[Federal Register Volume 61, Number 45 (Wednesday, March 6, 1996)]
[Notices]
[Pages 8942-8960]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 96-5148]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Administration for Children and Families
Office of Community Services
[Program Announcement No. OCS-96-02]
Request for Applications Under the Office of Community Services'
Fiscal Year 1996 National Youth Sports Program
AGENCY: Office of Community Services, Administration for Children and
Families, Department of Health and Human Services.
ACTION: Request for applications under the Office of Community
Services' National Youth Sports Program.
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SUMMARY: The Office of Community Services (OCS) announces that
competing applications will be accepted for new grants pursuant to the
Secretary's discretionary authority under Section 682 of the Community
Services Block Grant Act of 1981, as amended. This Program Announcement
contains forms and instructions for submitting an application.
CLOSING DATE: The closing time and date for receipt of applications is
4:30 p.m. (Eastern Time Zone) April 22, 1996.
Applications received after 4:30 p.m. will be classified as late.
CONTACT: Joseph R. Carroll, Acting Director, Division of Community
Discretionary Programs, Office of Community Services, Administration
for Children and Families, 370 L'Enfant Promenade, S.W., Washington,
D.C. 20447, (202) 401-9345.
This Announcement is accessible on the OCS Electronic Bulletin
Board for downloading through your computer modem by calling 1-800-627-
8886. For assistance in accessing the Bulletin Board, a Guide to
Accessing and Downloading is available from Ms. Minnie Landry at (202)
401-5309.
Part A--Preamble
1. Legislative Authority
Section 682 of the Community Services Block Grant Act, as amended,
authorizes the Secretary of Health and Human Services to make a grant
to an eligible service provider to administer national or regional
programs designed to provide instructional activities for low-income
youth.
2. Definitions of Terms
For purposes of this Program Announcement the following definitions
apply:
--Low-income youth: a youth between the ages of 10 through 16 whose
family income does not exceed the DHHS Poverty Income Guidelines.
--Eligible Applicant: A national private nonprofit organization, a
coalition of such organizations, or a private nonprofit organization
applying jointly with a business concern that has demonstrated
experience in operating a program providing instructions to low-income
youth.
--Budget period: The interval of time into which a grant period of
assistance is divided for budgetary and funding purposes.
--Project period: The total time for which a project is approved for
support, including any approved extensions.
Part B--Application Prerequisites
1. Eligible Applicants
OCS will only consider those applications received from entities
which are eligible applicants as specified in Part A 2. of this
Announcement. Non-profit organizations must submit proof of their non-
profit status in their applications at the time of submission. Failure
to do so will result in rejection of their
[[Page 8943]]
applications. 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, and by providing a copy of the articles
of incorporation bearing the seal of the State in which the corporation
or association is domiciled.
2. Number of Grants, Grant Amount, and Matching Requirements
a. Number of Grants
The OCS anticipates, subject to the availability of funds, that one
grant will be made under this program.
b. Grant Amounts
Estimated twelve million dollars ($12,000,000) subject to final
appropriation.
c. Matching Requirements
The grants require a match of either cash or third party in-kind of
one dollar for each dollar awarded up to $9,400,000 and a cash match of
29% of the Federal funds requested in excess of $9,400,000.
3. Project Period and Budget Period
The project and budget periods must not exceed 12 months, with
significant amount of program activities to be undertaken in the period
covering June, July and August 1996.
4. Administrative Costs/Indirect Costs
No funds from a grant made under this program may be used for
administrative expenses. To the extent that indirect costs are not
administrative in nature, such costs may be allowed provided the
grantee has negotiated an approved Indirect Cost Rate Agreement which
excludes administrative expenses. However, it should be understood that
indirect costs are part of, and not in addition to, the amount of funds
awarded in the subject grant.
5. Program Beneficiaries
Projects proposed for funding under this Announcement must result
in direct benefits targeted toward 10-16 year olds from low-income
families.
Attachment A to this Announcement is an excerpt from the most
recently published Poverty Income guidelines. Annual revisions of these
Guidelines are normally published in the Federal Register in February
or early March of each year and are applicable to projects being
implemented at the time of publication. Grantees will be required to
apply the most recent Guidelines throughout the project period. The
Federal Register may be obtained from public libraries, Congressional
offices, or by writing the Superintendent of Documents, U.S. Government
Printing Office, Washington, D.C. 20402. In addition, it may be
obtained by downloading from the OCS Electronic Bulletin Board. (See
instructions under Contact at the beginning of this document.)
No other government agency or privately defined poverty guidelines
are applicable to the determination of low-income eligibility for this
OCS program.
6. Multiple Submittals
An applicant organization should not submit more than one
application under this Program Announcement.
Part C--Purpose and project Requirements
1. Purpose
The Department of Health and Human Services is committed to
improving the health and physical fitness of young people, particularly
those that are members of low-income families and residents of
economically disadvantaged areas of the United States.
The Department seeks to improve the lives of these young people
through sports skill instruction, counseling in good health practices,
and counseling related to anti-drug and anti-alcohol abuse.
2. Project Requirements
Any instructional activity carried out by an eligible service
provider receiving a grant under this Program Announcement shall be
carried out on the campus of an institution of higher education (as
defined in section 1201(a) of the Higher Education Act) and shall
include--
a. access to the facilities and resources of such institution;
b. an initial medical examination and follow-up referral or
treatment, without charge, for youth during their participation in such
activity;
c. at least one nutritious meal daily, without charge, for
participating youth during each day of participation;
d. high quality instruction in a variety of sports (that shall
include swimming and that may include dance and any other high quality
recreational activity) provided by coaches and teachers from
institutions of higher education and from elementary and secondary
schools (as defined in sections 1471(8) and 1471(21) of the Elementary
and Secondary Education Act of 1965); and
e. enrichment instruction and information on matters relating to
the well-being of youth, to include educational opportunities and study
practices, education for the prevention of drug and alcohol abuse,
health and nutrition, career opportunities, and family and job
responsibilities.
Part D--Review Criteria
Applications which pass the initial screening and pre-rating review
described in Part G 5. will be assessed and scored by reviewers. These
numerical scores will be supported by explanatory statements on a
formal rating form describing major strengths and weaknesses under each
applicable criterion published in this Announcement.
The in-depth evaluation and review process will use the criteria
set forth below coupled with the specific requirements described in
Part G.
Applicants should write their project narrative according to the
review criteria using the same sequential order.
Criteria for Review and Evaluation of Applications Submitted Under This
Program Announcement
1. Criterion I: Location and number of institutions of Higher
Education (Maximum: 20 points).
a. Applicant must describe and document the number and location of
Institutions of Higher Education committed to participation in this
program, with special attention to documenting the accessibility of the
schools to economically disadvantaged communities (0-12 points).
b. Applicant must describe in the aggregate the facilities which
will be available on the campuses of the institutions to be used in the
program (swimming pools, medical facilities, food preparation
facilities, etc.) (0-8 points).
2. Criterion II: Adequacy of Work Program (Maximum: 20 Points).
a. Applicant must set forth realistic weekly time targets (for the
summer program) and quarterly time targets (for any extended-year
program activities). The time targets should specify the tasks to be
accomplished in the given timeframes. (0-8 points).
b. Applicant must address the legislatively-mandated activities
found in Part C.2., to include: (1) project priorities and rationale
for selecting them; (2) project goals and objectives; and (3) project
activities. (0-12 points).
3. Criterion III: Significant and Beneficial Impact (Maximum: 20
points).
a. Applicant proposes to improve nutritional services to the
participating youths (0-5 points).
[[Page 8944]]
b. Project incorporates medical examinations along with follow-up
referral or treatment (0-5 points).
c. Project includes counseling, related to anti-drug and anti-
alcohol abuse, by counselors with experience in those areas as a major
element (0-5 points).
d. Project makes use of an existing outreach activity of a
community action agency or some other community-based organization (0-5
points).
4. Criterion IV: Organizational Experience in Program Area and
Staff Responsibilities (Maximum: 30 points).
a. Organizational experience in program area (0-10 points).
Documentation provided indicates that projects previously
undertaken have been relevant and effective and have provided
significant benefits to low-income youth. Information provided should
also address the achievements and competence of the participating
institutions.
b. Management history (0-10 points).
