (PD/PI)                                                              populated                                                          Country is US then required                                                                           of the PD/PI. This field is required if
                                                                                                                                                                                  (If US, min character =9,                                                                             the PD/PI is located in the United
                                                                                                                                                                                  max remains the same.). If                                                                            States.
                                                                                                                                                                                  Country is not US, then
                                                                                                                                                                                  optional.

                                                                                                                                                                                  Pre-populated from applicant
                                                                                                                                                                                  information. Provide
                                                                                                                                                                                  overwrite capability.

14-11       Phone Number:                 PHONE NUMBER Yes                  1     1     Phone                  Global      globLib:TelephoneNumberDataType     n/a                n/a                            AN     n/a                          1      25               Field      Enter the daytime phone number for
                                          (PD/PI)                                                                                                                                                                                                                                       the PD/PI. This field is required.

14-12       Fax:                          FAX NUMBER            No          0     1     Fax                    Global      globLib:TelephoneNumberDataType     n/a                n/a                            AN     n/a                          0      25               Field      Enter the fax number for the PD/PI.
                                          (PD/PI)
14-13       Email:                        EMAIL ADDRESS         Yes         1     1     Email                  Global      globLib:EmailDataType               n/a                E-mail validation              AN     n/a                          1      60               Field      Enter the e-mail address for the
                                          (PD/PI)                                                                                                                                                                                                                                       PD/PI. This field is required.
15-0        15. ESTIMATED                 n/a                   n/a         n/a   n/a   n/a                    n/a         n/a                                 n/a                n/a                            n/a    n/a                          n/a    n/a              Label      n/a
            PROJECT FUNDING
15-1        a. Total Federal Funds        PROJECT          Yes              1     1     TotalEstimatedAmount   Agency-     globLib:BudgetTotalAmountDataType   n/a                n/a                            $      n/a                          0.00   9999999999999.99 Field      Enter total Federal funds requested for
            Requested                     FUNDING TOTAL                                                        specific                                                                                                                                                                 the entire project period. This field is
                                          FEDERAL (project                                                                                                                                                                                                                              required.
                                          Period)



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15-2     b. Total Non-Federal Funds PROJECT          No                  0     1     TotalNonfedrequested    Agency-       globLib:BudgetTotalAmountDataType   n/a                         TotalNonfedrequested will be $      n/a                      0.00   9999999999999.99 Field         Enter total non-Federal funds
                                    FUNDING TOTAL                                                            specific                                                                      required on form, but optional                                                                     requested for the entire project
                                    NON-FEDERAL                                                                                                                                            in schema for temporary                                                                            period. This is required information.
                                    FUNDS (Project                                                                                                                                         support of prior version.
                                    Period)
15-3     c. Total Federal & Non-    PROJECT          Yes                 1     1     TotalfedNonfedrequested Agency-       globLib:BudgetTotalAmountDataType   n/a                         n/a                          $      n/a                      0.00   9999999999999.99 Field         Enter total estimated funds for the
         Federal Funds              FUNDING TOTAL                                                            specific                                                                                                                                                                         entire project period, including both
                                    FEDERAL & NON-                                                                                                                                                                                                                                            Federal and non-Federal funds. This
                                    FEDERAL FUNDS                                                                                                                                                                                                                                             is required information.
                                    (Project Period)

15-4     d. Estimated Program            PROJECT             Yes         1     1     EstimatedProgramIncom Agency-         globLib:BudgetTotalAmountDataType   n/a                         n/a                          $      n/a                      0.00   9999999999999.99 Field         Identify any Program Income
         Income                          FUNDING                                     e                     specific                                                                                                                                                                           estimated for this project period if
                                         ESTIMATED                                                                                                                                                                                                                                            applicable. This field is required.
                                         PROGRAM
                                         INCOME (Project
                                         Period)
16-0     16. IS APPLICATION              n/a                 Yes         1     1     StateReviewCodeType     Radio Group   n/a                                 IS APPLICATION SUBJECT TO   n/a                          LIST   n/a                      n/a    n/a              Radio Group   n/a
         SUBJECT TO REVIEW BY                                                                                                                                  REVIEW BY STATE EXECUTIVE
         STATE EXECUTIVE                                                                                                                                       ORDER 12372 PROCESS
         ORDER 12372
         PROCESS?
16-1     a. YES                          n/a                 n/a         n/a   n/a   n/a                     n/a           n/a                                 n/a                         n/a                          n/a    n/a                      n/a    n/a              Label         n/a
16-2     THIS                            IS APPLICATION      No          0     1     n/a                     Radio Group   n/a                                 IS APPLICATION SUBJECT TO   n/a                          n/a    n/a                      n/a    n/a              Radio         If yes, check box. If the announcement
         PREAPPLICATION/APPLI            SUBJECT TO                                                                                                            REVIEW BY STATE EXECUTIVE                                                                                                      indicates that the program is covered
         CATION WAS MADE                 REVIEW BY                                                                                                             ORDER 12372 PROCESS                                                                                                            under Executive Order 12372,
         AVAILABLE TO THE                STATE                                                                                                                                                                                                                                                applicants should contact the State
         STATE EXECUTIVE                 EXECUTIVE                                                                                                                                                                                                                                            Single Point of Contact (SPOC) for
         ORDER 12372 PROCESS             ORDER 12372                                                                                                                                                                                                                                          Federal Executive Order 12372.
         FOR THE REVIEW ON:              PROCESS

16-3     DATE:                           Date                No          0     1     StateReviewDate         Agency-       n/a                                 n/a                         Required only if             DATE   n/a                      n/a    n/a              Field         If block 17a is checked, insert date
                                                                                                             specific                                                                      StateReviewCodeType =                                                                              application was submitted to State.
                                                                                                                                                                                           Yes.

                                                                                                                                                                                           Grayed-out until
                                                                                                                                                                                           StateReviewCodeType =
                                                                                                                                                                                           Yes.
16-4     b. NO                           n/a                 n/a         n/a   n/a   n/a                     n/a           n/a                                 n/a                         n/a                          n/a    n/a                      n/a    n/a              Label         n/a
16-5     PROGRAM IS NOT                  IS APPLICATION      No          0     1     n/a                     Radio Group   n/a                                 IS APPLICATION SUBJECT TO   n/a                          n/a    n/a                      n/a    n/a              Radio         If no, check appropriate box.
         CONVERED BY E.O.                SUBJECT TO                                                                                                            REVIEW BY STATE EXECUTIVE
         12372; OR                       REVIEW BY                                                                                                             ORDER 12372 PROCESS
                                         STATE
                                         EXECUTIVE
                                         ORDER 12372
                                         PROCESS
16-6     PROGRAM HAS NOT                 IS APPLICATION      No          0     1     n/a                     Radio Group   n/a                                 IS APPLICATION SUBJECT TO   n/a                          n/a    n/a                      n/a    n/a              Radio         If no, check appropriate box.
         BEEN SELECTED BY                SUBJECT TO                                                                                                            REVIEW BY STATE EXECUTIVE
         STATE FOR REVIEW                REVIEW BY                                                                                                             ORDER 12372 PROCESS
                                         STATE
                                         EXECUTIVE
                                         ORDER 12372
                                         PROCESS
17-0     17. By signing this             n/a                 n/a         n/a   n/a   n/a                     n/a           n/a                                 n/a                         n/a                          n/a    n/a                      n/a    n/a              Label         n/a
         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 penalities.
         (U.S. Code, Title 18,
         Section 1001)

