Element'1:''Standard'Form-424'
All'applicants'requesting'direct'funding'must'submit'the'Standard'Form,'SF-424,'
“Application'for'Federal'Assistance,”'to'indicate'the'total'amount'of'funding'
proposed'for'their'institution'for'the'whole'project'period.''
The'form'is'on'the'next'three'pages.'A'fillable'version'of'this'form'and'the'form'
instructions'may'be'downloaded'from:'
http://www.grants.gov/web/grants/forms/sf-424-family.html.'
OMB Number: 4040-0004
Expiration Date: 12/31/2022
* 1. Type of Submission: * 2. Type of Application:
* 3. Date Received:
4. Applicant Identifier:
5a. Federal Entity Identifier:
5b. Federal Award Identifier:
6. Date Received by State: 7. State Application Identifier:
* a. Legal Name:
* b. Employer/Taxpayer Identification Number (EIN/TIN): * c. Organizational DUNS:
* Street1:
Street2:
* City:
County/Parish:
* State:
Province:
* Country:
* Zip / Postal Code:
Department Name: Division Name:
Prefix:
* First Name:
Middle Name:
* Last Name:
Suffix:
Title:
Organizational Affiliation:
* Telephone Number:
Fax Number:
* Email:
* If Revision, select appropriate letter(s):
* Other (Specify):
State Use Only:
8. APPLICANT INFORMATION:
d. Address:
e. Organizational Unit:
f. Name and contact information of person to be contacted on matters involving this application:
Application for Federal Assistance SF-424
Preapplication
Application
Changed/Corrected Application
New
Continuation
Revision
USA: UNITED STATES
* 9. Type of Applicant 1: Select Applicant Type:
Type of Applicant 2: Select Applicant Type:
Type of Applicant 3: Select Applicant Type:
* Other (specify):
* 10. Name of Federal Agency:
11. Catalog of Federal Domestic Assistance Number:
CFDA Title:
* 12. Funding Opportunity Number:
* Title:
13. Competition Identification Number:
Title:
14. Areas Affected by Project (Cities, Counties, States, etc.):
* 15. Descriptive Title of Applicant's Project:
Attach supporting documents as specified in agency instructions.
Application for Federal Assistance SF-424
View AttachmentsDelete AttachmentsAdd Attachments
View AttachmentDelete AttachmentAdd Attachment
* a. Federal
* b. Applicant
* c. State
* d. Local
* e. Other
* f. Program Income
* g. TOTAL
.
Prefix:
* First Name:
Middle Name:
* Last Name:
Suffix:
* Title:
* Telephone Number:
* Email:
Fax Number:
* Signature of Authorized Representative: * Date Signed:
18. Estimated Funding ($):
21. *By signing this application, I certify (1) to the statements contained in the list of certifications** and (2) that the statements
herein are true, complete and accurate to the best of my knowledge. I also provide the required assurances** and agree to
comply with any resulting terms if I accept an award. I am aware that any false, fictitious, or fraudulent statements or claims may
subject me to criminal, civil, or administrative penalties. (U.S. Code, Title 218, Section 1001)
** The list of certifications and assurances, or an internet site where you may obtain this list, is contained in the announcement or agency
specific instructions.
Authorized Representative:
Application for Federal Assistance SF-424
* a. Applicant
Attach an additional list of Program/Project Congressional Districts if needed.
* b. Program/Project
* a. Start Date: * b. End Date:
16. Congressional Districts Of:
17. Proposed Project:
Add Attachment Delete Attachment View Attachment
a. This application was made available to the State under the Executive Order 12372 Process for review on
b. Program is subject to E.O. 12372 but has not been selected by the State for review.
c. Program is not covered by E.O. 12372.
Yes No
Add Attachment Delete Attachment View Attachment
** I AGREE
* 20. Is the Applicant Delinquent On Any Federal Debt? (If "Yes," provide explanation in attachment.)
* 19. Is Application Subject to Review By State Under Executive Order 12372 Process?
If "Yes", provide explanation and attach
Element'2:''Summary'Title'Page
One-page'maximum, single spaced, 12-point font, one inch margins
'The'summary'title'page'includes,'in'order:'
Project'title
Lead'investigator’s'name,'affiliation,'complete'address,'phone'number,'and
email'address
Natural resource manager's name, affiliation, complete address, phone
number, and email address
Requested'funding'amounts'for'each'fiscal'year
NOTE:'Applicants'may'suggest'merit'reviewers'on'a'page'after'the'summary'title'
page.'
Element'3:''Abstract'
One-page maximum, single spaced, 12-point font, one inch margins
The' abstract' should' appear' on' a' separate' single' page,' headed' with' the'
proposal'title,'institution(s),'investigator(s),'total'proposed'cost,'and'budget'
period.''
Budget'period'refers'to'the'period'of'time'when'federal'funding'is'available'for'
obligation'by'the'recipient.'A budget period is 12 months. '
The abstract should include an introduction to the natural resource management
decision that will be addressed, including its context and related uncertainties that
could be reduced by additional research; the rationale for selecting this decision;
project objectives; and a brief summary of the work to be completed.
The'abstract'should'be'written'in'the'third'person.'
