1894-0007 Ed 424 Supplemental Information

U.S. Department of Education Supplemental Information for the SF-424 Application for Federal Assistance

OMB Number: 1894-0007

Expiration Date: 04/30/2026

1. Project Director and Applicable Entity Identification Numbers:

Prefix: * First Name: Middle Name: * Last Name:

Suffix:

• Project Director Level of Effort (percentage of time devoted to grant):

Address:

USA: UNITED STATES

* Street1: Street2:

* City: County:

* State:

* Zip Code:

* Country:

• Phone Number (give area code) Fax Number (give area code)

• Email Address:

Alternate Email Address:

OPE ID(s) (if applicable)

NCES School ID(s) (if applicable)

NCES LEA/School District ID(s) (if applicable)

2. General Education Provision Act Section 427 Assurance

I assure that the proposed project complies with the requirements in section 427 of the General Education Provisions Act (20 U.S.C. 1228a). Compliance can be found on the following page(s) of the application:

3. New Potential Grantee:

N/A. This item is not applicable because the program competition’s notice inviting applications (NIA) does not include a definition “New Potential Grantee.” This item is not applicable when the program competition’s NIA does not include the definition.

For NIA’s that include a definition of “New Potential Grantee,” complete the following:

a. Are you a new potential grantee as defined in the program competition’s NIA?

4. Human Subjects Research:

1. Are any research activities involving human subjects planned at any time during the proposed Project Period? Yes No

2. Are ALL the research activities proposed designated to be exempt from the regulations?

Yes

Provide Exemption(s) #(s):

1 2 3 4 5 6 7 8

No Provide Federal Wide Assurance #(s), if available:

3. If applicable, please attach your "Exempt Research" or "Nonexempt Research" narrative to this form as indicated in the definitions page in the attached instructions.

5. Infrastructure Programs and Build America, Buy America Act Applicability:

If the competition Notice Inviting Applications (NIA) in section III. 4. “Other” states that the program under which this application is submitted is subject to the Build America, Buy America Act (Pub. L. 117-58) (BABAA) domestic sourcing requirements, complete the following:

This application does not include any infrastructure projects or activities and therefore IS NOT subject the BABAA domestic sourcing requirements.

This application IS subject to the BABAA domestic sourcing requirements, because the proposed grant project described in this application includes the following infrastructure projects or activities:

Construction

Remodeling

Broadband Infrastructure

If this application IS subject to the BABAA domestic sourcing requirements, please list the page numbers from within the application narrative where the proposed infrastructure project or activities are described: