[Federal Register Volume 60, Number 72 (Friday, April 14, 1995)]
[Notices]
[Pages 19120-19149]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 95-8374]
[[Page 19119]]
_______________________________________________________________________
Part II
Department of Health and Human Services
Administration for Children and Families
Environmental Protection Agency
_______________________________________________________________________
Request for Applications Under the Environmental Protection Agency's
Toxic Substances Control Act; Notice
Federal Register / Vol. 60, No. 72 / Friday, April 14, 1995 / Notices
[[Page 19120]]
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Administration for Children and Families
[Program announcement no. 95-06)
ENVIRONMENTAL PROTECTION AGENCY
Request for Applications Under the Environmental Protection
Agency's Toxic Substances Control Act and the Office of Community
Services' Fiscal Year 1995 Job Opportunities for Low-Income Individuals
Program (Demonstration Projects) and the Discretionary Grants Program
AGENCY: Office of Community Services, Administration for Children and
Families, (ACF), DHHS; Office of Prevention Pesticides, and Toxic
Substances Environmental Protection Agency (EPA).
ACTION: Announcement of availability of funds and request for
applications under the Environmental Protection Agency's Toxic
Substances Control Act and the Office of Community Services' FY 1995
Job Opportunities for Low-Income Individuals Program and the Urban and
Rural Community Economic Development Discretionary Grants Program.
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SUMMARY: The Department of Health and Human Services (DHHS),
Administration for Children and Families (ACF), Office of Community
Services (OCS) and the Environmental Protection Agency (EPA) are
announcing, with this Notice, the availability of FY 1995 grant funds
for a pilot program to develop joint projects between public agencies
and non-profit organizations to form partnerships in the demonstration
of innovative community-based ventures and to reduce the
disproportionate exposure of disadvantaged communities to lead
poisoning in their environment and to provide job and career
opportunities to low-income residents of these communities. These funds
are being provided as a result of the planning work of a Federal
Project Task Force, consisting of officials of the Department of Health
and Human Services, Environmental Protection Agency, Department of
Housing and Urban Development, and Department of Labor, convened to
explore opportunities for joint lead poisoning prevention and
environmental justice programming. EPA and ACF/OCS expect the grantees
to use these funds and other available resources to plan and coordinate
a range of training, business enterprise development, education, and
hazard abatement activities so as to reduce significantly the
deleterious health effects of lead poisoning in their low-income urban
and rural communities and to create new career and economic development
opportunities for low-income residents of those communities.
In order to underwrite these initiatives, the funding agencies
intend to fund up to three (3) projects totaling approximately $3.0
million. Each project will receive two grants totaling up to $1
million. Up to $500,000 will be provided to the project by each of the
two Federal agencies. EPA will award a grant of up to $500,000 to each
of three (3) urban and/or rural public agency partners for training and
education; OCS will award a grant of up to $500,000 to each of three
(3) private non-profit agency partners for job creation and career
development for low-income residents. The grants will be awarded by
ACF/OCS under the authorities of the Family Support and Community
Services Block Grant Acts and by EPA under the authority of the Toxic
Substances Control Act.
CLOSING DATES: The closing date for submission of applications is May
30, 1995.
FOR FURTHER INFORMATION CONTACT: Re: Lead Training and Education
elements of the application:
James Boles, Chemical Management Division, Program Development Branch
(7404), Environmental Protection Agency, 401 M Street, S.W.,
Washington, D.C. 20447 (202) 260-3969
Contacts at Regional EPA Offices are listed under Part VIII, A, of
this notice.
Re: Enterprise Development, Job Creation, and Lead Abatement
elements of the application:
Richard M. Saul, Director, Community Demonstration Programs Division,
Office of Community Services, Administration for Children and Families,
370 L'Enfant Promenade, S.W., Washington, D.C. 20447 (202) 401-9233
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.
Table of Contents
Part I--Background
Part II--Purpose
Part III--Legislative Authorities and Funding
Part IV--Eligible Applicants
A. Public Agencies--EPA
B. Non-Profit Organizations-ACF/OCS
Part V--Eligible Activities
A. Public Agencies--EPA
B. Non-Profit Organizations--ACF/OCS
Part VI--Project Planning/Application Requirements
A. Project Planning
1. Project Organization
2. Project Design
B. Application Requirements
1. Project Periods and Budget Periods
2. Cooperative Partnership Agreements
3. Program Participants/Beneficiaries
4. Prohibition and Restrictions on the Use of Funds
5. Third-Party Project Evaluation
6. Economic Development Strategy
7. Maintenance of Effort
Part VII--Criteria for Review and Evaluation of Applications
A. Environmental Protection Agency Criteria
B. Administration for Children and Families/Office of Community
Services Criteria
Part VIII--Application Procedures and Instructions
A. Application Kit for EPA Federal Assistance to States /EPA
Regional Lead Contacts
B. Application Procedures for ACF/OCS Funding to Private Non-
Profit Partners
1. Availability of Forms
2. Application Submission
3. Intergovernmental Review--ACF/OCS
4. Criteria for Screening Applicants
5. Contents of Application
6. Acknowledgement of Receipt
C. Instructions for Completing ACF/OCS Application Package
Part IX--Post Award Information and Reporting Requirements
SUPPLEMENTARY INFORMATION:
Part I--Background
Lead poisoning is one of the worst environmental threats to
children in the United States. Lead absorbed into the blood from such
sources as gasoline additives, house paint, drinking water, and
consumer products can and does have extremely damaging health
consequences on children. As more and more has been learned about the
adverse effects of lead poisoning, the Centers for Disease Control and
Poisoning Prevention (CDC) have lowered the acceptable blood lead level
three times in the past 20 years.
Fortunately, lead poisoning is entirely preventable. As public
officials have come to realize this, they have begun to address the
problem of exposure to lead at its several sources. Leaded gasoline
was, for many years, one of the major sources of lead absorbed into the
blood, but government-mandated changes in gasoline composition have
greatly reduced the amount of airborne lead. Initiatives such as this
have already resulted in reduced blood lead levels. The major remaining
source of lead in the environment is house paint,
[[Page 19121]] especially types that were commonly used prior to 1978.
Huge amounts of this peeling lead-based paint and paint dust exist in
older homes throughout the country, especially among those inhabited by
people without the financial means or ownership incentive to maintain
and repair them adequately. Several studies show strong correlations
between lead levels in the blood of inner city residents and the large
numbers of dilapidated older houses and apartments in which lower
income people frequently are concentrated. As an unhappy consequence,
the very people who probably can least afford the impacts of lead
poisoning--lower income children and families concentrated in poorer
urban neighborhoods and rural communities--are the ones most at risk
from this threat.
Several Federal agencies have undertaken important initiatives to
attack the problem of household exposure to lead and lead poisoning in
poor, urban communities. The Department of Housing and Urban
Development (HUD) has authorized and funded several programs under
Title X of the Residential Lead-Based Paint Hazard Reduction Act of
1992 designed to stimulate lead abatement activities in both public
housing and privately-owned housing for lower income individuals and
families. EPA has worked to ensure that its public educational efforts
are effective in reaching these audiences and is searching for low cost
methods of reducing risk. CDC has funded screening programs to measure
lead levels in blood in both urban and rural communities which are
judged to be at particularly high risk of lead exposure. ACF/OCS has
supported, and participated in, a California public-private partnership
to develop and implement a model for combining lead abatement with
community-based weatherization programs.
While these early lead abatement activities generally have attacked
the problem of environmental lead from a public health perspective, a
number of public officials with responsibilities for community and
economic development have noted that such initiatives have the
potential to create work and business opportunities for adults living
in the very communities most severely afflicted with the problem. These
officials have reasoned that individuals with practical knowledge of
neighborhood conditions, a willingness to undergo necessary training,
and a desire for gainful employment in community-based ventures have
much to offer to those planning lead and other hazard abatement
initiatives. They have also come to believe that community-based
ventures involving such individuals may possess important advantages in
assessing environmental hazards, building support for abatement
services, and developing community capabilities over larger businesses
based outside the impacted neighborhoods.
As a consequence, providing a significant amount of funding to the
economies of these neighborhoods has come to be seen as both a catalyst
for the creation of, and a resource for the initial support of, a group
of viable new community-based non-profit agencies and contracting
businesses able to capitalize on hazard assessment, lead abatement, and
post-abatement renovation work to create new labor-intensive jobs and
build employment skills in their work force. These officials of
Federal, state, tribal, and local governments have found strong
interest, furthermore, on the part of community leadership in lead
abatement-type initiatives and have engaged during recent months in
considerable discussion and planning of collaborative enterprises such
as the one envisioned with this announcement. As a result, the agencies
funding this initiative have come to share a vision of numerous
community-based partnerships throughout the country working together to
educate, involve, and empower lower income communities to make their
own neighborhoods free from lead poisoning and safe and healthy for
their children.
Part II--Purpose
The purpose of the grants to be funded under this announcement is
to demonstrate the potential advantages that partnerships between
community-based enterprises and state, local, or tribal governments
have for making beneficial impacts, through lead abatement activities,
on both the physical health and economic vitality of the low-income
neighborhoods and citizens that they serve.
Officials of both ACF/OCS and EPA expect the partners in the
project to work together to organize resources and develop coordinated
programs that are effective in removing lead-based paint from their
neighborhoods, thereby improving residents' health, while developing
new and/or expanded locally based housing contractor enterprises with
the capacity for job creation, career development and growth.
Successful applicants will utilize the funds and visibility of this
initiative to create new public/private partnerships, strengthen skills
and knowledge of community residents, create job opportunities and new
business ventures, and impart fresh momentum to local efforts towards
community revitalization.
Part III--Legislative Authorities and Funding Sources
In order to accomplish these distinct but complementary goals, the
funded public agency/non-profit partners must effectively integrate
disparate elements into a single cohesive project. The applicants'
projects must blend training support funding and program guidelines
from the EPA with capacity-building funding and program guidelines from
ACF/OCS in order to launch and implement their projects.
Legislative Authorities
EPA is authorized by the Toxic Substances Control Act to make
grants to States, Federally recognized Native American tribal
governments, and local governmental bodies to support research,
development and training activities capable of developing local
capacity to successfully prevent lead poisoning.
ACF/OCS authority for this joint initiative is contained in two
legislative enactments--the Job Opportunities for Low-Income
Individuals Program authorized under Section 505 of the Family Support
Act of 1988, as amended, and the Office of Community Services'
Discretionary Grants Program under section 681(a)(1) of the Community
Services Block Grant Act of 1981, as amended.
