SOCIAL INNOVATION FUND (SIF) 

GRANT PROGRAM

APPLICATION INSTRUCTIONS

OMB Control #: 3045-0155 Expiration Date: 1/31/2017
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APPLICATION RESOURCES

Use these instructions in conjunction with the Social Innovation Fund Notice of Federal Funding 

Opportunity/Availability (Notice). The Notice includes deadlines, eligibility requirements, 

submission requirements, funding priorities and other relevant information that might 

change annually.

Please also refer to the SIF Performance Measures Definitions guide for assistance in 

determining which performance measures to select for your organization. 

Other resources for completing your application include eGrants instructions, technical 

assistance conference calls and a voicemail and email address for submitting inquiries. 

Information on all application resources can be accessed from the SIF webpage on the CNCS 

website(http://www.nationalservice.gov/programs/social-innovation-fund). 

CREATING AN EGRANTS USER OR ORGANIZATION 

ACCOUNT 

First-time eGrants users need to create an eGrants account by accessing this link: 

https://egrants.cns.gov/espan/main/login.jsp and selecting Don’t have an eGrants account? 

Create an account. 

If you need help establishing a new organization account or a new user account for an existing 

organization account, or with other aspects of eGrants, contact the National Service Hotline at 

800-942-2677 or via: https://questions.nationalservice.gov/app/ask. 

If you are applying for continuation funding (years 2 through 5) of an existing SIF grant, 

please skip to the ‘REQUESTING CONTINUATION FUNDING’ Section.

NEW SOCIAL INNOVATION FUND GRANT APPLICATIONS

To initiate an application: 

• Start a new grant application: Select New under the Creating an Application heading on your 

Home Page

• Select a Program Area: Other 

• Select a NOFA: Social Innovation Fund [Applicable year of funding]

Once you have initiated an application, it will be listed in the View My Grants/Applications

section of your homepage. If you exit and then return to eGrants and wish to continue entering 

or editing your application, please open your saved version by selecting View My 

Grants/Applications. You should not use the New button again as this will start a brand new 

application. 
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APPLICATION CONTENT

Your application consists of the following section. Please complete each section. 

I. Applicant Info 

II. Application Info 

III. Narratives 

IV. Performance Measures – Please disregard this module in eGrants. 

V. Documents 

VI. Budget 

VII. Review, Authorize, and Submit 

Information entered in the Applicant Info, Application Info, and Budget sections will populate 

the SF 424 Facesheet of your application. 

I. Applicant Info 

• Under Project Information select Enter New, create a title for the proposed project, and 

enter the contact information. 

• Select a Project Initiative: Choose the operational model which best describes your Social 

Innovation Fund application from the following options: 

− SIF—Geographic Healthy Futures

− SIF—Geographic Economic Opportunity 

− SIF—Geographic Youth 

− SIF—Geographic Multiple Issues

− SIF—Issue Area Healthy Futures

− SIF—Issue Area Economic Opportunity 

− SIF—Issue Area Youth

• Select an individual as the Project Director, by choosing a name from the pull-down menu or 

adding a new contact.

Please note that the Authorized Representative will be filled in at the end of the application 

when completing the Assurances and Certifications section. (Attachment A)

II. Application Info 

Complete this section as follows:

• Areas affected by the project: List only the largest political or municipal entities affected 

(e.g., counties and cities). Please include the two-letter abbreviation with both letters 

capitalized for each state where you plan to operate. Separate each two-letter state 

abbreviation with a comma. For city or county information, please follow each one with the 

two-letter capitalized state abbreviation.

• Proposed project start and end dates. You may not request a start date earlier than August 

15 or later than September 30. Your project period can be up to five years. 

• Intergovernmental Review of Federal Programs: Enter ‘No.’ This program is NOT subject 
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to Executive Order 12372. 

• Delinquent on any federal debt: Check the appropriate box. This question applies to the 

applicant organization, not the person who signs as the authorized representative. Categories 

of debt include delinquent audit allowances, loans, and taxes. If ‘Yes’, type your explanation 

in the text box provided. 

• State Application Identifier: Enter N/A.

Note: Falsification or concealment of a material fact or submission of false, fictitious or 

fraudulent statements or representations to any department or agency of the United States 

Government may result in a fine or imprisonment for not more than five (5) years, or both. (18 

USC § 1001). 

III. Narratives 

The application narrative has four sections. 

• Executive Summary

• Program Design

• Organizational Capability

• Cost Effectiveness and Budget Adequacy 

Page Limit and Formatting

• It is important that you preview the eGrants PDF of your application to ensure that you don’t 

exceed the page limit as prescribed in the Notice. Reviewers will stop reading your 

application when they reach the page limit. 

• Also, please note that bold face, bullets, underlines, charts, diagrams, and tables or other 

types of formatting will not copy into eGrants.

A. Executive Summary

The executive summary will be used in the initial eligibility review to assess an applicant’s 

status as an existing grantmaking institution or an eligible partnership, and to confirm its 

identification as either a geographically-based or issue-based Social Innovation Fund (see the 

eligibility section of the Notice). Therefore, the summary should contain clear and concise 

indications of both eligibility criteria. 

Please note that executive summaries for all applications will be made public and posted to 

CNCS’ website.

Please complete the Executive Summary as follows: 

Heading: For the title of the Executive Summary, applicants should use the name of the sole 

or lead intermediary (if an eligible partnership).

Provide a summary of the proposed program as follows: 

Overview: 
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• Describe the applicant organization including whether it is an existing grantmaking 

institution or an eligible partnership. 

• Identify as either a geographically-based or an issue-based Social Innovation Fund. 

• Identify priority issue area(s) of focus. 

• Identify geographic areas where subgrantees are likely to be located. 

• Identify other organizations that will play a key role in the implementation of the

strategy to select, support, monitor, or evaluate subgrantees. If applying as an eligible 

partnership, clearly identify the other members of the partnership. 

• Identify the grant amount being requesting and the proposed grant period. 

• Identify the main sources of match that have been secured. 

Project Summary: 

• Provide an overview of the proposed program and the need(s) the program will meet. 

• Outline the program’s theory of change and describe the measurable outcomes the 

program will achieve in the identified issue area(s). 

• Provide an overview of the proposed subgrant portfolio strategy including selection, 

evaluation, and growth of subgrantees. 

• Briefly describe the experience, expertise, and other strengths or assets the 

organization and its partners will contribute to successfully realizing its identified 

outcomes. 

Applicants should complete the narrative sections of Program Design, Organizational 

Capability, and Cost Effectiveness and Budget Adequacy by responding to the selection criteria 

detailed in the Notice.

B. Program Design

In responding to the program design criteria, applicants should demonstrate the identification 

of a compelling need(s) and desired outcomes, and describe a convincing strategy for 

achieving those outcomes through the selection, support, evaluation and scaling of evidencebased program interventions. 

Describe if the proposed program will address SIF funding priorities identified in the Notice. 

C. Organizational Capability 

In responding to the organizational capability criteria, applicants should demonstrate the 

experience and capacity to successfully implement the proposed grant program and to adhere 

to the requirements and expectations of a SIF grantee

If you are requesting a reduced match requirement, provide the information requested in the 

Notice. 

 

D. Cost Effectiveness and Budget Adequacy

In completing the budget and responding to these criteria, you should demonstrate a 

reasonable plan for meeting the financial needs of the proposed program and for raising the 

required match.
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Clarification Summary and Continuation Changes are not relevant to this application. Please 

enter N/A for not applicable under these narrative sections. 

E. Amendment Justification 

Enter N/A. This field is used when requesting an amendment to an awarded grant. 

F. Clarification Information 

Enter N/A. This field is used to enter information that requires clarification in the postreview period. 

G. Continuation Changes 

Enter N/A. This field is used to enter changes in your narratives in your continuation 

requests.

IV. Performance Measures

Please disregard this section of the application. You will not create performance measures 

as part of your application process. 

In the Performance Measures module of eGrants you will create performance measures; set 

targets and describe data collection plans for your performance measures; identify interventions 

associated with your program; and identify performance measures for subgrantees (as applicable)

A. Accessing the Performance Measures Home Page 

You can either access the Performance Measures Module after completing the Documents

section of your application or directly by clicking on Performance Measures on the left side 

of your screen.

• To begin entering performance measures, click the Begin button on the Home Page. 

− As you proceed through the module, the Home Page will summarize your work and 

provide links to edit the parts of the module you have completed. You may also 

navigate sections of the module using the tab feature at the top of each page. 

− Once you have started the module, clicking Continue Working will return you to the 

tab you were on when you last closed the module. 

• To edit a performance measure, click the Edit button. 

• To delete a measure, click Delete. 

• To create a new performance measure, click the Add New Performance Measure button. 

B. Creating Performance Measures 

On the Performance Measures Tab, you can create performance measures for all the grant 

activities you intend to measure. Please note that there are mandatory measures for which

you must set targets and report. There are additional measures that you will select as they 

pertain to your program. 

1. Select Applicant Type: Grantee. 
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2. Select Applicant Name: Your organization’s name. 

3. Enter a Problem Statement: In 2-3 sentences, briefly describe the problem that you 

propose to address through your SIF grant activities. 

4. Select Targets for Mandatory Performance Measures

• Enter a baseline and target number for mandatory SIF performance measures.

• For each measure, select and describe the instrument(s) you will use to measure the 

appropriate output or outcome. Instruments are specific tools used to collect 

information such as a behavior checklist, attitude questionnaire, attendance sheet, or 

interview protocol. Include the title of the instrument(s), a brief description of what it 

measures and how it will be administered, and details about its reliability and validity 

if applicable.

