[Federal Register Volume 61, Number 53 (Monday, March 18, 1996)]
[Notices]
[Pages 11011-11033]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 96-6259]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
[Program Announcement No. OCS 96-06]
Fiscal Year 1996 Family Violence Prevention and Services
Discretionary Funds Program; Availability of Funds and Request for
Applications
AGENCY: Office of Community Services, ACF, DHHS.
ACTION: Announcement of the availability of funds and request for
applications under the Office of Community Services Family Violence
Prevention and Services Discretionary Funds Program.
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SUMMARY: The Office of Community Services (OCS) announces its Family
Violence Prevention and Services discretionary funds program for fiscal
year (FY) 1996. Funding for grants under this announcement is
authorized by the Family Violence Prevention and Services Act, Public
Law 102-295, as amended, governing discretionary programs for family
violence prevention and services. Applicants should note that the award
of grants and cooperative agreements under this program announcement is
subject to the availability of funds. This announcement contains all
forms and instructions for submitting an application.
DATES: The closing date for submission of applications is May 17, 1996.
Applications postmarked after the closing date will be classified as
late.
ADDRESSES: Applications may be mailed to Department of Health and Human
Services, Administration for Children and Families/Division of
Discretionary Grants, (OCS-96-06), 370 L'Enfant Promenade, S.W., Mail
Stop 6C-462, Washington, D.C. 20447
Hand delivered applications are accepted during the normal working
hours of 8:00 a.m. to 4:30 p.m., Monday through Friday, on or prior to
the established closing date at:
U.S. Department of Health and Human Services, Administration for
Children and Families, Division of Discretionary Grants ACF
Mailroom, 2nd Floor Loading Dock, Aerospace Center 901 D Street,
S.W., Washington, DC 20447, between Monday and Friday (excluding
Federal holidays). (Applicants are cautioned that express/overnight
mail services do not always deliver as agreed.)
FOR FURTHER INFORMATION CONTACT: Administration for Children and
Families, Office of Community Services, Division of State Assistance,
370 L'Enfant Promenade SW., Washington, D.C. 20447. Telephone Trudy
Hairston, (202) 401-5319, Al Britt, (202) 401-5453, or William Riley
(202) 401-5529.
[[Page 11012]]
SUPPLEMENTARY INFORMATION: The Office of Community Services,
Administration for Children and Families, announces that applications
are being accepted for funding for FY 1996 projects on Public
Information/Community Awareness for the Prevention of Domestic
Violence; Historically Black Colleges and Universities (HBCUs)
Institutional Outreach Activities in Support of Comprehensive Family
Violence Prevention Activities(Outreach and Prevention); and Domestic
Violence/Child Protective Services Collaboration.
This program announcement consists of four parts. Part I provides
information on the family violence program and the statutory funding
authority applicable to this announcement.
Part II describes the priority areas under which applications for
FY 1996 family violence funding are being requested.
Part III describes the review process.
Part IV provides information and instructions for the development
and submission of applications.
The forms to be used for submitting an application follow Part IV.
Please copy and use these forms in submitting an application under this
announcement. No additional application materials are available or
needed to submit an application.
Applicants should note that grants to be awarded under this program
announcement are subject to the availability of funds.
Part I. Introduction
Title III of the Child Abuse Amendments of 1984, (Pub. L. 98-457,
42 U.S.C. 10401, et seq.) is entitled the Family Violence Prevention
and Services Act (the Act). The Act was first implemented in FY 1986,
was reauthorized and amended in 1992 by Pub. L. 102-295, and was
amended and reauthorized for fiscal years 1996 through 2000 by Pub. L.
103-322, the Violent Crime Control and Law Enforcement Act of 1994 (the
Crime Bill), signed into law on September 13, 1994.
The purpose of this legislation is to assist States in supporting
the establishment, maintenance, and expansion of programs and projects
to prevent incidents of family violence and provide immediate shelter
and related assistance for victims of family violence and their
dependents. Through the family violence prevention discretionary
program, OCS has continued to support the National Resource Center for
Domestic Violence (NRC) and three Special Issue Resource Centers
(SIRCs). The SIRCs are the Battered Women's Justice Project; the
Resource Center on Child Custody and Protection; and the Health
Resource Center on Domestic Violence. The purpose of the NRC and the
SIRCs is to provide resource information, training, and technical
assistance to Federal, State, and Native American agencies, local
domestic violence prevention programs, and other individuals in the
field of family violence.
During FY 1995, OCS awarded several family violence prevention
discretionary grants for public information/community awareness
activities; discretionary grant awards were also made to Historically
Black Colleges and Universities (Hampton University, Hampton, Virginia;
Tennessee State University, Nashville, Tennessee; University of the
District of Columbia-Cooperative Extension Service; and Southern
University, Baton Rouge, Louisiana) to assist in the development of
family-focused interventions; and five awards were made for domestic
violence and child protective services collaboration.
Grants for enhancing the collaboration between domestic violence
advocates and child protective services were made to the Maine
Department of Human Services, Augusta, Maine; Women's Center and
Shelter of Greater Pittsburgh, Pittsburgh, Pennsylvania; Massachusetts
Coalition of Battered Women Service Groups, Boston, Massachusetts; The
Family Place, Dallas, Texas; Domestic Abuse Project of Delaware County,
Media, Pennsylvania; and the Artemis Center for Alternatives to
Domestic Violence, Dayton, Ohio.
Because of the responsiveness to and the interest displayed for the
priority areas for family violence prevention during previous years,
OCS will again make available discretionary grants awards in the areas
of Public Information/Community Awareness; Institutional Outreach
Activities in Support of Comprehensive Family Violence Prevention
Activities; and Domestic Violence/Child Protective Services
Collaboration.
To encourage increased collaboration and coordination among
existing programs and related initiatives, OCS will give additional
consideration to applications from organizations and/ or agencies that
are documented participants in Empowerment Zone and/or Enterprise
Community plans and applications. Applicants citing participation with
Empowerment Zones and/or Enterprise Communities should document that
they were involved in the preparation and planned implementation of the
plan and how their proposed project supports the goal of the
Empowerment or Enterprise plans (0-5 points).
Moreover, to encourage the continuation of the previously funded
efforts of the Historically Black Colleges and Universities in the
prevention of family violence, and to maintain the momentum of the
collaborative projects between domestic violence and the Child
Protective Services, OCS also will provide additional consideration to
projects that were funded in these areas under the FY 1995 family
violence discretionary program (0-5 points).
Part II. Fiscal Year 1996 Family Violence Projects
1. Priority Area Number FV-01-96: Public Information/Community
Awareness Campaign Projects for the Prevention of Family Violence
Purpose: To assist in the continual development of public
information and community awareness campaign projects and activities
that provide information for the prevention of family violence. These
projects should provide information on resources, facilities, and
service alternatives available to family violence victims and their
dependents, community organizations, local school districts, and other
individuals seeking assistance.
Eligible Applicants: State and local public agencies, Territories,
and Native American Tribes and Tribal Organizations who are, or have
been, recipients of Family Violence Prevention and Services Act grants;
State and local private non-profit agencies experienced in the field of
family violence prevention; and public and private non-profit
educational institutions, community organizations and community-based
coalitions, and other entities that have designed and implemented
family violence prevention information activities or community
awareness strategies.
Background: Based on the encouraging response to the announcement
for public information and community awareness grants for family
violence prevention in previous Federal fiscal years, ACF will again
make these grants available in FY 1996.
The public information/community awareness grant awards have
spawned very effective informational activities at the local levels.
These grants have assisted community organizations to focus on and
emphasize prevention, helped to make available public service
announcements and descriptive program brochures in several different
languages, including Russian and Vietnamese, and have assisted in the
implementation of conflict resolution
[[Page 11013]]
activities in elementary, middle and high school curricula.
The goal of this priority area is to provide support for the
distribution of credible and persuasive information by community
organizations to help break the so-called ``cycle of family violence.''
The continuation of these efforts will help assure that individuals,
particularly within minority communities, are aware of available
resources and alternative responses for the intervention and the
prevention of violence.
This priority area requires the development and implementation of
an effective public information campaign that may be used, for example,
by public and private agencies, schools, churches, boys and girls
clubs, community organizations, and individuals. The continuation of
OCS support for the increase of information on services and other
alternatives for the prevention of family violence underscores the
notion that violent behavior is unacceptable.
Accurate information is critical to any community awareness
strategy and activity. How information is communicated must be modified
where communication barriers may exist because of perceived or real
language differences and cultural insensitivities. OCS seeks to
continue providing victims, their dependents, and perpetrators, with
knowledge of the remedial and service options for their particular
situations.
Minimum Requirements for Project Design: In order to successfully
compete under the priority area, the applicant should:
Present a plan for community awareness and public
information activities that clearly reflects how the applicant will
target the populations at risk, including pregnant women; coordinate
its implementation efforts with public agencies and other community
organizations; and communicate with institutions active in the field of
family violence prevention.
Describe the proposed approach to the development of a
public information campaign and identify the specific audience(s),
community(s), and groups that will be educated in the prevention of
family violence, including communities and groups with the highest
prevalence of domestic violence.
Include, as critical elements in the plan:
A set of achievable objectives and a description of the
population groups, relevant geographic area, and the indicators to be
used to measure progress and the overall effectiveness of the campaign;
The intended strategies for test marketing the development
plans and give assurances that effectiveness criteria will be
implemented prior to the completion of the final plan;
The development and use of non-traditional sources as
information providers (applicants should present specific plans for the
use of local organizations, businesses and individuals in the
distribution of information and materials);
The identification of the media to be used in the campaign
and the geographic limits of the campaign;
How the applicant would be responsive to and demonstrate
its sensitivity towards minority communities and their cultural
perspectives; and
A description of the kind, volume, distribution, and
timing of the proposed information with assurances that the public
information campaign activities will not supplant or lower the current
frequency of public service announcements.
Project Duration: The length of the project should not exceed 12
months.
Federal Share of the Project: The maximum Federal share of the
project is not to exceed $35,000 for the 1-year project period.
Applications for lesser amounts also will be considered under this
priority area.
Matching Requirement: SUCCESSFUL GRANTEES MUST PROVIDE AT LEAST 25
PERCENT OF THE TOTAL COST OF THE PROJECT. THE APPROVED TOTAL COST OF
THE PROJECT IS THE SUM OF THE ACF SHARE AND THE NON-FEDERAL SHARE. The
non-Federal share may be met by cash or in-kind contributions, although
applicants are encouraged to meet their match requirements through cash
contributions. Therefore, a project requesting $35,000 in Federal funds
must include a match of at least $11,666 (25% of total project cost).
If approved for funding, grantees will be held accountable for
commitments of non-Federal resources and failure to provide the
required amount will result in a disallowance of unmatched Federal
funds. Anticipated Number of Projects to be Funded: 1It is anticipated,
subject to the availability of funds, that three projects will be
funded at the maximum level; more than three projects may be funded
depending on the number of acceptable applications for lesser amounts
which are received.
CFDA: 93.671 Family Violence Prevention and Services: Family
Violence Prevention and Services Act, as amended.
2. Priority Area Number FV-02-96: Historically Black Colleges and
Universities (HBCUs) Institutional Outreach in Support of Comprehensive
Family Violence Prevention Activities (Outreach and Prevention).
Purpose: To assist in the development of public information
materials, educational strategies, and community activities for
families as a part of a comprehensive approach to improve and enable
family-focused interventions. It is expected that these interventions
which are directed towards families will increase the awareness of
violence and decrease its incidence and impact in minority communities.
In these efforts the responding institutions should enlist the energy
and cooperation of significant community institutions, community
organizations, and individuals to serve as models and to provide
information on resources, services, facilities, and alternatives to
violence in the family.
Eligible Applicants: The Office of Community Services,
Administration for Children and Families invites Historically Black
Colleges and Universities to submit applications for projects that will
provide for the development, implementation and operation of
comprehensive family violence prevention strategies and for the
dissemination of informational and resource materials for the
prevention of family violence in minority communities. Previous
applicants for this priority area who have received grant awards are
not precluded from applying for funding under this announcement.
Background: The goal of this priority area is to provide support
for the inclusion of ``family violence prevention'' in a comprehensive
approach which considers environmental and cultural factors in plans
for intervention and violence prevention strategies in minority
communities. Historically Black Colleges and Universities, because of
their relationships with minority communities and their residents,
offer an opportunity for the exchange and development of innovative
ideas and approaches to the prevention of violence in general. This
effort will make it possible to capture, consider, and utilize the
ideas for violence prevention that exist in the minority communities,
particularly in response to problems of racism and poverty and
resultant violence. The utilization of HBCUs in this effort will make
available the considerable expertise, experience,
[[Page 11014]]
and resources to be found in these institutions.
Family violence prevention activities encompass a range of efforts
that include the teaching of conflict resolution skills, the
implementation of intervention strategies, and the development of
informational materials on available resources and services. Family
violence prevention may be viewed as the sum of activities which are
guides to acceptable behavior. Activities that may be a part of the
family violence prevention equation provide, for example, parenting
skills and techniques, emphasize self-esteem for our youth, stress the
importance of higher education as a conduit to a better lifestyle, and
identify the means of avoiding negative health consequences such as
AIDS and other sexually transmitted diseases.
Family violence prevention needs to be considered as a part of an
overall violence prevention strategy. With this particular perspective
ACF is interested in applications that address:
Overall strategies for violence prevention activities that focus on
educational and training efforts, outreach activities and supportive
services, and the role and impact of community institutions;
Cooperative networks and collaborative approaches within the
minority communities for the prevention of anti-social and violent
behavior and that facilitate the implementation of family violence
preventive efforts;
Intervention approaches concerned with the ``minority family
structure;'' Institutional intervention strategies utilizing resources
such as alumni, fraternities and sororities, the African American
religious community, and volunteers from the community in general; and
The identification of data gathering, and informational and
research activities that are needed to identify, support, and implement
the long-term strategic interventions to reduce ``Black on Black''
crime in general and family violence in the African American community
in particular.
Minimum Requirements for Project Design
In order to successfully compete under this priority area, the
applicant should:
Prepare and submit an application that clearly reflects
how the applicant will target the populations at risk, including
pregnant women; coordinate with other community organizations,
agencies, institutions, and individuals active in the field of family
violence prevention;
Describe, as a major element in the application, the
significant prevention efforts that are a part of the educational and
training, outreach, and supportive service strategies;
Describe, as an element of the plan, the proposed approach
to a public information/community awareness strategy and identify the
specific audiences, groups with the highest prevalence of domestic
violence, community(s), and target group(s) on which the efforts will
be focused; and
Include as critical elements in the plan:
--The development and use of non-traditional sources as information
providers and in outreach efforts;
--The intended strategies for test marketing development plans and give
assurances that effectiveness criteria will be included prior to
finalizing the plan;
--The specific interventions to be modeled and their responsiveness and
sensitivity to the general violence in the African American community;
--A set of achievable objectives and the evaluation components that are
to be used to measure the degree of success in achieving the objectives
as well as the assessment of the program's impact.
Project Duration: The length of the project should not exceed 12
months.
Federal Share of the Project: The maximum Federal share of the
project is not to exceed $40,000 for the 12-month project period.
Applications for lesser amounts also will be considered under this
priority area.
Matching Requirement: SUCCESSFUL GRANTEES MUST PROVIDE AT LEAST 25
PERCENT OF THE TOTAL COST OF THE PROJECT. THE TOTAL COST OF THE PROJECT
IS THE SUM OF THE ACF SHARE AND THE NON-FEDERAL SHARE. The non-Federal
share may be met by cash or in-kind contributions, although applicants
are encouraged to meet their match requirements through cash
contributions. Therefore, a project requesting $40,000 in Federal funds
(based on an award of $40,000 per budget period) must include a match
of at least $13,333 (25% of total project cost). If approved for
funding, grantees will be held accountable for commitments of non-
Federal resources and failure to provide the required amount will
result in a disallowance of unmatched Federal funds.
Anticipated Number of Projects to be Funded: It is anticipated,
subject to the availability of funds, that three projects may be funded
at the maximum level; more than three projects may be funded depending
on the number of acceptable applications for lesser amounts which are
received.
CFDA: 93.671 Family Violence Prevention and Services: Family
Violence Prevention and Services Act, as amended.
3. Priority Area Number FV-03-96: Domestic Violence/Child Protective
Services Collaboration
Eligible Applicants: State and local public agencies, Territories,
and Native American Tribes and Tribal Organizations who are recipients,
or have been recipients, of Family Violence Prevention and Services Act
grants; State and local child protection agencies; private nonprofit
child welfare agencies; domestic violence advocacy organizations; and
domestic violence State coalitions. Applicants must submit a signed
Letter of Agreement between the public agency representing the child
welfare/child protection responsibilities and the organization or
coalition representing domestic violence advocacy organizations and
their concerns. Either signatory to the Agreement may be the principal
grantee. Previously successful applicants in this priority area are not
precluded from participating in this announcement.
The Agreement to be submitted will specifically indicate the role
each participant organization has in the implementation of the proposed
project. Because the successful implementation of a proposed project
would have implications for systemic/procedural change in the child
welfare and/or the domestic violence community, the Letter of Agreement
is mandatory.
Purpose: To develop effective strategies for domestic violence
services integration into child protection systems and strategies. To
offer the applicant organizations an opportunity to design, develop,
and collaborate on one of several issues or areas of concern between
the child protection system and the domestic violence community.
Efforts are to be focused on the development of curricula and materials
and the implementation of training to be available. The training of
child protection representatives and domestic violence advocates will
be to enable the most efficient and effective response when
encountering partner abuse in the course of child abuse and neglect
investigations. Protocols for effective strategies of intervention need
to be designed, developed and put in place to allow the child
protection system to assist and utilize the non-offending parent to
protect his/her children.
[[Page 11015]]
Applicants may propose to do one or more of the following: plan and
implement the training of child protection service workers, supervisors
and social services providers on the relationship of domestic violence
and child abuse and neglect; develop and implement domestic violence
responsive policies to be adopted by the Statewide child protection
services system; develop and implement through the child protection
system a domestic violence specific curriculum which will become part
of a mandatory training program; develop and implement Memoranda of
Understanding between the child protection system and the domestic
violence statewide system; and gather and submit data correlating
spouse abuse and child abuse and neglect.
Background: Based on a recent review of the literature, it has
become evident that the correlation of spouse abuse and child abuse and
neglect is no longer anecdotal but an established fact. Domestic
violence is surfacing as one of the highest risks to children. Domestic
violence represents physical endangerment to the child as well as the
possibility for developmental delay.
In 1985, there were an estimated 795,000 abused children between
the ages of 3 and 17 living in two-parent households (Gelles, Strauss,
1987). According to these studies, men are the main perpetrators of
domestic violence and commit 95 percent of all assaults on spouses. In
70 percent of households in which women are abused, the men also commit
child abuse (Schecter, 1982). Also, in 70 percent of child abuse cases
treated at Boston Children's Hospital in 1991, the mother was abused as
well.
In an attempt to establish the actual relationship between child
abuse and battering in families, 116 mothers of children ``darted'' or
flagged in a single year for abuse or neglect at a metropolitan
hospital were studied by Stark and Flitcraft (1984). These examinations
revealed that 45 percent of the abused children had mothers who
themselves were being physically abused and another 5 percent had
mothers whose relationships were ``full of conflict,'' although abuse
was not verified. Bowker, Arbitell and McFerron (1988) reported that
children whose mothers had been battered were more likely to be
physically abused and less likely to be ``neglected'' than children
whose mothers had not been battered. Hilberman and Munson's (1987)
research found evidence of physical and/or sexual abuse of children in
20 of the 60 cases studied. They concluded: ``There seems to be two
styles of abuse: the husband beats the wife who beats the children,
and/or the husband beats both his wife and children.''
Project Duration: The length of the project should not exceed 17
months.
Federal Share of the Project: The maximum Federal share of the
project is not to exceed $50,000 for the 17 month project period.
Applications for lesser amounts also will be considered for this
project.
Matching Requirement: SUCCESSFUL GRANTEES MUST PROVIDE AT LEAST 25
PERCENT OF THE TOTAL COST OF THE PROJECT. THE TOTAL COST OF THE PROJECT
IS THE SUM OF THE ACF SHARE AND THE NON-FEDERAL SHARE. The non-Federal
share may be met by cash or in-kind contributions, although applicants
are encouraged to meet their match requirements through cash
contributions. Therefore, a project requesting $50,000 in Federal funds
(based on an award of $50,000 per budget period) must include a match
of at least $16,666 (25% of total project cost). If approved for
funding, grantees will be held accountable for commitments of non-
Federal resources and failure to provide the required amount will
result in a disallowance of unmatched Federal funds.
Anticipated Number of Projects to be Funded: It is anticipated,
subject to the availability of funds, that three projects may be funded
at the maximum level; more than three projects may be funded depending
on the number of acceptable applications for lesser amounts which are
received.
CFDA: 93.671 Family Violence Prevention and Services: Family
Violence Prevention and Services Act, as amended.
Part III--The Review Process
A. Eligible Applicants
Before applications are reviewed, each application will be screened
to determine that the applicant organization is an eligible applicant
as specified under the selected priority area. Applications from
organizations which do not meet the eligibility requirements for the
priority area will not be considered or reviewed in the competition,
and the applicant will be so informed.
Each priority area description contains information about the types
of agencies and organizations which are eligible to apply under that
priority area. Since eligibility varies among priority areas, it is
critical that the ``Eligible Applicants'' section under each specific
priority area be read carefully.
Only agencies and organizations, not individuals, are eligible to
apply under any of the priority areas. On all applications developed
jointly by more than one agency or organization, the applications must
identify only one organization as the lead organization and official
applicant. The other participating agencies and organizations can be
included as co-participants, subgrantees or subcontractors.
Any non-profit agency submitting an application must submit proof
of non-profit status with its grant application. The non-profit agency
can accomplish this by providing a copy of the applicant's listing in
the Internal Revenue Service's (IRS) most recent list of tax-exempt
organizations described in Section 501(c)(3) of the IRS Code or by
providing a copy of the currently valid IRS tax exemption certificate,
or by providing a copy of the articles of incorporation bearing the
seal of the State in which the corporation or association is domiciled.
ACF cannot fund a non-profit applicant without acceptable proof of its
non-profit status.
B. Review Process and Funding Decisions
Applications that are postmarked by the deadline date and are from
eligible applicants will be reviewed and scored competitively. Experts
in the field, generally persons from outside of the Federal government,
will use the appropriate evaluation criteria listed later in this Part
to review and score the applications. The results of this review are a
primary factor in making funding decisions.
ACF reserves the option of discussing applications with, or
referring them to, other Federal or non-Federal funding sources when
this is determined to be in the best interest of the Federal government
or the applicant. It may also solicit comments from ACF Regional Office
staff, other Federal agencies, interested foundations, national
organizations, specialists, experts, States and the general public.
These comments, along with those of the expert reviewers, will be
considered by OCS in making funding decisions.
In making decisions on awards, OCS may give preference to
applications which focus on or feature: minority populations; a
substantially innovative strategy with the potential to improve theory
or practice in the field of human services; a model practice or set of
procedures that holds the potential for replication by organizations
involved in the administration or delivery of human services;
substantial involvement of volunteers; substantial involvement (either
financial or programmatic) of the private sector; a favorable balance
between Federal and non-Federal funds
[[Page 11016]]
available for the proposed project; the potential for high benefit for
low Federal investment; a programmatic focus on those most in need;
and/or substantial involvement in the proposed project by national or
community foundations.
To the extent possible, efforts will be made to ensure that funding
decisions reflect an equitable distribution of assistance among the
States and geographical regions of the country, rural and urban areas,
and ethnic populations. In making these decisions, ACF may also take
into account the need to avoid unnecessary duplication of effort.
C. Evaluation Criteria
Using the appropriate evaluation criteria below, a panel of at
least three reviewers (primarily experts from outside the Federal
government) will review each application. Applicants should ensure that
they address each minimum requirement in the priority area description
under the appropriate section of the Program Narrative Statement.
Reviewers will determine the strengths and weaknesses of each
application in terms of the appropriate evaluation criteria listed
below, provide comments and assign numerical scores. The point value
following each criterion heading indicates the maximum numerical weight
that each section may be given in the review process.
Review Criteria for All Priority Areas
Applications under all priority areas will be evaluated against the
following criteria.
1. Need for the Project (10 Points)
The extent to which the need for the project and the problems it
will address have national and local significance; the applicability of
the project to coordination efforts by national, State and local
governmental and non-profit agencies, and its ultimate impact on
domestic violence prevention services and intervention efforts,
policies and practice; the relevance of other documentation as it
relates to the applicants knowledge of the need for the project; and
the identification of the specific topic or program area to be served
by the project. Maps and other graphic aids may be attached.
2. Goals and Objectives (10 Points)
The extent to which the specific goals and objectives have national
or local significance, the clarity of the goals and objectives as they
relate to the identified need for and the overall purpose of the
project, and their applicability to policy and practice. The provision
of a detailed discussion of the objectives and the extent to which the
objectives reflect or impact the state-of-the-art relative to the
problem or needs for the project.
3. Approach (30 Points)
The extent to which the application outlines a sound and workable
plan of action pertaining to the scope of the project, and details how
the proposed work will be accomplished; relates each task to the
objectives and identifies the key staff member who will be the lead
person; provides a chart indicating the timetable for completing each
task, the lead person, and the time committed; cites factors which
might accelerate or decelerate the work, giving acceptable reasons for
taking this approach as opposed to others; describes and supports any
unusual features of the project, such as design or technological
innovations, reductions in cost or time, or extraordinary social and
community involvements; and provides for projections of the
accomplishments to be achieved.
The extent to which, when applicable, the application describes the
evaluation methodology that will be used to determine if the needs
identified and discussed are being met and if the results and benefits
identified are being achieved. Projects under Priority Areas FV 01-96
and FV 02-96 must include an evaluation component.
4. Results and Benefits (20 Points)
The extent to which the application identifies the results and
benefits to be derived, the extent to which they are consistent with
the objectives of the application, the extent to which the application
indicates the anticipated contributions to policy, practice, and
theory, and the extent to which the proposed project costs are
reasonable in view of the expected results. Identify, in specific
terms, the results and benefits, for target groups and human service
providers, to be derived from implementing the proposed project.
Describe how the expected results and benefits will relate to previous
demonstration efforts.
5. Level of Effort: (30 Points)
Staffing pattern--Describe the staffing pattern for the proposed
project, clearly linking responsibilities to project tasks and
specifying the contributions to be made by key staff.
Competence of staff--Describe the qualifications of the project
team including any experiences working on similar projects. Also,
describe the variety of skills to be used, relevant educational
background and the demonstrated ability to produce final results that
are comprehensible and usable. One or two pertinent paragraphs on each
key member are preferred to resumes. However, resumes may be included
in the ten pages allowed for attachments/appendices.
Adequacy of resources--Specify the adequacy of the available
facilities, resources and organizational experience with regard to the
tasks of the proposed project. List the financial, physical and other
resources to be provided by other profit and nonprofit organizations.
Explain how these organizations will participate in the day to day
operations of the project.
Budget--Relate the proposed budget to the level of effort required
to obtain project objectives and provide a cost/benefit analysis.
Demonstrate that the project's costs are reasonable in view of the
anticipated results.
Collaborative efforts--Discuss in detail and provide documentation
for any collaborative or coordinated efforts with other agencies or
organizations. Identify these agencies or organizations and explain how
their participation will enhance the project. Letters from these
agencies and organizations discussing the specifics of their commitment
must be included in the application.
Authorship--The authors of the application must be clearly
identified together with their current relationship to the applicant
organization and any future project role they may have if the project
is funded.
Applicants should note that non-responsiveness to the section
``Minimum Requirements for Project Design'' will result in a low
evaluation score by the panel of expert reviewers (Priority area FV 03-
96 is excepted from this requirement). Applicants must clearly identify
the specific priority area under which they wish to have their
applications considered, and tailor their applications accordingly.
Previous experience has shown that an application which is broader and
more general in concept than outlined in the priority area description
is less likely to score as well as one which is more clearly focused on
and directly responsive to the concerns of that specific priority area.
D. Available Funds
ACF intends to award grants resulting from this announcement during
the fourth quarter of FY 1996. The size of the actual awards will vary.
Each priority area description includes information on the maximum
Federal share of the project costs and the anticipated number of
projects to be funded.
[[Page 11017]]
The term ``budget period'' refers to the interval of time (usually
12 or 17 months) into which a multi-year period of assistance (project
period) is divided for budgetary and funding purposes. The term
``project period'' refers to the total time a project is approved for
support, including any extensions.
Where appropriate, applicants may propose project periods which are
shorter than the maximums specified in the various priority areas. Non-
Federal share contributions may exceed the minimums specified in the
various priority areas when the applicant is able to do so.
E. Grantee Share of Project Costs
Federal funds will be provided to cover up to 75% of the total
allowable project costs. Therefore, the non-Federal share must amount
to at least 25% of the total (Federal plus non-Federal) project cost.
This means that, for every $3 in Federal funds received, up to the
maximum amount allowable under each priority area, applicants must
contribute at least $1.
For example, the cost breakout for a project with a total cost of
$56,666 to implement would be:
------------------------------------------------------------------------
Non-Federal
Federal request share Total cost
------------------------------------------------------------------------
$50,000....................................... $16,666 $66,666
75%........................................... 25% 100%
------------------------------------------------------------------------
Part IV--Instructions for the Development and Submission of
Applications
This Part contains information and instructions for submitting
applications in response to this announcement. Application forms are
provided as part of this publication along with a checklist for
assembling an application package. Please copy and use these forms in
submitting an application.
Potential applicants should read this section carefully in
conjunction with the information contained within the specific priority
area under which the application is to be submitted. The priority area
descriptions are in Part II.
A. Required Notification of the State Single Point of Contact
This program is covered under Executive Order 12372, (E.O.)
``Intergovernmental Review of Federal Programs,'' and 45 CFR Part 100,
``Intergovernmental Review of Department of Health and Human Services
Program and Activities.'' Under the E.O., States may design their own
processes for reviewing and commenting on proposed Federal assistance
under covered programs.
All States and territories, except Alaska, Colorado, Connecticut,
Hawaii, Idaho, Kansas, Louisiana, Massachusetts, Minnesota, Montana,
Nebraska, Oklahoma, Oregon, Pennsylvania, South Dakota, Tennessee,
Virginia, Washington, American Samoa and Palau, have elected to
participate in the E.O. process and have established a Single Point of
Contact (SPOCs). Applicants from these twenty jurisdictions need take
no action regarding E.O. 12372. Applicants for projects to be
administered by Federally-recognized Indian Tribes are also exempt from
the requirements of E.O. 12372. Otherwise, applicants should contact
their SPOCs as soon as possible to alert them of the prospective
applications and receive any necessary instructions. Applicants must
submit any required material to the SPOCs as soon as possible so that
OCS can obtain and review SPOC comments as part of the award process.
It is imperative that the applicant submit all required materials, if
any, to the SPOC and indicate the date of this submittal (or the date
of contact if no submittal is required) on the Standard Form 424, item
16a.
Under 45 CFR 100.8(a)(2), a SPOC has 60 days from application
deadline to comment on proposed new or competing continuation awards.
SPOCs are encouraged to eliminate the submission of routine
endorsements as official recommendations. Additionally, SPOCs are
requested to differentiate clearly between mere advisory comments and
those official State process recommendations which may trigger the
``accommodate or explain'' rule.
When comments are submitted directly to ACF, they should be
addressed to: Department of Health and Human Services, Administration
for Children and Families, Division of Discretionary Grants, (OCS-96-
06) 370 L'Enfant Promenade, S.W., 6th Floor East, Washington, D.C.
20447.
A list of the Single Point of Contact for each State and Territory
is included at the end of this announcement.
B. Paperwork Reduction Act of 1980
Under the Paperwork Reduction Act of 1980, Public Law 96-511, the
Department is required to submit to the Office of Management and Budget
(OMB) for review and approval any reporting and recordkeeping
requirements in regulations, including program announcements. This
program announcement does not contain information requirements beyond
those approved for ACF grant applications under OMB Control Number
0970-0062.
C. Deadline for Submittal of Applications
The closing date for submittal of applications under this program
announcement is found at the beginning of this program announcement
under DATES.
Mailed applications shall be considered as meeting an announced
deadline if they are either received on or before the deadline date or
sent on or before the deadline date and received in ACF in time for the
independent review to: U.S. Department of Health and Human Services,
Administration for Children and Families, Division of Discretionary
Grants, 370 L'Enfant Promenade, S.W., Mail Stop 6C-462, Washington,
D.C., 20447, Attention: Family Violence Prevention and Services
Program.
Applicants are cautioned to request a legibly dated U.S. Postal
Service postmark or to obtain a legibly dated receipt from a commercial
carrier or U.S. Postal Service. Private metered postmarks shall not be
acceptable proof of timely mailing.
Applications handcarried by applicants, applicant couriers, or
overnight/express mail couriers shall be considered as meeting an
announced deadline if they are received on or before the deadline date,
between the hours of 8:00 a.m. and 4:30 p.m., at the U.S. Department of
Health and Human Services, Administration for Children and Families,
Division of Discretionary Grants, ACF Mailroom, 2nd Floor Loading Dock,
Aerospace Center, 901 D Street, S.W., Washington, D.C. 20024, between
Monday and Friday, (excluding Federal holidays). (Applicants are
cautioned that express/overnight mail services do not always deliver as
agreed.)
ACF cannot accommodate transmission of applications by fax or
through other electronic media. Therefore, applications transmitted to
ACF electronically will not be accepted regardless of the date or time
of submission and time of receipt.
Late applications: Applications which do not meet the criteria
above are considered late applications. The ACF shall notify each late
applicant that its application will not be considered in the current
competition.
Extension of deadlines: The ACF may extend the deadline for all
applicants due to acts of God, such as floods, hurricanes or
earthquakes; widespread disruption of the mails; or if ACF determines a
deadline extension to be in the best interest of the Government.
However, if ACF does not extend the deadline for all applicants, it may
not
[[Page 11018]]
waive or extend the deadline for any applicant.
D. Instructions for Preparing the Application and Completing
Application Forms
The SF 424, Page 2; and certifications have been reprinted for your
convenience in preparing the application. You should reproduce single-
sided copies of these forms from the reprinted forms in the
announcement, typing your information onto the copies. Please do not
use forms directly from the Federal Register announcement, as they are
printed on both sides of the page.
In order to assist applicants in correctly completing the SF 424
and SF 424A, instructions for these forms have been included at the end
of Part IV of this announcement.
Where specific information is not required under this program, NA
(not applicable) has been preprinted on the form.
Please prepare your application in accordance with the following
instructions:
1. SF 424 Page 1, Application Cover Sheet
Please read the following instructions before completing the
application cover sheet. An explanation of each item is included.
Complete only the items specified.
Top of Page. Enter the single priority area number under which the
application is being submitted. An application should be submitted
under only one priority area.
Item 1. ``Type of Submission''--Preprinted on the form.
Item 2. ``Date Submitted'' and ``Applicant Identifier''--Date
application is submitted to ACF and applicant's own internal control
number, if applicable.
Item 3. ``Date Received By State''--State use only (if applicable).
Item 4. ``Date Received by Federal Agency''--Leave blank.
Item 5. ``Applicant Information'' ``Legal Name''--Enter the legal
name of applicant organization. For applications developed jointly,
enter the name of the lead organization only. There must be a single
applicant for each application.
``Organizational Unit''--Enter the name of the primary unit within
the applicant organization which will actually carry out the project
activity. Do not use the name of an individual as the applicant. If
this is the same as the applicant organization, leave the
organizational unit blank.
``Address''--Enter the complete address that the organization
actually uses to receive mail, since this is the address to which all
correspondence will be sent. Do not include both street address and
P.O. box number unless both must be used in mailing.
``Name and telephone number of the person to be contacted on
matters involving this application (give area code)''--Enter the full
name (including academic degree, if applicable) and telephone number of
a person who can respond to questions about the application. This
person should be accessible at the address given here and will receive
all correspondence regarding the application.
Item 6. ``Employer Identification Number (EIN)''--Enter the
employer identification number of the applicant organization, as
assigned by the Internal Revenue Service, including, if known, the
Central Registry System suffix.
Item 7. ``Type of Applicant''--Self-explanatory.
Item 8. ``Type of Application''--Preprinted on the form.
Item 9. ``Name of Federal Agency''--Preprinted on the form.
Item 10. ``Catalog of Federal Domestic Assistance Number and
Title''--Enter the Catalog of Federal Domestic Assistance (CFDA) number
assigned to the program under which assistance is requested and its
title, as indicated in the relevant priority area description.
Item 11. ``Descriptive Title of Applicant's Project''--Enter the
project title. The title is generally short and is descriptive of the
project, not the priority area title.
Item 12. ``Areas Affected by Project''--Enter the governmental unit
where significant and meaningful impact could be observed. List only
the largest unit or units affected, such as State, county, or city. If
an entire unit is affected, list it rather than subunits.
Item 13. ``Proposed Project''--Enter the desired start date for the
project and projected completion date.
Item 14. ``Congressional District of Applicant/Project''--Enter the
number of the Congressional district where the applicant's principal
office is located and the number of the Congressional district(s) where
the project will be located. If statewide, a multi-State effort, or
nationwide, enter ``00.''
Items 15. ``Estimated Funding Levels''-- In completing 15a through
15f, the dollar amounts entered should reflect, for a 17 month or less
project period, the total amount requested.
Item 15a. Enter the amount of Federal funds requested in accordance
with the preceding paragraph. This amount should be no greater than the
maximum amount specified in the priority area description.
Items 15b-e Enter the amount(s) of funds from non-Federal sources
that will be contributed to the proposed project. Items b-e are
considered cost-sharing or ``matching funds.'' The value of third party
in-kind contributions should be included on appropriate lines as
applicable. For more information regarding funding as well as
exceptions to these rules, see Part III, Sections E and F, and the
specific priority area description.
Item 15f. Enter the estimated amount of income, if any, expected to
be generated from the proposed project. Do not add to or subtract this
amount from the total project amount entered under item 15g. Describe
the nature, source and anticipated use of this income in the Project
Narrative Statement.
Item 15g. Enter the sum of items 15a-15e.
Item 16a. ``Is Application Subject to Review By State Executive
Order 12372 Process? Yes.''--Enter the date the applicant contacted the
SPOC regarding this application. Select the appropriate SPOC from the
listing provided at the end of Part IV. The review of the application
is at the discretion of the SPOC. The SPOC will verify the date noted
on the application. If there is a discrepancy in dates, the SPOC may
request that the Federal agency delay any proposed funding until
September 30, 1996.
Item 16b. ``Is Application Subject to Review By State Executive
Order 12372 Process? No.''--Check the appropriate box if the
application is not covered by E.O. 12372 or if the program has not been
selected by the State for review.
Item 17. ``Is the Applicant Delinquent on any Federal Debt?''--
Check the appropriate box. This question applies to the applicant
organization, not the person who signs as the authorized
representative. Categories of debt include audit disallowances, loans
and taxes.
Item 18. ``To the best of my knowledge and belief, all data in this
application/preapplication are true and correct. The document has been
duly authorized by the governing body of the applicant and the
applicant will comply with the attached assurances if the assistance is
awarded.''--To be signed by the authorized representative of the
applicant. A copy of the governing body's authorization for signature
of this application by this individual as the official representative
must be on file in the applicant's office, and may be requested from
the applicant.
Item 18a-c. ``Typed Name of Authorized Representative, Title,
Telephone Number''--Enter the name, title and telephone number of the
[[Page 11019]]
authorized representative of the applicant organization.
Item 18d. ``Signature of Authorized Representative''--Signature of
the authorized representative named in Item 18a. At least one copy of
the application must have an original signature. Use colored ink (not
black) so that the original signature is easily identified.
Item 18e. ``Date Signed''--Enter the date the application was
signed by the authorized representative.
2. SF 424A--Budget Information--Non-Construction Programs
This is a form used by many Federal agencies. For this application,
Sections A, B, C, E and F are to be completed. Section D does not need
to be completed.
Sections A and B should include the Federal as well as the non-
Federal funding for the proposed project covering (1) the total project
period of 17 months or less or (2) the first year budget period, if the
proposed project period exceeds 17 months.
Section A--Budget Summary. This section includes a summary of the
budget. On line 5, enter total Federal costs in column (e) and total
non-Federal costs, including third party in-kind contributions, but not
program income, in column (f). Enter the total of (e) and (f) in column
(g).
Section B--Budget Categories. This budget, which includes the
Federal as well as non-Federal funding for the proposed project, covers
the total project period of 17 months or less. It should relate to item
15g, total funding, on the SF 424. Under column (5), enter the total
requirements for funds (Federal and non-Federal) by object class
category.
A separate budget justification should be included to explain fully
and justify major items, as indicated below. The types of information
to be included in the justification are indicated under each category.
For multiple year projects, it is desirable to provide this information
for each year of the project. The budget justification should
immediately follow the second page of the SF 424A.
Personnel--Line 6a. Enter the total costs of salaries and wages of
applicant/grantee staff. Do not include the costs of consultants, which
should be included on line 6h, ``Other.''
Justification: Identify the project director, if known. Specify by
title or name the percentage of time allocated to the project, the
individual annual salaries, and the cost to the project (both Federal
and non-Federal) of the organization's staff who will be working on the
project.
Fringe Benefits--Line 6b. Enter the total costs of fringe benefits,
unless treated as part of an approved indirect cost rate.
Justification: Provide a break-down of amounts and percentages that
comprise fringe benefit costs, such as health insurance, FICA,
retirement insurance, etc.
Travel--6c. Enter total costs of out-of-town travel (travel
requiring per diem) for staff of the project. Do not enter costs for
consultant's travel or local transportation, which should be included
on Line 6h, ``Other.''
Justification: Include the name(s) of traveler(s), total number of
trips, destinations, length of stay, transportation costs and
subsistence allowances.
Equipment--Line 6d. Enter the total costs of all equipment to be
acquired by the project. For State and local governments, including
Federally recognized Indian Tribes, ``equipment'' is non-expendable
tangible personal property having a useful life of more than two years
and an acquisition cost of $5,000 or more per unit. For all other
applicants, the threshold for equipment is $500 or more per unit. The
higher threshold for State and local governments became effective
October 1, 1988, through the implementation of 45 CFR Part 92,
``Uniform Administrative Requirements for Grants and Cooperative
Agreements to State and Local Governments.''
Justification: Equipment to be purchased with Federal funds must be
justified. The equipment must be required to conduct the project, and
the applicant organization or its subgrantees must not have the
equipment or a reasonable facsimile available to the project. The
justification also must contain plans for future use or disposal of the
equipment after the project ends.
Supplies--Line 6e. Enter the total costs of all tangible expendable
personal property (supplies) other than those included on Line 6d.