Applicants must fully detail their ability to implement sound and
effective management practices and if they have been recipients of
other Federal or other governmental grants, they must also detail that
they have consistently complied with financial and program progress
reporting and audit requirements. Applicants should submit any
available documentation on their management practices and progress
reporting procedures. Applicant should also submit a statement by a
Certified or Licensed Public Accountant as to the sufficiency of the
applicant's financial management system to protect any Federal funds
which may be awarded under this program.
c. Staffing skills, resources and responsibilities (0-10 points).
Applicant must briefly describe the experience and skills of the
proposed project director showing that the individual is not only well
qualified but that his/her professional capabilities are relevant to
the successful implementation of the project. If the key staff person
has not been identified, the application should contain a comprehensive
position description which indicates that the responsibilities assigned
to the project director are relevant to the successful implementation
of the project.
The application must indicate that the applicant and the
subgrantees or delegate institutions have adequate facilities and
resources (i.e. space and equipment) to successfully carry out the work
plan. The application must clearly show that sufficient time of the
project director and other senior staff will be budgeted to assure
timely implementation and oversight of the project and that the
assigned responsibilities of the staff are appropriate to the tasks
identified for the project.
5. Criterion V: Adequacy of Budget (Maximum: 10 points).
Budget is adequate and funds requested are commensurate with the
level of effort necessary to accomplish the goals and objectives of the
program. The estimated cost of the project to the government is
reasonable in relation to the anticipated results.
Part E--Contents of Application and Receipt Process
1. Contents of Application
Each application package should include one signed original and two
additional copies of the following:
a. A signed Application for Federal Assistance (SF-424);
b. Budget Information--Non-Construction Programs (SF-424A);
c. A signed--Assurances--Non-construction Programs (SF-424B);
d. A Project Narrative consisting of the following elements
preceded by a consecutively numbered Table of Contents that describes
the project in the following order:
(i) Eligibility confirmation.
(ii) Number and location of Institutions of Higher Education
committed to the program and their accessibility to youth from
economically disadvantaged areas.
(iii) Organization experience and staff responsibilities.
(iv) Work program (including Executive Summary)
(v) Appendices, including Bylaws; Articles of Incorporation; proof
of non-profit status; resume of project director; statement by a
Certified or Licensed Public Accountant as to the sufficiency of the
applicant's financial management system to protect Federal funds;
Single Point of Contact comments, if available; certifications
regarding Lobbying, Debarment and Drug Free Workplace activities.
The total number of pages for the entire application package should
not exceed 50 pages. Applications should be two holed punched at the
top and fastened separately with a compressor slide paper fastener or a
binder clip. The submission of bound applications, or applications
enclosed in binder, is especially discouraged.
Applications must be uniform in composition since OCS may find it
necessary to duplicate them for review purposes. Therefore,
applications must be submitted on white 8\1/2\ x 11 inch paper only.
They should not include colored, oversized or folded materials. Do not
include organizational brochures or other promotional materials,
slides, films, clips, etc. in the proposal. They may be discarded, if
included.
2. Acknowledgement of Receipt
All applicants will receive an acknowledgement postcard with an
assigned identification number. Applicants are requested to supply a
self-addressed mailing label with their application which can be
attached to this acknowledgement postcard. The assigned identification
number must be referred to in all subsequent communications with ACF
concerning the application. If an acknowledgement is not received
within three weeks after the deadline date, please notify ACF by
telephone (202) 401-9365.
Part F--Instructions for Completing Application Package
It is suggested that the applicant reproduce the SF-424 and SF-
424A, and type your application on the copies. If an item on the SF-424
cannot be answered or does not appear to be related or relevant to the
assistance requested write NA for ``Not Applicable''.
Prepare your application in accordance with the standard
instructions given in Attachments B and C corresponding to the forms,
as well as specific instructions set forth below:
1. SF-424 ``Application for Federal Assistance''
Item Numbers
1. For the purposes of this Announcement, all projects are
considered ``Applications''; there are no ``Pre-applications''. All
projects are non-construction projects. Check the appropriate box under
``Application''.
5 and 6. The legal name of the applicant must match that listed as
corresponding to the Employer Identification Number. Where the
applicant is a previous Department of Health and Human Services
grantee, enter the Central Registry System Employee Identification
Number (EIN) and the Payment Identifying Number (PIN), if one has been
assigned, in the Block entitled ``Federal Identifier'' located at the
top right hand corner of the form.