5. Add Additional Performance Measures

Select additional measures if they are applicable to your program. Consult the SIF 

Performance Measures Definitions guidance to determine which performance measures 

are appropriate for your program. 

• Select a focus area and relevant outputs and/or outcomes. Enter a baseline and target 

number for each measure. 

• For each measure, select and describe the instrument(s) you will use to measure your 

output or outcome. 

• To create additional measures, select Add Another FA End Outcome (FA=Focus 

Area) and select desired focus areas, outputs, and outcomes, as appropriate. 

6. Identify Interventions

Select the interventions that you will carry out to address the problem identified in the 

application. Only interventions that correspond with the focus area(s) you selected will 

appear.

• Select all interventions that are a part of your program design. 

• Click Add User Intervention to add and describe any intervention not listed. 

7. Saving Performance Measures

• After entering all information, select, Complete PM. This will return you to the 

Home Page. 

• If you are an existing SIF grantee and wish to create performance measures for 

another subgrantee, repeat the process. If you would like to continue to the Summary 

Tab to validate your performance measures, click Next. 

8. Validating Performance Measures

You will not be able to submit your application without first validating your performance 

measures. The Summary Tab allows you to review all of the measures and targets that 

you selected. 

• You can select to print the performance measures by clicking either Print PDF of 

Table or Print All Performance Measures. 

• If you need to edit a measure, click Edit Performance Measures which will take you 
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back to the Performance Measures Tab.

• Once your performance measures are complete, click Validate Performance 

Measures to include them in your application. 

V. Documents 

In addition to the application submitted in eGrants, you are required to provide documentation of 

match as described in section Submitting Match Verification section of the Notice. After you 

have submitted your match verification, change the status in eGrants from the default “Not Sent” 

to the applicable status “Sent.” 

VI. Budget 

A. Budget Requirements

Applicants must submit a proposed first year budget that includes both federal and match 

funding. If an application is selected for award, CNCS will determine the final amount of the 

award of federal funds, and will negotiate a final budget. Upon award, compliance with the 

approved budget will be a material term and condition of the cooperative agreement with the 

Social Innovation Fund intermediary. 

Your proposed budget should be sufficient to allow you to perform the tasks described in 

your narrative and provide a full explanation of costs including their purpose, justification, 

and the basis of your calculations. Reviewers will consider the information you provide in 

your budget as part of their assessment of the Cost Effectiveness and Budget Adequacy 

criteria. 

In eGrants, the preparation of a detailed budget provides the data that creates the summary 

budget and the budget narrative. The detailed budget should provide a full explanation of 

associated costs including their purpose, justification, and the basis of the calculations. 

eGrants will perform a limited compliance check to validate the budget. If it finds any 

compliance issues you will receive a warning and/or error messages. You must resolve all 

errors before you can submit your budget. 

As you prepare your budget: 

• All the amounts you request must be for a particular purpose. Do not include 

miscellaneous, contingency, or other undefined budget amounts. 

• Itemize each cost and present the basis for all calculations in the form of an equation, 

identifying the number of persons involved with the event, the cost per person or unit, 

and/or the annual salary cost. 

• Do not include fractional amounts (cents). 

• The value of any in-kind goods or services provided to the applicant cannot be 

included in the proposed or final budgets. 

• Because of the required one-to-one match for Social Innovation Fund grantees, the 

budget must reflect total costs being distributed equally between the federal and grantee 

shares, but individual categories do not have to be equally distributed. 
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• At least 80 percent of the federal share must be awarded to subgrantees; the balance may 

go toward the intermediary’s program support costs, including evaluation, knowledge 

management, and Social Innovation Fund implementation. 

Programs must comply with all applicable federal laws, regulations, and OMB circulars for

grant management, allowable costs, and audits, including providing audits to the A-133 

clearinghouse if expending over $500,000 in federal funds, as required in OMB Circular A133.

Allowable Costs 

Please refer to the relevant OMB Circulars for further guidance on allowable costs. The 

OMB circulars are online at www.whitehouse.gov/OMB/circulars, and have been codified in 

Title 2 of the Code of Federal Regulations (CFR) as indicated below 

• A-21 - Cost Principles for Educational Institutions, 2 CFR Part 220 

• A-87 - Cost Principles for State, Local, and Indian Tribal Governments, 2 CFR Part 225 

• A-122 - Cost Principles for Non Profit Organizations, 2 CFR Part 230 

It is important to understand that “allowable costs” under federal awards do not necessarily 

include all costs that the organization will incur in order to perform their awards. For 

example, the cost of raising funds in order to meet the nonfederal share of the budget 

(“matching funds”) is not allowable under the OMB cost principles. The cost principles 

reflect government-wide requirements that one must be aware of when developing a budget. 

