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Community Based Abstinence Education (BAH Progam ang 0 yer Application for Nen-Competing Continuation of Existing Grant CareNet Pregnancy Services of DuPage INSTRUCTIONS FOR THE SF-424 Piblic reporting burden for this collection of information is estimated fo average 45 minutes per response, induding time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collecion of /information. Send comments regarding the burden estimate or any other aspect ofthis collection of information, including suggestions for ‘reducing this Burden, tothe Office of Management and Budget, Paperwork Reduction Project (0348-0043), Washington, DC 20803, PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE OFFICE OF MANAGEMENT AND BUDGET. SEND IT TO THE ADDRESS PROVIDED BY THE SPONSORING AGENCY. ‘This is a standard form used by applicants as @ required face sheet for pre-applications and applications submitted for Federal assistance. tt will be used by Federal agencies to obtain applicant certification that States which have established a review and comment procedure in response to Executive Order 12372 and have selected the program to be included in ther process, have been given an ‘opportunity to review the applicant's submission Tam iiom Eni Ey ‘Sele Type of SubmIss. 1, Entar a Baal Geacipive io of the prokec Winare han ons ‘rogram i imclved, you should append an explanation an Separate sheet. sppropiao (a. construction a rea! ropedty projects) atach a map showing prejact location. For ‘reapplications, use a sopaate shot o provide a summary ‘descption of is project ‘Data appcaion submited to Federal agency (ar Sate W appcabis) ‘an applicants control number (f appicablo). 7% stony the largest potcal siias affeded (eg, Sala, ‘cours, cles). Bia use only applica 7 Enier he proposed wart dato and ord dato o he pried rior Date Racelved by Federal Agony Feral identifier cumber. I this appicaton i a conination or revision to an existing ard, eer tho procentFodoral detior umber. I fo anew projec, leave back. 74 ist the applicants Conarasdional Ona and any DIAC) allected by tho program or projec rier lal name of applicant, name of pwinary orarizalioal uni (including dion applicable), whic wal undedake tho, ‘assistance activity, enter he organization's DUNS number (tocetved from Dun and Bradstea), enter the compote acess of the appllcant (including county), and nara, telephone number. 6 ‘mal and fax of the person to contact en maitre related to this ‘pplication, 7% ‘our esd orto be coiibaiod Garg the ek {unding/oudge pid by each cntibtoe. Vale ofa Kind

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