7. If the applicant is a non-profit corporation, enter ``N'' in the
box and specify ``non-profit corporation'' in the space marked
``Other.'' Proof of non-profit status must be included in the
application at the time of submission. This can be accomplished by
providing a copy of the applicant's listing in the Internal Revenue
Services' (IRS) most
[[Page 8945]]
recent list of tax-exempt organizations in section 501(c)(3) of the IRS
code or by providing a copy of the articles of incorporation bearing
the seal of the State in which the corporation or association is
domiciled.
8. For the purposes of this Announcement, all applications are
``New''.
9. Enter DHHS-ACF/OCS.
10. The Catalog of Federal Domestic Assistance number for OCS
programs covered under this Announcement is 93.570. The title is ``CSBG
Discretionary Awards.''
2. SF-424A--``Budget Information--Non-Construction Programs''
See instructions accompanying this form as well as the instructions
set forth below:
In completing these sections, the ``Federal Funds'' budget entries
will relate to the requested OCS discretionary funds only, and ``Non-
Federal'' will include mobilized funds from all other sources--
applicant, state, local, and other. Federal funds other than requested
OCS discretionary funding should be included in ``Non-Federal''
entries.
The budget forms in SF-424A are only to be used to present grant
costs and major budget categories. Other internal project cost data
must be separate and should appear as part of other project
implementation data. Applicants are reminded that grant funds may not
be utilized for administrative expenses.
Sections A and D of SF-424A must contain entries for both Federal
(OCS) and Non-Federal (mobilized) funds. Section B contains entries for
Federal (OCS) funds only. Clearly identified continuation sheets in SF-
424A format should be used as necessary.
Section A--Budget Summary
Lines 1-4, Col. (a): Line 1 Enter ``CSBG Discretionary''; Col. (b):
Line 1 Enter ``93.570''; Col. (c): and (d); Applicants should leave
columns (c) and (d) blank.
Cols. (e)-(g): For line 1, enter in columns (e), (f) and (g) the
appropriate amounts needed to support the project for the budget
period.
Line 5, Enter the figures from Line 1 for all columns completed as
required, (c), (d), (e), (f), and (g).
Section B--Budget Categories
Allowability of costs are governed by applicable cost principles
set forth in 45 CFR Part 74.
Columns (1) and (5): In OCS applications, it is only necessary to
complete Columns (1) and (5). Column 1: Enter the total requirements
for OCS Federal funds by the Object Class Categories of this section:
Personnel--Line 6A: Enter the total costs of salaries and wages of
applicant/grantee staff only. Do not include costs of consultants or
personnel costs of delegate agencies or of specific project(s) or
businesses to be financed by the applicant.
Fringe Benefits--Line 6b: Enter the total costs of fringe benefits
unless treated as part of an approved indirect cost rate which is
entered on line 6j. Provide a breakdown of amounts and percentages that
comprise fringe benefit costs.
Travel--Line 6c: Enter total costs of all travel by employees of
the project. Do not enter costs for consultant's travel. Provide
justification for requested travel costs.
Equipment--Line 6d: Enter the total costs of all non-expendable
personal property to be acquired by the project. ``Non-expendable
personal property'' means tangible property having a useful life of
more than one year and an acquisition cost of $5,000 or more per unit.
An applicant may use its own definition of non-expendable personal
property, provided that such a definition would at least include all
tangible personal property as defined in the preceding sentence. (See
Line 21 for additional requirements).
Supplies--Line 6e: Enter the total costs of all tangible personal
property (supplies) other than that included on line 6d.
Contractual--Line 6f: Enter the total costs of all contracts,
including (1) procurement contracts (except those which belong on other
lines such as equipment, supplies, etc.) and (2) contracts with
secondary recipient organizations including delegate agencies and
specific project(s) to be financed by the applicant.
Other--Line 6h: Enter the total of all other costs. Such costs,
where applicable, may include but are not limited to insurance, food,
medical and dental costs (non-contractual), fees and travel paid
directly to individual consultants, space and equipment rentals,
printing and publication, computer use, training costs, including
tuition and stipends, training services costs including wage payments
to individuals and supportive services payments, and staff development
costs.