. Matching Funds

The non-federal share of the budget represents the dollar-for-dollar cash matching funds 

requirement. Any organization that receives a SIF award is responsible for securing the 

necessary matching funds. Matching funds may come from state, local, or private sources, 

which may include state or local government agencies, businesses, private philanthropic 

organizations, or individuals. Federal funds may not be used towards the match requirement. 

The non-federal share of the budget must equal or exceed the federal share of the budget (this 

implements the dollar-for-dollar cash match requirement). There is no requirement that the 

non-federal share of the budget “mirror” or be allocated on the same basis as the federal 

share of the budget. For example, it is not required that 80 percent of the grantee’s share of 

funds be allocated to subgrantees, as is required for the federal share. 

Additionally: 

• If the applicant is an eligible partnership that includes a State Commission or a local 

government office, the state or local government involved must provide not less than 30 

percent and not more than 50 percent of the matching funds. 

. Budget Line Items

Section I. Program Costs 

• Project Personnel Expenses

List each staff position separately with a brief statement of responsibilities, salary and 

the percentage of staff time that will apply to the grant. Each staff person’s role listed 

B

C
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in the budget must be described in the application narrative and each staff person 

mentioned in the narrative must be listed in the budget as either CNCS or Grantee 

share. 

• Personnel Fringe Benefits

Include costs of benefit(s) for the project staff. Identify the types of fringe benefits to 

be covered and the costs of benefit(s) for each staff position. Allowable fringe 

benefits typically include FICA, Worker’s Compensation, Retirement, SUTA, Health 

and Life Insurance, IRA, and 401K. You may provide a calculation for total benefits 

as a percentage of the salaries to which they apply or list each benefit as a separate 

item. If a fringe benefit amount is over 30%, please list covered items separately and 

justify the high cost. Holidays, leave, and other similar vacation benefits are not 

included in the fringe benefit rates, but are absorbed into the personnel expenses 

(salary) budget line item.

• Staff Travel

Describe the purpose for which project staff will travel. Allowable costs are 

transportation, lodging, subsistence, and other related expenses. Provide a calculation 

that includes itemized costs for airfare, transportation, lodging, per diem, and other 

travel-related expenses multiplied by the number of trips/staff. Where applicable, identify 

the current standard reimbursement rate(s) of the organization for mileage, daily per 

diem, and similar supporting information. Reimbursement should not exceed the federal 

mileage rate unless a result of applicant policy and justified in the budget narrative. Only 

domestic travel is allowable. Include costs for four staff members (CEO, project lead, 

evaluation lead and finance lead) to attend the annual SIF Grantee Convening.

Example of budget detail required: The project lead will conduct a monitoring visit: 1 

person X $750 airfare + $50 ground transportation + $150 lodging + $35 per diem X two 

days = $1,170 for Monitoring. 

• Equipment

Equipment is defined as tangible, non-expendable personal property having a useful life 

of more than one year AND an acquisition cost of $5,000 or more per unit (including 

accessories, attachments, and modifications). If applicable, show the unit cost and 

number of units you are requesting. Provide a brief justification for the purchase of the 

equipment under Item/Purpose. You might be asked to provide further explanation of 

equipment costs that exceed 10% of the total CNCS funds requested. Any items that do 

not meet this definition should be entered under Supplies. 

• Supplies

Include the funds for the purchase of consumable supplies and materials that do not fit 

the definition above. Applicants must individually list any single item costing $1,000 

(one thousand) or more. Applicants should provide the calculation for cost 

determinations. 

• Contractual and Consultant Services
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Include costs for consultants related to the project’s operations, except training or 

evaluation consultants who should be listed in those sections. Where applicable, 

indicate the daily rate for consultants. 

• Training

Include the costs associated with training of staff working directly on the project,

especially training that specifically enhances staff project implementation and 

professional skills. If using a consultant(s) for training, indicate the estimated daily 

rate.

• Evaluation

Include costs for project evaluation activities, such as use of evaluation consultants, 

purchase of instrumentation and other costs specifically for this activity. Indicate 

daily rates of consultants, where applicable. If subgrantee evaluations will be paid at 

the subgrantee level using subgrant funds include them in section I. Other. 

• Other Costs

Subgrants - Please enter all subgrant costs in a line titled, “Subgrants.” The amount 

entered for the CNCS share should reflect at least 80% of total requested federal 

funds. As with other categories, the grantee share of subgrant funds does not need to 

equal the CNCS share. 

Criminal History Checks - Please include a line titled “Criminal History Checks” and 

enter costs for criminal history background checks for all employees or other individuals 

who receive a salary, stipend or similar payment from the grant (CNCS or non-CNCS 

share). Please note that criminal history checks are required at both the intermediary and 

subgrantee levels. 