Funding
EPA's funding support is for community education and technical
hazard abatement training provided through local public health
agencies. ACF/OCS funding support is for the organization and/or
expansion of community-based abatement enterprises and the resulting
creation of new jobs with career potential for low-income employees in
these enterprises or the development of their own businesses provided
through local private non-profit organizations.
Each funded project will receive two grants totalling up to $1
Million, up to $500,000 from each agency. EPA will award a grant of up
to $500,000 to a public agency partner for training and education; OCS
will award a grant of up to $500,000 to a private non-profit agency
partner for job creation and career development.
EPA requires, furthermore, that applicants provide either evidence
of a local contribution of 5% of the value of the EPA grant from State,
Foundation or other Federal sources such as [[Page 19122]] Community
Development Block Grant monies, in-kind services, or local cash or a
written justification of its inability to raise such a match. ACF/OCS
does not require a match for its grants but does encourage the
applicant to review and describe ways by which it would plan to
mobilize additional public and private resources to further the
purposes of this announcement if it were to receive a grant. The funded
community-based environmental lead abatement ventures are expected to
add partners and obtain resources from other sources with complementary
interests, when practical.
Part IV--Eligible Applicants
Because of the dual authorities involved with this program
announcement, eligible applicants for the grants will consist of local
partnerships, of which each member must meet the eligibility criteria
of the relevant funding agency:
A. Public Agencies--EPA
Eligible applicants for purposes of the EPA funding under this
notice include any State (including the District of Columbia, the U.S.
Virgin Islands, the Commonwealth of Puerto Rico, and any territory or
possession of the United States), Federally recognized Native American
Tribal government, or local government that has an active, health-based
lead program. For the purposes of this notice, an active, health-based
lead program is defined as health or environmental officials collecting
and analyzing environmental lead data with the assistance of local
health care providers.
Private universities, private non-profit entities, private
businesses, and individuals are not eligible for EPA funds. For
convenience, the term ``State'' in this notice refers to all EPA
eligible applicants.
B. Non-Profit Organizations--ACF/OCS
Organizations eligible to apply for funding under this program are
any non-profit organizations including community development
corporations that are exempt from taxation under Section 501(a) of the
Internal Revenue Code of 1986 by reason of paragraph (3) or (4) of
Section 501(c) of such code and private non-profit community
development corporations governed by a board consisting of residents of
the community and business and civic leaders which has as a principal
purpose planning, developing, or managing low-income housing or
community development projects. At least one OCS grant under this
Announcement will be made to a non-profit partner which is a private,
non-profit community development corporation as defined above.
Applicants must provide documentation of their tax exempt status. The
applicant can accomplish this by providing a copy of the applicant's
currently valid IRS tax exemption certificate. Failure to provide
evidence of non-profit status will result in rejection of the
application.
Public entities and private non-profit organizations in urban and
rural communities are eligible for funding under this environmental
justice initiative. For purposes of this announcement, applicants will
be considered urban if the target area is within a Metropolitan
Statistical Area. All other applicants will be considered as rural.
Applicants must provide data adequate for the reviewers to determine
whether the project would be urban or rural.
Part V--Eligible Activities
In order to accomplish both the health and economic development
goals of this initiative, grantees will be authorized and encouraged to
undertake a wide range of complementary programmatic activities. Both
ACF/OCS and EPA officials envision a range of organizational
partnership models that could be suitable for the programs initiated
with this announcement. Each will have in common the eligibility of
individual partners for the EPA and ACF/OCS enabling grants and a
demonstrated commitment to successfully achieving the purpose of the
program. Initial activity is likely to be concentrated on the
organization of the project partnership and the development, in
consultation with the targeted community, of a project implementation
plan.
As noted below, grants from EPA to the public partners for
community education and worker training will be of two years duration,
permitting the training and certification of several cycles of
abatement workers. The ACF/OCS grants to the non-profit partners for
job creation and support activities will be for an initial operational
period of three years, to permit the continued provision of support
services beyond the training period of the EPA grant, to assist low-
income workers to strengthen their underlying job skills and advance
their career development.
Public Agencies--EPA activities include:
--Assessing and prioritizing the nature and extent of the target
community's environmental lead problems;
--Planning and conducting a hands-on lead-based paint abatement
training program for community residents who wish to be employed in
abatement project activity;
--Conducting (using community residents) a tailored lead poisoning
education campaign for the targeted community;
--Outreach to other public and private parties with interests in hazard
removal, housing rehabilitation, and community revitalization and
leveraging resources that may complement those provided by EPA and ACF/
OCS;
--Monitoring abatement contractor performance in reducing the amount of
lead-based paint in the target area, protecting the safety of abatement
workers and area residents, and tracking project impacts in terms of
job creation and health improvement.
B. Non-Profit Organizations--ACF/OCS activities include:
--Jobs and/or business/self employment opportunities created under this
program that will contribute to the goal of self-sufficiency. The
employment opportunities should provide hourly wages that exceed the
minimum wage and also provide benefits such as health insurance,
transportation, child care, and career development opportunities;
--Projects that create new jobs and/or business opportunities for
eligible program participants. Projects funded under this program must
demonstrate how the proposed project will enhance the participants'
ability and skills in their progress toward self-sufficiency;
--The creation of a significant number of new full-time permanent jobs
through the expansion of a pre-identified business or new business
development or by providing opportunities for self-employment to
eligible participants. While projected employment in future years may
be included in the application, it is essential that the focus of
employment opportunities concentrate on new full-time, permanent jobs
to be created during the duration of the grant project period and/or on
the creation of new business development opportunities for low-income
individuals;
--Providing assistance to prospective community-based abatement
contractors in preparing project plans and--if necessary--working
capital/financing proposals to support project activity; and
--Launching and overseeing a coordinated program to abate the
community's lead hazards, utilizing the community-based resources
identified and developed during the initial phases of the project.
[[Page 19123]] In keeping with the Federal Government's
environmental justice strategies, grantees are encouraged to undertake
a variety of activities that have proven helpful to the development and
strengthening of community-based hazard abatement and contracting
firms. In particular, grantees should be prepared to initiate the
technical training, help with the certification, business training, and
assist with obtaining the bonding and insurance coverage that
participating contractors are likely to need to participate fully in
the economic activity stimulated by these grants.
Part VI--Project Planning/Application Requirements
A. Project Planning
Successful applications for grants under this announcement shall
describe the nature of the public agency and community-based non-profit
partnerships. The individual private, non-profit partners should have
had successful experience in job creation for low-income individuals
and enterprise development, and project planning and management. While
each of the partners will address its portion of the single joint
application to the agency funding the project activities that it will
undertake, the single combined application should clearly demonstrate
how the members of the partnership will work together in the beginning
stages of the project, and with selected abatement contractors or with
individuals who wish to create new abatement businesses to accomplish
key project milestones and impacts in a targeted community over the
life of the project. The partners will show how the funds to be
received--including funding resources other than those provided by ACF/
OCS and EPA--will be coordinated and used (1) to establish a joint
project management capacity, (2) to contract with training and
abatement specialists, (3) to conduct planned project activities, and
(4) to direct and oversee project activity to a successful conclusion.
While each partner will concentrate on explaining the elements of the
project design and plan for which it is primarily responsible, it will
also show how its investments in health education, abatement training,
community-based business development/self-employment, and/or project-
related jobs will be integrated into continuing efforts to improve the
health and economic vitality of the targeted community.
1. Project Organization
ACF/OCS and EPA officials prescribe no particular model for the
organization of a project partnership or for the design of its program.
While the grant recipients must be qualifying public agencies or
locally based non-profit entities, the abatement ventures themselves
can take a variety of organizational forms, including but not limited
to community-based non-profit ventures, for-profit contractors,
subsidiaries of community development corporations, and worker-owned
cooperatives. Irrespective of organizational form, applications will be
assessed primarily in terms of the amount of lead abatement and
enterprise development/job creation impact that the partners project
and the likelihood that these desirable outcomes will be realized.
2. Project Design
Because of the sponsoring agencies' emphasis on innovative
proposals with significant potential value to both target communities
and the community health and revitalization fields, applicants are
advised to explain their project design and accompanying plans so that
the logic of their project is clear.
The purpose of this initiative is to demonstrate the capacity of
community-based public/private partnerships for reducing the hazard of
environmental lead while providing new jobs and income opportunities
for community residents. Several of the most important outcomes
associated with this purpose include--in addition to a significant
verifiable reduction in the number of dwellings/buildings with lead-
based paint in the target community--established/strengthened community
contractor businesses with the potential for viability, financial and
management resources redirected into this lead hazard abatement field,
and community residents knowledgeable about the techniques of lead
abatement.
It is important to note, that the outcomes and impacts of the
environmental justice project depend upon effective joint planning and
coordination among the members of the project partnership. As a
consequence, project task planning by individual project partners must
take place within the framework of the overall project design.
While applicants may choose to use other project design models to
represent the way that their project will work, they should ensure that
the proposal makes it clear the way in which project management and
contractors will use resources to produce results internal to the
project which will, in turn, lead to beneficial impacts in the targeted
community.
B. Application Requirements
1. Project Periods and Budget Periods
This Environmental Justice Initiative is for a period of up to six
years. The EPA grant will support community education and worker
training for the first two years of the project; the ACF/OCS grant will
support job creation and worker support services which will last one
year beyond the training, with the possibility of continued tracking
and support for a final three years as noted below.
EPA: The Environmental Protection Agency will approve FY 1995
grants for a project period of two (2) years and a budget period of two
(2) years.
ACF/OCS will approve FY 1995 grants for a project period of six (6)
years and an initial budget period of 36-months, or three (3) years.
The initial 36-month budget period will be considered the Operational
Phase of the project, during which the Work Plan described in this
announcement is to be carried out. The second 36 months, or three
years, of the Project Period is to be considered a period of tracking
workers in the newly created jobs, of providing them, as needed, with
modest support and assistance, and of continuing Project evaluation.
Applications for continuation grants funded under these awards beyond
the 36 month budget period will be entertained in subsequent years on a
non-competitive basis, in a modest amount commensurate with the reduced
level of effort, and subject to the availability of funds, satisfactory
progress of the grantee, and determination that this would be in the
best interest of the government.
2. Cooperative Partnership Agreements
Applicants should document their commitment through a Cooperative
Partnership Agreement to work together to successfully achieve the
purposes of this announcement. The agreement should be signed by the
responsible executive officer of each partner and should include, as a
minimum, a written description including organization charts and other
graphical displays as appropriate of the roles and responsibilities of
the officials in the partnering agencies who are responsible for the
administration/management of the project.
ACF/OCS--Cooperative Partnership Agreement with State IV-A Agency
(JOBS Program).
A signed written agreement, or letter of commitment to sign such an
[[Page 19124]] agreement within six months of a grant award, between
the ACF/OCS applicant and the local State IV-A agency (JOBS Program)
must be submitted with the application in order to be reviewed and
evaluated competitively. The agreement/letter must describe the
cooperative relationship and include specific activities and/or
responsibilities that each of the entities proposes to carry out over
the course of the project period in support of the project. (See
Attachment J for for a list of the State JOBS agencies)
3. Program Participants/Beneficiaries
Projects proposed for funding under ACF/OCS must result in direct
benefits to low-income people. Low-income people are those individuals
eligible to receive AFDC under Part A of Title IV of the Social
Security Act, or individuals whose income does not exceed 100% of the
poverty line as defined in the most recent Annual Revisions of Poverty
Income Guidelines published by DHHS.
Attachment A to this announcement is an excerpt from the 1995
Poverty Guidelines now in effect. Annual revisions of these guidelines
are normally published in the Federal Register in February or early
March of each year. Grantees will be required to apply the most recent
guidelines throughout the project period. These revised guidelines also
may be obtained at public libraries, Congressional offices, or by
writing the Superintendent of Documents, U.S. Government Printing
Office, Washington, D.C. 20402. The revised guidelines are also
accessible on the OCS Electronic Bulletin Board for downloading through
your computer modem by calling 1-800-627-8886.
4. Prohibition and Restrictions on the Use of Funds
The use of funds for new construction or the purchase of real
property is prohibited. Costs incurred for rearrangement and alteration
of facilities required specifically for the grant program are allowable
when specifically approved by ACF/OCS in writing.
If the applicant is proposing a project which will affect a
property listed in, or eligible for inclusion in the National Register
of Historic Places, it must identify this property in the narrative and
explain how it has complied with the provisions of section 106 of the
National Historic Preservation Act of 1966 as amended. If there is any
question as to whether the property is listed in or eligible for
inclusion in the National Register of Historic Places, the applicant
should consult with the State Historic Preservation Officer. (See
Attachment B: SF-424B, Item 13 for additional guidelines.) The
applicant should contact OCS early in the development of its
application for instructions regarding compliance with the Act and data
required to be submitted to the Department of Health and Human
Services. Failure to comply with the cited Act will result in the
application being ineligible for funding consideration.
5. Third-Party Project Evaluation
The sponsoring agencies (EPA and ACF/OCS) require that a plan for a
methodologically sound independent evaluation of the project be
included in the application. The evaluative activity to be undertaken
should deal, at a minimum, with the performance of the grantees'
management in implementing the project and other resources to produce
planned outputs, an assessment of the activities carried out in
creating new jobs and business opportunities, and with the
effectiveness of the project design in realizing the outcomes and
impacts sought. The evaluation plan should clearly reflect the project
period, incorporating relatively early assessments of project activity
and production, intermediate assessments of the efficiency and
effectiveness of abatement activity, and later assessments of changes
in blood lead levels and community-based enterprise vitality/viability.
Applicants should consult with an independent third-party entity
with credible program evaluation experience to help develop the
evaluation design and to help prepare the evaluation section of their
applications. Applicants should ensure, however, that the evaluation
methodology presented is consistent with the logic of the project
design. The evaluation methodology should include, but not be limited
to, the key measures of performance and accomplishment set out
elsewhere in the application. Project managers and evaluators should
address the issues relating to project data collection and management,
since most process and outcome measures will be used for both project
management and the evaluation plan. Finally, applicants should express
a firm commitment to support their third-party evaluators with project
data, with management's interpretation of that data as needed, and with
management and contractor time to participate in evaluative activities.
The evaluators should include, in their final report, a
characterization of the organizational and strategy model represented
by the grantee team and of the replicability of these models in similar
settings elsewhere.
6. Economic Development Strategy
In accordance with the legislative reference cited in Part II,
Section A, applicants must include in their proposal an explanation of
how the proposed project is integrated with and supports a larger
economic development strategy within the target community. Where
appropriate, applicants should document how they were involved in the
preparation and planned implementation of a comprehensive community-
based strategic plan to achieve both economic and human development in
an integrated manner.
7. Maintenance of Effort
The application must include an assurance that activities funded
under this program announcement are in addition to, and not in
substitution for, activities previously carried on without Federal
assistance.
Part VII--Criteria for Review and Evaluation of Applications
EPA and ACF/OCS will jointly review applications submitted for each
of the combined projects proposed, with each agency's staff reviewing
the portions of the joint application bearing on the suitability of the
project partner to which it would provide grant funds. Grants will only
be made, however, to project partnerships, each member of which fully
meets the selection criteria employed by the agency providing its grant
funding.
The criteria to be used by the funding agencies to review and score
applications are set forth below. The competitive review of proposals
will be based on the degree to which: (1) each part of the application
incorporates each of the review criterion and sub-criterion; (2) the
applicants describe convincingly a project to reach the stated purpose
of the grants; and (3) the applicants will test and evaluate such
approaches so as to make possible replication of a successful project.
A. Environmental Protection Agency Criteria
Criterion I: Analysis of Need (Maximum: 10 Points)
Applicants should demonstrate, in this section, their understanding
of the extent and nature of both the environmental hazard problem and
the underemployment and underdevelopment problems in the neighborhoods
to be served.
The State partner should primarily address the need for lead
abatement activity from a demographic perspective--data about the size,
age structure, ethnicity, and income [[Page 19125]] characteristics of
the population in the target area should be assembled, using maps,
along with such information about the community's health as is
available.
Criterion II: Partnering Organizations' Capability for Project
(Maximum: 10 Points)
EPA is interested in assessing the capabilities that the members of
the grantee project team bring to this initiative. EPA will ascertain
whether the State has demonstrated, through prior experience with
large, complex environmental and/or public health projects in
disadvantaged communities, that it has the institutional capacity and
staff knowledge to achieve project goals within the specified time
frame. EPA will also review the qualifications and experience of the
proposed project director or manager, looking for evidence of
successful experience managing interdisciplinary projects involving
public health, housing rehabilitation, and/or environmental management
in actual neighborhood settings.
Criterion III: Project Design and Implementation plans (Maximum: 40
Points)
(a) Project Design and Strategy (Maximum: 10 Points)
The applicant should state clearly how its project will work to
create the proposed community outcomes and impacts sought from this
initiative. The applicant should identify the capacity--and condition-
type outcomes that they have established as their goals for the project
and should explain their joint approach, or strategy, for realizing
these outcomes. The State partner should identify the task elements of
the project for which it will be responsible, associating them with
specific outputs (deliverables, events, materials, and other produced
results) important to achieving project goals. Jointly conducted
activity and associated outputs should be identified and the approach
selected for task accomplishment explained. In addition to introducing
the intended results of the project and their relationship to one
another, applicants should stipulate the key assumptions (factors
outside management's control/influence) upon which the project strategy
is based. Applicants should also identify and define the primary
measures of performance and accomplishment that they will use for
project monitoring and management.
Workplan should also describe the nature of the training and
abatement activity that will take place during project implementation.
That description must use the following job titles and
responsibilities:
Inspector Technicians: Responsible for conducting inspection of
target housing for lead-based paint; completing an inspection report;
taking post-abatement soil and dust clearance samples.
Inspector/Risk Assessor: Responsible for same as Inspector
Technicians and conducting a risk assessment in target housing;
completing a risk assessment report; interpreting the results of
inspections and assessments; identifying hazard control strategies;
conducting post-abatement clearance sampling and evaluating results.
Workers: Responsible for conducting abatement activities in
accordance with procedures and requirements of the pre-abatement plan.
Supervisors: Responsible for ensuring that abatement activities are
conducted in accordance with regulatory requirements; maintaining
accessibility at all time during the performance of abatement
activities; ensuring completion of abatement activities in accordance
to regulations.
Planners/Project Designers: Responsible for designing abatement
projects; preparing a written pre-abatement plan for abatement
projects.
Please refer to your State certification standards (or contact EPA)
for further information.
This section need not be long in order to be effective. Several
paragraphs of the sort suggested above, combined with suitable graphic
display(s) where appropriate, should be sufficient to convey the logic
of the proposed project.
(b) Project Partnerships and Cooperative Arrangements (Maximum: 5
Points)
A broad range of community networks and commitments, in addition to
the applicants, will be required to accomplish the purposes of this
initiative. Applicants should show proof they have established these
working relationships, as evidenced by letters of understanding or
other written commitments signed by responsible officials, with such
additional partners as:
--Public and private agencies engaged in environmental health
screening, testing, and education;
--Community development corporations, community action agencies, or
other community-based non-profits with both a credible presence in, and
leadership from, the targeted community;
--Technical resources for such tasks as abatement training, blood
screening, environmental risk assessment, blood and lead data quality
assurance, and large-scale survey design;
--Officials of such public agencies as the Department of Housing and
Urban Development, Department of Labor, and the Small Business
Administration and/or private corporations involved in property
development and management who are willing to collaborate with and
support the project in ways appropriate to their skills and resources.
Applicants should show, in their proposal, that they have thought
out the roles and responsibilities of the partners selected and have
effectively integrated them into the project organization and
management team.
(c) Project Organization and Management (Maximum: 10 Points)
While the prior experience of the organizational partners is
important to project success, the soundness of project organization and
the capabilities of project management are frequently crucial.
Applicants should identify the key leaders of the team and introduce
and describe the director/manager or co-managers who will be
responsible for day-to-day supervision of project resources.
Applications should include resumes/CVs where appropriate, though
applicants should note that relevant and successful experience may be
more important than education and position titles in describing the
capabilities of at least some of the project managers. They should
further specify the relationship of the project manager(s) to the
public officials and private executives who lead the partnering
agencies. The applications should specify the levels of effort
(percentage of time) that the project manager and other key officials
will devote to the project. These level-of-effort factors should be
correlated to the project expense budget, documenting this important
resources-result relationship. Finally, the application should describe
the roles and responsibilities of other key project personnel and show
their places in the project organization.