17-1     I agree                         I Agree             Yes         1     1     TrustAgree              Agency-       globLib:YesNoDataType               n/a                         n/a                          n/a    n/a                      n/a    n/a              Check         Check "I agree" to provide the required
                                                                                                             specific                                                                                                                                                                         certifications and assurances. This
                                                                                                                                                                                                                                                                                              field is required.
17-2     * The list of certifications    n/a                 n/a         n/a   n/a   n/a                     n/a           n/a                                 n/a                         n/a                          n/a    n/a                      n/a    n/a              Label         n/a
         and assurances, or an
         Internet site where you
         may obtain this list, is
         contained in the
         announcement or agency
         specific instructions.
18-0     18. SFLLL or other              SFLLL or            No          0     1     SFLLLAttachment         Global        att:AttachedFileDataType            n/a                         Optional data entry field.   FILE   n/a                      n/a    n/a              Single_File   If applicable, attach the SFLLL or
         Explanatory                     Explanatory                                                                                                                                                                                                                                          other explanatory ducumentation per
         Documentation                   Document                                                                                                                                                                                                                                             agency instructions.
19-0     19. Authorized                  n/a                 Yes         1     1     Name                    Global        globLib:HumanNameDataType           n/a                         n/a                          n/a    n/a                      n/a    n/a              Label         n/a
         Representative
19-1     Prefix:                         PREFIX              No          0     1     Prefix                  Global        globLib:PrefixName                  n/a                         n/a                          LIST   Mr.&&Mrs.&&Miss&&Ms.&&Dr. 0     10               Combobox      Enter the prefix (e.g., Mr., Mrs., Rev.)
                                         (Authorized                                                                                                                                                                           &&Rev.                                                         for the name of the Authorized
                                         Representative)                                                                                                                                                                                                                                      Representative.
19-2     First Name:                     FIRST NAME          Yes         1     1     FirstName               Global        globLib:FirstName                   n/a                         n/a                          AN     n/a                      1      35               Field         Enter first (given) name of the
                                         (Authorized                                                                                                                                                                                                                                          Authorized Representative. This field
                                         Representative)                                                                                                                                                                                                                                      is required.
19-3     Middle Name:                    MIDDLE NAME         No          0     1     MiddleName              Global        globLib:MiddleName                  n/a                         n/a                          AN     n/a                      0      25               Field         Enter the middle name of the
                                         (Authorized                                                                                                                                                                                                                                          Authorized Representative.
                                         Representative)
19-4     Last Name:                      LAST NAME           Yes         1     1     LastName                Global        globLib:LastName                    n/a                         n/a                          AN     n/a                      1      60               Field         Enter the last (family) name of the
                                         (Authorized                                                                                                                                                                                                                                          Authorized Representative. This field
                                         Representative)                                                                                                                                                                                                                                      is required.




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19-5        Suffix:                       SUFFIX           No               0   1   Suffix                  Global      globLib:SuffixName                 n/a                n/a                            LIST   Jr.&&Sr.&&MD&&PhD&&JD        0     10    Combobox      Enter the suffix (e.g., Jr, Sr, PhD) for
                                          (Authorized                                                                                                                                                                                                                      the name of the Authorized
                                          Representative)                                                                                                                                                                                                                  Representative.
19-6        Position/Title:               POSITION/TITLE Yes                1   1   Title                   Global      globLib:HumanTitleDataType         n/a                n/a                            AN     n/a                          1     45    Field         Enter the title of the Authorized
                                          (Authorized                                                                                                                                                                                                                      Representative. This field is required.
                                          Representative)
19-7        Organization Name:            ORGANIZATION Yes                  1   1   OrganizationName        Forward-    globLib:OrganizationNameDataType   SF424(R&R)-5-2     Pre-populated from applicant AN       n/a                          1     60    Field         Enter the name of organization for the
                                          NAME (Authorized                                                  populated                                                         information. Provide                                                                         Authorized Representative. This field
                                          Representative)                                                                                                                     overwrite capability.                                                                        is required.

19-8        Department:                   DEPARTMENT            No          0   1   DepartmentName          Forward-    globLib:DepartmentNameDataType     SF424(R&R)-5-3     Pre-populated from applicant AN       n/a                          0     30    Field         Enter the name of primary
                                          (Authorized                                                       populated                                                         information. Provide                                                                         organizational department, service,
                                          Representative):                                                                                                                    overwrite capability.                                                                        laboratory, or equivalent level within
                                                                                                                                                                                                                                                                           the organization of the Authorized
                                                                                                                                                                                                                                                                           Representative
19-9        Division:                     DIVISION              No          0   1   DivisionName            Forward-    globLib:DivisionNameDataType       SF424(R&R)-5-4     Pre-populated from applicant AN       n/a                          0     30    Field         Enter the name of primary
                                          (Authorized                                                       populated                                                         information. Provide                                                                         organizational division, office, or major
                                          Representative)                                                                                                                     overwrite capability.                                                                        subdivision of the Authorized
                                                                                                                                                                                                                                                                           Representative
19-10       n/a                           n/a                   Yes         1   1   Address                 Global      globLib:AddressDataType            n/a                n/a                          n/a      n/a                          n/a   n/a   Label         n/a
19-10a      Street1:                      STREET                Yes         1   1   Street1                 Forward-    globLib:Street1                    SF424(R&R)-5-5a    Pre-populated from applicant AN       n/a                          1     55    Field         Enter first line of the street address for
                                          ADDRESS LINE 1                                                    populated                                                         information. Provide                                                                         the Authorized Representative in the
                                          (Authorized                                                                                                                         overwrite capability.                                                                        “Street1” field. This field is required.
                                          Representative)
19-10b      Street2:                      STREET                No          0   1   Street2                 Forward-    globLib:Street2                    SF424(R&R)-5-5b    Pre-populated from applicant AN       n/a                          0     55    Field         Enter second line of the street
                                          ADDRESS LINE 2                                                    populated                                                         information. Provide                                                                         address for the Authorized
                                          (Authorized                                                                                                                         overwrite capability.                                                                        Representative in the “Street2”
                                          Representative)                                                                                                                                                                                                                  field.This field is optional.
19-10c      City:                         CITY NAME             Yes         1   1   City                    Forward-    globLib:City                       SF424(R&R)-5-5c    Pre-populated from applicant AN       n/a                          1     35    Field         City for address of the Authorized
                                          (Authorized                                                       populated                                                         information. Provide                                                                         Representative. This field is required
                                          Representative)                                                                                                                     overwrite capability.

19-10d      County / Parish:              COUNTY NAME           No          0   1   County                  Forward-    globLib:County                     SF424(R&R)-5-5d    Pre-populated from applicant AN       n/a                          0     30    Field         Enter the county/parish for address of
                                          (Authorized                                                       populated                                                         information. Provide                                                                         Authorized Representative.
                                          Representative)                                                                                                                     overwrite capability.

19-10e      State:                        STATE CODE            No          0   1   State                   Forward-    globLib:State                      SF424(R&R)-5-5e    Conditionally required if     LIST    50 US States, US possessions, 0    55    Popup         Enter the State where the Authorized
                                          (Authorized                                                       populated                                                         Country is US then active. If         territories, military codes                            Representative is located. This field is
                                          Representative)                                                                                                                     Country is not US, then                                                                      required if the Authorized
                                                                                                                                                                              inactive                                                                                     Representative is located in the United
                                                                                                                                                                                                                                                                           States.
                                                                                                                                                                              Pre-populated from applicant
                                                                                                                                                                              information. Provide
                                                                                                                                                                              overwrite capability.