Other allowable costs in this section may include office space rental, utilities, and

telephone and Internet expenses that directly involve program staff and are not part 

of the organization’s indirect cost/admin cost. If shared with other projects or 

activities, you must prorate the costs equitably. List each item and provide a 

justification in the budget. 

• Administrative Costs

Administrative costs are general or centralized expenses of the overall administration of 

an organization and do not include particular project costs. These costs may include 

administrative staff positions, rent, IT costs, etc. 

− If you have a federally approved indirect cost (IDC) rate you must use it unless 

authorized by CNCS to use another method. Specify the Cost Type for which your 

organization has current documentation on file, i.e., Provisional, Predetermined, 

Fixed, or Final indirect cost rate. Supply your approved IDC rate (percentage). It is 

at your discretion whether or not to use your entire IDC rate to calculate 

administrative costs. If you choose to claim a lower rate, please include this rate 

under the Rate Claimed field.

− If you do not have an IDC, administrative costs should be entered as direct expenses. 
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• Source of Matching Funds

Describe the grantee match contribution by entering a brief description, the amount, the 

match classification (Cash, or Not Available) and Match Source (State/Local, Private, 

Other or Not Available) for your entire match. Define any acronyms the first time they 

are used. Each source should be entered as a separate line item. E.g. if you receive 

support from two separate foundations, enter each one on a separate line. 

Note: You will be prevented from validating your budget in eGrants if you do not meet the 

dollar-for-dollar cash match. You will receive an error message that states, “Grantee share must 

be greater than or equal to CNCS share.” 

VII. Review, Authorize, and Submit 

eGrants requires that you review and verify your entire application before submitting by 

completing the following steps: 

• Review

• Authorize 

• Assurances

• Certifications

• Verify

• Submit 

Read the Authorization, Assurances, and Certifications carefully (Attachment A). The person

who authorizes the application must be the applicant’s Authorized Representative or his/her 

designee and must have an active eGrants account to sign these documents electronically. An 

Authorized Representative is the person in your organization authorized to accept and commit 

funds on behalf of the organization. A copy of the governing body’s authorization for this official 

representative to sign must be on file in the applicant’s office.

Be sure to check your entire application to make sure that there are no errors before submitting it. 

eGrants will also generate a list of errors if there are sections that need to be corrected prior to 

submission when you verify the application. If someone else is acting in the role of the 

applicant’s authorized representative, that person must log into his/her eGrants account to 

proceed with Authorize and Submit. After signing off on the Authorization, Assurances, and 

Certifications, his/her name will override any previous signatory that may appear and show on 

the application as the Authorized Representative. 

Note: Anyone within your organization who will be entering information in the application at 

any point during application preparation and submission in the eGrants system must have 

their own eGrants account. Individuals may establish an eGrants account by accessing this link: 

https://egrants.cns.gov/espan/main/login.jsp and selecting “Don’t have an eGrants account? 

Create an account.”
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CONTINUATION REQUESTS

These instructions apply only to programs that are in years one through four of a SIF grant and 

are requesting funding for the next year.

• Log into eGrants 

• On your eGrants Home Page, under Creating a Grant Application, select 

Continuation/Renewal 

• Select Continue from the options listed to the right of your SIF grant. Do not start a new 

application. If you have more than one grant with the Corporation, be sure to select the 

correct one. The system will copy your most recently awarded application. 

• Select Next on the screen that opens

APPLICATION CONTENT

Your application consists of the following components. Make sure to review each section. 

I. Applicant Info 

II. Application Info 

III. Narratives 

IV. Performance Measures

V. Documents 

VI. Budget 

VII. Review, Authorize, and Submit 

I. Applicant Info 

Update this section if necessary. 

• In particular, click View/Edit under Project Director to see if the contact information is 

current. Make any necessary changes to the project director’s contact information.

• If the project director has changed, you must create a record for the new person by clicking 

Enter New. DO NOT overwrite the information for an existing contact with the information 

for a new contact because this affects the historical record.

• Document in the Continuation Changes field any changes you have made to this section.

II. Application Info 

Update Areas affected by the project and Delinquent on any federal debt as necessary. Do not 

adjust the project period dates. 

III. Narratives 

Please comply with the page limit listed in the Notice. Preview the eGrants PDF of your 

application to ensure that you don’t exceed the page limit as prescribed in the Notice. 
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• Your original application will appear in the different sections of the Narratives screen. 

Do not enter continuation changes in, or otherwise edit, the original narrative fields. 

Instead provide the information described below in the narrative field called 

Continuation Changes. 

• If you have previously requested continuation funding, please distinguish this year’s text 

from previous by labeling this year’s narrative “Year ___(2 , 3, 4, etc.) Continuation 

Changes”.

• Please enter narrative for the following topics, clearly labeling each with a new heading:

− Changes to Applicant Info or Application Info Screens: As applicable, note any 

changes you have made to the Applicant Info and Application Info screens.

