GRANTS.

GOV ATTACHMENT & FIELD LEVEL INSTRUCTIONS

Important Information:
 This document contains the RAISE FY 2023 Program “agency instructions” referenced in the SF-424.
 Applications are due February 28, 2023 at 11:59:59PM Eastern.
 Applicants should reference the Application Checklist to ensure that all parts of the application are submitted as
required. Applicants must download the Grants.Gov application package and submit both the “Application for
Federal Assistance (SF-424)” along with the “Attachments” including the RAISE Project Information Form file
(found at https://www.transportation.gov/RAISEgrants/RAISE-info) to have a complete application package.
 Required SF-424 fields are noted by “(Required)” and are highlighted in grey below.
 USDOT staff cannot assist with technical Grants.gov questions. Grants.gov technical support is available:
o Online: http://www.grants.gov/web/grants/support.html
o By phone (24 hours a day, 7 days a week): 1-800-518-4726
o By email: [email protected]

Attachments Form, Application for Federal Assistance (SF-424)

Item Entry

1-15 1. Attachments: (Required) This is where you will attach all forms and documents that are part of the application
as indicated in the Notice of Funding Opportunity (NOFO) and the Application Checklist. The checklist and the
NOFO indicate the appropriate file type for each document.

2. You must include the RAISE 2023 Project Information Form attachment that is provided at
https://www.transportation.gov/RAISEgrants/RAISE-info and also attached in the grants.gov package.

Do not rename the file. Once you have completed the Excel worksheet and input your information, please
attach the Project Information Form file to the Grants.Gov Attachments form to submit with your RAISE
application. This form must be submitted as an Excel file – please do not PDF the form.

YOUR APPLICATION IS NOT COMPLETE UNLESS ALL APPLICATION FILES (as per the NOFO, the Application
Checklist, and Grants.Gov) ARE ATTACHED.

Application for Federal Assistance (SF-424) 4040-0004

Item Entry

1. Type of Submission: (Required) Select one type of submission in accordance with agency instructions.

 Application
 Changed/Corrected Application – Check if this submission is to change or correct a previously submitted
application (unless requested by the agency, applicants may not use this form to submit changes after the closing
date)

2. Type of Application: (Required) Select one type of application in accordance with agency instructions.

 New – All applicants are considered “New” and should select “New”

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Item Entry

3. Date Received: Leave this field blank. This date is completed by Grants.Gov upon submission.

4. Applicant Identifier: Enter the entity identifier assigned by the Federal agency, if any, or the applicant’s control number if
applicable.

5a. Federal Entity Identifier: Enter the number assigned to your organization by the federal agency, if any.

5b. Federal Award Identifier: For new applications leave blank. For a continuation or revision to an existing award, enter
the previously assigned federal award identifier number. If a changed/corrected application, enter the federal identifier in
accordance with agency instructions.

6. Date Received by State: Leave this field blank. This is not applicable to RAISE Grant applications.

7. State Application Identifier: Leave this field blank. This is not applicable to RAISE Grant applications.

8. Applicant Information: Enter the following in accordance with agency instructions:

a. Legal Name: (Required) Enter the legal name of the applicant that will undertake the assistance activity. The
lead applicant needs to be registered with the System for Award Management (SAM). Information on registering
with SAM is available at https://www.grants.gov/web/grants/applicants/organization-registration/step-2-register-
with-sam.html or https://www.sam.gov/portal/public/SAM/.
b. Employer/Taxpayer Number (EIN/TIN): (Required) Enter the employer or taxpayer identification number (EIN
or TIN) as assigned by the Internal Revenue Service.
c. Organizational DUNS: (Required) Enter the organization’s DUNS or DUNS+4 number received from Dun and
Bradstreet. Information on obtaining a DUNS number is available at
http://www.grants.gov/web/grants/applicants/organization-registration/step-1-obtain-duns-number.html.
d. Address: Enter address: Street 1 (Required); city (Required); County/Parish, State (Required), Country
(Required), 9-digit zip/postal code (Required).
e. Organizational Unit: Enter the name of the primary organizational unit, department or division that will
undertake the assistance activity.
f. Name and contact information of person to be contacted on matters involving this application: Enter the
first and last names (Required), prefix, middle name, suffix, and title. Enter organizational affiliation if affiliated
with an organization other than that in 7.a. Enter the contact’s telephone number and email address (Required)
and fax number.