Total Direct Charges--Line 6i: Show the total of Lines 6a through
6h.
Indirect Charges--Lines 6j: Enter the total amount of indirect
costs. This line should be used only when the applicant currently has
an indirect cost rate approved by the Department of Health and Human
Services or another Federal agency or is awaiting such approval.
Applicants should enclose a copy of the current rate agreement.
If the applicant organization is in the process of initially
developing or renegotiating a rate, it should immediately, upon
notification that an award will be made, develop a tentative indirect
cost rate proposal based on its most recently completed fiscal year in
accordance with the principles set forth in the pertinent DHHS Guide
for Establishing Indirect Cost Rates, and submit it to the appropriate
DHHS Regional Office. It should be noted that when an indirect cost
rate is requested, those costs included in the indirect cost pool
should not be also charged as direct costs to the grant.
Totals--Line 6k: Enter the total amounts of Lines 6i and 6j. The
total amount should be shown in Section B, Column 1: Carry totals from
Column 1 to Column 5 for all line items.
Section C--Non-Federal Resources
This section is to record the amounts of ``non-Federal'' resources
that will be used to support the project. ``Non-Federal'' resources
mean other than OCS funds for which the applicant is applying.
Therefore, mobilized funds from other Federal programs, such as the Job
Training Partnership Act Program, should be entered on these lines.
Provide a brief listing of the non-Federal resources on a separate
sheet and describe whether it is a grantee-incurred cost or a third-
party in-kind contribution.
Line 8: Column (a): Enter the project title. Column (b): Enter the
amount of contributions to be made by the applicant to the project.
Column (c): Enter the State contribution. Column (d): Enter the amount
of cash and in-kind contributions to be made from all other sources.
Column (e): Enter the total of columns (b), (c), and (d).
Line 9, 10, and 11 should be left blank.
Line 12: Carry the total of each column of lines 8, (b) through
(e). The amount in Column (e) should be equal to the amount on Section
A, Line 5, column (f).
Section D--Forecasting Cash Needs
Line 13: Enter the amount of Federal (OCS) cash needed for this
grant by quarter.
Section F--Other Budget Information
Line 21: Use this space and continuation sheets as necessary to
fully explain and justify the major items included in the budget
categories shown in Section B. Include sufficient detail to
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facilitate determination of allowability, relevance to the project, and
cost benefits. Particular attention must be given to the explanation of
any requested direct cost budget item which requires explicit approval
by the Federal agency. Budget items which require identification and
justification shall include, but not be limited to, the following:
1. Salary amounts and percentage of time worked for those key
individuals who are identified in the project narrative;
2. Any foreign travel;
3. A list of all equipment and estimated cost of each item to be
purchased wholly or in part with grant funds and which meet the
definition of nonexpendable personal property provided on Line 6d,
Section B. Need for equipment must be supported in the program
narrative.
4. Contractual: Major items or groups of smaller items; and
5. Other: Group into major categories all costs for consultants,
local transportation, space, rental, training allowances, staff
training, computer equipment, etc. Provide a complete breakdown of all
costs that make up this category.
Line 22: Enter the type of HHS or other Federal agency approved
indirect cost 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.
Also, enter the date the rate was approved, where applicable. Attach a
copy of the rate agreement if it was negotiated with a Federal agency
other than the Department of Health and Human Services.
Line 23: Provide any other explanations and continuation sheets
required or deemed necessary to justify or explain the budget
information.
3. SF-424B ``Assurances--Non-Construction''
Applicants requesting financial assistance for a non-construction
project must file the Standard Form 424B, ``Assurances: Non-
Construction Programs.'' Applicants must sign and return the Standard
Form 424B (Attachment D) with their applications.
4. Restrictions on Lobbying Activities
Certification for Contracts, Grants, Loans, and Cooperative
Agreements: Fill out, sign and date form found at Attachment H.
5. Disclosure of Lobbying Activities, SF-LLL
Fill out, sign and date form found at Attachment H, if applicable.
6. Project Narrative
The project narrative must address the specific concerns and
requirements mentioned under Parts C and D of this Announcement. After
confirmation of eligibility (as required by Part B), the narrative
should follow the order and respond to the content of the criteria
detailed under Part D.