− Changes in Staff: If applicable, describe changes in key staff positions. If any key 

positions are currently vacant, describe how the functions are being carried out and 

when the positions will be filled.

− Continuations review criteria outlined in the Notice: Provide a narrative response to 

the review criteria.

− Changes to Budget: If applicable, provide a rationale for any proposed changes to the 

budget. 

IV. Performance Measures

Update this section as necessary. In the Continuations Changes narrative section, identify 

describe any performance measures changes made. 

V. Documents 

In addition to the application submitted in eGrants, you are required to complete and submit a 

table summarizing your subgrant awards to date as directed in the Notice. The table can be 

found in Attachment B. This information helps us to understand the amount of federal dollars 

that are flowing to the local communities. This information is also used to validate the SIF’s 

claim that it effectively leverages private match sources. These charts will be prepopulated 

based on previous year’s submissions. Please update where applicable for a previous year and 

complete the section for your current year of subgrant awards. Items included in the chart are by 

subgrantee: 

− Year ___ Award (Start and End Date) 

− Year ___ Award Amount (Federal)

− Year ___ Award Amount (Intermediary Match) 

− Year ___ Award Total (Federal and Intermediary Match)* 

− Year ___Subgrantee Match Funds Received

− Year ___Subgrantee Match Funds Expended 

− Year ___Subgrantee Federal Funds Expended 

− Year ___Subgrantee Intermediary Funds Expended 

− Total Subgrantee Federal and Intermediary Funds Awarded (cumulative to date)*

− Total Subgrantee Match Funds Received (cumulative to date)* 
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− Total Subgrantee Match Funds Expended (cumulative to date)* 

− Total Subgrantee Federal Funds Expended (cumulative to date)* 

− Total Subgrantee Intermediary Funds Expended (cumulative to date)* 

− Total Subgrantee Federal Funds Expended (cumulative to date)* 

− Total Subgrantee Funds Expended (cumulative to date)* 

After you have submitted the table as requested, change the status in eGrants from the default 

Not Sent to the applicable status Sent. Submit completed spreadsheets to your program 

officer via email by the application due date. 

*Will automatically populate

VI. Budget

Your budget from the previous year will be copied into your continuation request. Make any 

necessary adjustments to the existing budget. 

VII. Review, Authorize, and Submit 

Read the Authorization, Assurances, and Certifications carefully (Attachment A). The person 

who authorizes the application must be the applicant’s Authorized Representative or his/her 

designee and must have an active eGrants account to sign these documents electronically. An 

Authorized Representative is the person in your organization authorized to accept and commit 

funds on behalf of the organization. A copy of the governing body’s authorization for this official 

representative to sign must be on file in the applicant’s office.

Be sure to check your entire application to make sure that there are no errors before submitting it. 

eGrants will also generate a list of errors if there are sections that need to be corrected prior to 

submission when you verify the application. If someone else is acting in the role of the 

applicant’s authorized representative, that person must log into his/her eGrants account to 

proceed with Authorize and Submit. After signing off on the Authorization, Assurances, and 

Certifications, his/her name will override any previous signatory that may appear and show on 

the application as the Authorized Representative. 
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ATTACHMENT A: Assurances & Certifications 

ASSURANCES

As the duly authorized representative of the applicant, I assure, to the best of my knowledge and belief, 

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 costs) to

ensure proper planning, management, and completion of the project described in this application. 

• 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.

• Will establish safeguards to prohibit employees from using their position for a purpose that 

constitutes or presents the appearance of personal or organizational conflict of interest, or personal 

gain. 

• Will initiate and complete the work within the applicable time frame after receipt of approval of the 

awarding agency. 

• 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 nineteen statutes or 

regulations specified in Appendix A of OPM’s Standards for a Merit System of Personnel 

Administration (5 CFR 900, Subpart F). 

• Will comply with all federal statutes relating to nondiscrimination. These include but are not limited 

to: 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 Act of 1973, as amended (29 U.S.C. 794), which prohibits discrimination on 

the basis of disability (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) sections 523 and 527 of the Public Health Service Act of 1912 (42 U.S.C. 290dd-3 and 290ee-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 National and 

Community Service Act of 1990, as amended; and (j) the requirements of any other nondiscrimination 

statute(s) which may apply to the application. 

• 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.
ii

• Will comply with the 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.

• Will comply, as applicable, with the provisions of the Davis-Bacon Act (40 U.S.C 276a and 276a77), 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 sub-agreements.

• 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 the 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. 

• 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).

• 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. 

• 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 (16U.S.C. 469a-l et 

seq.). 

• 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. 

• 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. 

• 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.

• Will cause to be performed the required financial and compliance audits in accordance with the Single 

Audit Act of 1984, as amended, and OMB Circular A-133, Audits of States, Local Governments, and 

Non-Profit Organizations.