Justification: Specify general categories of supplies and their
costs.
Contractual--Line 6f. Enter the total costs of all contracts,
including procurement contracts (except those which belong on other
lines such as equipment, supplies, etc.) and contracts with secondary
recipient organizations. Also include any contracts with organizations
for the provision of technical assistance. Do not include payments to
individuals on this line.
Justification: Attach a list of contractors, indicating the names
of the organizations, the purposes of the contracts, and the estimated
dollar amounts of the awards as part of the budget justification.
Whenever the applicant/grantee intends to delegate part or all of the
program to another agency, the applicant/grantee must complete this
section (Section B, Budget Categories) for each delegate agency by
agency title, along with the supporting information. The total cost of
all such agencies will be part of the amount shown on Line 6f. Provide
backup documentation identifying the name of contractor, purpose of
contract, and major cost elements.
Construction--Line 6g. Not applicable. New construction is not
allowable.
Other--Line 6h. Enter the total of all other costs. Where
applicable, such costs may include, but are not limited to: insurance;
medical and dental costs; noncontractual fees and travel paid directly
to individual consultants; local transportation (all travel which does
not require per diem is considered local travel); space and equipment
rentals; printing and publication; computer use; training costs,
including tuition and stipends; training service costs, including wage
payments to individuals and supportive service payments; and staff
development costs. Note that costs identified as ``miscellaneous'' and
``honoraria'' are not allowable.
Justification: Specify the costs included.
Total Direct Charges--Line 6i. Enter the total of Lines 6a through
6h.
Indirect Charges--6j. Enter the total amount of indirect charges
(costs). If no indirect costs are requested, enter ``none.'' Generally,
this line should be used when the applicant (except local governments)
has a current indirect cost rate agreement approved by the Department
of Health and Human Services or another Federal agency.
Local and State governments should enter the amount of indirect
costs determined in accordance with HHS requirements. When an indirect
cost rate is requested, these costs are included in the indirect cost
pool and should not be charged again as direct costs to the grant. In
the case of training grants to other than State or local governments
(as defined in title 45, Code of Federal Regulations, part 74), the
Federal reimbursement of indirect costs will be limited to the lesser
of the negotiated (or actual) indirect cost rate or 8 percent of the
amount allowed for direct costs, exclusive of any equipment charges,
rental of space, tuition and fees, post-doctoral training allowances,
contractual items, and alterations and renovations.
For training grant applications, the entry under line 6j should be
the total indirect costs being charged to the
[[Page 11020]]
project. The Federal share of indirect costs is calculated as shown
above. The applicant's share is calculated as follows:
(a) Calculate total project indirect costs (a*) by applying the
applicant's approved indirect cost rate to the total project (Federal
and non-Federal) direct costs.
(b) Calculate the Federal share of indirect costs (b*) at 8 percent
of the amount allowed for total project (Federal and non-Federal)
direct costs exclusive of any equipment charges, rental of space,
tuition and fees, post-doctoral training allowances, contractual items,
and alterations and renovations.
(c) Subtract (b*) from (a*). The remainder is what the applicant
can claim as part of its matching cost contribution.
Justification: Enclose a copy of the indirect cost rate agreement
if it was negotiated with a Federal agency other than DHHS. Applicants
subject to the limitation on the Federal reimbursement of indirect
costs for training grants should specify this.
Total--Line 6k. Enter the total amounts of lines 6i and 6j.
Program Income--Line 7. Enter the estimated amount of income, if
any, expected to be generated from this project. Do not add or subtract
this amount from the total project amount.
Justification: Describe the nature, source, and anticipated use of
program income in the Program Narrative Statement.
Section C--Non-Federal Resources. This section summarizes the
amounts of non-Federal resources that will be applied to the grant.
Enter this information on line 12 entitled ``Totals.'' In-kind
contributions are defined in title 45 of the Code of Federal
Regulations, Part 74.2, as the value of non-cash contributions provided
by non-Federal third parties. Third party in-kind contributions may be
in the form of real property, equipment, supplies, and other expendable
property, and the value of goods and services directly benefiting and
specifically identifiable to the project or program.
Justification: Describe third party in-kind contributions, if
included.
Section D--Forecasted Cash Needs. Not applicable.
Section E--Budget Estimate of Federal Funds Needed For Balance of
the Project. Not applicable.
Totals--Line 20. For projects that will have more than one budget
period, enter the estimated required Federal funds for the second
budget period (months 13 through 24) under column ``(b) First.'' If a
third budget period will be necessary, enter the Federal funds needed
for months 25 through 36 under ``(c) Second.'' Columns (d) and (e) are
not applicable in most instances, since ACF funding is almost always
limited to a three-year maximum project period. They should remain
blank.
Section F--Other Budget Information.
Direct Charges--Line 21. Not applicable.
Indirect Charges--Line 22. Enter the type of indirect rate
(provisional, predetermined, final or fixed) that will be in effect
during the funding period, the estimated amount of the base to which
the rate is applied, and the total indirect expense.
Remarks--Line 23. If the total project period exceeds 17 months,
you must enter your proposed non-Federal share of the project budget
for each of the remaining years of the project.
3. Project Summary Description
Clearly mark this separate page with the applicant name as shown in
item 5 of the SF 424, and the title of the project as shown in item 11
of the SF 424. The summary description should not exceed 300 words.
These 300 words become part of the computer database on each project.
Care should be taken to produce a summary description which
accurately and concisely reflects the application. It should describe
the objectives of the project, the approaches to be used and the
outcomes expected. The description should also include a list of major
products that will result from the proposed project, such as software
packages, materials, management procedures, data collection
instruments, training packages, or videos (please note that
audiovisuals should be closed captioned). The project summary
description, together with the information on the SF 424, will
constitute the project ``abstract.'' It is the major source of
information about the proposed project and is usually the first part of
the application that the reviewers read in evaluating the application.
4. Program Narrative Statement
The Program Narrative Statement is a very important part of an
application. It should be clear, concise, and address the specific
requirements mentioned under the priority area description in Part II.
The narrative should also provide information concerning how the
application meets the evaluation criteria using the following headings:
(a) Need for the Project;
(b) Goals and Objectives;
(c) Approach;
(d) Results and Benefits; and
(e) Level of Effort.
The specific information to be included under each of these
headings is described in Section C of Part III, Evaluation Criteria.
The narrative should be typed double-spaced on a single-side of an
8\1/2\'' x 11'' plain white paper, with 1'' margins on all sides. All
pages of the narrative (including charts, references/footnotes, tables,
maps, exhibits, etc.) must be sequentially numbered, beginning with
``Objectives and Need for the Project'' as page number one. Applicants
should not submit reproductions of larger size paper, reduced to meet
the size requirement.
The length of the application, including the application forms and
all attachments, should not exceed 60 pages. A page is a single side of
an 8\1/2\ x 11'' sheet of paper. Applicants are requested not to send
pamphlets, brochures or other printed material along with their
application as these pose photocopy difficulties. These materials, if
submitted, will not be included in the review process if they exceed
the 60-page limit. Each page of the application will be counted to
determine the total length.
5. Organizational Capability Statement
The Organizational Capability Statement should consist of a brief
(two to three pages) background description of how the applicant
organization (or the unit within the organization that will have
responsibility for the project) is organized, the types and quantity of
services it provides, and/or the research and management capabilities
it possesses. This description should cover capabilities not included
in the Program Narrative Statement. It may include descriptions of any
current or previous relevant experience, or describe the competence of
the project team and its demonstrated ability to produce a final
product that is readily comprehensible and usable. An organization
chart showing the relationship of the project to the current
organization should be included.
6. Assurances/Certifications
Applicants are required to file an SF 424B, Assurances--Non-
Construction Programs, and the Certification Regarding Lobbying. Both
must be signed and returned with the application. In addition,
applicants must certify their compliance with: (1) Drug-Free Workplace
Requirements; and (2) Debarment and Other Responsibilities; and (3)
Certification Regarding Environmental Tobacco Smoke. These
certifications are self-explanatory. Copies of these assurances/
[[Page 11021]]
certifications are reprinted at the end of this announcement and should
be reproduced, as necessary. A duly authorized representative of the
applicant organization must certify that the applicant is in compliance
with these assurances/certifications. A signature on the SF 424
indicates compliance with the Drug Free Workplace Requirements, and
Debarment and Other Responsibilities, and Environmental Tobacco Smoke
certifications.
E. Checklist for a Complete Application
The checklist below is for your use to ensure that your application
package has been properly prepared.
____ One original, signed and dated application, plus two copies.
Applications for different priority areas are packaged separately;
____ Application is from an organization which is eligible under the
eligibility requirements defined in the priority area description
(screening requirement);
____ Application length does not exceed 60 pages, unless otherwise
specified in the priority area description.
____ A complete application consists of the following items in this
order:
____ Application for Federal Assistance (SF 424, REV 4-88);
____ A completed SPOC certification with the date of SPOC contact
entered in line 16, page 1 of the SF 424 if applicable.
____ Budget Information--Non-Construction Programs (SF 424A, REV 4-88);
____ Budget justification for Section B--Budget Categories;
____ Table of Contents;
____ Letter from the Internal Revenue Service to prove non-profit
status, if necessary;
____ Copy of the applicant's approved indirect cost rate agreement, if
appropriate;
____ Project summary description and listing of key words;
____ Program Narrative Statement (See Part III, Section C);
____ Organizational capability statement, including an organization
chart;
____ Any appendices/attachments;
____ Assurances--Non-Construction Programs (Standard Form 424B, REV 4-
88); and
____ Certification Regarding Lobbying.
F. The Application Package
Each application package must include an original and two copies of
the complete application. Each copy should be stapled securely (front
and back if necessary) in the upper left-hand corner. All pages of the
narrative (including charts, tables, maps, exhibits, etc.) must be
sequentially numbered, beginning with page one. In order to facilitate
handling, please do not use covers, binders or tabs. Do not include
extraneous materials as attachments, such as agency promotion
brochures, slides, tapes, film clips, minutes of meetings, survey
instruments or articles of incorporation.
Applicant should include a self-addressed, stamped acknowledgment
card. All applicants will be notified automatically about the receipt
of their application. If acknowledgment of receipt of your application
is not received within eight weeks after the deadline date, please
notify ACF by telephone at (202) 401-5529.
G. Post-Award Information and Reporting Requirements
Following approval of the applications selected for funding, notice
of project approval and authority to draw down project funds will be
made in writing. The official award document is the Financial
Assistance Award which provides the amount of Federal funds approved
for use in the project, the project and budget periods for which
support is provided, the terms and conditions of the award, the total
project period for which support is contemplated, and the total
required financial grantee participation.
General Conditions and Special Conditions (where the latter are
warranted) which will be applicable to grants, grantees will be subject
to the provisions of 45 CFR Part 74 or 92.
Grantees will be required to submit quarterly progress and
financial reports (SF 269) throughout the project period, as well as a
final progress and financial report within 90 days of the termination
of the project.