19-10e1     Province:                     Province              No          0   1   Province                Forward-    globLib:Province                   SF424(R&R)-5-5e1   If Country is US then          AN     n/a                          0     30    Field         Enter the Province for Authorized
                                          (Authorized                                                       populated                                                         inactive. If Country is not                                                                  Representative.
                                          Representative)                                                                                                                     US, then active

                                                                                                                                                                              Pre-populated from applicant
                                                                                                                                                                              information. Provide
                                                                                                                                                                              overwrite capability.

19-10g      Country:                      COUNTRY               Yes         1   1   Country                 Forward-    globLib:Country                    SF424(R&R)-5-5g    Pre-populated from applicant LIST     ISO 3166 Country Code List   1     49    Popup         Select the country for the Authorized
                                          (Authorized                                                       populated                                                         information. Provide                                                                         Representative address.
                                          Representative)                                                                                                                     overwrite capability.

19-10f      ZIP / Postal Code:            ZIP / Postal CODE No              0   1   ZipCode                 Forward-    globLib:ZipPostalCode              SF424(R&R)-5-5f    Conditionally required if     AN      n/a                          0     30    Field         Enter the Postal Code (e.g., ZIP code)
                                          (Authorized                                                       populated                                                         Country is US then                                                                           of the Authorized Representative.
                                          Representative)                                                                                                                     required(If US, min character                                                                This field is required if the Authorized
                                                                                                                                                                              =9, max remains the same.).                                                                  Representative is located in the United
                                                                                                                                                                              If Country is not US, then                                                                   States.
                                                                                                                                                                              optional.

                                                                                                                                                                              Pre-populated from applicant
                                                                                                                                                                              information. Provide
                                                                                                                                                                              overwrite capability.

19-11       Phone Number:                 PHONE NUMBER Yes                  1   1   Phone                   Global      globLib:TelephoneNumberDataType    n/a                n/a                            AN     n/a                          1     25    Field         Enter the daytime phone number for
                                          (Authorized                                                                                                                                                                                                                      the Authorized Representative. This
                                          Representative)                                                                                                                                                                                                                  field is required.
19-12       Fax:                          FAX NUMBER        No              0   1   Fax                     Global      globLib:TelephoneNumberDataType    n/a                n/a                            AN     n/a                          0     25    Field         Enter the fax number for the
                                          (Authorized                                                                                                                                                                                                                      Authorized Representative.
                                          Representative)
19-13       Email:                        EMAIL (Authorized Yes             1   1   Email                   Global      globLib:EmailDataType              n/a                E-mail validation              AN     n/a                          1     60    Field         Enter the e-mail address for the
                                          Representative)                                                                                                                                                                                                                  Authorized Representative. This field
                                                                                                                                                                                                                                                                           is required.
19-14       Signature of Authorized       SIGNATURE OF  Yes                 1   1   AOR_Signature           Post-       globLib:SignatureDataType          n/a                n/a                            AN     n/a                          1     144   Label         It is the organization's responsibility to
            Representative                AUTHORIZED                                                        Populated                                                                                                                                                      assure that only properly authorized
                                          REPRESENTATIV                                                                                                                                                                                                                    individuals sign in this capacity and/or
                                          E                                                                                                                                                                                                                                submit the application to Grants.gov.
                                                                                                                                                                                                                                                                           If this application is submitted through
                                                                                                                                                                                                                                                                           Grants.gov leave blank. If a hard copy
                                                                                                                                                                                                                                                                           is submitted, the AOR must sign this
                                                                                                                                                                                                                                                                           block.

19-15       Date Signed                   DATE SIGNED           Yes         1   1   AOR_SignedDate          Post-       globLib:DateSignedDataType         n/a                n/a                            DATE   n/a                          n/a   n/a   Label         If this application is submitted through
                                          (Authorized                                                       Populated                                                                                                                                                      Grants.gov, the system will generate
                                          Representative)                                                                                                                                                                                                                  this date. If submitting a hard copy,
                                                                                                                                                                                                                                                                           enter the date the AOR signed the
                                                                                                                                                                                                                                                                           application.

20-0        20. Pre-application           PRE-                  No          0   1   PreApplicationAttachmen Global      att:AttachedFileDataType           n/a                n/a                            FILE   n/a                          n/a   n/a   Single_File   If submitting a pre-application, provide
                                          APPLICATION                               t                                                                                                                                                                                      a summary description of the project
                                                                                                                                                                                                                                                                           in accordance with the announcement
                                                                                                                                                                                                                                                                           and/or agency specific instructions
                                                                                                                                                                                                                                                                           and attach here.




          C:\Docstoc\Working\pdf\6d8089b1-0a59-424e-b545-6536f9ee95a0.xls
          Printed: 9/16/2010                                                                                                                                                                                                                                                                                 14 of 19
DATA ANALYSIS ROW TEMPLATES
INSTRUCTIONS: Listed below are Data Analysis row templates for data elements and formats defined in the Global Library. To
copy into your DAT, select Edit, Copy from the menu at the top of the screen. Click on the FORM DAT tab at the bottom of the
screen. Click on the row number you want to paste the template into. From the menu, select Edit, Paste. Use the instructions on
the DAT INSTRUCTIONS tab as guidance for filling in all columns in red.

   [1]                 [2]                       [3]                  [4]             [5]             [6]               [7]                   [8]                        [9]                                    [10]                        [11]                     [12]                   [13]               [14]              [15]              [16]                          [17]
                                                                                                                                                                                                                                                                                                             Min # of           Max # of
                      Field                  Short Field                      Minimum          Maximum              Agency Field                                    Global Library                           Field Type                                                                   List of            Chars or          Chars or           Field
 Field #              Label                    Label          Required?      Occurrences      Occurrences              Name              Field Type                  Field Name                                Source                 Business Rules           Data Type                  Values             Min Value         Max Value     Implementation                   Help Tip



GLOBAL DATA ELEMENTS
Fill In    Agency Name:                Agency Name          Fill In         Fill In         Fill In         AgencyName               Global or         globLib:AgencyNameDataType              If Field Type [8] = Forward-    n/a                            AN            n/a                          Fill In         60                Field              Enter the name of the Federal
Unique #                                                                                                                             Forward-populated                                         populated                                                                                                                                                      Agency.
Fill In    Applicant ID:               Applicant ID         Fill In         Fill In         Fill In         ApplicantID              Global or         globLib:ApplicantIDDataType             If Field Type [8] = Forward-    n/a                            AN            n/a                          Fill In         30                Field              Enter the applicant's control number
Unique #                                                                                                                             Forward-populated                                         populated                                                                                                                                                      (if applicable)
Fill In    CFDA Number:                CFDA Number          Fill In         Fill In         Fill In         CFDANumber               Global            globLib:CFDANumberDataType              If Field Type [8] = Forward-    n/a                            AN            n/a                          Fill In         15                Field              Enter the Catalog of Federal
Unique #                                                                                                                                                                                       populated                                                                                                                                                      Domestic Assistance number. The
                                                                                                                                                                                               then Fill In source, else n/a                                                                                                                                  first two digits identify the Federal
                                                                                                                                                                                                                                                                                                                                                              department or agency that
                                                                                                                                                                                                                                                                                                                                                              administers the program, and the
                                                                                                                                                                                                                                                                                                                                                              last three numbers are assigned in
                                                                                                                                                                                                                                                                                                                                                              numerical sequence.
Fill In    CFDA/Program Title:         CFDA/Program         Fill In         Fill In         Fill In         CFDAProgramTitle         Global            globLib:CFDATitleDataType               If Field Type [8] = Forward-    n/a                            AN            n/a                          Fill In         120               Field              Enter the Catalog of Federal
Unique #                               Title                                                                                                                                                   populated                                                                                                                                                      Domestic Assistance program title.
                                                                                                                                                                                               then Fill In source, else n/a
Fill In    Congressional District:     Applicant District   Fill In         Fill In         Fill In         CongressionalDistrictAp Global or         globLib:CongressionalDistrictDataType    If Field Type [8] = Forward-    n/a                            AN            n/a                          Fill In         6                 Field              Enter the Congressional District in
Unique #   Applicant:                                                                                       plicant                 Forward-populated                                          populated                                                                                                                                                      the format: 2 character State
                                                                                                                                                                                               then Fill In source, else n/a                                                                                                                                  Abbreviation - 3 character District
                                                                                                                                                                                                                                                                                                                                                              Number. Examples: CA-005 for
                                                                                                                                                                                                                                                                                                                                                              California's 5th district, CA-012 for
                                                                                                                                                                                                                                                                                                                                                              California's 12th district.