(d) Project Implementation Plans (Maximum: 15 Points)
With their relevant experience explained and the design,
organization, and management of the project described, the applicant
team should outline its plans for completing the key tasks and reaching
important project milestones successfully. These workplans should
primarily show how, and according to what schedule, the project
managers from each of the [[Page 19126]] project partners expect to use
funding and engage key resources to conduct the activity that leads to
important project outputs for each of the major project elements.
Some of the more important project elements or tasks for which
implementation plans should be presented, either separately or in
combination, include:
--Conducting an assessment of environmental lead hazards in the target
community and a subsequent prioritization of lead hazards;
--Educating residents of the target community about lead hazards and
protection from lead poisoning and involving them in the abatement
project.
Criterion IV: Significant and Beneficial Impact (Maximum: 30 Points)
(a) Potential for Desirable (Significant and Beneficial) Impact
(Maximum: 15 Points)
EPA will review the application with an eye for the value that is
likely to result from the grant. This value, or return on the Federal
grant investment, primarily will be a function of:
--The amount of public health impact that is expected to result from
the abatement activity in the target community and the likelihood,
given the capability of the grantee project team and the soundness of
their design and plans, that this impact will be realized;
--The amount of additional environment enhancing activity that is
expected to be stimulated by project-related investment (Federal grants
and other leveraged resources) and the likelihood, given the capability
of the grantee project team and the soundness of their design and
plans, that this impact will be realized;
--The informational and educational value to the public health that is
likely to result from the project's implementation, given the
innovativeness and soundness of the project design and the capability
of the grantees.
Applicants need not (but may) prepare a separate section in their
application to demonstrate the potential for desirable impact of their
project, as long as these elements of value are persuasively built in
to their project design and plans.
(b) Commitment to Lead (Hazard) Abatement Mission (Maximum: 5 Points)
With these grants, EPA seeks to stimulate a growing commitment to
lead hazard abatement activity and the environmental justice mission
throughout the public health and development communities. The public
agency partner should seek to show the strength and level of their
commitment to continuing work in this field, providing evidence of
their relevant past work and describing their strategies for using this
initiative as a vehicle for engaging in additional hazard abatement
work to improve public health and stimulate economic activity and
empowerment in low-income communities.
(c) Project Evaluation Plan (Maximum: 10 Points)
Applicants should present, with their application, a project
evaluation plan. The third-party evaluator selected for participation
in the project should actively assist in the development of this plan
but should not produce it independently of project management.
Applicants should ensure that the plan submitted with their
application covers both process and impact assessments of the project
and is fully compatible with the project described elsewhere in the
application. The types of results--produced (outputs), outcome, and
impact--most important to the project team should be identified and
defined with measures appropriate to the results. The plan should
further identify the cause-effect relationships of most interest to the
project team and how they will be studied during the evaluative
process. Finally, the evaluation process and schedule should be
described, with key phases, milestones, and reports identified.
Criterion V: Budget Presentation and Justification (Maximum: 10 Points)
The applicant should summarize all of the financial resources--both
Federal and other on-budget resources--that they expect to be able to
use to carry out their project. This information should be presented in
the budget forms required by EPA and should also be summarized and
related to the project staff, contract, and material assets that will
be used to conduct project activity.
Applicants are encouraged to leverage other Federal and non-Federal
resources for the project in addition to the 5% match EPA requires. The
applicant should explain their project budget in the narrative of their
application, seeking to parallel the description of their
implementation plans with their analysis of the resources that they
will use to fund them.
B. Administration for Children and Families/Office of Community
Services Criteria
Criterion I: Analysis of Need (Maximum: 10 Points)
Applicants should include a brief description of the geographic
area and population to be served, indicating what the unemployment
rates are and (to the extent practicable) the jobs available and skills
necessary to fill those vacancies in such areas, and how the proposed
businesses and subsequent jobs will impact on the nature and extent of
the problem. Applicants should also include (with an identification of
the source of the information) the number and percentage of individuals
receiving AFDC, the number of low-income individuals and the total
number of individuals which make up the population in the area where
the project will operate.
Applicants must include an analysis of the identified personal
barriers to employment and greater self-sufficiency faced by the
population to be targeted by the project. (These might include such
problems as illiteracy, substance abuse, family violence, lack of
skills training, health or medical problems, need for childcare, or
poor self-image.) Application also includes an analysis of the
identified community systemic barriers which the project will seek to
overcome. These might include lack of jobs; lack of transportation;
lack of suitable clothing or equipment; lack of markets; unavailability
of financing, insurance or bonding; inadequate municipal services
(water, sewage treatment, street lighting, trash collection,
electricity, traffic control); high incidence of crime; inadequate
health care; or environmental hazards like toxic dumpsites or leaking
underground tanks.) If the jobs to be created by the proposed project
are themselves designed to fill one or more of the needs so identified,
this fact should be included in the discussion.
Criterion II: Partnering Organizations' Capability for Project
(Maximum: 10 Points)
ACF/OCS will assess the capabilities that the non-profit member of
the partnership has in managing abatement-type and/or housing
rehabilitation or weatherization projects in low-income disadvantaged
communities and in building the capacity of small community-based
enterprises to participate in such projects. Applicants should document
such experience, citing references as appropriate, and relate it to the
purposes of this initiative. They should relate their
[[Page 19127]] experience, in particular, to the eligible activities
identified above and to other key tasks identified in their project
strategy.
Criterion III: Project Design and Implementation Plans (Maximum: 40
Points)
(a) Project Design and Strategy (Maximum: 10 Points)
The work plan and business plan(s), where appropriate, must be both
sound and feasible. If the applicant is proposing to use project funds
to provide technical and/or financial assistance for the establishment
of an identified business, or to a third-party private employer to
develop or expand a pre-identified business, the application must
include a complete business plan. An application that does not include
a business plan where one is appropriate may be disqualified and
returned to the applicant.
The project must be responsive to the needs and problems identified
in the Analysis of Need and Problems to be Addressed.
The work plan must describe the proposed project activities, or
interventions, and explain how they are expected to result in outcomes
which will meet the needs of the program participants and assist them
to overcome the identified personal and systemic barriers to employment
and self-sufficiency. In other words, what will the project staff do
with the resources provided to the project and how will what they do
(interventions) assist in the creation of employment and business
opportunities for program participants in the face of the needs and
problems that have been identified. The application should include a
hypothesis or hypotheses that is(are) significant and include(s) the
key interventions, and which permit(s) measurement of the extent to
which the target population can achieve greater self-sufficiency as a
result of its involvement in the project. The key interventions should
include the types and sources of technical and financial assistance to
be provided the participants, as well as any education, training, and
support services and the problems or barriers they are designed to
overcome. If the technical and/or financial assistance is to be
provided to pre-identified businesses that will be expanded or
franchised, written commitments from the businesses specifying their
undertakings and levels of participation must be included with the
application. The work program must set forth realistic quarterly time
targets by which the various work tasks will be completed.
Workplan should also describe the nature of the training and
abatement activity that will take place during project implementation.
That description must use the following job titles and
responsibilities:
Inspector Technicians: Responsible for conducting inspection of
target housing for lead-based paint; completing an inspection report;
taking post-abatement soil and dust clearance samples.
Inspector/Risk Assessor: Responsible for same as Inspector
Technicians and conducting a risk assessment in target housing;
completing a risk assessment report; interpreting the results of
inspections and assessments; identifying hazard control strategies;
conducting post-abatement clearance sampling and evaluating results.
Workers: Responsible for conducting abatement activities in
accordance with procedures and requirements of the pre-abatement plan.
Supervisors: Responsible for ensuring that abatement activities are
conducted in accordance with regulatory requirements; maintaining
accessibility at all time during the performance of abatement
activities; ensuring completion of abatement activities in accordance
to regulations.
Planners/Project Designers: Responsible for designing abatement
projects; preparing a written pre-abatement plan for abatement
projects.
Please refer to your State certification standards (or contact ACF/
OCS) for further information.
The application identifies and defines critical issues or potential
problems that might impact negatively on the project and explains how
they can be overcome and the project objectives reasonably attained
despite such potential problems.
As noted above, a business plan is required whenever the applicant
is proposing to establish a new, specific and identified business, or
will be providing assistance to a private third-party private employer
for the development or expansion of a pre-identified business. In these
cases, the business plan is one of the major components that will be
evaluated by OCS to determine the feasibility of a jobs creation
project.
Because the following guidelines were written to cover a variety of
possibilities, rigid adherence to them is not possible nor even
desirable for all projects. For example, a plan for a service business
would not require a discussion of manufacturing nor product design.
With this understanding, the business plan should be prepared in
accordance with the following guidelines:
1. The business and its industry. This section should describe the
nature and history of the business and provide some background on its
industry.
a. The Business: as a legal entity; the general business category;
b. Description and Discussion of Industry: Current status and
prospects for the industry;
2. Products and Services: This section deals with the following:
a. Description: Describe in detail the products or services to be
sold;
b. Proprietary Position: Describe proprietary features, if any, of
the product, e.g. patents, trade secrets;
c. Potential: Features of the product or service that may give it
an advantage over the competition;
3. Market Research and Evaluation: This section should present
sufficient information to show that the product or service has a
substantial market and can achieve sales in the face of competition;
a. Customers: Describe the actual and potential purchasers for the
product or service by market segment.
b. Market Size and Trends: State the size of the current total
market for the product or service offered;
c. Competition: An assessment of the strengths and weaknesses of
competitive products and services;
d. Estimated Market Share and Sales: Describe the characteristics
of the product or service that will make it competitive in the current
market;
4. Marketing Plan: The marketing plan should detail the product,
pricing, distribution, and promotion strategies that will be used to
achieve the estimated market share and sales projections. The marketing
plan must describe what is to be done, how it will be done and who will
do it. The plan should address the following topics--Overall Marketing
Strategy, Packaging, Service and Warranty, Pricing, Distribution and
Promotion.
5. Design and Development Plans: If the product, process or service
of the proposed venture requires any design and development before it
is ready to be placed on the market, the nature and extent and cost of
this work should be fully discussed. The section should cover items
such as Development Status and Tasks, Difficulties and Risks, Product
Improvement and New Products, and Costs.
6. Manufacturing and Operations Plan: A manufacturing and
operations plan should describe the kind of facilities, plant location,
space, capital equipment and labor force (part and/or full time and
wage structure) that are [[Page 19128]] required to provide the
company's product or service.