• Will comply with all applicable requirements of all other Federal laws, executive orders,

regulations, application guidelines, and policies governing this program. 
iii

For Social Innovation Fund Applicants ONLY

• Will use the funds received through the award in order to make sub-grants to community 

organizations that will use the funds to replicate or expand proven initiatives, or support new 

initiatives, in low-income communities. 

• Will consult with a diverse cross section of community representatives in making decisions 

about sub-grants for communities (including individuals from the public, nonprofit private,

and for-profit private sectors).

• Will make sub-grants of a sufficient size and scope to enable the community organizations to 

build their capacity to manage initiatives, and sustain replication or expansion of the initiatives;

• Will not make any sub-grants to--

− the parent organizations of the applicant,

− a subsidiary organization of the parent organization of the applicant, or,

− if the applicant applied for a SIF award as a partnership, any member of the partnership. 

• Commits to meeting the matching cash fund requirements of section 198k(i) of the National and 

Community Service Act of 1990 (42 U.S.C. §12653k(i)).

• Commits to use data and evaluations to improve the applicant’s own model and to improve the 

initiatives funded by the applicant.

• Commits to cooperate with any evaluation activities undertaken by the Corporation. 
CERTIFICATIONS

Certification – Debarment, Suspension, and Other Responsibility Matters

This certification is required by the government-wide regulations implementing Executive Order 12549, 

Debarment and Suspension, 2 CFR Part 180, Section 180.335, What information must I provide before 

entering into a covered transaction with a Federal agency?

As the duly authorized representative of the applicant, I certify, to the best of my knowledge and belief, 

that neither the applicant nor its principals: 

• Is presently excluded or disqualified;

• Has been convicted within the preceding three years of any of the offenses listed in § 

180.800(a) or had a civil judgment rendered against it for one of those offenses within that

time period; 

• Is presently indicted for or otherwise criminally or civilly charged by a governmental entity 

(Federal, State, or local) with commission or any of the offenses listed in § 180.800(a); or 

• Has had one or more public transactions (Federal, State, or local) terminated within the 

preceding three years for cause or default. 

Definitions

The terms “debarment”, “suspension”, “excluded”, “disqualified”, “ineligible”, “participant”, “person”, 

“principal”, and “voluntarily excluded” as used in this document have the meanings set out in 2 CFR Part

180, subpart I, “Definitions.” A transaction shall be considered a “covered transaction” if it meets the 

definition in 2 CFR part 180 subpart B, “Covered Transactions.”

Assurance requirement for subgrant agreements

You agree by submitting this proposal that if we approve your application you shall not knowingly enter 

into any lower tier covered transaction with a person who is debarred, suspended, declared ineligible, or 

voluntarily excluded from participation in this covered transaction, unless authorized by us.

Assurance inclusion in subgrant agreements

You agree by submitting this proposal that you will obtain an assurance from prospective participants in

all lower tier covered transactions and in all solicitations for lower tier covered transactions that the 

participants are not debarred, suspended, ineligible, or voluntarily excluded from the covered transaction. 

Assurance of subgrant principals

You may rely upon an assurance of a prospective participant in a lower-tier covered transaction that is not 

debarred, suspended, ineligible, or voluntarily excluded from the covered transaction, unless you know 

that the assurance is erroneous. You may decide the method and frequency by which you determine the 

eligibility of your principals. You may, but are not required to, check the List of Parties Excluded from 

Federal Procurement and Nonprocurement Programs.

Non-assurance in subgrant agreements

If you knowingly enter into a lower tier covered transaction with a person who is suspended, debarred, 

ineligible, or voluntarily excluded from participation in this transaction, in addition to other remedies 

available to the federal government, we may terminate this transaction for cause or default. 

Certification – Drug Free Workplace

This certification is required by the Corporation’s regulations implementing sections 5150-5160 of the 
Drug-Free Workplace Act of 1988 (P.L. 100-690), 2 CFR Parts 182 and 2245. The regulations require 

certification by grantees, prior to award, that they will make a good faith effort, on a continuing basis,

to maintain a drug-free workplace. The certification set out below is a material representation of fact 

upon which reliance will be placed when the agency determines to award the grant. False certification 

or violation of the certification may be grounds for suspension of payments, suspension or termination 

of grants, or government-wide suspension or debarment (see 2 CFR Part 180, Subparts G and H).

