**INSTRUCTIONS 1.**  **Nam e of LEA/District.**  Enter the name and official mailing address of the local educational agency (LEA) / school di strict that are applying for assistance. If there is an organiz ational unit (e.g. a regional service center or other recognized entity under which the district is organized), enter the name in the appropriate field. The mailing address you enter should be the official address where you want yo ur grant award notificati on to be sent. **2. D**  **- U** **- N**  **- S**  **Number.** Enter the applicant’s nine digit DUNS n umber. I f yo ur organization does not have a DUNS number, you can obtain the number by calling 1

- 800

- 333

- 0505 or by com

pleting a DUNS Number Request Form

. The form can be obtained via the Internet at the following URL: **http://www.dnb.com /us/**  **3. Tax Identification Number.** Enter the nine digit taxpayer’s identification num

ber (TIN) as assigned by the Internal Revenue Service. **4. NCES LEA ID Number**  **.** Enter the seven - digit NCES LE**A** ID number. If you do not know this number, please visit http://www.ed.gov/programs/reapsrsa/eligibility.html to find your NCES ID data in the appropriate State spreadsheet for the current year. If you cannot find your NCES ID there , you can also go to http://www.nces.ed.gov/ccdweb/school/index.asp . Please make sure you revie w eligibility requirements for this program. **5. LEA**  **Contact.** Enter the name , official mailing address, telephone and fax numbers, and e - mail address of the authorizing of

ficial (e.g. the district superintendent, the bookkeeper, or designated federal grant of ficer) for this grant application. **6. Federal Debt Delinquency.**  Check **“Yes”** if the applicant’s organization is delinquent on any Federal debt. (This que stion refers to the applicant’s organization and not to the person who signs as the authorized representative. C ategories of debt include delinquent audit disallowances, loans and taxes.) Otherwise, check **“No.” 7.**  **Executive Order**  **12372.** Check **“Yes”** if the application is subject to review

b y E.O. 12372. Also, pleas e enter the mo nth, day, and fo ur (4) digit year (e.g., 12/12/2001). O therwise, check **“No.”** The purpose of Executive Order 12372 is to foster an intergovernmental partnership and strengthen federalism by

relying on State and local processes for the coordination and review

of proposed Federal financial assi stance and direct Federal development. T he application notice, as published in the Federal Register, informs the appl icant as to whether the program is subject to the requirements of E.O. 12372. In addition, the application package contains information on the State Single Point of Contact. An appl icant is still eligible to apply for a grant or grants even if its respective State, Territory, Commonwealth, etc. does not have a State Single Point of Contact

. F or mo re information regarding E.O. 12372 , please refer to : http://www.cfda.gov/public/eo12372.html

. **8. Incorporation**  **by reference**  **of assurances**  **and certific**  **a tions.**  This application incorporates the assurances and certifications listed on the form and the applicant, through the signature of its authorized representative, hereby provides those assurances and certifications. **9 .**  **Authorized representative**  **inform ation**  **and signature.**  Provide the listed information and have the application signed by the authorized representative of the applicant. A copy of the governing body’s authorization for yo u to sign this application as official representative must be on file in the applicant’s of

fice. B e sure to enter the telephone and fax number and e

- mail address of the authorized representative. Also, in item 9e, please enter the month, day, and four (4) digit year (e.g., 12/12/2001) in the date signed field. **Public Burden Statem ent:**  According to the Paperwo rk Reduction Act of 1995, no persons are required to respond to a collection of information unless such collection displays a valid OMB control number. Public reporting burden for this collection of information is estimated to average 40 hours 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. The obligation to respond to this co llection is required to obtain or retain benefit (ESEA Section 6212/6221). Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the U.S. Department of Education, 400 Maryland Ave., SW, W ashington, DC 20210

- 4537 or email ICDocketMgr@ed.gov and reference the OMB Control Number 1810

- 0646 . Note: Please do not return the completed REAP application to this address. If you have comments or concerns regarding the status of your individual submission of this form write directly to:

Email: REAPSEA@ed.gov Subject: SRSA Application Status Or contact: Eric Schulz Office of School S upport and Technology Programs U.S. Department of Education 400 Maryland Avenue, S.W., Room 3 W107 Washington, D.C. 20202 (202) 260

- 7349 eric.schulz@ed.gov