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item tem 16. Approximate date project expectev to begin (usually 19. Existing Feder-at ..:entification number if this Is not associated with estimated date of availability of a new request and directly reiates to a previous funding). Federal action.Othenvise write"NA". 17. Estimated number of months to complete project 20. Indic.—to Federal agency to which this request is 1 after Federal funds are available. addressed. Street address no, required, but do use ZIP. ! 18. Estimated date preapplication/application will be submitted to Federal agency if this project requires 21. Check appropriate box as to whEther Section IV of f clearinghouse review. If review not required, this form contains remarks and/or additional remarks date would usually be same as date in Item 2b. are attached. I' APPLICANT PROCEDURES FOR SECTION 11 Applicants will always complete items 23a, 23b, and 23c. If clearinghouse review is required, item 22b must be fully com- pleted.An explanation follows for each item: Item Item 22b. List clearinghouses to which submitted and show 23b. Self explanatory. r in appropriate blocks the status of their responses. For more than three clearinghouses, continue in remarks section. All written comments submitted 23c. Self explanatory. E by or through clearinghouses must be attached. 23a. Name and title of authorized representative of legal /Dote: Applicant completes only Sections I and II. Section applicant. Ili is completed by Federal agencies. FEDERAL AGENCY PROCEDURES FOR SECTION III If applicant-supplied information in Sections I and If needs no updating or adjustment to fit the final Federal action, the Federal agency will complete Section III only. An explanation for each item follows: Item Item 24. Executive department or independent agency having 35. Name and telephone no. of agency person who can program administration responsibility. provide more information regarding this assistance. 25. Self explanatory. 36. Date after which funds will no longer be available. 1 Primary organizational unit below department level 37. Check appropriate box as to whether Section IV of having direct program management responsibility. form contains Federal remarks and/or attachment of additional remarks. 27. Office directly monitoring the program. 28. Use to identifynon-award actions where Federal 38. For use with person action notices only. Name and telephone of person who can assure that appropri- grant identifier in item 30 is not applicable or will ate A-95 action has beer,taken—if same as person not suffice. shown in item 35, write "same". If not applicable, 29. Ccmplete address of administering office shown in write "NA". • item 26. 30. Use to identify award actions where different from Federal Agency Procedures—special considerations Federal application identifier in item 28. A. Treasury Circular 1082 compliance. Federal agency will 31. Self explanatory. Use remarks section to amplify assure proper completion of Sections I and Ill. If Section 1 where appropriate. is being completed by Federal agency,all applicable items must be filled in. Addresses of State Information Recep- 32. Amount to be contributed during the first funding/ tion Agencies(SCIRA's) are provided by Treasury Depart- budget period by each contributor. Value of in-kind ment to each agency. This form replaces SF 240, which contributions will be included. 1f the action is a will no longer be used. change in dollar amount of an existing grant(a revi• Sion or augmentation), indicate only file amount of B. OMB Circular A-95 compliance. Federal agency will as- change. For decreases, enclose the amount in pa- sure proper completion of Sections 1, 11,and III.This form rentheses. If both basic and supplemental amounts is required for notifying all reviewing clearinghouses of are included, breakout in remarks. For muttip!e pro- major actions on all programs reviewed under A-95. gram funding, use totals and show program break- Addresses of State and areawide clearinghouses are pro- outs in remarks. Item definitions: 32a, amount vided by CMB to each agency. Substantive differences awarded by Federal Government; 32b, amount ap• between applicant's request and/or clearinghouse recom- plicant will contribute; 32c, amount from State, if mendations, and the project as finally awarded will be applicant is not a State; 32d, amount from local explained in A-95 notifications to clearinghouses. government if applicant is not a local government: C. Special note. In most, but not all States, the A-95 State 32e, amount from any other sources, explain in clearinghouse and the (TC 1082) SCIRA are the same remarks. office. In such cases, the A-95 award notice to the State clearinghouse will fulfill the TC 1082 award notice re- 33. Date action was taken on this request quirement to the State SCIRA Duplicate notification ! 4. Date funds will become available. should be avoided. STANDARD FORM 424 PAGE 4 (10-75) 00-16—&-uW-1 arc