                                                                                                                                                                                                                                                                                                                                                              If outside the US, enter 00-000.
Fill In    Congressional District:     Program District     Fill In         Fill In         Fill In         CongressionalDistrictPro Global or         globLib:CongressionalDistrictDataType   If Field Type [8] = Forward-    n/a                            AN            n/a                          Fill In         6                 Field              Enter the Congressional District in
Unique #   Program/Project:                                                                                 gramProject              Forward-populated                                         populated                                                                                                                                                      the format: 2 character State
                                                                                                                                                                                               then Fill In source, else n/a                                                                                                                                  Abbreviation - 3 character District
                                                                                                                                                                                                                                                                                                                                                              Number. Examples: CA-005 for
                                                                                                                                                                                                                                                                                                                                                              California's 5th district, CA-012 for
                                                                                                                                                                                                                                                                                                                                                              California's 12th district.

                                                                                                                                                                                                                                                                                                                                                              If all districts in a state are affected,
                                                                                                                                                                                                                                                                                                                                                              enter "all" for the district number.
                                                                                                                                                                                                                                                                                                                                                              Example: MD-all for all
                                                                                                                                                                                                                                                                                                                                                              congressional districts in Maryland.

                                                                                                                                                                                                                                                                                                                                                              If nationwide (all districts in all
                                                                                                                                                                                                                                                                                                                                                              states), enter US-all.

                                                                                                                                                                                                                                                                                                                                                              If the program/project is outside the
                                                                                                                                                                                                                                                                                                                                                              US, enter 00-000.

Fill In    Country:                    Country              Fill In         Fill In         Fill In         Country                  Global or         globLib:CountryDataType                 If Field Type [8] = Forward-    n/a                            LIST          ISO 3166 Country Code List   Fill In         49                Popup              Select the Country from the provided
Unique #                                                                                                                             Forward-populated                                         populated                                                                                                                                                      list. This field is required.
                                                                                                                                                                                               then Fill In source, else n/a
Fill In    Department Name:            Department Name Fill In              Fill In         Fill In         DepartmentName           Global or         globLib:DepartmentNameDataType          If Field Type [8] = Forward-    n/a                            AN            n/a                          Fill In         30                Field              Enter the name of primary
Unique #                                                                                                                             Forward-populated                                         populated                                                                                                                                                      organizational department, service,
                                                                                                                                                                                               then Fill In source, else n/a                                                                                                                                  laboratory, or equivalent level within
                                                                                                                                                                                                                                                                                                                                                              the organization which will undertake
                                                                                                                                                                                                                                                                                                                                                              the assistance activity.
Fill In    Division Name:              Division Name        Fill In         Fill In         Fill In         DivisionName             Global or         globLib:DivisionNameDataType            If Field Type [8] = Forward-    n/a                            AN            n/a                          Fill In         30                Field              Enter the name of primary
Unique #                                                                                                                             Forward-populated                                         populated                                                                                                                                                      organizational division, office, or
                                                                                                                                                                                               then Fill In source, else n/a                                                                                                                                  major subdivision which will
                                                                                                                                                                                                                                                                                                                                                              undertake the assistance activity.
Fill In    DUNS Number:                DUNS Number          Fill In         Fill In         Fill In         DUNSNumber             Global or         globLib:DUNSIDDataType                    If Field Type [8] = Forward-    If entered length is 9, then   AN            n/a                          9               13                Field              Enter the DUNS or DUNS+4 number
Unique #                                                                                                                           Forward-populated                                           populated                       append '0000'                                                                                                                  of the applicant organization.
Fill In    Email:                      Email                Fill In         Fill In         Fill In         Email                  Global or         globLib:EmailDataType                     If Field Type [8] = Forward-    E-mail validation              AN            n/a                          Fill In         60                Field              Enter a valid Email Address.
Unique #                                                                                                                           Forward-populated                                           populated
Fill In    Employer/Taxpayer           EIN/TIN              Fill In         Fill In         Fill In         EmployerTaxpayerIdenti Global or         globLib:EmployerIDDataType                If Field Type [8] = Forward-    n/a                            AN            n/a                          9               30                Field              Enter either TIN or EIN as assigned
Unique #   Identification Number                                                                            ficationNumber         Forward-populated                                           populated                                                                                                                                                      by the Internal Revenue Service. If
           (EIN/TIN):                                                                                                                                                                          then Fill In source, else n/a                                                                                                                                  your organization is not in the US,
                                                                                                                                                                                                                                                                                                                                                              enter 44-4444444
Fill In    Fax:                        Fax                  Fill In         Fill In         Fill In         Fax                      Global or         globLib:TelephoneNumberDataType         If Field Type [8] = Forward-    n/a                            AN            n/a                          Fill In         25                Field              Enter the Fax Number.
Unique #                                                                                                                             Forward-populated                                         populated
                                                                                                                                                                                               then Fill In source, else n/a
Fill In    Federal Award Identifier:   Federal Award        Fill In         Fill In         Fill In         FederalAwardIdentifier   Global or         globLib:ProjectAwardNumberDataType      If Field Type [8] = Forward-    n/a                            AN            n/a                          Fill In         25                Field              Enter the award number previously
Unique #                               Identifier                                                                                    Forward-populated                                         populated                                                                                                                                                      assigned by the Federal agency, if
                                                                                                                                                                                               then Fill In source, else n/a                                                                                                                                  any.



                                                                                                                                                                                                                                                                                                                                                                                                    22
   [1]                  [2]                     [3]                   [4]             [5]               [6]                 [7]                    [8]                          [9]                                   [10]                          [11]                [12]                      [13]                           [14]              [15]              [16]                         [17]
                                                                                                                                                                                                                                                                                                                               Min # of           Max # of
                       Field                Short Field                          Minimum           Maximum              Agency Field                                      Global Library                           Field Type                                                                    List of                       Chars or          Chars or           Field
 Field #               Label                  Label           Required?         Occurrences       Occurrences              Name                Field Type                  Field Name                                Source                    Business Rules     Data Type                      Values                        Min Value         Max Value     Implementation                   Help Tip
Fill In    Federal Entity Identifier:   Federal Entity      Fill In         Fill In           Fill In           FederalEntityIdentifier    Global or         globLib:FederalIDDataType               If Field Type [8] = Forward-        n/a                     AN            n/a                                         Fill In         30                Field              Enter the number assigned to your
Unique #                                Identifier                                                                                         Forward-populated                                         populated                                                                                                                                                                  organization by the Federal agency.
                                                                                                                                                                                                     then Fill In source, else n/a
Fill In    Organization Name (Legal Organization            Fill In         Fill In           Fill In           OrganizationName           Global or         globLib:OrganizationNameDataType        If Field Type [8] = Forward-        n/a                     AN            n/a                                         Fill In         60                Field              Enter the legal name of the applicant
Unique #   Name):                   Name                                                                                                   Forward-populated                                         populated                                                                                                                                                                  that will undertake the assistance
                                                                                                                                                                                                     then Fill In source, else n/a                                                                                                                                              activity.