Element'4:''Project'Narrative'
Five-page maximum, single spaced, 12-point font, one inch margins
The'project'narrative'must'indicate'the'project’s'relevance'to'the'
program'priority'described'in'the'funding'announcement'(see'Section'
I.B.).'
Specifically,'it'should:'
a) Describe the specific natural resource management decision to be made in
the future that the project will address, including its context and related
uncertainties that could be informed by additional research.
b) Identify the specific natural resource manager or natural resource
management body responsible for making the decision.
c) Outline the timeline for the decision and concisely describe the steps
involved in making it, highlighting those steps where additional research
findings and products could inform the decision.
d) Describe the composition of the project team, how the team intends to work
together, and the roles and responsibilities of each team member.
e) Describe how the team intends to use the plans generated by this project in
the future and how ownership of those plans would be shared among the
project team.
f) Describe the specific activities and steps the project team will take to: 1)
formulate research questions and determine the methods for addressing
them, 2) identify approaches for developing research findings into products
for informing the management decision, and 3) select strategies and
processes for how the findings and products will be transferred to a
resource manager or management body and applied to the natural resource
management decision.
Element'5:''Data'Management'Plan
One-page maximum, single spaced, 12-point font, one inch margins
The'data'management'plan'should'describe'how'metadata'and'data'collected'as'
part'of'the'proposed'project'would'be'disseminated'to'the'broader'community'and'
plans'for'long-term'archiving'of'these'data.''
A'typical'plan'should'include:'
a) Descriptions'of'the'types'of'environmental'data'and'information'expected'to
be'created'during'the'course'of'the'project (if any);
b) The'tentative'date'by'which'data'will'be'shared;
c) The'standards'to'be'used'for'data/metadata'format'and'content;
d) Methods'for'providing'data'access;
e) Approximate'total'volume'of'data'to'be'collected;'and
f) Prior'experience'in'making'such'data'accessible.
The'Science'Program'will'not'offer'specific'technical'guidance;'however,'use'of'
open-standard'formats'and'methods'is'encouraged.''
The costs of data preparation, accessibility, or archiving may be included in the
proposal budget (see element 13).
Refer'to'Section'VIII.A.'in'the'funding'announcement'for'specific'Data'Management'
Guidance.'
Element'6:''References'Cited'
Single spaced, 12-point font, one inch margins
Each'reference'must'include'the'names'of'all'authors'in'the'same'sequence'they'
appear'in'the'publication,'the'article'title,'volume'number,'page'numbers,'and'
year'of'publication.''
This'section'should'include'bibliographic'citations'only'and'should'not'be'used'to'
provide'parenthetical'information'outside'of'the'five-page'project'narrative.'
Element'7:''Natural Resource Management Letter of Support'
Each proposal must include a letter of support from the natural resource manager
or natural resource management body responsible for the identified resource
management decision.
The letter should describe their role as an equal partner in the project and how
they intend to work as part of the project team.
Element'8:''Milestone'Chart'
As'shown'in'the'example'on'the'next'page,'provide'the'anticipated'timelines'of'
major'tasks associated'with'the'proposed'project.''
Applicants are required to use the milestone chart template available at https://
restoreactscienceprogram.noaa.gov/resources (OMB Control No. 0648-0384).
This milestone Gantt chart is based on an example project focused on reducing the scientific uncertainities around a state agency decision to set nutrient reduction
targets and where to place continuous nutrient monitoring stations.
Task Task Category
Task
Start Date
Task
Completion
Date
2021 2022
Q4 Q1 Q2 Q3 Q4
S O N D J F M A M J J A
Milestone 1: Scoping Activities* - - - - X - - - - - - -
1.1
Design survey to query nutrient management
community on current practices
Meeting Preparation 9/1/2021 9/30/2021
1.2 Conduct nutrient management practices survey Meeting Preparation 10/1/2021 10/31/2021
1.3 Design first scoping workshop (virtual) with facilitator Meeting Preparation 10/1/2021 10/31/2021
1.4
Generate initial project scope based on nutrient
managment reduction decision and identified
uncertainties
Writing 11/1/21 12/31/21
1.5 Gather feedback on project scope from project team Data Collection 12/1/21 12/31/21
1.6
Revise project scope to include feedback and finalize
scope
Writing 1/1/22 1/31/22
Milestone 2: Data Collection - - - - - - X - - - - -
2.1 Nutrient reduction options literature review Data Collection 9/1/2021 2/28/2022
2.2
Review of current nutrient reduction Decision Support
Tools
Data Collection 9/1/2021 2/28/2022
2.3 Individual watershed characterizations Data Collection 9/1/2021 1/31/2021
2.4
Design nutrient reduction targets and goals survey to
query nutrient management community
Data Analysis 1/1/2022 1/31/2022
2.5 Conduct nutrient targets and goals survey Data Collection 2/1/2022 2/28/2022
2.6
Design continuous monitoring station location
prioritization excercise
