An amendment must be submitted to obtain the Regional Director's approval for:

(a) Adding or deleting a project from the list;

(b) Increasing or decreasing the Federal funds obligated on the Grant Agreement;

(c) Revising the rate of Federal participation shown on the Grant Agreement; 

(d) Modifying the Grant Agreement period

(f) A change is made in part of the State’s CMS subject to the criteria the Service uses to approve the CMS grant (such as the programs included in the CMS grant, the financial management system used in the State’s CMS, the organizational structure in the CMS, etc.)