Fill In    Telephone Number:            Telephone           Fill In         Fill In           Fill In           PhoneNumber                Global or         globLib:TelephoneNumberDataType      If Field Type [8] = Forward-           n/a                     AN            n/a                                         Fill In         25                Field              Enter the daytime Telephone
Unique #                                Number                                                                                             Forward-populated                                      populated                                                                                                                                                                     Number. This field is required.
                                                                                                                                                                                                  then Fill In source, else n/a
Fill In    Project Name:                Project Name        Fill In         Fill In           Fill In           ProjectName                Global or         globLib:ProjectNameDataType          If Field Type [8] = Forward-           n/a                     AN            n/a                                         Fill In         60                Field              Enter the name of the project.
Unique #                                                                                                                                   Forward-populated                                      populated
                                                                                                                                                                                                  then Fill In source, else n/a
Fill In    Project Title:               Project Title       Fill In         Fill In           Fill In           ProjectTitle               Global or         globLib:ProjectTitleDataType         If Field Type [8] = Forward-           n/a                     AN            n/a                                         Fill In         200               Field              Enter a brief, descriptive title of the
Unique #                                                                                                                                   Forward-populated                                      populated                                                                                                                                                                     project.
                                                                                                                                                                                                  then Fill In source, else n/a
Fill In    Social Security Number :     Social Security     Fill In         Fill In           Fill In           SocialSecurityNumber       Global or         globLib:SocialSecurityNumberDataType If Field Type [8] = Forward-           SSN format validation   AN            n/a                                         11              11                Field              Enter a 9-digit Social Security
Unique #                                Number                                                                                             Forward-populated                                      populated                                                                                                                                                                     Number. Disclosure of SSN is
                                                                                                                                                                                                  then Fill In source, else n/a                                                                                                                                                 voluntary. Please see the
                                                                                                                                                                                                                                                                                                                                                                                application package instructions for
                                                                                                                                                                                                                                                                                                                                                                                the agency’s authority and routine
                                                                                                                                                                                                                                                                                                                                                                                uses of the data.
Fill In    Title:                       Title               Fill In         Fill In           Fill In           Title                      Global or         globLib:HumanTitleDataType              If Field Type [8] = Forward-        n/a                     AN            n/a                                         Fill In         45                Field              Enter the position title.
Unique #                                                                                                                                   Forward-populated                                         populated
                                                                                                                                                                                                     then Fill In source, else n/a
Fill In    Type of Applicant:           Type of Applicant   Fill In         Fill In           Fill In           TypeofApplicant            Global or         globLib:ApplicantTypeCodeDataType       If Field Type [8] = Forward-        n/a                     LIST          A. State Government&&                       0 if optional, 82                 Popup              Select the appropriate applicant type
Unique #                                                                                                                                   Forward-populated                                         populated                                                                 B. County Government&&                      15 if required                                       code.
                                                                                                                                                                                                     then Fill In source, else n/a                                             C. City or Township Government&&
                                                                                                                                                                                                                                                                               D. Special District Government&&
                                                                                                                                                                                                                                                                               E. Regional Organization&&
                                                                                                                                                                                                                                                                               F. U.S. Territory or Possession&&
                                                                                                                                                                                                                                                                               G. Independent School District&&
                                                                                                                                                                                                                                                                               H. Public/State Controlled Institution of
                                                                                                                                                                                                                                                                                   Higher Education&&
                                                                                                                                                                                                                                                                               I. Indian/Native American Tribal
                                                                                                                                                                                                                                                                                   Government (Federally
                                                                                                                                                                                                                                                                               Recognized)&&
                                                                                                                                                                                                                                                                               J. Indian/Native American Tribal&&
                                                                                                                                                                                                                                                                                  Government (Other than Federally
                                                                                                                                                                                                                                                                                  Recognized)&&
                                                                                                                                                                                                                                                                               K. Indian/Native American Tribally
                                                                                                                                                                                                                                                                                  Designated Organization&&
                                                                                                                                                                                                                                                                               L. Public/Indian Housing Authority&&
                                                                                                                                                                                                                                                                               M. Nonprofit with 501C3 IRS Status
                                                                                                                                                                                                                                                                               (Other
                                                                                                                                                                                                                                                                                   than Institution of Higher
                                                                                                                                                                                                                                                                               Education)&&
                                                                                                                                                                                                                                                                               N. Nonprofit without 501C3 IRS Status
                                                                                                                                                                                                                                                                                   (Other than Institution of Higher
                                                                                                                                                                                                                                                                                   Education)&&
                                                                                                                                                                                                                                                                               O. Private Institution of Higher
                                                                                                                                                                                                                                                                               Education&&
                                                                                                                                                                                                                                                                               P. Individual&&
                                                                                                                                                                                                                                                                               Q. For-Profit Organization (Other than
                                                                                                                                                                                                                                                                                   Small Business)&&
                                                                                                                                                                                                                                                                               R. Small Business&&
                                                                                                                                                                                                                                                                               S. Hispanic-serving Institution&&
                                                                                                                                                                                                                                                                               T. Historically Black Colleges and
                                                                                                                                                                                                                                                                                   Universities (HBCUs)&&
                                                                                                                                                                                                                                                                               U. Tribally Controlled Colleges and
                                                                                                                                                                                                                                                                                   Universities (TCCUs)&&


DATA ELEMENTS THAT MAY BE PRE-POPULATED FROM THE APPLICATION PACKAGE
Fill In    Agency Name:                 Agency Name         Yes             1                 1                 AgencyName                 Pre-populated      globLib:AgencyNameDataType             SubmissionDef.AgencyName            n/a                     AN            n/a                                         1               60                Field              Pre-populated from the Application
Unique #                                                                                                                                                                                                                                                                                                                                                                        cover sheet.
Fill In    CFDA Number:                 CFDA Number         No              0                 1                 CFDANumber                 Pre-populated      globLib:CFDANumberDataType             SubmissionDef.CFDANumber            n/a                     AN            n/a                                         0               15                Field              Pre-populated from the Application
Unique #                                                                                                                                                                                                                                                                                                                                                                        cover sheet.
Fill In    CFDA/Program Title:          CFDA/Program        No              0                 1                 CFDAProgramTitle           Pre-populated      globLib:CFDATitleDataType              SubmissionDef.CFDATitle             n/a                     AN            n/a                                         0               120               Field              Pre-populated from the Application
Unique #                                Title                                                                                                                                                                                                                                                                                                                                   cover sheet.
Fill In    Competition Identification   Competition         No              0                 1                 CompetitionIdentificatio   Pre-populated      globLib:CompetitionIDDataType          SubmissionDef.field_CompetitionID   n/a                     AN            n/a                                         1               40                Field              Pre-populated from the Application
Unique #   Number:                      Number                                                                  nNumber                                                                                                                                                                                                                                                         cover sheet.
Fill In    Competition Identification   Competition Title   No              0                 1                 CompetitionIdentificatio   Pre-populated      globLib:CompetitionIDTitleDataType     SubmissionDef.field_CompetitionIDT n/a                      AN            n/a                                         1               255               Field              Pre-populated from the Application
Unique #   Title:                                                                                               nTitle                                                                               itle                                                                                                                                                                       cover sheet.
Fill In    Funding Opportunity          Opportuntity        Yes             1                 1                 FundingOpportunityNum      Pre-populated      globLib:OpportunityIDDataType          SubmissionDef.OpportunityID        n/a                      AN            n/a                                         1               40                Field              Pre-populated from the Application
Unique #   Number:                      Number                                                                  ber                                                                                                                                                                                                                                                             cover sheet. This field is required.
Fill In    Funding Opportunity Title:   Opportunity Title   Yes             1                 1                 FundingOpportunityTitle    Pre-populated      globLib:OpportunityTitleDataType       SubmissionDef.OpportunityIDTitle    n/a                     AN            n/a                                         1               255               Field              Pre-populated from the Application
Unique #                                                                                                                                                                                                                                                                                                                                                                        cover sheet. This field is required.



DATA ELEMENTS THAT ARE POPULATED AFTER SUBMISSION TO GRANTS.GOV (POST-POPULATED)


                                                                                                                                                                                                                                                                                                                                                                                                                    23
   [1]                   [2]                 [3]                 [4]             [5]               [6]                   [7]                 [8]                             [9]                             [10]                          [11]                  [12]                     [13]                  [14]              [15]               [16]                         [17]
                                                                                                                                                                                                                                                                                                              Min # of           Max # of
                       Field             Short Field                        Minimum           Maximum                Agency Field                                       Global Library                    Field Type                                                                    List of               Chars or          Chars or           Field
 Field #               Label               Label         Required?         Occurrences       Occurrences                Name            Field Type                       Field Name                         Source                    Business Rules          Data Type                 Values                Min Value         Max Value     Implementation                    Help Tip
Fill In    AOR Signature:         AOR Signature        Yes             1                 1                 AORSignature             Post-Populated      globLib:SignatureDataType           n/a                             n/a                           AN              n/a                             1               144               Label              Completed by Grants.gov upon
Unique #                                                                                                                                                                                                                                                                                                                                                       submission.
Fill In    Date Received:         Date Received        Yes             1                 1                 DateReceived             Post-Populated      globLib:DateReceivedDataType        n/a                             n/a                           DATE            n/a                             n/a             n/a               Label              Completed by Grants.gov upon
Unique #                                                                                                                                                                                                                                                                                                                                                       submission.
Fill In    Date Signed:           Date Signed          Yes             1                 1                 DateSigned               Post-Populated      globLib:DateSignedDataType          n/a                             n/a                           DATE            n/a                             n/a             n/a               Label              Completed by Grants.gov upon
Unique #                                                                                                                                                                                                                                                                                                                                                       submission.



DATA ELEMENT GROUPS
Address Group
Fill In    Address Group Label    n/a                  Fill In         Fill In           Fill In           Fill In                  Global              globLib:AddressDataType             n/a                             n/a                           n/a             n/a                             n/a             n/a               Label              Fill In or n/a
Unique #
Fill In    Street1:               Street1              Yes             1                 1                 Street1                  Global or           globLib:Street1                     If Field Type [8] = Forward-    n/a                           AN              n/a                             1               55                Field              Enter the first line of the Street
Unique #                                                                                                                            Forward-populated                                       populated                                                                                                                                                          Address. This field is required.
Fill In    Street2:               Street2              No              0                 1                 Street2                  Global or           globLib:Street2                     If Field Type [8] = Forward-    n/a                           AN              n/a                             0               55                Field              Enter the second line of the Street
Unique #                                                                                                                            Forward-populated                                       populated                                                                                                                                                          Address.
Fill In    City:                  City                 Yes             1                 1                 City                     Global or           globLib:City                        If Field Type [8] = Forward-    n/a                           AN              n/a                             1               35                Field              Enter the City. This field is required.
Unique #                                                                                                                            Forward-populated                                       populated
Fill In    County:                County               No              0                 1                 County                   Global or           globLib:County                      If Field Type [8] = Forward-    n/a                           AN              n/a                             0               30                Field              Enter the County.
Unique #                                                                                                                            Forward-populated                                       populated
Fill In    State:                 State                No              0                 1                 State                    Global or           globLib:State                       If Field Type [8] = Forward-    Conditionally required if     LIST            50 US States, US possessions,   0               55                Popup              Select the state, US possession or
Unique #                                                                                                                            Forward-populated                                       populated                       Country is US then active.                    territories, military codes                                                          military code from the provided list.
                                                                                                                                                                                            then Fill In source, else n/a   If Country is not US, then                                                                                                         This field is required if Country is the
                                                                                                                                                                                                                            inactive                                                                                                                           United States.
Fill In    Province:              Province             No              0                 1                 Province                 Global or         globLib:Province                      If Field Type [8] = Forward-    If Country is US then         AN              n/a                             0               30                Field              Enter the Province.
Unique #                                                                                                                            Forward-populated                                       populated                       inactive. If Country is not
                                                                                                                                                                                            then Fill In source, else n/a   US, then active
Fill In    Country:               Country              Yes             1                 1                 Country                  Global or         globLib:Country                       If Field Type [8] = Forward-    n/a                           LIST            ISO 3166 Country Code List      1               49                Popup              Select the Country from the provided
Unique #                                                                                                                            Forward-populated                                       populated                                                                                                                                                          list. This field is required.
Fill In    Zip / Postal Code:     Zip / Postal Code    No              0                 1                 ZipCode                  Global or         globLib:ZipPostalCode                 If Field Type [8] = Forward-    Conditionally required if    AN               n/a                             0               30                Field              Enter the Postal Code (e.g., ZIP
Unique #                                                                                                                            Forward-populated                                       populated                       Country is US then required.                                                                                                       code). This field is required if
                                                                                                                                                                                            then Fill In source, else n/a   If Country is not US, then                                                                                                         Country is the United States.
                                                                                                                                                                                                                            optional.



Human Name Group
Fill In    Human Name Group Label n/a                  Fill In         Fill In           Fill In           Fill In                  Global              globLib:HumanNameDataType           n/a                             n/a                           n/a             n/a                             n/a             n/a               Label              Fill In or n/a
Unique #
Fill In    Prefix:                Prefix               No              0                 1                 Prefix                   Global or         globLib:PrefixName                    If Field Type [8] = Forward-    n/a                           LIST            Mr.&&Mrs.&&Miss&&Ms.&&Dr.&&Rev. 0               10                Combobox           Select the Prefix from the provided
Unique #                                                                                                                            Forward-populated                                       populated                                                                     &&Prof.                                                                              list or enter a new Prefix not
                                                                                                                                                                                            then Fill In source, else n/a                                                                                                                                      provided on the list.
Fill In    First Name:            First Name           Yes             1                 1                 FirstName                Global or         globLib:FirstName                     If Field Type [8] = Forward-    n/a                           AN              n/a                             1               35                Field              Enter the First Name. This field is
Unique #                                                                                                                            Forward-populated                                       populated                                                                                                                                                          required.
                                                                                                                                                                                            then Fill In source, else n/a
Fill In    Middle Name:           Middle Name          No              0                 1                 MiddleName               Global or         globLib:MiddleName                    If Field Type [8] = Forward-    n/a                           AN              n/a                             0               25                Field              Enter the Middle Name.
Unique #                                                                                                                            Forward-populated                                       populated
                                                                                                                                                                                            then Fill In source, else n/a
Fill In    Last Name:             Last Name            Yes             1                 1                 LastName                 Global or         globLib:LastName                      If Field Type [8] = Forward-    n/a                           AN              n/a                             1               60                Field              Enter the Last Name. This field is
Unique #                                                                                                                            Forward-populated                                       populated                                                                                                                                                          required.
                                                                                                                                                                                            then Fill In source, else n/a
Fill In    Suffix:                Suffix               No              0                 1                 Suffix                   Global or         globLib:SuffixName                    If Field Type [8] = Forward-    n/a                           LIST            Jr.&&Sr.&&M.D.&&Ph.D            0               10                Combobox           Select the Suffix from the provided
Unique #                                                                                                                            Forward-populated                                       populated                                                                                                                                                          list or enter a new Suffix not
                                                                                                                                                                                            then Fill In source, else n/a                                                                                                                                      provided on the list.