Part G--Application Procedures
1. Availability of Forms
Application for awards under this OCS program must be submitted on
Standard Forms (SF) 424, 424A, and 424B. Part F and Attachments B, C,
and D to this Program Announcement contain all the instructions and
forms required for submitting of applications. The forms may be
reproduced for use in submitting applications. Copies of the Federal
Register containing this Announcement are available at most local
libraries and Congressional District Offices for reproduction. If
copies are not available at these sources they may be obtained by
writing or telephoning the office listed in the section entitled
Contact at the beginning of this Announcement.
2. Application Submission
The date by which applications must be received is indicated under
Closing Date at the beginning of this announcement.
Deadline: Mailed applications shall be considered as meeting an
announced deadline if they are received on or before the deadline time
and date at the 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: Application for National Youth Sports Program.
Applicants are responsible for mailing applications well in advance,
when using all mail services, to ensure that the applications are
received on or before the deadline time and date.
Applications handcarried by applicants, applicant couriers, or by
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 Grant, ACF Mailroom, 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 Date or Time of
submission and time of receipt.
Late applications: Applications which do not meet the criteria
above are considered late applications. ACF shall notify each late
applicant that its application will not be considered in the current
competition.
Extension of deadlines: ACF may extend the deadline for all
applicants because of acts of God such as floods, hurricanes, etc., or
when there is a widespread disruption of the mails. However, if ACF
does not extend the deadline for all applicants, it may not waive or
extend the deadline for any applicants.
Paperwork Reduction Act of 1980: Under the Paperwork Reduction Act
of 1980, Public Law 96-511, the Department is required to submit to OMB
for review and approval any reporting and recordkeeping requirements in
regulations, including Program Announcements. This Program Announcement
does not contain information collection requirements beyond those
approved for ACF grant applications under OMB Control Number 0348-0040.
3. Intergovernmental Review
Executive Order 12372--Notification Process: This program is
covered under Executive Order 12372, ``Intergovernmental Review of
Federal Programs,'' and 45 CFR Part 100, ``Intergovernmental Review of
Department of Health and Human Services Programs and Activities.''
Under the Order, 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, Michigan, Minnesota,
Montana, Nebraska, Oklahoma, Oregon, Pennsylvania, South Dakota,
Tennessee, Virginia, Washington, American Samoa and Palau have elected
to participate in the Executive Order process and have established
Single Points of Contacts (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
[[Page 8947]]
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 the program office 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(1)(2), a SPOC has 60 days from the application
deadline date 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 clearly differentiate 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, 6th Floor,
370 L'Enfant Promenade, S.W., Washington, D.C. 20447.
A list of the Single Points of Contact for each State and Territory
is included as Attachment G of this Announcement.
4. Application Consideration
Applications which meet the screening requirements in Section 5
below will be reviewed competitively. Such applications will be
referred to reviewers for a numerical score and explanatory comments
based solely on responsiveness to program guidelines and evaluation
criteria published in this Announcement. Applications will be reviewed
by persons outside of the OCS unit which would be directly responsible
for programmatic management of the grant. The results of these reviews
will assist the Director and OCS program staff in considering competing
applications. Reviewers' scores will weigh heavily in funding decisions
but will not be the only factors considered. Applications will
generally be considered in order of the average scores assigned by
reviewers. However, highly ranked applications are not guaranteed
funding since the Director may also consider other factors deemed
relevant including, but not limited to, the timely and proper
completion of projects funded with OCS funds granted in the last five
(5) years; comments of reviewers and government officials; staff
evaluation and input; geographic distribution; previous program
performance of applicants; compliance with grant terms under previous
DHHS grants; audit reports; investigative reports; and applicant's
progress in resolving any final audit disallowances on OCS or other
Federal agency grants. OCS reserves the right to discuss applications
with other Federal or non-Federal funding sources to ascertain the
applicant's performance record.
5. Criteria for Screening Applications
All applications that meet the published deadline for submission
will be screened to determine completeness and conformity to the
requirements of this Announcement. Only those applications meeting the
following requirements will be reviewed and evaluated competitively.