Grantees are subject to the audit requirements in 45 CFR Parts 74
(non-governmental), 92 (governmental), OMB Circular A-133 and OMB
Circular A-128. If an applicant does not request indirect costs, it
should anticipate in its budget request the cost of having an audit
performed at the end of the grant period.
Section 319 of Public Law 101-121, signed into law on October 23,
1989, imposes prohibitions and requirements for disclosure and
certification related to lobbying on recipients of Federal contracts,
grants, cooperative agreements, and loans. It provides exemptions for
Indian tribes and tribal organizations. Current and prospective
recipients (and their subtier contractors and/or grantees) are
prohibited from using Federal funds, other than profits from a Federal
contract, for lobbying Congress or any Federal agency in connection
with the award of a contract, grant, cooperative agreement or loan. In
addition, for each award action in excess of $100,000 (or $150,000 for
loans) the law requires recipients and their subtier contractors and/or
subgrantees (1) to certify that they have neither used nor will use any
appropriated funds for payment to lobbyists; (2) to disclose the name,
address, payment details, and purpose of any agreements with lobbyists
whom recipients or their subtier contractors or subgrantees will pay
with profits or nonappropriated funds on or after December 22, 1989 and
(3) to file quarterly up-dates about the use of lobbyists if material
changes occur in their use. The law establishes civil penalties for
noncompliance.
(Catalog of Federal Domestic Assistance number 93.671, Family
Violence Prevention and Services)
Dated: March 7, 1996.
Donald Sykes,
Director, Office of Community Services.
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BILLING CODE 4184-01-C
[[Page 11023]]
Instructions for the SF 424
This is a standard form used by applicants as a required
facesheet for preapplications and applications submitted for Federal
assistance. It will be used by Federal agencies to obtain applicant
certification that States which have established a review and
comment procedure in response to Executive Order 12372 and have
selected the program to be included in their process, have been
given an opportunity to review the applicant's submission.
Item and Entry
1. Self-explanatory.
2. Date application submitted to Federal agency (or State if
applicable) & applicant's control number (if applicable).
3. State use only (if applicable).
4. If this application is to continue or revise an existing
award, enter present Federal identifier number. If for a new
project, leave blank.
5. Legal name of applicant, name of primary organizational unit
which will undertake the assistance activity, complete address of
the applicant, and name and telephone number of the person to
contact on matters related to this application.
6. Enter Employer Identification Number (EIN) as assigned by the
Internal Revenue Service.
7. Enter the appropriate letter in the space provided.
8. Check appropriate box and enter appropriate letter(s) in the
space(s) provided:
-- ``New'' means a new assistance award.
-- ``Continuation'' means an extension for an additional funding/
budget period for a project with a projected completion date.
-- ``Revision'' means any change in the Federal Government's
financial obligation or contingent liability from an existing
obligation.
9. Name of Federal agency from which assistance is being
requested with this application.
10. Use the Catalog of Federal Domestic Assistance number and
title of the program under which assistance is requested.
11. Enter a brief descriptive title of the project. If more than
one program is involved, you should append an explanation on a
separate sheet. If appropriate (e.g., construction or real property
projects), attach a map showing project location. For
preapplications, use a separate sheet to provide a summary
description of this project.
12. List only the largest political entities affected (e.g.,
State, counties, cities).
13. Self-explanatory.
14. List the applicant's Congressional District and any
District(s) affected by the program or project.
15. Amount requested or to be contributed during the first
funding/budget period by each contributor. Value of in-kind
contributions should be included on appropriate lines as applicable.
If the action will result in a dollar change to an existing award,
indicate only the amount of the change. For decreases, enclose the
amounts in parentheses. If both basic and supplemental amounts are
included, show breakdown on an attached sheet. For multiple program
funding, use totals and show breakdown using same categories as item
15.
16. Applicants should contact the State Single Point of Contact
(SPOC) for Federal Executive Order 12372 to determine whether the
application is subject to the State intergovernmental review
process.
17. This question applies to the applicant organization, not the
person who signs as the authorized representative. Categories of
debt include delinquent audit disallowances, loans and taxes.
18. To be signed by the authorized representative of the
applicant. A copy of the governing body's authorization for you to
sign this application as official representative must be on file in
the applicant's office. (Certain Federal agencies may require that
this authorization be submitted as part of this application.)
BILLING CODE 4184-01-M
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BILLING CODE 4184-01-C
[[Page 11026]]
Instructions for the SF-424A
General Instructions
This form is designed so that application can be made for funds
from one or more grant programs. In preparing the budget, adhere to
any existing Federal grantor agency guidelines which prescribe how
and whether budgeted amounts should be separately shown for
different functions or activities within the program. For some
programs, grantor agencies may require budgets to be separately
shown by function or activity. For other programs, grantor agencies
may require a breakdown by function or activity. Sections A, B, C,
and D should include budget estimates for the whole project except
when applying for assistance which requires Federal authorization in
annual or other funding period increments. In the latter case,
Sections A, B, C, and D should provide the budget for the first
budget period (usually a year) and Section E should present the need
for Federal assistance in the subsequent budget periods. All
applications should contain a breakdown by the object class
categories shown in Lines a-k of Section B.
Section A. Budget Summary
Lines 1-4, Columns (a) and (b)
For applications pertaining to a single Federal grant program
(Federal Domestic Assistance Catalog number) and not requiring a
functional or activity breakdown, enter on Line 1 under Column (a)
the catalog program title and the catalog number in Column (b).
For applications pertaining to a single program requiring budget
amounts by multiple functions or activities, enter the name of each
activity or function on each line in Column (a), and enter the
catalog number in Column (b). For applications pertaining to
multiple programs where none of the programs require a breakdown by
function or activity, enter the catalog program title on each line
in Column (a) and the respective catalog number on each line in
Column (b).
For applications pertaining to multiple programs where one or
more programs require a breakdown by function or activity, prepare a
separate sheet for each program requiring the breakdown. Additional
sheets should be used when one form does not provide adequate space
for all breakdown of data required. However, when more than one
sheet is used, the first page should provide the summary totals by
programs.
Lines 1-4, Columns (c) through (g.)
For new applications, leave Columns (c) and (d) blank. For each
line entry in Columns (a) and (b), enter in Columns (e), (f), and
(g) the appropriate amounts of funds needed to support the project
for the first funding period (usually a year).
For continuing grant program applications, submit these forms
before the end of each funding period as required by the grantor
agency. Enter in Columns (c) and (d) the estimated amounts of funds
which will remain unobligated at the end of the grant funding period
only if the Federal grantor agency instructions provide for this.
Otherwise, leave these columns blank. Enter in columns (e) and (f)
the amounts of funds needed for the upcoming period. The amount(s)
in Column (g) should be the sum of amounts in Columns (e) and (f).
For supplemental grants and changes to existing grants, do not
use Columns (c) and (d). Enter in Column (e) the amount of the
increase or decrease of Federal funds and enter in Column (f) the
amount of the increase or decrease of non-Federal funds. In Column
(g) enter the new total budgeted amount (Federal and non-Federal)
which includes the total previous authorized budgeted amounts plus
or minus, as appropriate, the amounts shown in Columns (e) and (f).
The amount(s) in Column (g) should not equal the sum of amounts in
Columns (e) and (f).
Line 5--Show the totals for all columns used.
Section B Budget Categories
In the column headings (1) through (4), enter the titles of the
same programs, functions, and activities shown on Lines 1-4, Column
(a), Section A. When additional sheets are prepared for Section A,
provide similar column headings on each sheet. For each program,
function or activity, fill in the total requirements for funds (both
Federal and non-Federal) by object class categories.
Lines 6a-1--Show the totals of Lines 6a to 6h in each column.
Line 6j--Show the amount of indirect cost.
Line 6k--Enter the total of amounts on Lines 6i and 6j. For all
applications for new grants and continuation grants the total amount
in column (5), Line 6k, should be the same as the total amount shown
in Section A, Column (g), Line 5. For supplemental grants and
changes to grants, the total amount of the increase or decrease as
shown in Columns (1)-(4), Line 6k should be the same as the sum of
the amounts in Section A, Columns (e) and (f) on Line 5.
Line 7--Enter the estimated amount of income, if any, expected
to be generated from this project. Do not add or subtract this
amount from the total project amount. Show under the program
narrative statement the nature and source of income. The estimated
amount of program income may be considered by the federal grantor
agency in determining the total amount of the grant.
Section C. Non-Federal-Resources
Lines 8-11--Enter amounts of non-Federal resources that will be
used on the grant. If in-kind contributions are included, provide a
brief explanation on a separate sheet.
Column (a)--Enter the program titles identical to Column (a),
Section A. A breakdown by function or activity is not necessary.
Column (b)--Enter the Enter the contribution to be made by the
applicant.
Column (c)--Enter the amount of the State's cash and in-kind
contribution if the applicant is not a State or State agency.
Applicants which are a State or State agencies should leave this
column blank.
Column (d)--Enter the amount of cash and in-kind contributions
to be made from all other sources.
Column (e)--Enter totals of Columns (b), (c), and (d).
Line 12--Enter the total for each of Columns (b)-(e). the amount
in Column (e) should be equal to the amount on Line 5, Column (f),
Section A.
Section D. Forecasted Cash Needs
Line 13--Enter the amount of cash needed by quarter from the
grantor agency during the first year.
Line 14--Enter the amount of cash from all other sources needed
by quarter during the first year.
Line 15--Enter the totals of amounts on Lines 13 and 14.
Section E. Budget Estimates of Federal Funds Needed for Balance of
the Project
Lines 16-19--Enter in Column (a) the same grant program titles
shown in Column (a), Section A. A breakdown by function or activity
is not necessary. For new applications and continuation grant
applications, enter in the proper columns amounts of Federal funds
which will be needed to complete the program or project over the
succeeding funding periods (usually in years). This section need not
be completed for revision (amendments, changes, or supplements) to
funds for the current year of existing grants.
If more than four lines are needed to list the program titles,
submit additional schedules as necessary.
Line 20--Enter the total for each of the Columns (b)-(e). When
additional schedules are prepared for this Section, annotate
accordingly and show the overall totals on this line.
Section F. Other Budget Information
Line 21--Use this space to explain amounts for individual direct
object-class cost categories that may appear to be out of the
ordinary or to explain the details as required by the Federal
grantor agency.
Line 22--Enter the type of indirect rate (provisional,
predetermined, final or fixed) that will be in effect during the
funding period, the estimated amount of the base to which the rate
is applied, and the total indirect expense.
Line 23--Provide any other explanations or comments deemed
necessary.
ASSURANCES--NON-CONSTRUCTION PROGRAMS
Note: Certain of these assurances may not be applicable to your
project or program. If you have questions, please contact the
awarding agency. Further, certain Federal awarding agencies may
require applicants to certify to additional assurances. If such is
the case, you will be notified.