Data Analysis 2/1/2022 3/31/2021
2.6 Synthesis of literature review and survey results Data Processing 2/1/2022 3/31/2021
Milestone 3: Research and Development Plan and Application Plan - - - - - - - - - - - X
3.1 Draft Research and Development (R&D) Plan Writing 4/1/2022 5/31/2022
3.2 Draft Application Plan Writing 4/1/2022 5/31/2022
3.3
Gather feedback from project team and others on R&D
and Application plans
Data Collection 6/1/2022 6/30/2022
3.4 Revise R&D Plan and Application Plan Writing 7/1/2022 7/31/2022
3.5 Finalize R&D Plan and Application Plan Writing 8/1/2022 8/31/2022
Milestone 4: Meetings and Workshops - - - - - - - - - - X -
4.1 Initial project meeting Meetings 9/1/2021 9/30/2021
4.2 First scoping workshop (virtual) Workshop 11/1/2021 11/30/2021
4.3
Final scoping meeting - review data synthesis and
execute nutrient monitoring station prioritization
excercize (virtual)
meetings 2/1/2022 3/1/2022
4.4 Meet for drafting R&D Plan and Application Plan meetings 3/1/2022 4/1/2022
4.5
Meeting for final review and updates to R&D Plan and
Application Plan (virtual)
meetings 7/1/2022 8/1/2022
Milestone 5: Reporting - - - - - - - - - - - X
5.1 Progress reports Reporting 2/1/2021 8/31/2022
5.2 Science Program check ins (60 min web meeting) Reporting 12/1/2021 6/30/2022
5.3 Prepare final report**
Reporting/ Data
Management
8/1/2022 8/31/2022
* These activities should build upon the initial scoping activities described in your proposal
** Final report is due 90 days after the end of the period of performance
Element 8: Milestone Gantt Chart
Element'9:''Biographical'Sketch
Two-page maximum per person, single spaced, 12-point font, one inch margins
Each investigator'must provide'a'summary'of'up'to'two'pages'that'includes'the'
following:''
a) Email and mailing addresses;
b) A'listing'of'professional'and'academic'credentials'and'accomplishments; and
c) A'list'of'up'to'five'examples or publications'that describe their past
experience working with researcher and natural resource manager
partnerships and transferring and applying research findings and products
in a natural resource management context.
Element'10:''Current'and'Pending'Sup port'
Using'the'form'on'the'next'page,'describe'all'current'and'pending'financial/funding'
support'(e.g.,'federal,'state,'not-for-profit,'for-profit),'including'continuing'grants,'
for'the'lead'investigator,'co-investigators,'and'unfunded'collaborators'making'a'
substantial'contribution'to'the'research.'
The'capability'of'the'investigator'and'collaborators'to'complete'the'proposed'work'
in'light'of'present'and future commitments'to'other'projects'should'be'addressed.'
Therefore,'please'discuss'the'percentage'of'time'investigators'and'collaborators'
have'devoted'to'other'federal'or'non-federal'projects,'as'compared'to'the'time'that'
will'be'devoted'to'the'proposed work'solicited'under'this'notice.''
A'fillable'and editable version'of'the'Current'and'Pending'Support'form'is'available'
at'this'link:'https://coastalscience.noaa.gov/about/funding-opportunities/
application-forms/. Please update the form as needed to align with your projects
(e.g., update fiscal years as needed).
You'must'respond'to'the'requirement'whether'or'not'you'have'any'current'and/or'
pending'support.'
CURRENT AND PENDING SUPPORT FORM OMB Approval: 0648-0384
Expiration Date: 11/30/2021
The following information must be provided for each investigator and other senior personnel.
Failure to provide this information may delay consideration of this proposal.
Investigator:
Other agencies to which this proposal has been/will be submitted:
Support: ___ Current ___ Pending ___ Submission Planned in Near Future ___ *Transfer of Support
Project/Proposal Title:
Source of Support:
Total Award Amount: $
Total Award Period Covered:
Location of Project:
Months of Your Time Committed to the Project: FY19: ___ FY20: ___ FY21: ___ FY22: ___ Total: ___
Support: ___ Current ___ Pending ___ Submission Planned in Near Future ___ *Transfer of Support
Project/Proposal Title:
Source of Support:
Total Award Amount: $
Total Award Period Covered:
Location of Project:
Months of Your Time Committed to the Project: FY19: ___ FY20: ___ FY21: ___ FY22: ___ Total: ___
Support: ___ Current ___ Pending ___ Submission Planned in Near Future ___ *Transfer of Support
Project/Proposal Title:
Source of Support:
Total Award Amount: $
Total Award Period Covered:
Location of Project:
Months of Your Time Committed to the Project: FY19: ___ FY20: ___ FY21: ___ FY22: ___ Total: ___
Support: ___ Current ___ Pending ___ Submission Planned in Near Future ___ *Transfer of Support
Project/Proposal Title:
Source of Support:
Total Award Amount: $
Total Award Period Covered:
Location of Project:
Months of Your Time Committed to the Project: FY19: ___ FY20: ___ FY21: ___ FY22: ___ Total: ___
*If this project has previously been funded by another entity, please list and furnish information for
immediately preceding funding period.
NOTE: Use additional sheets as necessary
Element 10: Cu
rrent and Pending Support
Element'11:''Accomplishments'from'Prior'Federal'and'State'Support'
If'any'lead'investigator'or'co-investigator'identified'on'the'project'has'received'
federal'or'state'funding'awards'in'the'past' five'years' for'research'rel evant'to'this'
funding'opportunity,'information'on'the'award(s)'is'required.''