7. Management Team: The management team is the key in starting and
operating a successful business. The management team should be
committed with a proper balance of technical, managerial and business
skills, and experience in doing what is proposed. This section must
include a description of: the key management personnel and their
primary duties; compensation and/or ownership; the organizational
structure; Board of Directors; management assistance and training
needs; and supporting professional services.
8. Overall Schedule: A schedule that shows the timing and
interrelationships of the major events necessary to launch the venture
and realize its objectives. Prepare, as part of this section, a month-
by-month schedule that shows the timing of such activities as product
development, market planning, sales programs, and production and
operations. Sufficient detail should be included to show the timing of
the primary tasks required to accomplish each activity.
9. Critical Risks and Assumptions: The development of a business
has risks and problems and the Business Plan should contain some
explicit assumptions about them. Accordingly, identify and discuss the
critical assumptions in the Business Plan and the major problems that
will have to be solved to develop the venture. This should include a
description of the risks and critical assumptions relating to the
industry, the venture, its personnel, the product's market appeal, and
the timing and financing of the venture.
10. Community Benefits: The proposed project must contribute to
economic, community and human development within the project's target
area.
11. The Financial Plan: The Financial Plan is basic to the
development of a Business Plan. Its purpose is to indicate the
project's potential and the timetable for financial self-sufficiency.
In developing the Financial Plan, the following exhibits must be
prepared for the first three years of the business' operation:
a. Profit and Loss Forecasts--quarterly for each year;
b. Cash Flow Projections--quarterly for each year;
c. Pro forma balance sheets--quarterly for each year;
d. Initial sources of project funds;
e. Initial uses of project funds; and
f. Any future capital requirements and sources.
Facilities
If the rearrangement or alteration of facilities will be required
in implementing the project, the applicant has described and justified
such changes.
(b) Project Partnerships and Cooperative Arrangements (Maximum: 5
Points)
The cooperative partnership arrangements are fully described and
clearly relate to the objectives of the proposed project. The
cooperative partnership with the State IV-A agency must include one or
more of the mandatory or optional components of the State's JOBS
program.
The application documents that the applicant will mobilize from
public and/or private sources cash and/or third-party in-kind
contributions. Applications that document that the value of such
contributions will be at least equal to the OCS funds requested, and
demonstrate that the cooperative partnership arrangements clearly
relate to the objectives of the proposed project, will receive the
maximum number of points for this criterion. Lesser contributions will
be given consideration based upon the value documented.
Applicants should note that partnership relationships are not
created via service delivery contracts; partners should be responsible
for substantive project components or activities to be carried out
under the project design.
(c) Project Organization and Management (Maximum: 10 Points)
The application should include documentation which briefly
summarizes two similar projects undertaken by the applicant agency and
the extent to which the stated and achieved performance targets,
including permanent benefits to low-income populations, have been
achieved. Application notes and justifies the priority that this
project will have within the agency including the facilities and
resources that it has available to carry out the project.
(d) Project Implementation Plans (Maximum: 15 Points)
With their relevant experience explained and the design,
organization, and management of the project described, the applicant
team should outline its plans for completing the key tasks and reaching
important project milestones successfully. These workplans should
primarily show how, and according to what schedule, the project
managers from each of the project partners expect to use funding and
engage key resources to conduct the activity that leads to important
project outputs for each of the major project elements.
Some of the more important elements or tasks for which
implementation plans should be presented, either separately or in
combination, include:
--Identifying, screening, and selecting community-based contractors and
other for-profit or nonprofit entities for abatement work and for
training their management and employees in abatement techniques and
safety;
--Recruiting, screening and training low-income and AFDC residents of
the community in project activities in such a way as to build credible
job skills in abatement-type work, housing rehabilitation, property
improvement and management, and business management training; and
--Conducting lead abatement activities on community dwellings in such a
way--effective targeting, cost-effective abatement techniques--as to
maximize desired health and employment outcomes for the Federal
resources being utilized.
Applicants should focus, in their discussion of implementation
plans on what major challenges are expected and how they will be
overcome by the project team, key milestones and contingency plans if
they are not met, and the like. Simple graphic displays (e.g., Gantt
charts) may be useful for showing task schedules.
Criterion IV: Significant and Beneficial Impact (Maximum: 30 Points
(a) Potential for Significant and Beneficial Impact (Maximum: 10
Points)
ACF/OCS will review the applications with an eye for the value that
is likely to result from their grants. This value, or return on the
Federal grant investments, primarily will be a function of:
--The amount of public health impact that is expected to result from
the abatement activity in the target community and the likelihood,
given the capability of the grantee project team and the soundness of
their design and plans, that this impact will be realized;
--The amount of additional community-based economic activity that is
expected to be stimulated by project-related investment (Federal grants
and other leveraged resources)--both for individuals and enterprises--
and the likelihood, given the capability of the grantee project team
and the soundness of their design and plans, that this impact will be
realized;
--The informational and educational value to both the public health and
[[Page 19129]] the community and economic development fields that is
likely to result from the project's implementation, given the
innovativeness and soundness of the project design and the capability
of the grantees;
Applicants need not (but may) prepare a separate section in their
application to demonstrate the potential for desirable impact of their
project, as long as these elements of value are persuasively built in
to their project design and plans.
ACF/OCS Quality of Jobs/Business Opportunities
The proposed project is expected to produce permanent and
measurable results that will reduce the incidence of poverty in the
community. Expected results are quantifiable in terms of the creation
of permanent, full-time jobs or business opportunities developed. In
developing business opportunities and self-employment for AFDC
recipients and low-income individuals the applicant proposes, at a
minimum, to provide basic business planning and management concepts,
and assistance in preparing a business plan and loan package.
(b) Commitment to Lead (Hazard) Abatement Mission (Maximum: 5 Points)
The application documents that:
--The business opportunities to be developed for eligible participants
will contribute significantly to their progress toward self-
sufficiency; and/or
--Jobs to be created for eligible participants will contribute
significantly to their progress toward self-sufficiency; they provide,
for example, wages that exceed the minimum wage, plus benefits such as
health insurance, transportation, child care and career development
opportunities.
Cost-per-Job
--During the project period the proposed project will create new,
permanent jobs through business opportunities or non-traditional
employment opportunities for low-income residents at a cost-per-job
below $15,000 in OCS funds, (e.g. cost per job is calculated by
dividing the total amount of grant funds requested ($420,000) divided
by the number of jobs to be created (60) equals the cost-per-job
($7,000)). If any other calculations are used, please include your
methodology in this section.
Note: Except in those instances where independent reviewers
identify extenuating circumstances related to business development
activities, the maximum number of points will be given only to those
applicants proposing cost-per-job created estimates of $5,000 or
less of OCS requested funds. Higher cost-per-job estimates will
receive correspondingly fewer points.
(c) Project Evaluation Plan (Maximum: 10 Points)
The Evaluation Plan
--Includes a specific working definition of ``self-sufficiency''
(consistent with the broad definition contained in Part I) that permits
the measurement of incremental progress of eligible individuals and
their families from dependency toward self-sufficiency;
--Clearly defines the changes or benefits (outcomes) to be produced,
the activities (interventions) that will produce the changes, and the
measures of client progress toward self-sufficiency for which
information will be collected (for example: increases in income,
decreases in public assistance payments);
--Provides for the annual compilation of community-level data on the
characteristics of the population in the project area, including
percentage on public assistance, percentage below the poverty line,
unemployment rate, business starts and failures, and major employers;
--Provides for the conduct of a continuing process evaluation. This
should include the periodic assessment of the following: client
characteristics, pertinent policies and procedures; staffing;
cooperative partnerships with state and local agencies; use of other
community resources; client outreach and recruitment; client service
delivery; cost of services; and, level of technical and financial
assistance to employers. The types of data and information, measures
and indicators to be used for the process evaluation, as well as the
methods and timeframe for collecting and analyzing the required data
should be indicated;
--Provides for the completion of two interim evaluation reports and a
final report. The final evaluation report will describe the program
design and any changes from the original workplan, outreach and
recruitment results, interventions, and accomplishments. The
measurement instruments, data collection procedures, and analysis
techniques should be discussed, and the report should yield conclusions
as to how well the program works and why. It should also discuss the
program's potential for replication in other communities; and
--Includes a realistic plan for disseminating the project findings to
other interested organizations and public agencies.
(d) Community Empowerment Consideration (Maximum: 5 Points)
Special consideration will be given to applicants who are located
in areas which are characterized by poverty and other indicators of
socio-economic distress such as a poverty rate of at least 20%,
designation as an Empowerment Zone or Enterprise Community, high levels
of unemployment, and high levels of incidences of violence, gang
activity, crime, or drug use. Applicants should document that they were
involved in the preparation and planned implementation of a
comprehensive community-based strategic plan to achieve both economic
and human development in an integrated manner.
Criterion V: Budget Presentation and Justification (Maximum: 10 Points)
ACF/OCS funds requested are commensurate with the level of effort
necessary to accomplish the goals and objectives of the project.
The application includes a detailed budget break-down for each of
the budget categories in the SF-424A. The applicant presents a
reasonable administrative cost if an indirect cost rate has not been
negotiated with the cognizant Federal agency (See Part VI, Section B,
Line 6j).
The estimated cost to the government of the project also is
reasonable in relation to the anticipated results.
Part VIII: Application Procedures and Instructions
A. Application Kit for EPA Federal Assistance To States (Public
Partners)
To obtain EPA's Application for Federal Assistance Kit, please
write to: U.S. Environmental Protection Agency, Grants Operations
Branch (3903F), Grants Administration Division, 401 M Street, S.W.,
Washington, D.C. 20460.
EPA Regional Lead Contacts
Region 1--Ann Carroll, US EPA, JFK Federal Building, Boston, MA 02203
(617) 565-3411
Region 2--Louis Bevilacqua, US EPA, 2890 Woodbridge Ave., Edison, NJ
08837-3670, (908) 321-6671
Region 3--Gerallyn Valls, US EPA, 841 Chestnut Bldg., Philadelphia, PA
19107, (215) 597-2450
Region 4--Connie Landers-Roberts, US EPA, 345 Courtland St., N.E.,
Atlanta, GA 30365, (404) 347-1033
Region 5--David Turpin, US EPA, 77 W. Jackson St., Chicago, IL 60604,
(312) 886-6003 [[Page 19130]]
Region 6--Jeff Robinson, US EPA, 12th Floor, Ste. 2000, 1445 Ross Ave.,
Dallas TX 75202, (214) 655-7577
Region 7--Mazzie Talley, US EPA, 726 Minnesota Ave., Kansas City, KS
66101, (913) 551-7518
Region 8--David Combs, US EPA, 999--18th St., Ste. 500, Denver, CO
80202, (303) 293-1442
Region 9--Larry Biland, US EPA, 75 Hawthorne St., San Francisco, CA
94105, (415) 744-1121
Region 10--Barbara Ross, US EPA, 1200 Sixth Avenue, Seattle, WA 98101,
(206) 553-1985
B. Application Procedures for ACF/OCS Funding to Private Non-Profit
Partners
1. Availability of Forms
Attachments B contains all of the standard forms necessary for the
application for awards under this OCS program. This attachment and
Parts VI, VII and VIII of this announcement contain all of the
instructions required for submittal of applications. These forms may be
photocopied for submission of the application. Two signed original
applications and three copies should be submitted. (Approved by the
Office of Management and Budget under Control Number 0970-0062.)