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Item Entry

9. Type of Applicant: (Required) Select up to three applicant types in accordance with agency instructions.
A. State Government
B. County Government
C. City or Township Government
D. Special District Government
E. Regional Organization
F. U.S. Territory or Possession
G. Independent School District
H. Public/State Controlled Institution of Higher Education
I. Indian/Native American Tribal Government (Federally Recognized)
J. Indian/Native American Tribal Government (Other than Federally Recognized)
K. Indian/Native American Tribally Designated Organization
L. Public/Indian Housing Authority
M. Nonprofit with 501C3 IRS Status (Other than Institution of Higher Education)
N. Nonprofit without 501c# IRS Status (Other than Institution of Higher Education)
O. Private Institution of Higher Education
P. Individual
Q. For-Profit Organization (Other than Small Business)
R. Small Business
S. Hispanic-serving Institution
T. Historically Black Colleges and Universities (HBCUs)
U. Tribally Controlled Colleges and Universities (TCCUs)
V. Alaska Native and Native Hawaiian Serving Institutions
W. Non-US Entity
X. Other (specify)

10. Name Of Federal Agency: (Required) Enter the name of the federal agency, or agencies, from which assistance is being
requested with this application.

11. Catalog Of Federal Domestic Assistance Number/Title: Enter the Catalog of Federal Domestic Assistance number
and title of the program under which assistance is requested, as found in the program announcement, if applicable. The
RAISE program assistance listing is 20.933.

12. Funding Opportunity Number/Title: (Required) Enter the Funding Opportunity Number and title of the opportunity
under which assistance is requested, as found in the program announcement. The RAISE program funding
opportunity number is DTOS59-23-RA-RAISE and the title is “FY 2023 National Infrastructure Investments”

13. Competition Identification Number/Title: Enter the competition identification number and title of the competition under
which assistance is requested, if applicable.

14. Areas Affected By Project: You can use this field to list project locations (town, city, etc.).

15. Descriptive Title of Applicant’s Project: (Required) Enter a brief descriptive title of the project.

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16. Congressional Districts Of:

16a. (Required) Enter the applicant’s congressional district.
16b. Enter all district(s) affected by the program or project. Enter in the following format: two-character state abbreviation
– three-character district number, e.g., CA-05 for California 5th district, CA-12 for California 12 district, NC-03 for North
Carolina’s 03 district. If all congressional districts in a state are affected, enter “all” for the district number, e.g., MD-all for
all congressional districts in Maryland. If effects are nationwide, i.e., all districts within all states are affected, enter US-all.
If the program/project is outside the US, enter 00-000. This optional data element is intended for use only by programs for
which the area(s) affected are likely to be different than place(s) of performance reported on the SF-424
Project/Performance Site Location(s) Form. Attach an additional list of program/project congressional districts if needed.

17. Proposed Project Start and End Dates: (Required) Enter the proposed start date and end date of the project.

18. Estimated Funding: (Required) Enter the amount requested, or to be contributed during the first funding/budget period
by each contributor. Value of in-kind contributions should be included on appropriate lines, as applicable.

19. Is Application Subject to Review by State Under Executive Order 12372 Process? (Required) Applicants should
contact the State Single Point of Contact (SPOC) for Federal Executive Order 12372 to determine whether the application
is subject to the State intergovernmental review process. Select the appropriate box. If “a.” is selected, enter the date the
application was submitted to the State.

20. Is the Applicant Delinquent on any Federal Debt? (Required) Select the appropriate box. This question applies to the
applicant organization, not the person who signs as the authorized representative. Categories of federal debt include, but
may not be limited to, delinquent audit disallowances, loans, and taxes. If yes, include an explanation in an attachment.

21. Authorized Representative: To be signed and dated by the authorized representative of the applicant organization.
Enter the first and last names (Required), prefix, middle name, and suffix. Enter title, telephone number, and email
(Required), and fax number. A copy of the governing body’s authorization for you to sign this application as the official
representative must be on file in the applicant’s office. (Certain federal agencies may require that this authorization be
submitted as part of the application.)