GENERAL DATA ELEMENT FORMATS
Fill In    ALPHANUMERIC field     Fill In              Fill In         Fill In           Fill In           Fill In                  Agency-specific     n/a                                 n/a                             Fill In                       AN              n/a                             Fill In         Fill In           Field              Fill In
Unique #   template
           Fill In Field Label
Fill In    BUTTON template        Fill In              n/a             n/a               n/a               n/a                      Agency-specific     n/a                                 n/a                             Fill In                       n/a             n/a                             n/a             n/a               Button             Fill In
Unique #   Fill In Button Label
Fill In    DATE field template    Fill In              Fill In         Fill In           Fill In           Fill In                  Agency-specific     n/a                                 n/a                             Fill In                       DATE            n/a                             n/a             n/a               Field              Enter the date in the format
Unique #   Fill In Field Label                                                                                                                                                                                                                                                                                                                                 MM/DD/YYYY.
Fill In    DEGREE EARNED          Fill In              Fill In         Fill In           Fill In           Fill In                  Global              globLib:EducationDegreeDataType     n/a                             Fill In                       AN              n/a                             Fill In         50                Field              Enter the highest degree earned.
Unique #   template
           Fill In Field Label
Fill In    DOLLAR AMOUNT          Fill In              Fill In         Fill In           Fill In           Fill In                  Agency-specific     globLib:BudgetAmountDataType        n/a                                                           $               n/a                             0.00            999999999999.99   Field              Enter the dollar amount.
Unique #   template                                                                                                                                                                                                         Fill In
           Fill In Field Label
Fill In    DOLLAR AMOUNT          Fill In              Fill In         Fill In           Fill In           Fill In                  Agency-specific     globLib:BudgetTotalAmountDataType   n/a                                                           $               n/a                             0.00            9999999999999.99 Field               Enter the total dollar amount.
Unique #   TOTAL template                                                                                                                                                                                                   Fill In
           Fill In Field Label
Fill In    FILE ATTACHMENT        Fill In              No              0                 1                 Fill In                  Global              att:AttachedFileDataType            n/a                             Fill In                       FILE            n/a                             n/a             n/a               Single_File        Attach a file using the appropriate
Unique #   template                                                                                                                                                                                                                                                                                                                                            buttons.
           Fill In Field Label




                                                                                                                                                                                                                                                                                                                                                                                                  24
   [1]                  [2]                         [3]                 [4]             [5]               [6]                   [7]                 [8]                        [9]                              [10]                           [11]               [12]              [13]           [14]              [15]              [16]                          [17]
                                                                                                                                                                                                                                                                                                 Min # of           Max # of
                      Field                     Short Field                        Minimum           Maximum                Agency Field                                  Global Library                     Field Type                                                            List of       Chars or          Chars or           Field
 Field #              Label                       Label         Required?         Occurrences       Occurrences                Name              Field Type                Field Name                          Source                     Business Rules     Data Type             Values        Min Value         Max Value     Implementation                    Help Tip
Fill In    FILE ATTACHMENT                Fill In             Yes             1                 1                 Fill In                  Global             att:AttachedFileDataType           n/a                            Fill In                    FILE          n/a                 n/a             n/a               Single_File        Attach a file using the appropriate
Unique #   template                                                                                                                                                                                                                                                                                                                               buttons. This attachment is
           Fill In Field Label                                                                                                                                                                                                                                                                                                                    required.
Fill In    MULTIPLE FILE                  Fill In             No              0                 1                 Fill In                  Global             att:AttachmentGroupMin0Max100DataT n/a                            Fill In                    MULTIFILE     n/a                 n/a             n/a               Multi_file         Attach file(s) using the appropriate
Unique #   ATTACHMENT                                                                                                                                         ype                                                                                                                                                                                 buttons.
           Fill In Field Label

Fill In    NUMERIC WITHOUT                Fill In             Fill In         Fill In           Fill In           Fill In                  Agency-specific    n/a                                n/a                            Fill In                    INTEGER       n/a                 Fill In         Fill In           Field              Fill In
Unique #   DECIMALS
           field template
           Fill In Field Label
Fill In    NUMERIC WITH                   Fill In             Fill In         Fill In           Fill In           Fill In                  Agency-specific    n/a                                n/a                            Fill In                    DECIMAL(2)    n/a                 Fill In         Fill In           Field              Fill In
Unique #   DECIMALS
            field template
Fill In    LABEL template                 n/a                 n/a             n/a               n/a               n/a                      n/a                n/a                                n/a                            n/a                        n/a           n/a                 n/a             n/a               Label              Fill In or n/a
Unique #   Fill In Label from form
Fill In    LIST field template            Fill In             Fill In         Fill In           Fill In           Fill In                  Agency-specific    n/a                                n/a                            Fill In                    LIST          Fill In             Fill In         Fill In           Popup              Fill In
Unique #   Fill In Field Label
Fill In    CHECKBOX template              Fill In             Fill In         Fill In           Fill In           Fill In                  Agency-specific    globLib:YesNoDataType              n/a                            Fill In                    n/a           n/a                 n/a             n/a               Check              Check to select.
Unique #   Fill In Option 1 Field Label

Fill In    CHECKBOX template            Fill In               Fill In         Fill In           Fill In           Fill In                  Agency-specific    globLib:YesNoDataType              n/a                            Fill In                    n/a           n/a                 n/a             n/a               Check              Check to select.
Unique #   Fill In Option 2 Field Label


RADIO GROUP OPTIONAL
Fill In  RADIO GROUP HEADER Fill In                           No              0                 1                 Fill In                  Radio Group        n/a                                Fill in Radio Group Name       Fill In                    LIST          n/a                 n/a             n/a               Radio Group        Fill in or n/a
Unique # Fill In Radio Group Label                                                                                                                                                               (may be same as Field Label)
Fill In  Fill in Radio Group       Fill In                    No              0                 1                 n/a                      Radio Group        n/a                                Fill in Radio Group Name       Fill In                    n/a           n/a                 n/a             n/a               Radio              Select this option.
Unique # Option 1 Label
Fill In  Fill in Radio Group       Fill In                    No              0                 1                 n/a                      Radio Group        n/a                                Fill in Radio Group Name       Fill In                    n/a           n/a                 n/a             n/a               Radio              Select this option.
Unique # Option 2 Label

RADIO GROUP REQUIRED
Fill In  RADIO GROUP HEADER Fill In                           Yes             1                 1                 Fill In                  Radio Group        n/a                                Fill in Radio Group Name       Fill In                    LIST          n/a                 n/a             n/a               Radio Group        One selection is required.
Unique # Fill In Radio Group Label                                                                                                                                                               (may be same as Field Label)
Fill In  Fill in Radio Group       Fill In                    No              0                 1                 n/a                      Radio Group        n/a                                Fill in Radio Group Name       Fill In                    n/a           n/a                 n/a             n/a               Radio              Select this option.
Unique # Option 1 Label
Fill In  Fill in Radio Group       Fill In                    No              0                 1                 n/a                      Radio Group        n/a                                Fill in Radio Group Name       Fill In                    n/a           n/a                 n/a             n/a               Radio              Select this option.
Unique # Option 2 Label


Fill In    PERCENT WITH                   Fill In             Fill In         Fill In           Fill In           Fill In                  Agency-specific    globLib:PercentDecimalDataType     n/a                                                       DECIMAL(2)    n/a                 0.00            100.00            Field              Enter in the percentage with
Unique #   DECIMALS                                                                                                                                                                                                             Fill In                                                                                                           decimals.
           Fill In Field Label
Fill In    PERCENT WITHOUT                Fill In             Fill In         Fill In           Fill In           Fill In                  Agency-specific    globLib:PercentIntegerDataType     n/a                                                       INTEGER       n/a                 0               100               Field              Enter in the percentage as a whole
Unique #   DECIMALS                                                                                                                                                                                                             Fill In                                                                                                           number.
           Fill In Field Label
Fill In    YEAR field template            Fill In             Fill In         Fill In           Fill In           Fill In                  Agency-specific    n/a                                n/a                            Fill In                    YEAR          n/a                 4               4                 Field              Fill In
Unique #   Fill In Field Label

YES/NO OPTIONAL
Fill In  YES/NO RADIO GROUP               Fill In             No              0                 1                 Fill In                  Radio Group        globLib:YesNoDataType              Fill in Radio Group Name       n/a                        LIST          n/a                 n/a             n/a               Radio Group        Fill in or n/a
Unique # HEADER                                                                                                                                                                                  (may be same as Field Label)
         Fill In Field Label
Fill In  Yes                              Fill In             No              0                 1                 n/a                      Radio Group        n/a                                Fill in Radio Group Name       Fill In                    n/a           Yes                 n/a             n/a               Radio              Select this option for Yes.
Unique #
Fill In  No                               Fill In             No              0                 1                 n/a                      Radio Group        n/a                                Fill in Radio Group Name       Fill In                    n/a           No                  n/a             n/a               Radio              Select this option for No.
Unique #

YES/NO REQUIRED
Fill In  YES/NO RADIO GROUP               Fill In             Yes             1                 1                 Fill In                  Radio Group        globLib:YesNoDataType              Fill in Radio Group Name       n/a                        LIST          n/a                 n/a             n/a               Radio Group        A selection is required.
Unique # HEADER                                                                                                                                                                                  (may be same as Field Label)
         Fill In Field Label
Fill In  Yes                              Fill In             No              0                 1                 n/a                      Radio Group        n/a                                Fill in Radio Group Name       Fill In                    n/a           Yes                 n/a             n/a               Radio              Select this option for Yes.
Unique #
Fill In  No                               Fill In             No              0                 1                 n/a                      Radio Group        n/a                                Fill in Radio Group Name       Fill In                    n/a           No                  n/a             n/a               Radio              Select this option for No.
Unique #

YES/NO/OTHER OPTIONAL
Fill In  YES/NO/OTHER RADIO               Fill In             No              0                 1                 Fill In                  Radio Group        globLib:YesNoOtherDataType         Fill in Radio Group Name       n/a                        LIST          n/a                 n/a             n/a               Radio Group        Fill in or n/a
Unique # GROUPHEADER                                                                                                                                                                             (may be same as Field Label)
         Fill In Field Label
Fill In  Yes                              Fill In             No              0                 1                 n/a                      Radio Group        n/a                                Fill in Radio Group Name       Fill In                    n/a           Yes                 n/a             n/a               Radio              Select this option for Yes.
Unique #
Fill In  No                               Fill In             No              0                 1                 n/a                      Radio Group        n/a                                Fill in Radio Group Name       Fill In                    n/a           No                  n/a             n/a               Radio              Select this option for No.
Unique #
Fill In  Other                            Fill In             No              0                 1                 n/a                      Radio Group        n/a                                Fill in Radio Group Name       Fill In                    n/a           Other               n/a             n/a               Radio              Select this option for Other.
Unique #




                                                                                                                                                                                                                                                                                                                                                                                    25
   [1]            [2]                    [3]            [4]            [5]               [6]                     [7]               [8]                       [9]                                 [10]                           [11]               [12]                     [13]         [14]              [15]              [16]                         [17]
                                                                                                                                                                                                                                                                                       Min # of           Max # of
                 Field              Short Field                     Minimum           Maximum                Agency Field                               Global Library                        Field Type                                                                   List of     Chars or          Chars or          Field
 Field #         Label                Label        Required?       Occurrences       Occurrences                Name            Field Type               Field Name                             Source                     Business Rules     Data Type                    Values      Min Value         Max Value    Implementation                    Help Tip

YES/NO/OTHER REQUIRED
Fill In  YES/NO/OTHER RADIO    Fill In            Yes          1                 1                 Fill In                  Radio Group      globLib:YesNoOtherDataType           Fill in Radio Group Name       n/a                        LIST          n/a                        n/a           n/a               Radio Group       A selection is required.
Unique # GROUP HEADER                                                                                                                                                             (may be same as Field Label)
         Fill In Field Label
Fill In  Yes                   Fill In            No           0                 1                 n/a                      Radio Group      n/a                                  Fill in Radio Group Name       Fill In                    n/a           Yes                        n/a           n/a               Radio             Select this option for Yes.
Unique #
Fill In  No                    Fill In            No           0                 1                 n/a                      Radio Group      n/a                                  Fill in Radio Group Name       Fill In                    n/a           No                         n/a           n/a               Radio             Select this option for No.
Unique #
Fill In  Other                 Fill In            No           0                 1                 n/a                      Radio Group      n/a                                  Fill in Radio Group Name       Fill In                    n/a           Other                      n/a           n/a               Radio             Select this option for Other.
Unique #

YES/NO/NOT APPLICABLE OPTIONAL
Fill In  YES/NO/NA RADIO     Fill   In            No           0                 1                 Fill In                  Radio Group      globLib:YesNoNotApplicableDataType   Fill in Radio Group Name       n/a                        LIST          n/a                        n/a           n/a               Radio Group       Fill in or n/a
Unique # GROUP HEADER                                                                                                                                                             (may be same as Field Label)
         Fill In Field Label
Fill In  Yes                 Fill   In            No           0                 1                 n/a                      Radio Group      n/a                                  Fill in Radio Group Name       Fill In                    n/a           Yes                        n/a           n/a               Radio             Select this option for Yes.
Unique #
Fill In  No                  Fill   In            No           0                 1                 n/a                      Radio Group      n/a                                  Fill in Radio Group Name       Fill In                    n/a           No                         n/a           n/a               Radio             Select this option for No.
Unique #
Fill In  Not Applicable      Fill   In            No           0                 1                 n/a                      Radio Group      n/a                                  Fill in Radio Group Name       Fill In                    n/a           Not Applicable             n/a           n/a               Radio             Select this option for Not Applicable.
Unique #

YES/NO/NOT APPLICABLE REQUIRED
Fill In  YES/NO/NA RADIO     Fill   In            Yes          1                 1                 Fill In                  Radio Group      globLib:YesNoNotApplicableDataType   Fill in Radio Group Name       n/a                        LIST          n/a                        n/a           n/a               Radio Group       A selection is required.
Unique # GROUP HEADER                                                                                                                                                             (may be same as Field Label)
         Fill In Field Label
Fill In  Yes                 Fill   In            No           0                 1                 n/a                      Radio Group      n/a                                  Fill in Radio Group Name       Fill In                    n/a           Yes                        n/a           n/a               Radio             Select this option for Yes.
Unique #
Fill In  No                  Fill   In            No           0                 1                 n/a                      Radio Group      n/a                                  Fill in Radio Group Name       Fill In                    n/a           No                         n/a           n/a               Radio             Select this option for No.
Unique #
Fill In  Not Applicable      Fill   In            No           0                 1                 n/a                      Radio Group      n/a                                  Fill in Radio Group Name       Fill In                    n/a           Not Applicable             n/a           n/a               Radio             Select this option for Not Applicable.
Unique #




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Description: Sample Fraudulent Financial Statement document sample