Federal Grant Funding Pause Notice Acknowledgment Form
Please use this form to acknowledge receipt and understanding of the federal grant funding pause notice. All responses will be recorded for compliance and communication purposes.
Full Name of Recipient or Stakeholder
*
First Name
Last Name
Organization Name
*
Email Address
*
example@example.com
Grant or Program Name
*
Grant or Program Reference Number
Date of Funding Pause Notice
*
-
Month
-
Day
Year
Date
Summary of Key Impacts (as stated in the notice)
What are your intended next steps in response to the funding pause?
Signature / Attestation
*
Submit Acknowledgment
Submit Acknowledgment
Should be Empty: