Application for Federal Assistance SF-424

SF - 424 Form

According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 4040-0004. The time required to complete this information collection is estimated to average 1.1 hours per response, including the time to review instructions, search existing data resources, gather the data needed and complete and review the information collection. If you have comments concerning the accuracy of the time estimate(s) or suggestions for improving this form, please write to: U.S. Department of Health and Human Services, OS/OCIO/PRA 200 Independence Ave., S.W., Suite 537-H, Washington D.C. 20201, Attention: PRA Reports Clearance Officer.

Agency	Total Responses	Average Burden	Total Burden
DOC	17327	30/60	8664
DOE	9850	60/60	9850
ED	10235	60/60	10235
EPA	9098	4	36392
HHS	11690	4.386	51275
SSA	2000	20/60	667
USAID	400	15/60	100
USDA	253563	60/60	253563
DOI	22012	27/60	10010
DOD	206	60/60	206
DOL	2620	30/60	1310
Dal	17900	30/60	8950
DHS	223	60/60	223
Total	357124		391445
391445 total hrs. / 357124 = 1.1 hours per response

OMB Number: 4040-0004 Expiration Date: 12/31/2022

* 1. Type of Submission:

Preapplication

Application

Changed/Corrected Application

* 2. Type of Application:

New

Continuation

Revision

* If Revision, select appropriate letter(s):

* Other (Specify):

3. Date Received:

4. Applicant Identifier:

5a. Federal Entity Identifier:

5b. Federal Award Identifier:

State Use Only

6. Date Received by State:

7. State Application Identifier:

8. APPLICANT INFORMATION

* a. Legal Name:
Community College District 502 - College of DuPage

* b. Employer/Taxpayer Identification Number (EIN/TIN):
36-2594972

* c. UEI:
PYMENBZNN726

d. Address:

Street 1
425 Falwell Blvd

Street 2

City
Glen Ellyn

County/Parish DuPage

State
Illinois

Province

Country
United States of America

Zip Code
60137-6708

e. Organizational Unit:

Department Name:

Division Name:

f. Name and contact information of person to be contacted on matters involving this application:

Prefix:

* First Name: Marcia

Middle Name:

* Last Name: Frank

Suffix:

Title: Grants Manager

Organizational Affiliation:

* Telephone Number 630-942-4611

Fax Number:

* Email: frankm182@cod.edu

* 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: 12.903

CFDA Title: GenCyber Grants Program

* 12. Funding Opportunity Number:

* Title:

* 13 Competition Identification Number:

* Title:

* 14. Areas Affected by Project (Cities, Counties, States, etc.): All of DuPage County, portions of Will and Cook Counties

* 15. Descriptive Title of Applicant's Project: College of DuPage FY20 GenCyber Advanced Student Camp

16. Congressional Districts Of:

* a. Applicant IL006

* b. Program/Project IL006

17. Proposed Project:

* a. Start Date: 04/01/2020

* b. End Date: 03/31/2021

18. Estimated Funding ($):

* a. Federal $ 26,313.94

* b. Applicant

* c. State

* d. Local

* e. Other

* f. Program Income

* g. TOTAL $ 26,313.94

* 19. Is Application Subject to Review By State Under Executive Order 12372 Process?

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

* 20. Is the Applicant Delinquent On Any Federal Debt? (If "Yes," provide explanation in attachment.)

Yes

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)

**I agree

** 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:

Prefix:

* First Name: Brian

Middle Name:

* Last Name: Caputo

Suffix:

Title: President

Organizational Affiliation:

* Telephone Number 630-942-2200

Fax Number:

* Email: caputob@cod.edu

Burden Statement (4040-0004)