Copies of the Federal Register containing this announcement are
available at most local libraries and Congressional District Offices
for reproduction. The announcement also is accessible on the OCS
Electronic Bulletin Board for downloading through your computer modem
by calling 1-800-627-8886. If copies are not available at these
sources, they may be obtained by writing or telephoning the office
listed under the section entitled FOR FURTHER INFORMATION at the
beginning of this announcement.
The applicant must be aware that in signing and submitting the
application for this award, it is certifying that it will comply with
the Federal requirements concerning the drug-free workplace and
debarment regulations set forth in Attachments C and D and
environmental tobacco smoke in Attachment K.
2. Application Submission
The closing date for submission of the combined EPA/ACF-OCS
applications is the date found under ``Closing Date'' at the beginning
of this Announcement.
(a) Deadlines
Application shall be considered as meeting the deadline if they are
either:
a. Received on or before the deadline date at the ACF Office of
Financial Management, Division of Discretionary Grants, 6th Floor OFM/
DDG, 370 L'Enfant Promenade, S.W., Washington, D.C. 20447, or
b. Sent on or before the deadline date and received by the granting
agency in time for the independent review. (Applicants are cautioned to
request a legibly dated U.S. Postal Service postmark of to obtain a
legibly dated receipt from a commercial carrier or U.S. Postal Service.
Private metered postmarks are not acceptable as proof of timely
mailing.)
(b) Applications Submitted by Other Means
Applications which are not submitted in accordance with the above
criteria shall be considered as meeting the deadline only if they are
physically received before the close of business on or before the
deadline date. Hand delivered applications will be accepted at the ACF
Office of Financial Management, Division of Discretionary Grants, 6th
Floor ACF Guard Station, 901 D Street, S.W. Washington, D. C. during
the normal working hours of 8:00 a.m. to 4:30 p.m., Monday through
Friday.
(c) Late Applications
Applications which do not meet one of these criteria are considered
late applications. The ACF Division of Discretionary Grants will notify
each late applicant that its application will not be considered in this
competition.
(d) Extension of Deadline
ACF in consultation with the Environmental Protection Agency may
extend the deadline for all applicants due to disasters such as floods,
hurricanes, etc. or when there is a disruption of the mails. However,
if the Federal agencies do not extend the deadline for all applicants,
they may not waive or extend the deadline for any applicant.
3. Intergovernmental Review--ACF/OCS
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
Program 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 Alabama, Alaska, Colorado,
Connecticut, Hawaii, Idaho, Kansas, Louisiana, Minnesota, Montana,
Nebraska, Oklahoma, Oregon, Pennsylvania, South Dakota, Virginia,
Washington, American Samoa and Palau have elected to participate in the
Executive Order process and have established Single Points of Contact
(SPOCs). Applicants from these nineteen 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 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(a)(2), a SPOC has sixty (60) days from the
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 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, DC. 20447. A list of the
Single Points of Contact for each State and Territory is included as
Attachment E of this announcement.
4. Criteria for Screening Applicants
(a) Initial Screening
All timely applicants will receive an acknowledgement card with an
assigned identification number. This number, along with any
identification code, must be referenced in all subsequent
communications concerning the application. If an acknowledgement is not
received within three weeks after the deadline date, please notify ACF
by telephone at (202) 401-9234. All applications that meet the
published deadline for submission will be screened to determine
completeness and conformity to the requirements of this
[[Page 19131]] 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.
(1) The application must contain a Standard Form 424 Application
for Federal Assistance (SF-424), a budget (SF-424A), and signed
Assurances (SF 424B) completed according to instructions published in
Part VI and Attachments B, C, and D of this Program Announcement.
(2) A project narrative must also accompany the standard forms. OCS
requires that the narrative portion of the application be limited to 50
pages, double-spaced, typewritten (type size no smaller than 12 pitch)
on one side of the paper only. Charts, exhibits, letters of support and
cooperative agreements are not counted against this page limit. It is
strongly recommended that you follow the format for the narrative in
Part VIII, B, 5.
(3) The SF-424 and the SF-424B must be signed by an official of the
organization applying for the grant who has authority to obligate the
organization legally.
(4) Application must contain documentation of the applicant's tax
exempt status.
(b) Pre-Rating Review
Applications which pass the initial screening will be forwarded to
reviewers and/or OCS staff prior to the programmatic review to verify
that the applications comply with this Program Announcement in the
following areas:
(1) Eligibility: Applicant meets the eligibility requirements
described in Part IV. Proof of non-profit status must be included in
the Appendices to the Project Narrative. Any non-profit organization
submitting an application must submit proof of its non-profit status in
its application at the time of submission. The non-profit agency can
accomplish this by providing a copy of the applicant's listing in the
Internal Revenue'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. Failure to
provide evidence of non-profit status will result in rejection of the
application. Applicants must also be aware that the applicant's legal
name as required on the SF-424 (Item 5) must match that listed as
corresponding to the Employer Identification Number (Item 6).
(2) Target Populations: The application clearly targets the
specific outcomes and benefits of the project to low-income
participants and beneficiaries as defined in Part VI, Section B.3.,
Program Participants/Beneficiaries.
(3) Grant Amount: The amount of funds requested does not exceed the
limits indicated in Part III.
(4) Cooperative Partnership Agreement. The application contains a
written agreement or letter of commitment that includes, at a minimum,
the activities cited in Part VI,B,2. The agreement must be signed by an
official of the State IV-A agency responsible for administering the
JOBS program in the area to be served.
(5) Third-Party Project Evaluation. A third-party project
evaluation plan is included.
(6) Business Plan. If a CDC or other non-profit partner proposes
establishing a business or if the third-party private employer is part
of the proposed project, a complete business plan is included in the
application.
An application will be disqualified from the competition and
returned if it does not conform to all of the above requirements.
5. Contents of Application
Each application submission should include two signed originals and
three additional copies of the application. (Approved by the Office of
Management and Budget under Control Number 0970-0062. Each application
must include all of the following, in the order listed below:
(a) An Abstract of the proposal--very brief, on one page, not to
exceed 250 words, which identifies the type of project, the target
population, the partner(s), and the major elements of the work plan,
and that would be suitable for use in an announcement that the
application has been selected for a grant award;
(b) Table of Contents;
(c) A completed Standard Form 424 which has been signed by an
official of the organization applying for the grant who has authority
to obligate the organization legally; [Note: The original SF-424 must
bear the original signature of the authorizing representative of the
applicant organization];
(d) Budget Information-Non-Construction Programs (SF-424A);
(e) A narrative budget justification for each object class category
required under Section B, SF-424A;
(f) Filled out, signed and dated Assurances--Non-Construction
Programs (SF-424B), Attachment B;
(g) Attachment C and D, setting forth the Federal requirements
concerning the drug-free workplace and debarment regulations with which
the applicant is certifying that it will comply, by signing and
submitting the SF-424.
(h) 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
responsibile 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.
(h) Restrictions on Lobbying--Certification for Contracts, Grants,
Loans, and Cooperative Agreements: fill out, sign and date form found
at Attachment F;
(i) Disclosure of Lobbying Activities, SF-LLL: Fill out, sign and
date form found at Attachment F, if appropriate;
(j) A project narrative that will include all of the following
components:
[Specific information/data required under each component is described
in Part VII, Criteria for Review and Evaluation of Applications.]
(1) Analysis of Need
(2) Organizational History and Management Capability
(3) Project Design
(4) Project Partnerships and Cooperative Arrangements
(5) Project Organization and Management
(6) Project Implementation Plans
(7) Significant and Beneficial Impact
(8) Third Party Project Evaluation Plan
(9) Budget Appropriateness and Match and,
(10) Appendices, including Maintenance of Effort Certification;
[[Page 19132]] partnership agreements signed by the partners; statement
regarding the date of incorporation; IRS letter on non-profit status,
where applicable; Business Plan, if applicable; Single Point of Contact
comments, if applicable and available; resumes; Certification Regarding
Lobbying; letters of match commitment or letters of intent; a current
listing of all sources of funds and projects operated in the
applicant's current operating year
The total number of pages for the narrative portion of the
application package must not exceed 50 pages, excluding Appendices.
Pages should be numbered sequentially throughout the application
package, excluding Appendices, beginning with the Proposal Abstract as
Page #1. The application may also contain letters that show
collaboration or substantive commitments to the project by
organizations other than partners with committed match. Such letters
are not part of the narrative and should be included in the Appendices.
These letters are, therefore, not counted against the fifty page limit.
Applications must be uniform in composition since it may be
necessary to duplicate them for review purposes. Therefore,
applications must be submitted on white 8\1/2\ x 11 inch paper only.
They must not include colored, oversized or folded materials. Do not
include organizational brochures or other promotional materials,
slides, films, clips, etc. in the proposal. They will be discarded if
included. The applications should be two-hole punched at the top center
and fastened separately with a compressor slide paper fastener, or a
binder clip. The submission of bound applications, or applications
enclosed in binders is specifically discouraged.
6. Acknowledgement of Receipt
Applicants who meet the initial screening criteria outlined in Part
VIII, Section E, 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 post-card. This number and the program
priority area letter code (JE) must be referred to in all subsequent
communication concerning the application. If an acknowledgement is not
received within three weeks after the deadline date, please notify ACF
by telephone at (202) 401-9234.
C. Instructions for Completing ACF/OCS Application Package
[Approved by the Office of Management and Budget under Control Number
0970-0062.]
The standard forms attached to this announcement shall be used to
apply for funds under this program announcement.