The'following'information'must'be'provided:'
a) The'award'number,'amount,'and'period'of'support;
b) The'title'of'the'project;
c) A'summary'of'the'results'of'the'completed'work;
d) Publications'resulting'from'the'award;
e) Archived'datasets'resulting'from'the'award;
f) A'brief'description'of'outputs'and'outcomes, especially the application of
research findings and products in a natural resource management
context;'and
g) As'appropriate,'a'description'of'the'relation'of'the'completed'work'to'the
proposed'work.
Element 12: Standard Form-424A
The Standard Form (SF)-424A Budget Form identifies the budget for each fiscal year
of the proposal. For this announcement, applicants are limited to one (1) year of
funding.
Place funding amounts in section B, column (1) of page two on the SF-424A. This
revised SF-424A section B format is a NOAA requirement that is not reflected in the
Instructions for the SF-424A.
The budget figures must correspond with the description contained in the budget
justification.
Multi-investigator proposals using a subaward approach must submit a SF-424A for
each subaward that has the same budget figures as its corresponding budget
justification. The lead institution should list the total for subcontracts under 6.f.
“Contractual” and the total for subawards under 6.h. “Other” in their SF-424A.
A fillable version of this form and the form instructions may be downloaded from:
http://www.grants.gov/web/grants/forms/sf-424-family.html.
An example SF-424A is provided on the next three pages.
SECTION A - BUDGET SUMMARY
$
BUDGET INFORMATION - Non-Construction Programs
OMB Number: 4040-0006
Expiration Date: 02/28/2022
Grant Program
Function or
Activity
(a)
Catalog of Federal
Domestic Assistance
Number
(b)
Estimated Unobligated Funds New or Revised Budget
Federal
(c)
Non-Federal
(d)
Federal
(e)
Non-Federal
(f)
Total
(g)
5. Totals
4.
3.
2.
1.
$$$$
$$$$
11.451
109,813.00 109,813.00
109,813.00 109,813.00
$
Standard Form 424A (Rev. 7- 97)
Prescribed by OMB (Circular A -102) Page 1
Element 12: Standard Form-424A
NOAA RESTORE
Science Program
SECTION B - BUDGET CATEGORIES
7. Program Income
d. Equipment
e. Supplies
f. Contractual
g. Construction
h. Other
j. Indirect Charges
k. TOTALS (sum of 6i and 6j)
i. Total Direct Charges (sum of 6a-6h)
(1)
Authorized for Local Reproduction
Prescribed by OMB (Circular A -102) Page 1A
Standard Form 424A (Rev. 7- 97)
GRANT PROGRAM, FUNCTION OR ACTIVITY
(2) (3) (4) (5)
Total
6. Object Class Categories
a. Personnel
b. Fringe Benefits
c. Travel
42,000.00
19,233.00
0.00
0.00
2,500.00
0.00
0.00
12,000.00
75,733.00
34,080.00
109,813.00
42,000.00
19,233.00
0.00
0.00
2,500.00
0.00
0.00
12,000.00
75,733.00
34,080.00
109,813.00
$$$$$
$$$$$
$$$$$
$
$
Element 12: Standard Form-424A
FY 2020-2021
(Sept 1, 2020 -
Aug 31, 2021)
SECTION D - FORECASTED CASH NEEDS
14. Non-Federal
SECTION C - NON-FEDERAL RESOURCES
(a) Grant Program (b) Applicant (d) Other Sources(c) State
(e)TOTALS
$
$
$$ $
$
$
$
$
$
8.
9.
10.
11.
12. TOTAL (sum of lines 8-11)
15. TOTAL (sum of lines 13 and 14)
13. Federal
Total for 1st Year 1st Quarter 2nd Quarter 3rd Quarter 4th Quarter
0.00 0.00 0.00
0.00
0.00 0.00 0.00 0.00
109,813.00
0.00
109,813.00
27,454.00
0.00
0.00
27,453.00
0.00
0.00
27,453.00
0.00
0.00
27,453.00
0.00
109,813.00
$$
$$$
$$$$
FUTURE FUNDING PERIODS (YEARS)
SECTION F - OTHER BUDGET INFORMATION
SECTION E - BUDGET ESTIMATES OF FEDERAL FUNDS NEEDED FOR BALANCE OF THE PROJECT
Authorized for Local Reproduction
$
$
$$
$
$
16.
17.
18.
19.
20. TOTAL (sum of lines 16 - 19)
21. Direct Charges: 22. Indirect Charges:
23. Remarks:
(a) Grant Program
(b)First (c) Second
(d) Third
(e) Fourth
0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00
$45% of modified direct charges
$$
Standard Form 424A (Rev. 7- 97)
Prescribed by OMB (Circular A -102) Page 2
Element 12: Standard Form-424A
NOAA RESTORE Science Program
NOAA RESTORE Science Program
Element'13:''Budget'Narrative'
Single spaced, 12-point font, one inch margins
In'order'to'allow'reviewers'to'fully'evaluate'the'appropriateness'of'costs,'all'
proposals'must'include'a'detailed'budget'narrative'covering'the'proposed'period'of'
performance'with'a'justification'to'support'all'proposed'budget'categories.''
