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Application Forms and Attachments

The forms below are in PDF and Word format. To ensure you will be able to see a PDF file in its entirety, please obtain the most recent edition of the free Acrobat Reader from the Adobe Web site.


The forms are available for download and use. Note that most of them are also “writeable.” You may fill in the forms while you are viewing them and print the completed form. You may also save them to your local computer for future use. 


If you have the full Adobe Acrobat software package, you will be able to save a copy of the form with your input.  If you have downloaded only the free Acrobat Reader, you will be unable to save your input with the form.

Wordperfect versions of the forms are available at the following website:
http://www.epa.gov/ogd/forms/forms.htm

DATA UNIVERSAL NUMBERING SYSTEM (DUNS)

The Office of Management and Budget (OMB) requires grant applicants to provide a Dun and Bradstreet (D&B) Data Universal Numbering System (DUNS) number when applying for Federal grants or cooperative agreements. A DUNS number must be included in every application (electronic or paper) for a new award or renewal of an award, including amendments, submitted on or after October 1, 2003.  (Note:  individuals who would personally receive a grant or cooperative agreement award from the Federal government apart from any business or non-profit organization they may operate are exempt from this requirement.)

The DUNS number must be included in Block 5 of the Standard Form 424 entitled, “Application for Federal Assistance” (Rev 9-03).

Organizations may receive a DUNS number at no cost by calling the dedicated toll-free DUNS number request line at 1-866-705-5711. Additional information on obtaining a DUNS number may also be found at:  http://www.whitehouse.gov/omb/grants/duns_num_guide.pdf


APPLICATION FORMS

Form Title
PDF
Word
Application for Federal Assistance (SF-424) Adobe Acrobat Microsoft Word

Budget Information -

Non-construction Programs (SF-424A)

Adobe Acrobat Microsoft Word

Assurances -

Non-construction Programs (SF-424B)

Adobe Acrobat Microsoft Word

Budget Information -

Construction Programs (SF-424C)

Adobe Acrobat Microsoft Word

Assurances -

Construction Programs (SF-424D)

Adobe Acrobat Microsoft Word
Disclosure of Lobbying Activities (SF-LLL) Adobe Acrobat Microsoft Word
Certification Regarding Lobbying Adobe Acrobat Microsoft Word
Pre-Award Compliance Review (EPA 4700-4) Adobe Acrobat Microsoft Word



ATTACHMENTS TO APPLICATION

Form Title
PDF
Word
Key Contacts Adobe Acrobat Microsoft Word
Budget Justification Worksheet Adobe Acrobat Microsoft Word
Grant Application Checklist Adobe Acrobat Microsoft Word


Also, remember to enclose your Workplan or Scope of Work with your application.


MAIL THE ORIGINAL AND ONE COPY OF YOUR COMPLETED APPLICATION TO:


GRANTS AND IAG SECTION
U.S. ENVIRONMENTAL PROTECTION AGENCY
ATLANTA FEDERAL CENTER
61 FORSYTH STREET
ATLANTA, GA 30303-8960

 

For information about the contents of this page please contact Tracy Ward-Martin

 


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