As the duly authorized representative of the applicant I certify
that the applicant:
1. Has the legal authority to apply for Federal assistance, and
the institutional, managerial and financial capability (including
funds sufficient to pay the non-Federal share of project costs) to
ensure proper planning, management and completion of the project
described in this application.
2. Will give the awarding agency, the Comptroller General of the
United States, and if appropriate, the State, through any authorized
representative, access to and the right to examine all records,
books, papers, or documents related to the award; and will
[[Page 11027]]
establish a proper accounting system in accordance with generally
accepted accounting standards or agency directives.
3. Will establish safeguards to prohibit employees from using
their positions for a purpose that constitutes or presents the
appearance of personal or organizational conflict of interest, or
personal gain.
4. Will initiate and complete the work within the applicable
time frame after receipt of approval of the awarding agency.
5. Will comply with the Intergovernmental Personnel Act of 1970
(42 U.S.C. Secs. 4728-4763) relating to prescribed standards for
merit systems for programs funded under one of the nineteen statutes
or regulations specified in Appendix A of OPM's Standards for a
Merit System of Personnel Administration (5 CFR 900, Subpart F).
6. Will comply with all Federal Statutes relating to
nondiscrimination. These include but are not limited to: (a) Title
VI of the Civil Rights Act of 1964 (P.L. 88-352) which prohibits
discrimination on the basis of race, color or national origin; (b)
Title IX of the Education Amendments of 1972, as amended (20 U.S.C.
Secs. 1681-1683, and 1685-1686), which prohibits discrimination on
the basis of sex; (c) Section 504 of the Rehabilitation Act of 1973,
as amended (29 U.S.C. Sec. 794), which prohibits discrimination on
the basis of handicaps; (d) the Age Discrimination Act of 1975, as
amended (42 U.S.C. Secs. 6101-6107), which prohibits discrimination
on the basis of age;
(e) The Drug Abuse Office and Treatment Act of 1972 (P.L. 92-
255), as amended, relating to nondiscrimination on the basis of drug
abuse; (f) the Comprehensive Alcohol Abuse and Alcoholism
Prevention, Treatment and Rehabilitation Act of 1970 (P.L. 91-616),
as amended, relating to nondiscrimination on the basis of alcohol
abuse or alcoholism; (g) Secs. 523 and 527 of the Public Health
Service Act of 1912 (42 U.S.C. 290 dd-3 and 290 ee-3), as amended,
relating to confidentiality of alcohol and drug abuse patient
records; (h) Title VIII of the Civil Rights Act of 1968 (42 U.S.C.
Sec. 3601 et seq.), as amended, relating to nondiscrimination in the
sale, rental or financing of housing; (i) any other
nondiscrimination provisions in the specific statue(s) under which
application for Federal assistance is being made; and (j) the
requirements of any other nondiscrimination statute(s) which may
apply to the application.
7. Will comply, or has already complied, with the requirements
of Titles II and III of the Uniform Relocation Assistance and Real
Property Acquisition Policies Act of 1970 (P.L. 91-646) which
provide for fair and equitable treatment of persons displaced or
whose property is acquired for project purposes regardless of
Federal participation in purchases.
8. Will comply with the provisions of the Hatch Act (5 U.S.C.
Secs. 1501-1508 and 7324-7328) which limit the political activities
of employees whose principal employment activities are funded in
whole or in part with federal funds.
9. Will comply, as applicable, with the provisions of the Davis-
Bacon Act (40 U.S.C. Secs. 276a-7), the Copeland Act (40 U.S.C.
Sec. 276c and 18 U.S.C. Secs. 874), and the Contract Work Hours and
Safety Standards act (40 U.S.C. Secs. 327-333), regarding labor
standards for federally assisted construction subagreements.
10. Will comply, if applicable, with flood insurance purchase
requirements of Section 102(a) of the Flood Disaster Protection Act
of 1973 (P.L. 93-234) which requires recipients in a special flood
hazard area to participate in the program and to purchase flood
insurance if the total cost of insurable construction and
acquisition is $10,000 or more.
11. Will comply with the environmental standards which may be
prescribed pursuant to the following: (a) institution of
environmental quality control measures under the National
Environmental Policy Act of 1969 (P.L. 91-190) and Executive Order
(EO) 11514; (b) notification of violating facilities pursuant to EO
11738; (c) protection of wetlands pursuant to EO 11990; (d)
evaluation of flood hazards in floodplains in accordance with EO
11988; (e) assurance of project consistency with the approved State
management program developed under the Coastal Zone Management Act
of 1972 (16 U.S.C. Secs. 1451 et seq.); (f) conformity of Federal
actions to State (Clear Air) Implementation Plans under Section
176(c) of the Clear Air Act of 1955, as amended (42 U.S.C. Sec. 7401
et seq.); (g) protection of underground sources of drinking water
under the Safe Drinking Water Act of 1974, as amended, (P.L. 93-
523); and (h) protection of endangered species under the Endangered
Species Act of 1973, as amended, (P.L. 93-205).
12. Will comply with the Wild and Scenic Rivers Act of 1968 (16
U.S.C. Secs. 1271 et seq.) related to protecting components or
potential components of the national wild and scenic rivers system.
13. Will assist the awarding agency in assuring compliance with
Section 106 of the National Historic Preservation Act of 1966, as
amended (16 U.S.C. 470), EO 11593 (identification and protection of
historic properties), and the Archaeological and Historic
Preservation Act of 1974 (16 U.S.C. 469a-1 et seq.).
14. Will comply with P.L. 93-348 regarding the protection of
human subjects involved in research, development, and related
activities supported by this award of assistance.
15. Will comply with the Laboratory Animal Welfare Act of 1966
(P.L. 89-544, as amended, 7 U.S.C. 2131 et seq.) pertaining to the
care, handling, and treatment of warm blooded animals held for
research, teaching, or other activities supported by this award of
assistance.
16. Will comply with the Lead-based Paint Poison Prevention Act
(42 U.S.C. Secs. 4801 et seq.) which prohibits the use of lead based
paint in construction or rehabilitation of residence structures.
17. Will cause to be performed the required financial and
compliance audits in accordance with the Single Audit Act of 1984.
18. Will comply with all applicable requirements of all other
Federal laws, executive orders, regulations and policies governing
this program.
Signature of Authorized Certifying Official
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Title
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Applicant Organization
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Date Submitted
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[[Page 11029]]
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BILLING CODE 4184-01-C
[[Page 11030]]
Certification Regarding Debarment, Suspension, and Other Responsibility
Matters--Primary Covered Transactions
By signing and submitting this proposal, the applicant, defined as
the primary participant in accordance with 45 CFR Part 76, certifies to
the best of its knowledge and belief that it and its principals:
(a) are not presently debarred, suspended, proposed for debarment,
declared ineligible, or voluntarily excluded from covered transactions
by any Federal Department or agency;
(b) have not within a 3-year period preceding this proposal been
convicted of or had a civil judgment rendered against them for
obtaining, attempting to obtain, or performing a public (Federal,
State, or local) transaction or contract under a public transaction;
violation of Federal or State antitrust statutes or commission of
embezzlement, theft, forgery, bribery, falsification or destruction of
records, making false statements, or receiving stolen property.
(c) are not presently indicated or otherwise criminally or civilly
charged by a governmental entity (Federal, State or local) with
commission of any of the offenses enumerated in paragraph (1)(b) of
this certification; and
(d) have not within a 3-year period preceding this application/
proposal had one or more public transactions (Federal, State or local)
terminated for cause or default.
The inability of a person to provide the certification required
above will not necessarily result in denial of participation in this
covered transaction. If necessary, the prospective participate shall
submit an explanation of why it cannot provide the clarification. The
certification or explanation will be considered in connection with the
Department of Health and Human Services' (HHS) determination whether to
enter into this transaction. However, failure of the prospective
primary participant to furnish a certification or an explanation shall
disqualify such person from participation in this transaction.
The prospective primary participant agrees that by submitting this
proposal, it will include the clause entitled ``Certification Regarding
Debarment, Suspension, Ineligibility, and Voluntary Exclusion--Lower
Tier Covered Transactions'' provided below without modification in all
lower tier covered transactions and in all solicitations for lower tier
covered transactions.
Certification Regarding Debarment, Suspension, Ineligibility and
Voluntary Exclusion--Lower Tier Covered Transactions
(To Be Supplied to Lower Tier Participants)
By signing and submitting this lower tier proposal, the prospective
lower tier participant, as defined in 45 CFR Part 76, certifies to the
best of its knowledge and belief that it and its principals:
(a) are not presently debarred, suspended, proposed for debarment,
declared ineligible, or voluntarily excluded from participation in this
transaction by any federal department or agency.
(b) where the prospective lower tier participant is unable to
certify to any of the above, such prospective participant shall attach
an explanation to this proposal.
The prospective lower tier participant further agrees by submitting
this proposal that it will include this clause entitled ``Certification
Regarding Debarment, Suspension, Ineligibility, and Voluntary
Exclusion--Lower Tier Covered Transactions'' without modification in
all lower tier covered transactions and in all solicitations for lower
tier covered transactions.
Certification Regarding Lobbying
Certification for Contracts, Grants, Loans, and Cooperative Agreements
The undersigned certifies, to the best of his or her knowledge and
belief, that:
(1) No Federal appropriated funds have been paid or will be paid,
by or on behalf of the undersigned, to any person for influencing or
attempting to influence an officer, or employee of any agency, a Member
of Congress, an officer or employee of Congress, or an employee of a
Member of Congress in connection with the awarding of any Federal
contract, the making of any Federal grant, the making of any Federal
loan, the entering into of any cooperative agreement, and the
extension, continuation, renewal, amendment, or modification of any
Federal contract, grant, loan, or cooperative agreement.
(2) If any funds other than Federal appropriated funds have been
paid or will be paid to any person for influencing or attempting to
influence an officer or employee of any agency, Member of Congress, an
officer or employee of Congress, or an employee of a Member of Congress
in connection with this Federal contract, grant, loan or cooperative
agreement, the undersigned shall complete and submit Standard Form-LLL,
``Disclosure Form to Report Lobbying,'' in accordance with its
instructions.
(3) The undersigned shall require that the language of this
certification be included in the award documents for all subawards at
all tiers (including subcontracts, subgrants, and contracts under
grants, loans, and cooperative agreements) and that all subrecipients
shall certify and disclose accordingly.
This certification is a material representation of fact upon which
reliance was placed when this transaction was made or entered into.
Submission of this certification is a prerequisite for making or
entering into this transaction imposed by section 1352, title 31, U.S.
Code. Any person who fails to file the required certification shall be
subject to a civil penalty of not less than $10,000 and not more than
$100,000 for each such failure.