Personnel'costs'should'be'broken'out'for each'named'investigator, number'of'
months,'and'percentage'of'time'requested'per'investigator.'Support'for'each'
investigator'should'be'commensurate'with'their'stated'involvement.'Any'unnamed'
personnel'(e.g.,'graduate'students,'postdoctoral'researchers,'technicians)'should'be'
identified'by'their'job'title'and'their'personnel'costs'explained'similar'to'
investigator'personnel'costs'above.'The'contribution'of'any'personnel'to'the'project'
goals'should'be'explained.''
Travel'costs'should'be'broken'out'by'number'of'people'traveling,'destination'and'
purpose'of'travel,'and'projected'costs'per'person.'Equipment'costs'should'describe'
the'equipment'to'be'purchased'and'its'contribution'to'the'achievement'of'the'
project'goals.'Applicants'may'include'publication'costs.''
For'additional'information'concerning'each'of'the'required'budget'categories'and'
appropriate'level'of'disclosure'please'see:'
https://coast.noaa.gov/data/coasthome/funding/_pdf/forms/budget-narrative-
guidance-for-NOAA-grants.pdf
Proposals'are'permitted'to'include'the'costs'of'project-level'data'management,'
including coordinating,'organizing,'documenting,'formatting,'or'otherwise'
preparing'datasets'for'submission'to'NOAA'or'non-NOAA'data'facilities;'
establishing'and'maintaining'data'access'tools'and'services'and'related'metadata;'
and managing'non-digital'data'that'are'not'required'to'be'made'publicly'accessible,'
including'laboratory'notebooks,'preliminary'analyses,'drafts'of'scientific'papers,'
plans'for'future'research,'peer'review'reports,'communications'with'colleagues,'or'
physical'objects'such'as'laboratory'specimens.'
A'separate'budget'narrative'is'required'for'each'institution'that'is'proposed'to'
receive'funds'through'a'subaward' or'subcontract' to' the' lead' institution.' The'budget'
narrative(s)'should'describe'the'work'to'be'supported'and'indicate'the'applicability'
or'necessity'to'the'project.'When'a'collaborator'or'contractor'is'known'before
applying,'signed'approval'from'the'institution'of'each'subaward'and'subcontract'
must'accompany'its'budget'justification.'The'lead'institution'is'responsible'for'
sending'funds'to'its'subaward' and' subcontract'institutions.'For'acquisition'
contracts,'the'purpose'and'cost'or'price'must'be'fully'justified'and'the'contract'must'
comply'with'2'C.F.R.'200.317-.326.'
Element'14:''CD-511,'Certification'Regarding'Lobbying'
Required'only'for'the'lead'institution,'which'may'submit'this'form'through'the'
Grants.gov'CD511'document'placeholder'without'a'hard'signature'because'
electronic'signatures'are'allowed'on'documents'from'the'submitting'institution.'
The'form'is'on'the'next'page'and'may'also'be'downloaded'from:'
http://www.grants.gov/web/grants/forms/sf-424-family.html.'
CERTIFICATION REGARDING LOBBYING
FORM CD-511
(REV 1-05)
U.S. DEPARTMENT OF COMMERCE
Applicants should also review the instructions for certification included in the regulations before completing this form. Signature on this form provides for
compliance with certification reuirements under 15 CFR Part 2, New Restrictions on Lobbying. The certifications shall be treated as a material representation
of fact upon which reliance will be placed when the Department of Commerce determines to award the covered transaction, grant, or cooperative agreement.
LOBBYIN
As reuired by Section 1352, Title 31 of the U.S. Code, and implemented
at 15 CFR Part 2, for persons entering into a grant, cooperative
agreement or contract over 100,000 or a loan or loan guarantee over
150,000 as defined at 15 CFR Part 2, Sections 2.105 and 2.110, the
applicant certifies that to the best of his or her nowledge and belief, that:
(1) No Federal appropriated funds have been paid or will be paid, by or on
behalf of the undersigned, to any person for influencing or attempting to
influence an officer or employee of any agency, a Member of Congress in
connection with the awarding of any Federal contract, the maing of any
Federal grant, the maing of any Federal loan, the entering into of any
cooperative agreement, and the extension, continuation, renewal,
amendment, or modification of any Federal contract, grant, loan, or
cooperative agreement.
(2) If any funds other than Federal appropriated funds have been paid or will
be paid to any person for influencing or attempting to influence an officer or
employee of any agency, a Member of Congress, an officer or employee of
Congress, or an employee of a member of Congress in connection with
this Federal contract, grant, loan, or cooperative agreement, the
undersigned shall complete and submit Standard Form-LLL, Disclosure
Form to Report Lobbying. in accordance with its instructions.
(3) The undersigned shall reuire that the language of this certification be
included in the award documents for all subawards at all tiers (including
subcontracts, subgrants, and contracts under grants, loans, and
cooperative agreements) and that all subrecipients shall certify and
disclose accordingly.
This certification is a material representation of fact upon which reliance
was placed when this transaction was made or entered into. Submission of
this certification is a prereuisite for maing or entering into this
transaction imposed by section 1352, title 31, U.S. Code. Any person who
fails to file the reuired certification shall be subject to a civil penalty of not
less than 10,000 and not more than 100,000 for each such failure
occurring on or before October 23, 1996, and of not less than 11,000 and
not more than 110,000 for each such failure occurring after October 23,
1996.
Statement for Loan uarantees and Loan Insurance
The undersigned states, to the best of his or her nowledge and belief,
that:
In any funds have been paid or will be paid to any person for influencing or
attempting to influence an officer or employee of any agency, a Member of
Congress, an officer or employee of Congress, or an employee of a
Member of Congress in connection with this commitment providing for the
United States to insure or guarantee a loan, the undersigned shall
complete and submit Standard Form-LLL, Disclosure Form to Report
Lobbying, in accordance with its instructions.
Submission of this statement is a prereuisite for maing or entering into
this transaction imposed by section 1352, title 31, U.S. Code. Any person
who fails to file the reuired statement shall be subject to a civil penalty of
not less than 10,000 and not more than 100,000 for each such failure
occurring on or before October 23, 1996, and of not less than 11,000 and
not more than 110,000 for each such failure occurring after October 23,
1996.
As the duly authorized representative of the applicant, I hereby certify that the applicant will comply with the above applicable certification.
* NAME OF APPLICANT
* AARD NUMBER * PROECT NAME
Prefix: * First Name: Middle Name:
* Last Name: Suffix:
* Title:
* SIGNATURE: * DATE:
Element 14: CD-511, Certification Regarding Lobbying
Element'15:''SF-424B,'Assurances'-'Non-Construction'Programs'
Required'only'for'the'lead'institution,'which'may'submit'this'form'through'the'
Grants.gov'SF-424B'document'placeholder'without'a'hard'signature'because'
electronic'signatures'are'allowed'on'documents'from'the'submitting'institutions.'
The'form'is'on'the'next'two'pages'and'may'also'be'downloaded'from:'
http://www.grants.gov/web/grants/forms/sf-424-family.html.'
1.
OMB Number: 4040-0007
Expiration Date: 02/28/2022
ASSURANCES - NON-CONSTRUCTION PROGRAMS
Public reporting burden for this collection of information is estimated to average 15 minutes per response, including time for reviewing
instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of
information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for
reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project (0348-0040), Washington, DC 20503.
PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE OFFICE OF MANAGEMENT AND BUDGET. SEND
IT TO THE ADDRESS PROVIDED BY THE SPONSORING AGENCY.
NOTE:
Certain of these assurances may not be applicable to your project or program. If you have questions, please contact the
awarding agency. Further, certain Federal awarding agencies may require applicants to certify to additional assurances.
If such is the case, you will be notified.
As the duly authorized representative of the applicant, I certify that the applicant:
Has the legal authority to apply for Federal assistance
and the institutional, managerial and financial capability
(including funds sufficient to pay the non-Federal share
of project cost) to ensure proper planning, management
and completion of the project described in this
application.
Act of 1973, as amended (29 U.S.C. §794), which
prohibits discrimination on the basis of handicaps; (d)
the Age Discrimination Act of 1975, as amended (42 U.
S.C. §§6101-6107), which prohibits discrimination on
the basis of age; (e) the Drug Abuse Office and
Treatment Act of 1972 (P.L. 92-255), as amended,
relating to nondiscrimination on the basis of drug
abuse; (f) the Comprehensive Alcohol Abuse and
Alcoholism Prevention, Treatment and Rehabilitation
Act of 1970 (P.L. 91-616), as amended, relating to
nondiscrimination on the basis of alcohol abuse or
alcoholism; (g) §§523 and 527 of the Public Health
Service Act of 1912 (42 U.S.C. §§290 dd-3 and 290
ee- 3), as amended, relating to confidentiality of alcohol
and drug abuse patient records; (h) Title VIII of the Civil
Rights Act of 1968 (42 U.S.C. §§3601 et seq.), as
amended, relating to nondiscrimination in the sale,
rental or financing of housing; (i) any other
nondiscrimination provisions in the specific statute(s)
under which application for Federal assistance is being
made; and, (j) the requirements of any other
nondiscrimination statute(s) which may apply to the
application.
2. Will give the awarding agency, the Comptroller General
of the United States and, if appropriate, the State,
through any authorized representative, access to and
the right to examine all records, books, papers, or
documents related to the award; and will establish a
proper accounting system in accordance with generally
accepted accounting standards or agency directives.
3.
Will establish safeguards to prohibit employees from
using their positions for a purpose that constitutes or
presents the appearance of personal or organizational
conflict of interest, or personal gain.
4.
Will initiate and complete the work within the applicable
time frame after receipt of approval of the awarding
agency.
5.
Will comply with the Intergovernmental Personnel Act of
1970 (42 U.S.C. §§4728-4763) relating to prescribed
standards for merit systems for programs funded under
one of the 19 statutes or regulations specified in
Appendix A of OPM's Standards for a Merit System of
Personnel Administration (5 C.F.R. 900, Subpart F).
6.
