P229A180016 University of California Los Angeles
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U.S. Department of Education Washington, D.C. 20202-5335 APPLICATION FOR GRANTS UNDER THE Language Resource Centers CFDA # 84.229A PR/Award # P229A180016 Gramts.gov Tracking#: GRANT12660055 OMB No. , Expiration Date: Closing Date: Jun 25, 2018 PR/Award # P229A180016 **Table of Contents** Form Page 1. Application for Federal Assistance SF-424 e3 2. Standard Budget Sheet (ED 524) e6 3. Assurances Non-Construction Programs (SF 424B) e8 4. Disclosure Of Lobbying Activities (SF-LLL) e10 5. ED GEPA427 Form e11 Attachment - 1 (2018_22_NHLRC_Proposal_GEPA_Section_427_v11050802612) e12 6. Grants.gov Lobbying Form e13 7. Dept of Education Supplemental Information for SF-424 e14 8. ED Abstract Narrative Form e15 Attachment - 1 (2018_22_NHLRC_proposal_abstract1050802286) e16 9. Project Narrative Form e17 Attachment - 1 (2018_22_NHLRC_Project_Narrative1050802589) e18 10. Other Narrative Form e68 Attachment - 1 (2018_22_NHLRC_Proposal_Appendix_I_CVs1050780751) e69 Attachment - 2 (2018_22_NHLRC_Proposal_Apendix_II_Position_Descriptions1050780752) e111 Attachment - 3 (2018_22_NHLRC_Proposal_Appendix_III_Letters_of_Support1050802006) e113 Attachment - 4 (2018_22_NHLRC_Proposal_APPENDIX_4_Performance_measures_1050802284) e124 11. Budget Narrative Form e128 Attachment - 1 (2018_22_NHLRC_Budget_Narrative_v21050802742) e129 This application was generated using the PDF functionality. The PDF functionality automatically numbers the pages in this application. Some pages/sections of this application may contain 2 sets of page numbers, one set created by the applicant and the other set created by e-Application's PDF functionality. Page numbers created by the e-Application PDF functionality will be preceded by the letter e (for example, e1, e2, e3, etc.). Page e2 OMB Number: 4040-0004 Expiration Date: 12/31/2019 Application for Federal Assistance SF-424 * 1. Type of Submission: * 2. Type of Application: * If Revision, select appropriate letter(s): Preapplication New Application Continuation * Other (Specify): Changed/Corrected Application Revision * 3. Date Received: 4. Applicant Identifier: 06/25/2018 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: The Regents of the University of California, Los Angeles * b. Employer/Taxpayer Identification Number (EIN/TIN): * c. Organizational DUNS: 956006143 092530369 d. Address: * Street1: Office of Contract and Grant Administration Street2: 10889 Wilshire Boulevard, Suite 700 * City: Los Angeles County/Parish: Los Angeles County * State: CA: California Province: * Country: USA: UNITED STATES * Zip / Postal Code: 90095-1406 e. Organizational Unit: Department Name: Division Name: UCLA International Institute UCLA International Institute f. Name and contact information of person to be contacted on matters involving this application: Prefix: * First Name: Dr. Christopher Middle Name: L * Last Name: Erickson Suffix: Title: Senior Associate Vice Provost Organizational Affiliation: The Regents of the University of California, Los Angeles * Telephone Number: Fax Number: 310-825-3902 310-206-3555 * Email: [email protected] PR/Award # P229A180016 Page e3 Tracking Number:GRANT12660055 Funding Opportunity Number:ED-GRANTS-052418-001 Received Date:Jun 25, 2018 01:11:11 PM EDT Application for Federal Assistance SF-424 * 9. Type of Applicant 1: Select Applicant Type: H: Public/State Controlled Institution of Higher Education Type of Applicant 2: Select Applicant Type: Type of Applicant 3: Select Applicant Type: * Other (specify): * 10. Name of Federal Agency: Department of Education 11. Catalog of Federal Domestic Assistance Number: 84.229 CFDA Title: Language Resource Centers * 12. Funding Opportunity Number: ED-GRANTS-052418-001 * Title: Office of Postsecondary Education (OPE): Language Resource Centers Program CFDA Number 84.229A 13. Competition Identification Number: 84-229A2018-1 Title: Language Resource Centers 84.229A 14. Areas Affected by Project (Cities, Counties, States, etc.): Add Attachment Delete Attachment View Attachment * 15. Descriptive Title of Applicant's Project: National Heritage Language Resource Center Attach supporting documents as specified in agency instructions. Add Attachments Delete Attachments View Attachments PR/Award # P229A180016 Page e4 Tracking Number:GRANT12660055 Funding Opportunity Number:ED-GRANTS-052418-001 Received Date:Jun 25, 2018 01:11:11 PM EDT Application for Federal Assistance SF-424 16. Congressional Districts Of: * a. Applicant CA-033 * b. Program/Project US-all Attach an additional list of Program/Project Congressional Districts if needed. Add Attachment Delete Attachment View Attachment 17. Proposed Project: * a. Start Date: 08/15/2018 * b. End Date: 08/14/2022 18. Estimated Funding ($): * a. Federal 788,000.00 * b. Applicant 0.00 * c. State 0.00 * d. Local 0.00 * e. Other 0.00 * f. Program Income 0.00 * g. TOTAL 788,000.00 * 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 No If "Yes", provide explanation and attach Add Attachment Delete Attachment View Attachment 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: Ms. * First Name: Deeksha Middle Name: * Last Name: Bhat Suffix: * Title: Grant Analyst * Telephone Number: Fax Number: 310-206-9150 * Email: [email protected] * Signature of Authorized Representative: Deeksha Bhat * Date Signed: 06/25/2018 PR/Award # P229A180016 Page e5 Tracking Number:GRANT12660055 Funding Opportunity Number:ED-GRANTS-052418-001 Received Date:Jun 25, 2018 01:11:11 PM EDT U.S. DEPARTMENT OF EDUCATION OMB Number: 1894-0008 BUDGET INFORMATION Expiration Date: 08/31/2020 NON-CONSTRUCTION PROGRAMS Name of Institution/Organization Applicants requesting funding for only one year should complete the column under "Project Year 1." Applicants requesting funding for multi-year grants should complete all The Regents of the University of California, Los Angeles applicable columns. Please read all instructions before completing form. SECTION A - BUDGET SUMMARY U.S. DEPARTMENT OF EDUCATION FUNDS Budget Project Year 1 Project Year 2 Project Year 3 Project Year 4 Project Year 5 Total Categories (a) (b) (c) (d) (e) (f) 1. Personnel 104,355.00 106,688.00 109,090.00 111,565.00 431,698.00 2. Fringe Benefits 39,332.00 40,507.00 41,718.00 42,966.00 164,523.00 3. Travel 4,000.00 4,000.00 4,000.00 6,356.00 18,356.00 4. Equipment 0.00 0.00 0.00 0.00 0.00 5. Supplies 12,120.00 8,612.00 2,099.00 2,520.00 25,351.00 6. Contractual 0.00 0.00 0.00 0.00 0.00 7. Construction 0.00 0.00 0.00 0.00 0.00 8. Other 22,600.00 22,600.00 25,500.00 19,000.00 89,700.00 9. Total Direct Costs (lines 1-8) 182,407.00 182,407.00 182,407.00 182,407.00 729,628.00 10. Indirect Costs* 14,593.00 14,593.00 14,593.00 14,593.00 58,372.00 11. Training Stipends 0.00 0.00 0.00 0.00 0.00 12. Total Costs (lines 9-11) 197,000.00 197,000.00 197,000.00 197,000.00 788,000.00 *Indirect Cost Information (To Be Completed by Your Business Office): If you are requesting reimbursement for indirect costs on line 10, please answer the following questions: (1) Do you have an Indirect Cost Rate Agreement approved by the Federal government? Yes No (2) If yes, please provide the following information: Period Covered by the Indirect Cost Rate Agreement: From: 07/01/2016 To: 06/30/2019 (mm/dd/yyyy) Approving Federal agency: ED Other (please specify): DHHS The Indirect Cost Rate is 38.00 %. (3) If this is your first Federal grant, and you do not have an approved indirect cost rate agreement, are not a State, Local government or Indian Tribe, and are not funded under a training rate program or a restricted rate program, do you want to use the de minimis rate of 10% of MTDC? Yes No If yes, you must comply with the requirements of 2 CFR § 200.414(f). (4) If you do not have an approved indirect cost rate agreement, do you want to use the temporary rate of 10% of budgeted salaries and wages? Yes No If yes, you must submit a proposed indirect cost rate agreement within 90 days after the date your grant is awarded, as required by 34 CFR § 75.560. (5) For Restricted Rate Programs (check one) -- Are you using a restricted indirect cost rate that: Is included in your approved Indirect Cost Rate Agreement? Or, Complies with 34 CFR 76.564(c)(2)? The Restricted Indirect Cost Rate is 8.00 %. PR/Award # P229A180016 ED 524 Page e6 Tracking Number:GRANT12660055 Funding Opportunity Number:ED-GRANTS-052418-001 Received Date:Jun 25, 2018 01:11:11 PM EDT Name of Institution/Organization Applicants requesting funding for only one year should complete the column under "Project Year The Regents of the University of California, Los Angeles 1." Applicants requesting funding for multi-year grants should complete all applicable columns. Please read all instructions before completing form. SECTION B - BUDGET SUMMARY NON-FEDERAL FUNDS Budget Categories Project Year 1 Project Year 2 Project Year 3 Project Year 4 Project Year 5 Total (a) (b) (c) (d) (e) (f) 1.