HomeMy WebLinkAboutSurvey on EnsuringSurvey on Ensuring Equal Opportunity For Applicants
OMB No. 1890-0014 Exp. 2/28/2009
Purpose:
The Federal government is committed to ensuring that all qualified applicants, small or large, non -religious or
faith -based, have an equal opportunity to compete for Federal funding. In order for us to better understand
the population of applicants for Federal funds, we are asking nonprofit private organizations (not including
private universities) to fill out this survey.
Upon receipt, the survey will be separated from the application. Information provided on the survey will not be
considered in any way in making funding decisions and will not be included in the Federal grants database.
While your help in this data collection process is greatly appreciated, completion of this survey is voluntary.
Instructions for Submitting the Survey
If you are applying using a hard copy application, please place the completed survey in an envelope I�pbeled
"Applicant Survey." Seal the envelope and include it along with your application package. 1f you are applying
electronically, please submit this survey along with your application.
Applicant's (Organization) Name: City of Miami Police Department
Applicant's DUNS Name: 072220791
Federal Program: Gang Resistance Education and Training (G.R.E.A.T.) Program
CFDA Number: 116.737
1. Has the applicant ever received a
grant or contract from the Federal
government?
Yes [_� No
2. Is the applicant a faith -based
organization?
0 Yes 0 No
3. Is the applicant a secular
organization?
0 Yes F—] No
4. Does the applicant have 501(c)(3) status?
Yes F� No
5. Is the applicant a local affiliate of a
national organization?
7 Yes QNo
6. How many full-time equivalent employees does
the applicant have? (Check only one box).
7 3 or Fewer [—] 15-50
4-5 F� 51-100
76-14 Z over 100
7. What is the size of the applicant's
annual budget? (Check only one box.)
Less Than $150,000
$150,000 - $299,999
$300,000 - $499,999
$500,000 - $999,999
$1,000,000 - $4,999,999
Q $5,000,000 or more
Survey Instructions on Ensuring Equal Opportunity for Applicants
Provide the applicant's (organization) name and
DUNS number and the grant name and CFDA
number.
1. Self-explanatory.
2. Self -identify.
3. Self -identify.
4. 501(c)(3) status is a legal designation provided on
application to the Internal Revenue Service by eligible
organizations. Some grant programs may require
nonprofit applicants to have 501(c)(3) status. Other grant
programs do not.
S. Self-explanatory.
6. For example, two part-time employees who each work
half-time equal one full-time equivalent employee. If
the applicant is a local affiliate of a national
organization, the responses to survey questions 2 and
3 should reflect the staff and budget size of the local
affiliate.
7. Annual budget means the amount of money your
organization spends each year on all of its activities.
OMB No. 1890-0014 Exp. 2/28/2009
Paperwork Burden Statement
According to the Paperwork Reduction Act of 1995, no
persons are required to respond to a collection of
information unless such collection displays a valid OMB
control number. The valid OMB control number for this
information collection is 1890-0014. The time required
to complete this information collection is estimated to
average five (5) minutes per response, including the time
to review instructions, search existing data resources,
gather the data needed, and complete and review the
information collection.
If you have any comments concerning the accuracy of the time
estimate(s) or suggestions for improving this form, please write
to: The Agency Contact listed in this grant application package.