Will comply with all Federal statutes relating to
nondiscrimination. These include but are not limited to:
(a) Title VI of the Civil Rights Act of 1964 (P.L. 88-352)
which prohibits discrimination on the basis of race, color
or national origin; (b) Title IX of the Education
Amendments of 1972, as amended (20 U.S.C.§§1681-
1683, and 1685-1686), which prohibits discrimination on
the basis of sex; (c) Section 504 of the Rehabilitation
Previous Edition Usable
Standard Form 424B (Rev. 7-97)
Prescribed by OMB Circular A-102
Authorized for Local Reproduction
7.
Will comply, or has already complied, with the
requirements of Titles II and III of the Uniform
Relocation Assistance and Real Property Acquisition
Policies Act of 1970 (P.L. 91-646) which provide for
fair and equitable treatment of persons displaced or
whose property is acquired as a result of Federal or
federally-assisted programs. These requirements
apply to all interests in real property acquired for
project purposes regardless of Federal participation in
purchases.
8.
Will comply, as applicable, with provisions of the
Hatch Act (5 U.S.C. §§1501-1508 and 7324-7328)
which limit the political activities of employees whose
principal employment activities are funded in whole
or in part with Federal funds.
Element 15: SF-424B, Assurances - Non-Construction Programs
Standard Form 424B (Rev. 7-97) Back
9.
12.
Will comply, as applicable, with the provisions of the Davis-
Bacon Act (40 U.S.C. §§276a to 276a-7), the Copeland Act
(40 U.S.C. §276c and 18 U.S.C. §874), and the Contract
Work Hours and Safety Standards Act (40 U.S.C. §§327-
333), regarding labor standards for federally-assisted
construction subagreements.
Will comply with the Wild and Scenic Rivers Act of
1968 (16 U.S.C. §§1271 et seq.) related to protecting
components or potential components of the national
wild and scenic rivers system.
10.
Will comply, if applicable, with flood insurance purchase
requirements of Section 102(a) of the Flood Disaster
Protection Act of 1973 (P.L. 93-234) which requires
recipients in a special flood hazard area to participate in the
program and to purchase flood insurance if the total cost of
insurable construction and acquisition is $10,000 or more.
11.
Will comply with environmental standards which may be
prescribed pursuant to the following: (a) institution of
environmental quality control measures under the National
Environmental Policy Act of 1969 (P.L. 91-190) and
Executive Order (EO) 11514; (b) notification of violating
facilities pursuant to EO 11738; (c) protection of wetlands
pursuant to EO 11990; (d) evaluation of flood hazards in
floodplains in accordance with EO 11988; (e) assurance of
project consistency with the approved State management
program developed under the Coastal Zone Management
Act of 1972 (16 U.S.C. §§1451 et seq.); (f) conformity of
Federal actions to State (Clean Air) Implementation Plans
under Section 176(c) of the Clean Air Act of 1955, as
amended (42 U.S.C. §§7401 et seq.); (g) protection of
underground sources of drinking water under the Safe
Drinking Water Act of 1974, as amended (P.L. 93-523);
and, (h) protection of endangered species under the
Endangered Species Act of 1973, as amended (P.L. 93-
205).
13.
Will assist the awarding agency in assuring compliance
with Section 106 of the National Historic Preservation
Act of 1966, as amended (16 U.S.C. §470), EO 11593
(identification and protection of historic properties), and
the Archaeological and Historic Preservation Act of
1974 (16 U.S.C. §§469a-1 et seq.).
14.
Will comply with P.L. 93-348 regarding the protection of
human subjects involved in research, development, and
related activities supported by this award of assistance.
15.
Will comply with the Laboratory Animal Welfare Act of
1966 (P.L. 89-544, as amended, 7 U.S.C. §§2131 et
seq.) pertaining to the care, handling, and treatment of
warm blooded animals held for research, teaching, or
other activities supported by this award of assistance.
16.
Will comply with the Lead-Based Paint Poisoning
Prevention Act (42 U.S.C. §§4801 et seq.) which
prohibits the use of lead-based paint in construction or
rehabilitation of residence structures.
17.
Will cause to be performed the required financial and
compliance audits in accordance with the Single Audit
Act Amendments of 1996 and OMB Circular No. A-133,
"Audits of States, Local Governments, and Non-Profit
Organizations."
18.
Will comply with all applicable requirements of all other
Federal laws, executive orders, regulations, and policies
governing this program.
SIGNATURE OF AUTHORIZED CERTIFYING OFFICIAL
TITLE
DATE SUBMITTED
APPLICANT ORGANIZATION
Will comply with the requirements of Section 106(g) of
the Trafficking Victims Protection Act (TVPA) of 2000, as
amended (22 U.S.C. 7104) which prohibits grant award
recipients or a sub-recipient from (1) Engaging in severe
forms of trafficking in persons during the period of time
that the award is in effect (2) Procuring a commercial
sex act during the period of time that the award is in
effect or (3) Using forced labor in the performance of the
award or subawards under the award.
19.
Element'16:''Alphabetized'list'of'collaborators,'advisors,'and'advisees'
Provide'ONE'spreadsheet'per'proposal'that'includes'ALL'collaborators,'advisors,'
and'advisees'and'their'respective'institutions'for'EACH'investigator'(lead'
investigator,'co-investigators,'postdocs,'sub-awardees,'etc.).''
