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AC 150/5900-1B Appendix 1 Item 16. Approximate date project expected to begin (usually associated with estimated date of availability of funding). 17. Estimated number of months to complete project after Federal funds are available. 18. Estimated date preapplication/application witl be submitted to Federal agency if this project requires clearinghouse review. If review not required, this date would usually be same as date in hem 2b. 1/31/79 Item 19. Existing Federal identification number if this Is not a new request and directly relates to a previous Federal action. Otherwise write "NA". 20. Indicate Federal agency to which this request is addressed. Street address not required, but do use ZIP. 21. Check appropriate box as to whether Section IV of form contains remarks and/or additional remarks are attached. APPLICANT PROCEDURES FOR SECTION II Applicants will always complete items 23a, 23b, and 23c. If clearinghouse review is required, hem 22b must be fully com- pleted. An explanation follows for each item: Item 22b. List clearinghouses to which submitted and show in appropriate blocks the status of their responses. For more than three clearinghouses, continue in remarks section. All written comments submitted by or through clearinghouses must be attached. 23a. Name and title of authorized representative of legal applicant. Item 23b. Self explanatory. 23c. Self explanatory. Note: Applicant completes only Sections 1 and II. Section III is completed by Federal agencies. FEDERAL AGENCY PROCEDURES FOR SECTION III If applicanbsupplied Information :n Sections 1 and 11 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 24. Executive department or Independent agency having program administration responsibility. 25. Self explanatory. 26. Primary organizational unit below department level having direct program management responsibility. 27. Office directly monitoring the program. 28. Use to identify non -award actions where Federal grant identifier in item 30 is not applicable or will not suffice. 29. Complete address of administering office shown in Item 26. 30. Use to identify award actions where different from Federal application identifier in item 28. 31. Self explanatory. Use remarks section to amplify where appropriate. 32. Amount to be contributed during the first funding/ budget period by each contributor. Value of in -kind contributions will be included. If the action is a change in dollar amount of an existing grant (a revi- sion or augmentation), indicate only the amount of change. For decreases, enclose the amount In pa- rentheses. If both basic and supplemental amounts are included, breakout In remarks. For multiple pro- gram funding, use totals and show program break- outs in remarks. Item definitions: 32a, amount awarded by Federal Government; 32b, amount ap- plicant will contribute; 32c, amount from State, if applicant is not a State; 32d, amount from local government if applicant is not a local government; 32e, amount from any other sources, explain in remarks. 33. Date action was taken on thls request. 34. Date funds will become available. 6 Item 35. Name and telephone no. of agency person who can provide more information regarding this assistance. 36. Date after which funds will no longer be available. 37. Check appropriate box as to whether Section IV of form contains Federal remarks and/or attachment of additional remarks. 38. For use with A-95 action notices only. Name and telephone of person who can assure that appropri- ate A-95 action has been taken -If same as person shown in item 35, write "same". If not applicable, write "NA". Federal Agency Procedures -special considerations A. Treasury Circular 1082 compliance. Federal agency will assure proper completion of Sections I and ill. If Section is being completed by Federal agency, all applicable items must be filled in. Addresses of State information Recep- tion Agencies (SCIRA's) are provided by Treasury Depart ment to each agency. This form replaces SF 240, which will no longer be used. 8. OMB Circular A-95 compliance. Federal agency will as- sure proper completion of Sections f, 11, and III. This form is required for notifying all reviewing clearinghouses of major actions on all programs reviewed under A-95. Addresses of State and areawide clearinghouses are pro- vided by OMB to each agency. Substantive differences between applicant's request and/or clearinghouse recom- mendations, and the project as finally awarded will be explained in A-95 notifications to clearinghouses. C. Special note. In most, but not all States, the A-95 State clearinghouse and the (TC 1082) SCIRA are the same office. In such cases, the A-95 award notice to the State clearinghouse will fulfill the TC 1082 award notice re- quirement to the State SCIRA. Duplicate notification should be avoided. STANDARD FORM 424 PAGE 4 (10-75)