Others will be returned to the applicants with a notation that they
were unacceptable.
a. Initial Screening
(1) The application must contain a completed Standard Form SF-424
signed by an official of the entity applying for the grant who has
authority to obligate the organization legally;
(2) a budget (SF-424A); and
(3) ``Assurances'' (SF-424B) signed by the appropriate official.
b. Pre-rating Review
Applications which pass the initial screening will be forwarded to
reviewers for analytical comment and scoring based on the criteria
detailed in the section below and the specific requirements contained
in Part C of this Announcement. Prior to the programmatic review, these
reviewers and/or OCS staff will verify that the applications comply
with this Program Announcement in the following areas:
(1) Eligibility: Applicant meets the eligibility requirements found
in Part A2.
(2) Target Populations: The application clearly targets the
specific outcomes and benefits of the project to low-income
participants as defined in the DHHS Poverty Income Guidelines
(Attachment A).
(3) Grant Amount: The amount of funds requested does not exceed the
estimated amount of $12 million.
(4) Program Focus: The application addresses the geographic scope
and project requirements described in Part C of this Announcement.
c. Evaluation Criteria
Applications which pass the initial screening and pre-rating review
will be assessed and scored by reviewers. Each reviewer will give a
numerical score for each application reviewed. These numerical scores
will be supported by explanatory statements on a formal rating form
describing major strengths and major weaknesses under each applicable
criterion published in this Announcement.
Part H--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 for use in
the project period, the budget period for which support is provided,
and the terms and conditions of the award.
In addition to the General Conditions and Special Conditions (where
the latter are warranted) which will be applicable to grant, the
grantee will be subject to the provisions of 45 CFR Part 74 along with
OMB Circulars A-122, A-133, and, for institutions of higher education,
A-21.
Grantee will be required to submit progress and financial reports
(SF-269).
Grantee is subject to the audit requirements in 45 CFR Part 74.
Applicants requesting financial assistance for a non-construction
project must file the Standard Form 424B, ``Assurances: Non-
Construction Programs.'' Applicants must sign and return the Standard
Form 424B with their applications.
Applicants must provide a certification concerning Lobbying. Prior
to receiving an award in excess of $100,000, applicants shall furnish
an executed copy of the lobbying certification. Applicants must sign
and return the certification with their applications.
Applicants must make the appropriate certification of their
compliance with the Drug-Free Workplace Act of 1988. By signing and
submitting the applications, applicants are providing the certification
and need not mail back the certification with the applications.
Applicants must make the appropriate certification that they are
not presently debarred, suspended or otherwise ineligible for award. By
signing and submitting the applications, applicants are providing the
certification and need not mail back the certification with the
applications.
[[Page 8948]]
Copies of the certifications and assurances are located at the end
of this Announcement.
Section 319 of Public Law 101-121, signed into law on October 23,
1989, imposes new prohibitions and requirements for disclosure and
certification related to lobbying when an applicant has engaged in
lobbying activities or is expected to lobby in trying to obtain the
grant. It provides limited exemptions for Indian tribes and tribal
organizations. Current and prospective recipients (and their subtier
contractors and/or grantees) are prohibited from using appropriated
funds 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 submit a
declaration setting forth whether payments to lobbyists have been or
will be made out of nonappropriated funds and, if so, the name,
address, payment details, and purpose of any agreements with such
lobbyists whom recipients or their subtier contractors or subgrantees
will pay with the nonappropriated funds and (3) to file quarterly
updates about the use of lobbyists if an event occurs that materially
affects the accuracy of the information submitted by way of declaration
and certification. The law establishes civil penalties for
noncompliance and is effective with respect to contracts, grants,
cooperative agreements and loans entered into or made on or after
December 23, 1989. See Attachment H for certification and disclosure
forms to be submitted with the applications for this program.
Attachment I indicates the regulations which apply to all
applicants/grantees under the Discretionary Grants Program.
Dated: February 28, 1996.
Donald Sykes,
Director, Office of Community Services.
Attachment A
------------------------------------------------------------------------
Proverty
Size of family unit guideline
------------------------------------------------------------------------
1995 POVERTY INCOME GUIDELINES FOR ALL STATES (EXCEPT ALASKA AND HAWAII)
AND THE DISTRICT OF COLUMBIA
------------------------------------------------------------------------
1............................................................ $ 7,470
2............................................................ 10,030
3............................................................ 12,590
4............................................................ 15,150
5............................................................ 17,710
6............................................................ 20,270
7............................................................ 22,830
8............................................................ 25,390
For family units with more than 8 members, add $2,560 for each
additional member. (The same increment applies to smaller family sizes
also, as can be seen in the figures above.)
