Fillable GRANT/COOPERATIVE AGREEMENT (USDA Food and Nutrition Service)

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GRANT/COOPERATIVE AGREEMENT (USDA Food and Nutrition Service)

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The GRANT/COOPERATIVE AGREEMENT (USDA Food and Nutrition Service) form is 1 page long and contains:

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  • 2 check-boxes
  • 30 other fields

Country of origin: US
File type: PDF

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UNITED STATES DEPARTMENT OF AGRICULTURE
Food and Nutrition Service
GRANT/COOPERATIVE AGREEMENT
1. GRANT/AGREEMENT NO. 2. FEDERAL AWARD DATE 3. IS THIS AN R&D AWARD?
5. UNIVERSAL IDENTIFIER NUMBER (DUNS)
6. FEDERAL AWARD IDENTIFICATION
NUMBER (FAIN)
4. CFDA NUMBER
7. FEDERAL AWARDING AGENCY 8. CFDA NAME
9. RECIPIENT NAME 10. ACCOUNTING AND APPROPRIATION DATA
11. AMOUNT OF FEDERAL
FUNDS OBLIGATED BY
THIS ACTION
12. TOTAL AMOUNT OF FEDERAL
FUNDS OBLIGATED
13. TOTAL AMOUNT OF THE FEDERAL AWARD
14. PLACE OF PERFORMANCE 15. BUDGET APPROVED BY AWARDING AGENCY
16. TOTAL APPROVED COST
SHARING/MATCHING
(WHERE APPLICABLE)
17. INDIRECT COST RATE FOR
THE FEDERAL AWARD
(PLEASE INCLUDE IF THE DE
MINIMIS RATE IS CHARGED)
18. MAIL REQUESTS FOR REIMBURSEMENT TO 19. SPONSOR (SPONSORING FNS PROGRAM)
20. START DATE 21. END DATE
22. FEDERAL AWARD PROJECT DESCRIPTION
The Grantee/Cooperator hereby assures and certifies that they will comply with the regulations, policies, guidelines and requirements as they relate
to the applications, acceptance, and use of Federal funds for this Federally-assisted project including: 2 CFR Chapter I (Office of Management and
Budget Government-wide Guidance for Grants and Agreements) and Chapter II (Office of Management and Budget Guidance) as well as 2 CFR
Part 200 (Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards); and any USDA implementing
regulations, such as 2 CFR Part 400 (Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards), 2 CFR
Part 415 (General Program Administrative Regulations), 2 CFR Part 416 (General Program Administrative Regulations for Grants and Cooperat ive
Agreements to State and Local Governments), and 2 CFR Part 418 (New Restrictions on Lobbying).
23. REMARKS
SIGNATURE OF GRANTEE/COOPERATOR UNITED STATES OF AMERICA
SIGNATURE (Authorized Individual) DATE SIGNATURE (Grant Official) DATE
NAME (Type) NAME (TYPE)
TITLE TITLE
TELEPHONE NUMBER TELEPHONE NUMBER
YES NO
Electronic Form Version Designed in Adobe 10.0 Version
SBU
FNS-529 (05-16) Previous Editions Obsolete
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GRANTCOOPERATIVE AGREEMENT (USDA Food and Nutrition Service)

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Completed 17 November 2020

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