As the duly authorized representative of the grantee, I certify, to the best of my knowledge and 

belief, that the grantee will provide a drug-free workplace by: 

A. Publishing a drug-free workplace statement that:

a. Notifies employees that the unlawful manufacture, distribution, dispensing, possession, or use 

of a controlled substance is prohibited in the grantee’s workplace; 

b. Specifies the actions that the grantee will take against employees for violating that 

prohibition; and 

c. Informs employees that, as a condition of employment under any award, each employee 

will abide by the terms of the statement and notify the grantee in writing if the employee 

is convicted for a violation of a criminal drug statute occurring in the workplace within

five days of the conviction; 

B. Requiring that a copy of the statement described in paragraph (A) be given to each employee 

who will be engaged in the performance of any Federal award; 

C. Establishing a drug-free awareness program to inform employees about:

a. The dangers of drug abuse in the workplace; 

b. The grantee’s policy of maintaining a drug-free workplace; 

c. Any available drug counseling, rehabilitation, and employee assistance programs; and 

d. The penalties that the grantee may impose upon them for drug abuse violations occurring 

in the workplace; 

D. Providing us, as well as any other Federal agency on whose award the convicted employee was 

working, with written notification within 10 calendar days of learning that an employee has 

been convicted of a drug violation in the workplace; 

E. Taking one of the following actions within 30 calendar days of learning that an employee has 

been convicted of a drug violation in the workplace: 

a. Taking appropriate personnel action against the employee, up to and including termination; or 

b. Requiring that the employee participate satisfactorily in a drug abuse assistance or 

rehabilitation program approved for these purposes by a Federal, State, or local health, 

law enforcement, or other appropriate agency; 

F. Making a good faith effort to continue to maintain a drug-free workplace through 

implementation of paragraphs (A) through (E).

Certification - Lobbying Activities

As required by Section 1352, Title 31 of the U.S. Code, as the duly authorized representative of the 

applicant, I certify, to the best of my knowledge and belief, that:

• No funds received from CNCS have been or will be paid, by or on behalf of the applicant, to

any person or agent acting for the applicant, related to activity designed to influence the 

enactment of legislation, appropriations, administrative action, proposed or pending before the 
Congress or any State government, State legislature or local legislature or legislative body. 

• 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 applicant will 

submit Standard Form-LLL, "Disclosure Form to Report Lobbying," in accordance with its 

instructions;

• The applicant will require that the language of this certification be included in the award

documents for all subcontracts at all tiers (including subcontracts, subgrants, and contracts 

under grants, loans and cooperative agreements) and that all subrecipients will certify and 

disclose accordingly. 

Erroneous certification or assurance

The assurances and certifications are material representations of fact upon which we rely in determining 

whether to enter into this transaction. If we later determine that you knowingly submitted an erroneous 

certification or assurance, in addition to other remedies available to the federal government, we may 

terminate this transaction for cause or default. 

Notice of error in certification or assurance

You must provide immediate written notice to us if at any time you learn that a certification or assurance 

was erroneous when submitted or has become erroneous because of changed circumstances.

Prudent person standard

Nothing contained in the aforementioned may be construed to require establishment of a system of 

records in order to render in good faith the assurances and certifications required. Your knowledge and 

information is not required to exceed that which is normally possessed by a prudent person in the 

ordinary course of business dealings.
ATTACHMENT B: Continuations Subgrantee Awards Chart
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A B C D E F G H I J K L M O P Q R S T U V W

Subgrant Awards Table (Date)

Grantee name

Subgrantee Name Year ___ Subgrantee Start 

and End Date

Year __ Subgrantee 

Award Amount 

(Federal)

Year ___ Subgrantee 

Award Amount 

(Intermediary Match)

Year ___ Subgrantee 

Award Total 

(Federal + Intermediary 

Match) Automatically 

Populated

Year____Subgrantee 

Match Funds Raised 

Year ____ Subgrantee 

Match Funds Expended

Year ____ Subgrantee 

Federal Funds Expended

Year ____ Subgrantee 

Intermediary Funds 

Expended

Year ___ Subgrantee 

Start and End Date

Year ___ 

Subgrantee 

Award Amount 

(Federal)

Year __ Subgrantee 

Award Amount 

(Intermediary 

Match)

Year __ Subgrantee 

Award Total (Federal 

+ Intermediary 

Match) 

Automatically 

Populated

Year____ 

Subgrantee 

Match Funds 

Raised 

Year ____ 

Subgrantee 

Match Funds 

Expended

Year ____ 

Subgrantee 

Federal 

Funds 

Expended

Year ____ 

Subgrantee 

Intermediary 

Funds 

Expended

Year ___ 

Subgrantee 

Start and End 

Date

Total 

Subgrantee 

Funds Awarded 

(Federal and 

Intermediary) 

(Automatically 

Populated)

Subgrantee 

Match Funds 

Raised 

(Cummulative to 

Date) 

(Automatically 

Populated)

Subgrantee 

Match Funds 

Expended 

(Cummulative 

to Date) 

(Automatically 

Populated)

Subgrantee Federal 

Funds Expended 

(Cummulative to 

Date) 

(Automatically 

Populated)

Subgrantee 1 0 0

Subgrantee 2 0 0

Subgrantee 3 0 0

Subgrantee 4 0 0