------------------------------------------------------------------------
POVERTY INCOME GUIDELINES FOR ALAKSA
------------------------------------------------------------------------
1............................................................ $ 9,340
2............................................................ 12,540
3............................................................ 15,740
4............................................................ 18,940
5............................................................ 22,140
6............................................................ 25,340
7............................................................ 28,540
8............................................................ 31,740
For family units with more than 8 members, add $3,200 for each
additional member. (The same increment applies to smaller family sizes
also, as can be seen in figures above.)
------------------------------------------------------------------------
POVERTY GUIDELINES FOR HAWAII
------------------------------------------------------------------------
1............................................................ $ 8,610
2............................................................ 11,550
3............................................................ 14,490
4............................................................ 17,430
5............................................................ 20,370
6............................................................ 23,310
7............................................................ 26,250
8............................................................ 29,190
For family units with more than 8 members, add a $2,940 for each
additional member. (The same increment applies to smaller family sizes
also, as can be seen in the figures above.)
------------------------------------------------------------------------
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BILLING CODE 4184-01-C
[[Page 8950]]
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 representatives 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 the application.)
BILLING CODE 4184-01-M
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[[Page 8953]]
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,
Section 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 one 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 amounts(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 Column (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-i--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
shone 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 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 of 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 revisions 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 how 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.
Attachment D--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 establish
a proper accounting system in accordance with generally accepted
accounting standards or agency directives.
[[Page 8954]]
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 C.F.R. 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 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 statute(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 as a result of Federal or federally
assisted programs. These requirements apply to all interests in real
property 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 to 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 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. 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. 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. 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 Poisoning Prevention
Act (42 U.S.C. 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
----------------------------------------------------------------------
Title
----------------------------------------------------------------------
Applicant Organization
----------------------------------------------------------------------
Date Submitted
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BILLING CODE 4184-01-C
[[Page 8957]]
Attachment F
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 participant shall
submit an explanation of why it cannot provide the certification.
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.
Attachment G--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, Sacramento, 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, SW.,--Room 401J, Atlanta, Georgia 30334,
Telephone: (404) 656-3855 or (404) 656-3829, FAX: (404) 656-7938
Illinois
Barbara Beard, State 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-
[[Page 8958]]
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 Contact, 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
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) 266-2125,
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, FAX: (809) 724-3270,
(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.
Attachment H--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, a 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
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BILLING CODE 4184-01-C
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Attachment I
The following DHHS regulations apply to all applicants/grantees
under the National Youth Sports Program:
Title 45 of the Code of Federal Regulations:
Part 16--Procedures of the Departmental Grant Appeals Board
Part 74--Administration of Grants (non-governmental)
Part 74--Administration of Grants (state and local governments
and Indian Tribal affiliates):
Sections
74.62(a) Non-Federal Audits
74.173 Hospitals
74.174(b) Other Nonprofit Organizations
74.304 Final Decisions in Disputes
74.710 Real Property, Equipment and Supplies
74.715 General Program Income
Part 75--Informal Grant Appeals Procedures
Part 76--Debarment and Suspension form Eligibility for Financial
Assistance
Subpart F--Drug Free Workplace Requirements
Part 80--Non-discrimination Under Programs Receiving Federal
Assistance through the Department of Health and Human Services,
Effectuation of Title VI of the Civil Rights Act of 1964
Part 81--Practice and Procedures for Hearings Under Part 80 of
this Title
Part 84--Non-discrimination on the Basis of Handicap in Programs
Part 86--aNondiscrimination on the basis of sex in the admission
of individuals to training programs
Part 91--Non-discrimination on the basis of Age in Health and
Human Services Programs or Activities Receiving Federal Financial
Assistance
Part 92--Uniform Administrative Requirements for Grants and
Cooperative Agreements to States and Local Governments (Federal
Register, March 11, 1988)
Part 93--New Restrictions on Lobbying
Part 100--Intergovernmebntal Review of Department of Health and
Human Services Programs and Activities
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. 96-5148 Filed 3-5-96; 8:45 am]
BILLING CODE 4184-01-M