State for Loan Guarantee and Loan Insurance
The undersigned states, to the best of his or her knowledge and
belief, that:
If any funds have been paid or will be paid to any person for
influencing or attempting to influence an officer or employee of any
agency, a Member of Congress, an officer or employee of Congress, or an
employee of a Member of Congress in connection with this commitment
providing for the United States to insure or guarantee a loan, the
undersigned shall complete and submit Standard Form-LLL ``Disclosure
Form to Report Lobbying,'' in accordance with its instructions.
Submission of this statement is a prerequisite for making or
entering into this transaction imposed by section 1352, title 31, U.S.
Code. Any person who fails to file the required statement shall be
subject to a civil penalty of not less than $10,000 and not more than
$100,000 for each such failure.
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Signature
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Title------------------------------------------------------------------
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Organization
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Date
BILLING CODE 4184-01-M
[[Page 11031]]
[GRAPHIC] [TIFF OMITTED] TN18MR96.005
BILLING CODE 4184-01-C
[[Page 11032]]
OMB State Single Point of Contact Listing*
Arizona
Joni Saad,
Arizona State Clearinghouse,
3800 N. Central Avenue,
Fourteenth Floor,
Phoenix, Arizona 85012,
Telephone (602) 280-1315,
FAX: (602) 280-1305
Arkansas
Mr. Tracy L. Copeland,
Manager, State Clearinghouse,
Office of Intergovernmental Services,
Department of Finance and Administration,
1515 W. 7th St., Room 412,
Little Rock, Arkansas 72203,
Telephone: (501) 682-1074,
FAX: (501) 682-5206
Alabama
Jon C. Strickland,
Alabama Department of,
Economic and Community Affairs,
Planning and Economic Development Division,
401 Adams Avenue,
Montgomery, AL 36103-5690,
Telephone: (205) 242-5483,
FAX: (205) 242-5515
California
Grants Coordinator,
Office of Planning & Research,
1400 Tenth Street, Room 121,
Secramento, California 95814,
Telephone (916) 323-7480,
FAX: (916) 323-3018
Delaware
Francine Booth,
State Single Point of Contact,
Executive Department,
Thomas Collins Building,
P.O. Box 1401,
Dover, Delaware 19903,
Telephone: (302) 739-3326,
FAX: (302) 739-5661
District of Columbia
Charles Nichols, State Single Point of Contact, Office of Grants
Mgmt. & Dev., 717 14th Street, N.W.--Suite 500, Washington, D.C.
20005, Telephone: (202) 727-6554, FAX: (202) 727-1617
Florida
Florida State Clearinghouse, Department of Community Affairs, 2740
Centerview Drive, Tallahassee, Florida 32399-2100, Telephone: (904)
922-5438, FAX: (904) 487-2899
Georgia
Tom L. Reid, III,
Administrator, Georgia State Clearinghouse, 254 Washington Street,
S.W.--Room 401J, Atlanta, Georgia 30334, Telephone: (404) 656-3855
or (404) 656-3829), FAX: (404) 656-7938
Illinois
Barbara Beard, State Single Point of Contact, Department of Commerce
and Community Affairs, 620 East Adams, Springfield, Illinois 62701,
Telephone: (217) 782-1671, FAX: (217) 534-1627
Indiana
Amy Brewer, State Budget Agency, 212 State House, Indianapolis,
Indiana 46204, Telephone: (317) 232-5619, FAX: (317) 233-3323
Iowa
Steven R. McCann, Division for Community Assistance, Iowa Department
of Economic Development, 200 East Grand Avenue, Des Moines, Iowa
50309, Telephone: (515) 242-4719, FAX: (515) 242-4859
Kentucky
Ronald W. Cook, Office of the Governor, Department of Local
Government, 1024 Capitol Center Drive, Frankfort, Kentucky 40601-
8204, Telephone: (502) 573-2382, FAX: (502) 573-2512
Maine
Joyce Benson, State Planning Office, State House Station #38,
Augusta, Maine 04333, Telephone: (207) 287-3261, FAX: (207) 287-6489
Maryland
William G. Carroll, Manager, State Clearinghouse for
Intergovernmental Assistance, Maryland Office of Planning, 301 W.
Preston Street--Room 1104, Baltimore, Maryland 21201-2365, Staff
Contact: Linda Janey, Telephone: (410) 225-4490, FAX: (410) 225-4480
Michigan
Richard Pfaff, Southeast Michigan Council of Governments, 1900
Edison Plaza, 660 Plaza Drive, Detroit, Michigan 48226, Telephone:
(313) 961-4266
Mississippi
Cathy Mallette, Clearinghouse Officer, Department of Finance and
Administration, 455 North Lamar Street, Jackson, Mississippi 39202-
3087, Telephone: (601) 359-6762, FAX: (601) 359-6764
Missouri
Lois Pohl, Federal Assistance Clearinghouse, Office of
Administration, P.O. Box 809, Room 760, Truman Building, Jefferson
City, Missouri 65102, Telephone: (314) 751-4834, FAX: (314) 751-7819
Nevada
Department of Administration, State Clearinghouse, Capitol Complex,
Carson City, Nevada 89710, Telephone: (702) 687-4065, FAX: (702)
687-3983
New Hampshire
Jeffrey H. Taylor, Director, New Hampshire Office of State Planning,
Attn: Intergovernmental Review Process, Mike Blake, 2\1/2\ Beacon
Street, Concord, New Hampshire 03301, Telephone: (603) 271-2155,
FAX: (603) 271-1728
New Jersey
Gregory W. Adkins, Assistant Commissioner, New Jersey Department of
Community Affairs
Please direct all correspondence and questions about
intergovernmental review to: Andrew J. Jaskolka, State Review
Process, Intergovernmental Review Unit CN 800, Room 813A, Trenton,
New Jersey 08625-0800, Telephone: (609) 292-9025, FAX: (609) 633-
2132
New Mexico
Robert Peters, State Budget Division, Room 190 Bataan Memorial
Building, Santa Fe, New Mexico 87503, Telephone: (505) 827-3640
New York
New York State Clearinghouse, Division of the Budget, State Capitol,
Albany, New York 12224, Telephone: (518) 474-1605
North Carolina
Chrys Baggett, Director, N.C. State Clearinghouse, Office of the
Secretary of Admin., 116 West Jones Street, Raleigh, North Carolina
27603-8003, Telephone: (919) 733-7232, FAX: (919) 733-9571
North Dakota
North Dakota Single Point of Contract, Office of Intergovernmental
Assistance, 600 East Boulevard Avenue, Bismarck, North Dakota 58505-
0170, Telephone: (701) 224-2094, FAX: (701) 224-2308
Ohio
Larry Weaver, State Single Point of Contact, State Clearinghouse,
Office of Budget and Management, 30 East Broad Street, 34th Floor,
Columbus, Ohio 43266-0411
Please direct correspondence and questions about
intergovernmental review to: Linda Wise, Telephone: (614) 466-0698,
FAX: (614) 466-5400.
Rhode Island
Daniel W. Varin, Associate Director, Department of Administration/
Division of Planning One Capitol Hill, 4th Floor, Providence, Rhode
Island 02908-5870, Telephone: (401) 277-2656, FAX: (401) 277-2083
Please direct correspondence and questions to: Review Coordinator,
Office of Strategic Planning
South Carolina
Omeagia Burgess, State Single Point of Contact, Grant Services,
Office of the Governor, 1205 Pendleton Street--Room 477, Columbia,
South Carolina 29201, Telephone: (803) 734-0494, FAX: (803) 734-0385
Texas
Tom Adams, Governor's Office, Director, Intergovernmental
Coordination, P.O. Box 12428, Austin, Texas 78711, Telephone: (512)
463-1771, FAX: (512) 463-1880
Utah
Carolyn Wright, Utah State Clearinghouse, Office of Planning and
Budget, Room 116 State Capitol, Salt Lake City, Utah 84114,
Telephone (801) 538-1535, FAX: (801) 538-1547
Vermont
Nancy McAvoy, State Single Point of Contact, Pavilion Office
Building, 109 State Street, Montpelier, Vermont 05609, Telephone:
(802) 828-3326 (FAX: (802) 828-3339
West Virginia
Fred Cutlip, Director, Community Development Division, W. Virginia
[[Page 11033]]
Development Office, Building #6, Room 553, Charleston, West Virginia
25305, Telephone: (304) 558-4010, FAX: (304) 558-3248
Wisconsin
Martha Kerner, Section Chief, State/Federal Relations, Wisconsin
Department of Administration, 101 East Wilson Street--6th Floor,
P.O. Box 7868, Madison, Wisconsin 53707, Telephone: (608) 226-2125,
FAX: (608) 267-6931
Wyoming
Sheryl Jeffries, State Single Point of Contact, Herschler Building,
4th Floor, East Wing, Cheyenne, Wyoming 82002, Telephone: (307) 777-
7574, FAX: (307) 638-8967
Territories
Guam
Mr. Giovanni T. Sgambelluri, Director, Bureau of Budget and
Management Research, Office of the Governor, P.O. Box 2950, Agana,
Guam 96910, Telephone: 011-671-472-2285, FAX: 011-671-472-2825
Puerto Rico
Norma Burgos/Jose E. Caro, Chairwoman/Director, Puerto Rico Planning
Board, Federal Proposals Review Office, Minillas Government Center,
P.O. Box 41119, San Juan, Puerto Rico 00940-1119, Telephone: (809)
727-4444, (809) 723-6190, (809) 724-3270, FAX: (809) 724-3103
North Mariana Islands
State Single Point of Contact, Planning and Budget Office, Office of
the Governor, Saipan, CM, Northern Mariana Islands 96950
Virgin Islands
Jose George, Director, Office of Management and Budget, #41
Norregade Emancipation Garden, Station, Second Floor, Saint Thomas,
Virgin Islands 00802.
Please direct all questions and correspondence about
intergovernmental review to: Linda Clarke, Telephone: (809) 774-
0750, FAX: (809) 776-0069.
Certification Regarding Environmental Tobacco Smoke
Public Law 103-227, Part C--Environmental Tobacco Smoke, also known
as the Pro-Children Act of 1994 (Act), requires that smoking not be
permitted in any portion of any indoor facility owned or leased or
contracted for by an entity and used routinely or regularly for the
provision of health, day care, education, or library services to
children under the age of 18, if the services are funded by Federal
programs either directly or through State or local governments, by
Federal grant, contract, loan, or loan guarantee. The law does not
apply to children's services provided in private residences, facilities
funded solely by Medicare or Medicaid funds, and portions of facilities
used for inpatient drug or alcohol treatment. Failure to comply with
the provisions of the law may result in the imposition of a civil
monetary penalty of up to $1000 per day and/or the imposition of an
administrative compliance order on the responsible entity.
By signing and submitting this application the applicant/grantee
certifies that it will comply with the requirements of the Act. The
applicant/grantee further agrees that it will require the language of
this certification be included in any subawards which contain
provisions for children's services and that all subgrantees shall
certify accordingly.
[FR Doc. 96-6259 Filed 3-15-96; 8:45 am]
BILLING CODE 4184-01-P
