Income SF Estimated 001.67 424 Program Income SF Subject to 001.68 424 state executive order review? SF State 001.69.2 N N Incl : NIH, Incl: Both Overall Required if answer to A State executive order review date must be E ‘Subject 424 executive CDC, V 2.0 to state executive order entered, if the answer to the to state review’ ‘Subject order FDA, is executive order is ‘Yes’ review’ ‘Yes’. review date AHRQ, VA SF Agreement 001.70 424 and certification SF SFLLL or 001.71 424 Other Attachment SF Authorized 001.72.1 N N Incl : NIH, Incl: Both Overall Display warning if first or last The Authorized Representative <element name> W 424 CDC, V 2.0 name>30 chars, or if suffix>5 (SF 424 RR Cover page) exceeds the agency prefix FDA, chars. character limit. The application image will display AHRQ, the name as submitted; the agency will store the VA first <database length> characters in the eRA database. SF Authorized 001.73 424 first name SF Authorized 001.74 424 middle name
Income SF 424 Estimated Program Income 001.67 SF 424 Subject to state executive order review? 001.68 SF 424 State executive order review date 001.69.2 N N Incl : NIH, CDC, FDA, AHRQ, VA Incl: V 2.0 Both Overall Required if answer to ‘Subject to state executive order review’ is ‘Yes’ A State executive order review date must be entered, if the answer to the ‘Subject to state executive order review’ is ‘Yes’. E SF 424 Agreement and certification 001.70 SF 424 SFLLL or Other Attachment 001.71 SF 424 Authorized prefix 001.72.1 N N Incl : NIH, CDC, FDA, AHRQ, VA Incl: V 2.0 Both Overall Display warning if first or last name>30 chars, or if suffix>5 chars. The Authorized Representative <element name> (SF 424 RR Cover page) exceeds the agency character limit. The application image will display the name as submitted; the agency will store the first <database length> characters in the eRA database. W SF 424 Authorized first name 001.73 SF 424 Authorized middle name 001.74