The'combined'and'alphabetized'list'should'be'on'a'spreadsheet'with'individual'
column'headers'for'First'Name,'Last'Name,'and'Institution.''
Collaborators'are'individuals'who'have'participated'in'a'project'or'publication'
within'the'last'48'months'with'any'investigator,'including'co-authors'on'
publications.'Collaborators'also'include'those'persons'with'whom'the'investigators'
may'have'ongoing'collaboration'negotiations.''
Advisees'are'persons'with'whom'the'individual'investigator'has'had'an'association'
as'thesis'or'dissertation'advisor'or'postdoctoral'sponsor.'Advisors'include'an'
individual’s'own'graduate'and'postgraduate'advisors.'Advisees'and'advisors'do'not'
have'a'time'limit.''
Unfunded'participants'in'the'proposed'study'should'also'be'included'on'the'list,'but'
not'their'collaborators.''
This'information'is'critical'for'identifying'potential'conflicts'of'interests'and'
avoiding'bias'in'the'selection'of'reviewers.'
Element'17:''Key'Contacts'Form'
Applicants'must'submit'the'Key'Contacts'Form'(see'next'page)'for'the'lead'
institution.''
A'fillable'version'of'the'form'may'be'downloaded'from:'
https://coastalscience.noaa.gov/about/application-forms.'
Form Approval OMB No. 0648-0384 Approval Expires 11/30/2021
KE
Y CONTACTS FORM
Authorized Representative: Original awards and amendments will be sent to this individual for
review and acceptance, unless otherwise indicated.
Name:
Title:
Mailing Address:
Phone Number:
Email Address:
Payee: Individual authorized to accept payments.
Name:
Title:
Mailing Address:
Phone Number:
Email Address:
Administrative Contact: Individual form Sponsored Program Office to contact concerning
a
dministrative matters (i.e. indirect costs rate computation, rebudgeting requests etc.)
Name:
Title:
Mailing Address:
Phone Number:
Email Address
Principal Investigator: Individual responsible for the technical completion of the proposed work.
Name:
Title:
Mailing Address:
Phone Number:
Email Address:
Element 17: Key Contacts Form
Optional Elements
Optional Element 1: Additional Letters of Support or Commitment
Letters of support or commitment in addition to the required natural
resource management letter (see element 7) are strongly encouraged, but
not required. Consider providing letters from partners that confirm
contributions to and support for the proposed work, such as team members
included in the project but not funded in the budget, additional end users
who will be engaged throughout the proposed work, and individuals or
groups that provide access to data or other needs for the proposed work. End
users should describe in their letters of support how they anticipate using
the plans generated from the projects.
Optional Element 2: Indirect Costs Rate Agreement
Proposals that request funds for indirect costs for institutions that have a
current federally approved rate should provide the indirect cost rate
agreement for the lead institution and each institution that is proposed to
receive funds through a subaward or subcontract to the lead institution. An
applicant without a federally approved rate should refer to Section IV.F. of
the Announcement regarding options.
Optional Element 3: SF-LLL Disclosure of Lobbying Activities
If lobbying activity is or has been secured to influence the outcome of a
covered federal action, complete the SF-LLL standard lobbying disclosure
form, which may be found on the next page and at
https://www.grants.gov/web/grants/forms/sf-424-family.html, and submit
it with your full proposal.
10. a. Name and Address of Lobbying Registrant:
9. Award Amount, if known:
$
* Street 1
* City
State Zip
Street 2
* Last Name
Prefix * First Name
Middle Name
Suffix
DISCLOSURE OF LOBBYING ACTIVITIES
Complete this form to disclose lobbying activities pursuant to 31 U.S.C.1352
OMB Number: 4040-0013
Expiration Date: 02/28/2022
1. * Type of Federal Action:
a. contract
b. grant
c. cooperative agreement
d. loan
e. loan guarantee
f. loan insurance
2. * Status of Federal Action:
a. bid/offer/application
b. initial award
c. post-award
3. * Report Type:
a. initial filing
b. material change
4. Name and Address of Reporting Entity:
Prime SubAwardee
* Name
* Street 1 Street 2
* City State Zip
Congressional District, if known:
5. If Reporting Entity in No.4 is Subawardee, Enter Name and Address of Prime:
6. * Federal Department/Agency:
7. * Federal Program Name/Description:
CFDA Number, if applicable:
8. Federal Action Number, if known:
b. Individual Performing Services (including address if different from No. 10a)
Prefix * First Name
Middle Name
* Street 1
* City
State Zip
Street 2
11.
* Last Name Suffix
Information requested through this form is authorized by title 31 U.S.C. section 1352. This disclosure of lobbying activities is a material representation of fact upon which
reliance was placed by the tier above when the transaction was made or entered into. This disclosure is required pursuant to 31 U.S.C. 1352. This information will be reported to
the Congress semi-annually and will be available for public inspection. Any person who fails to file the required disclosure shall be subject to a civil penalty of not less than
$10,000 and not more than $100,000 for each such failure.
* Signature:
*Name:
Prefix * First Name Middle Name
* Last Name Suffix
Title:
Telephone No.: Date:
Federal Use Only:
Authorized for Local Reproduction
Standard Form - LLL (Rev. 7-97)