It is suggested that you reproduce single-sided copies of the SF-
424 and SF-424A, and type your application on the copies. Please
prepare your application in accordance with instructions provided on
the forms as well as with the OCS specific instructions set forth
below:
A. SF-424--Application for Federal Assistance
Top of Page. Please enter the single priority area number (JE)
under which the application is being submitted.
Item 1. For the purposes of this announcement, all projects are
considered Applications; there are no Pre-Applications.
Prepare your application in accordance with the standard
instructions given in Attachments B and C corresponding to the forms,
as well as the OCS specific instructions set forth below:
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--N/A.
Item 4. Date Received by Federal Agency--Leave blank.
Items 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 (CRS/EIN) and the Payment Identifying Number, if one has been
assigned, in the Block entitled Federal Identifier located at the top
right hand corner of the form.
Item 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, such as IRS determination, Articles of
Incorporation, or By-laws, must be included as an appendix to the
project narrative.
Item 8. Type of Application--Please indicate the type of
application.
Item 9. Name of Federal Agency--Enter DHHS-ACF/OCS.
Item 10. The Catalog of Federal Domestic Assistance numbers for OCS
programs covered under this announcement are 93.647, the title is
SOCIAL SERVICES RESEARCH AND DEMONSTRATION, and 93.570, the title is
CSBG Discretionary Awards.
Item 11. In addition to a brief descriptive title of the project,
indicate the priority area for which funds are being requested. Use the
following letter designation:
JE--OCS/EPA Environmental Justice Initiative
Item 12. Areas Affected by Project--List only the largest unit or
units affected, such as State, county or city.
Item 13. Proposed Project--The ending date should be calculated
based on a 72-month project period.
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.
Item 15a. This amount should be no greater than the amount
specified under Part III, Legislative Authorities and Funding.
Item 15b-e. These items should reflect both cash and third-party,
in-kind contributions for the budget period requested.
Item 15f. N/A.
Item 15g. Enter the sum of Items 15a-15e.
B. 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 funds only, and Non-Federal will include
mobilized funds from all other sources--applicant, state, local, and
other. Federal funds other than requested OCS funding should be
included in Non-Federal entries.
Sections A B, C and D of SF-424A should reflect budget estimates
for the first budget period (thirty-six months) of the project.
Section A--Budget Summary
Lines 1-4.
Col. (a):
Line 1--Enter Social Services Research and Demonstration.
Col. (b):
Line 1--Catalog of Federal Domestic Assistance number is 93.647.
Col. (c) and (d):
Columns (c) and (d) are not relevant to this program and should not
be completed.
Column (e)--(g):
For line 1, enter in columns (e), (f) and (g) the appropriate
amounts needed [[Page 19133]] to support the first 36 months of the
project (the operational phase of the program. (Maximum $500,000)
Line 5--Enter the figures from Line 1 for all columns completed
(e), (f), and (g).
Section B--Budget Categories
Please Note: This information supersedes the instructions provided
following SF-424A.
Columns (1)--(5):
Column 1: Enter the first budget period of 12 months.
Column 2: Enter the second budget period of 12 months.
Column 3: Enter the third budget period of 12 months.
Column 4: Leave blank.
Column 5: Enter the total requirements for Federal funds by the
Object Class Categories of this section.
Allocability of costs are governed by the cost principles set forth
in OMB Circular A-122 and 45 CFR Part 74.
Budget estimates for national administrative costs must be
supported by adequate detail for the grants officer to perform a cost
analysis and review. Adequately detailed calculations for each budget
object class are those which reflect estimation methods, quantities,
unit costs, salaries, and other similar quantitative detail sufficient
for the calculation to be duplicated. For any additional object class
categories included under the object class other identify the
additional object class(es) and provide supporting calculations.
Supporting narratives and justifications are required for each
budget category, with emphasis on unique/special initiatives, large
dollar amounts; local, regional, or other travels, new positions, major
equipment purchases and training programs.
A detailed itemized budget with a separate budget justification for
each major item should be included as indicated below:
Personnel-Line 6a. Enter the total costs of salaries and wages.
Justification: Identify the principal investigator or project
director, if known. Specify by title or name the percentage of time
allocated the project, the individual annual salaries, and the cost to
the project of the organization's staff who will be working on the
project. 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.
Justification: Provide a breakdown of amounts and percentages that
comprise fringe benefit costs, such as health insurance, FICA,
retirement insurance, taxes, etc.
Travel-Line 6c. Enter total costs of all travel by employees of the
project. Do not enter costs for consultant's travel.
Justification: Include the total number of traveler(s), total
number of trips, destinations, number of days, transportation costs and
subsistence allowances. Travel costs to attend two national workshops
in Washington, D.C. by the project director should be included.
Equipment-Line 6d. Enter the total costs of all non-expendable
personal property to be acquired by the project. Equipment means
tangible, non-expendable personal property having a useful life of more
than one year and an acquisition cost of $5000 or more per unit.
Justification: Only equipment required to conduct the project may
be purchased with Federal funds. The applicant organization or its
subgrantees must not have such equipment, or a reasonable facsimile,
available for use in the project. The justification also must contain
plans for future use or disposal of the equipment after the project
ends. 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 above. (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.
Justification: Specify general categories of supplies and their
costs.
Contractual-Line 6f. Enter the total costs of all contracts,
including (1) the estimated cost of the third-party evaluation
contract; travel costs for the chief evaluator to attend two national
workshops in Washington, D. C. should be included; (2) procurement
contracts (except those which belong on other lines such as equipment,
supplies, etc.) and (3) contracts with secondary recipient
organizations including delegate agencies and specific project(s) or
businesses to be financed by the applicant.
Justification: Attach a list of contractors, indicating the names
of the organizations, the purposes of the contracts, the estimated
dollar amounts, and selection process of the awards as part of the
budget justification. Also provide back-up documentation identifying
the name of contractor, purpose of contract, and major cost elements.
Note: Whenever the applicant/grantee intends to delegate part of
the program to another agency, the applicant/grantee must submit
Sections A and B of this Form SF-424A, completed for each delegate
agency by agency title, along with the required supporting
information referenced in the applicable instructions. The total
costs of all such agencies will be part of the amount shown on Line
6f. Provide draft Request for Proposal in accordance with 45 CFR
Part 74. Free and open competition is encouraged for any procurement
activities planned using ACF grant funds. Prior approval is required
when applicants anticipate evaluation procurements that will exceed
$25,000 and are requesting an award without competition.
(Note: Previous or past experience with contractor is not
sufficient justification for sole source.)
The applicant's procurement procedures should outline the type of
advertisement appropriate to the nature and anticipated value of the
contract to be awarded. Advertisements are typically made in city,
regional, and local newspapers; trade journals; and/or through
announcements by professional associations.
Construction-Line 6g. Not applicable.
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 (noncontractual), fees and travel paid
directly to individual consultants, 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.
Total Direct Charges-Lines 6i. Show the total of Lines 6a through
6h.
Indirect Charges-Line 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 cognizant Federal agency. With the exception of
local governments, applicants should enclose a copy of the current rate
agreement if it was negotiated with a cognizant Federal agency other
than the Department of Health and Human Services. 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. Applicants
awaiting approval of their indirect cost proposals may also request
indirect costs. [[Page 19134]]
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.
Program Income-Line 7. Enter the estimated amount of income, if
any, expected to be generated from this project. Separately show
expected program income generated from OCS support and income generated
from other mobilized funds. Do not add or subtract this amount from the
budget total. Show the nature and source of income in the program
narrative statement.
Justification: Describe the nature, source and anticipated use of
program income in the Program Narrative Statement.
Column 5: 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 those
other than OCS funds. Therefore, mobilized funds from other Federal
programs 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. The
firm commitment of these resources must be documented and submitted
with the application in order to be given credit in the Public-Private
Partnerships criterion.
Except in unusual situations, this documentation must be in the
form of letters of commitment from the organization(s)/individuals from
which funds will be received.
Justification: Describe third-party, in-kind contributions, if
included.
Grant Program-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. If the applicant is a
State agency, enter the non-Federal funds to be contributed by the
State other than the applicant.
Column (d): Enter the amount of cash and third-party in-kind
contributions to be made from all other sources.
Column (e): Enter the total of columns (b), (c), and (d).
Grant Program-Lines 9, 10, and 11 should be left blank.
Grant Program-Line 12.
Carry the total of each column of Line 8, (b) through (e). The
amount in Column (e) should be equal to the amount on Section A, Line
5, column (f).
Section D--Forecasted Cash Needs
Federal-Line 13. Enter the amount of Federal (OCS) cash needed for
this grant, by quarter, during the first 12 month budget period.
Non Federal-Line 14. Enter the amount of cash from all other
sources needed by quarter during the first 12-month budget period.
Totals-Line 15. Enter the total of Lines 13 and 14.
Section E--Budget Estimates of Federal Funds Needed for Balance of
Project(s)
For new 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).
Section F--Other Budget Information
Direct Charges-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
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:
A. Salary amounts and percentage of time worked for those key
individuals who are identified in the project narrative;
B. Any foreign travel;
C. A list of all equipment and estimated cost of each item to be
purchased wholly or in part with grant funds which meet the definition
of nonexpendable personal property provided on Line 6d, Section B. Need
for equipment must be supported in program narrative;
D. Contractual: major items or groups of smaller items; and
E. 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.
Indirect Charges-Line 22. Enter the type of HHS or other cognizant
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 and attach
a copy of the rate agreement.
Remarks-Line 23. Provide any other explanations and continuation
sheets required or deemed necessary to justify or explain the budget
information.
C. SF-424B Assurances-Non-Construction
All applicants must fill out, sign, date and return the Assurances
with the application.
Part IX--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 period for which support
is provided, the terms and conditions of the award, and the total
project period for which support is contemplated.
Project directors and chief evaluators will be required to attend
two national evaluation workshops in Washington, D.C. A program
development and evaluation workshop will be scheduled shortly after the
effective date of the grant. They also will be required to attend, as
presenters, the final evaluation workshop on utilization and
dissemination to be held at the end of the project period.
Grantees will be required to submit semi-annual progress and
financial reports (SF-269) as well as a final progress and financial
report within 90 days of the expiration of the grant. Interim
evaluation reports, along with a written policies and procedures manual
based on the findings of the process evaluation, will be due 30 days
after the first twelve months, and the second interim evaluation 30
days after the second twelve months, and a final evaluation report will
be due 90 days after the expiration of the grant. This final report
will cover 36 months of activities related to project participants.
Reporting requirements for the remaining 36 months of the project
period will be provided during the solicitation of applications.
Grantees are subject to the audit requirements in 45 CFR Part 74
(non-profit organization) and OMB Circular A-133.
Section 319 of Public Law 101-121, signed into law on October 23,
1989, imposes new prohibitions and requirements for disclosure and
[[Page 19135]] certification related to lobbying on recipients of
Federal contracts, grants, cooperative agreements, and loans. 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 non-appropriated 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 non-appropriated funds and (3) to file quarterly up-
dates 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 F for certification and disclosure
forms to be submitted with the applications for this program and the
Discretionary Grants Program.
Attachment G indicates the regulations which apply to all
applicants/grantees under the Job Opportunities for Low-Income
Individuals Program.
Dated: March 29, 1995.
Donald Sykes,
Director, Office of Community Services.
Dated: March 31, 1995.
Lynn R. Goldman,
Assistant Administrator for Prevention, Pesticides, and Toxic
Substances.
Attachment A
------------------------------------------------------------------------
Poverty
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 Alaska
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 $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
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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 questions 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 the application.)
BILLING CODE 4184-01-M
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BILLING CODE 4184-01-C
[[Page 19140]]
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 where 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-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
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 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
show 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 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 19141]] 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 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 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 non-
discrimination 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. 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 Poisoning 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
----------------------------------------------------------------------
Title
----------------------------------------------------------------------
Applicant organization
----------------------------------------------------------------------
Date submitted
BILLING CODE 4184-01-M
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[[Page 19143]]
[GRAPHIC][TIFF OMITTED]TN14AP95.005
BILLING CODE 4184-01-C
[[Page 19144]]
Attachment D--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 believe 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
commission of fraud or a criminal offense in connection with
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 indicted 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 Transaction'' 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 E--Executive Order 12372--State Single Points of Contact
Arizona
Mrs. Janice Dunn, Attn: Arizona State Clearinghouse, 3800 N. Central
Avenue, 14th Floor, Phoenix, Arizona 85012, Telephone (602) 280-1315
Arkansas
Tracie L. Copeland, Manager, State Clearinghouse, Office of
Intergovernmental Services, Department of Finance and
Administration, P.O. Box 3278, Little Rock, Arkansas 72203,
Telephone (501) 682-1074
California
Glenn Stober, Grants Coordinator, Office of Planning and Research,
1400 Tenth Street, Sacramento, California 95814, Telephone (916)
323-7480
Delaware
Ms. Francine Booth, State Single Point of Contact, Executive
Department, Thomas Collins Building, Dover, Delaware 19903,
Telephone (302) 736-3326
District of Columbia
Rodney T. Hallman, State Single Point of Contact, Office of Grants
Management and Development, 717 14th Street, N.W., Suite 500,
Washington, D.C. 20005, Telephone (202) 727-6551
Florida
Florida State Clearinghouse, Intergovernmental Affairs Policy Unit,
Executive Office of the Governor, Office of Planning and Budgeting,
The Capitol, Tallahassee, Florida 32399-0001, Telephone (904) 488-
8441
Georgia
Mr. Charles H. Badger, Administrator, Georgia State Clearinghouse,
254 Washington Street, S.W., Atlanta, Georgia 30334, Telephone (404)
656-3855
Illinois
Steve Klokkenga, State Single Point of Contact, Office of the
Governor, 107 Stratton Building, Springfield, Illinois 62706,
Telephone (217) 782-1671
Indiana
Jean S. Blackwell, Budget Director, State Budget Agency, 212 State
House, Indianapolis, Indiana 46204, Telephone (317) 232-5610
Iowa
Mr. Steven R. McCann, Division of Community Progress, Iowa
Department of Economic Development, 200 East Grand Avenue, Des
Moines, Iowa 50309, Telephone (515) 281-3725
Kentucky
Ronald W. Cook, Office of the Governor, Department of Local
Government, 1024 Capitol Center Drive, Frankfort, Kentucky 40601,
Telephone (502) 564-2382
Maine
Ms. Joyce Benson, State Planning Office, State House Station #38,
Augusta, Maine 04333, Telephone (207) 289-3261
Maryland
Ms. Mary Abrams, Chief, Maryland State Clearinghouse, Department of
State Planning, 301 West Preston Street, Baltimore, Maryland 21201-
2365, Telephone (301) 225-4490
Massachusetts
Karen Arone, State Clearinghouse, Executive Office of Communities
and Development, 100 Cambridge Street, Room 1803, Boston,
Massachusetts 02202, Telephone (617) 727-7001
Michigan
Richard S. Pastula, Director, Michigan Department of Commerce,
Lansing, Michigan 48909, Telephone (517) 373-7356
Mississippi
Ms. Cathy Mallette, Clearinghouse Officer, Office of Federal Grant
Management and Reporting, 301 West Pearl Street, Jackson,
Mississippi 39203, Telephone (601) 960-2174
Missouri
Ms. Lois Pohl, Federal Assistance Clearinghouse, Office of
Administration, P.O. Box 809, Room 430, Truman Building, Jefferson
City, Missouri 65102, Telephone (314) 751-4834
Nevada
Department of Administration, State Clearinghouse, Capitol Complex,
Carson City, Nevada 89710, Telephone (702) 687-4065, Attention: Ron
Sparks, Clearinghouse Coordinator
New Hampshire
Mr. Jeffrey H. Taylor, Director, New Hampshire Office of State
Planning, Attn: Intergovernmental Review, Process/James E. Bieber,
2\1/2\ Beacon Street, Concord, New Hampshire 03301, Telephone (603)
271-2155
New Jersey
Gregory W. Adkins, Acting Director, Division of Community Resources,
N.J. Department of Community Affairs, Trenton, New Jersey 08625-
0803, Telephone (609) 292-6613
Please direct correspondence and questions to:
Andrew J. Jaskolka, State Review Process, Division of Community
Resources, CN 814, [[Page 19145]] Room 609, Trenton, New Jersey
08625-0803, Telephone (609) 292-9025
New Mexico
George Elliott, Deputy Director, State Budget Division, Room 190,
Bataan Memorial Building, Santa Fe, New Mexico 87503, Telephone
(505) 827-3640, FAX (505) 827-3006
New York
New York State Clearinghouse, Division of the Budget, State Capitol,
Albany, New York 12224, Telephone (518) 474-1605
North Carolina
Mrs. Chrys Baggett, Director, Office of the Secretary of Admin.,
N.C. State Clearinghouse, 116 W. Jones Street, Raleigh, North
Carolina 27603-8003, Telephone (919) 733-7232
North Dakota
N.D. Single Point of Contact, Office of Intergovernmental
Assistance, Office of Management and Budget, 600 East Boulevard
Avenue, Bismarck, North Dakota 58505-0170, Telephone (701) 224-2094
Ohio
Larry Weaver, State Single Point of Contact, State/Federal Funds
Coordinator, State Clearinghouse, Office of Budget and Management,
30 East Broad Street, 34th Floor, Columbus, Ohio 43266-0411,
Telephone (614) 466-0698
Rhode Island
Mr. Daniel W. Varin, Associate Director, Statewide Planning Program,
Department of Administration, Division of Planning, 265 Melrose
Street, Providence, Rhode Island 02907, Telephone (401) 277-2656
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
Tennessee
Mr. Charles Brown, State Single Point of Contact, State Planning
Office, 500 Charlotte Avenue, 309 John Sevier Building, Nashville,
Tennessee 37219, Telephone (615) 741-1676
Texas
Mr. Thomas Adams, Governor's Office of Budget and Planning, P.O. Box
12428, Austin, Texas 78711, Telephone (512) 463-1778
Utah
Utah State Clearinghouse, Office of Planning and Budget, ATTN:
Carolyn Wright, Room 116 State Capitol, Salt Lake City, Utah 84114,
Telephone (801) 538-1535
Vermont
Mr. Bernard D. Johnson, Assistant Director, Office of Policy
Research and Coordination, Pavilion Office Building, 109 State
Street, Montpelier, Vermont 05602, Telephone (802) 828-3326
West Virginia
Mr. Fred Cutlip, Director, Community Development Division, West
Virginia Development Office, Building #6, Room 553, Charleston, West
Virginia 25305, Telephone (304) 348-4010
Wisconsin
Mr. William C. Carey, Federal/State Relations, Wisconsin Department
of Administration, 101 South Webster Street, P.O. Box 7864, Madison,
Wisconsin 53707, Telephone (608) 266-0267
Wyoming
Sheryl Jeffries, State Single Point of Contact, Herschler Building,
4th Floor, East Wing, Cheyenne, Wyoming 82002, Telephone (307) 777-
7574
Guam
Mr. Michael J. Reidy, Director, Bureau of Budget and Management
Research, Office of the Governor, P.O. Box 2950, Agana, Guam 96910,
Telephone (671) 472-2285
Northern Mariana Islands
State Single Point of Contact, Planning and Budget Office, Office of
the Governor, Saipan, CM, Northern Mariana Islands 96950
Puerto Rico
Norma Burgos/Jose H. Caro, Chairman/Director, Puerto Rico Planning
Board, Minillas Government Center, P.O. Box 41119, San Juan, Puerto
Rico 00940-9985, Telephone (809) 727-4444
Virgin Islands
Jose L. George, Director, Office of Management and Budget, #41
Norregade Emancipation Garden Station, Second Floor, Saint Thomas,
Virgin Islands 00802
Please direct correspondence to:
Linda Clarke, Telephone (809) 774-0750
Attachment F--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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BILLING CODE 4184-01-M
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BILLING CODE 4188-01-C
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Attachment G--DHHS Regulations Applying to All Applicants/Grantees
Under the Job Opportunities for Low-Income Individuals and the
Discretionary Grants Programs
Title 45 of the Code of Federal Regulations:
Part 16--Department of Grant Appeals Process
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 Appeal Procedures
Part 76--Debarment and Suspension from 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 83--Non-discrimination on the basis of sex in the admission of
individuals to training programs
Part 84--Non-discrimination on the Basis of Handicap in 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--Intergovernmental Review of Department of Health and Human
Services Programs and Activities
Attachment H--Certification Regarding Maintenance of Effort
The undersigned certifies that:
(1) activities funded under this program announcement are in
addition to, and not in substitution for, activities previously
carried on without Federal assistance.
(2) funds or other resources currently devoted to activities
designed to meet the needs of the poor within a community, area, or
State have not been reduced in order to provide the required
matching contributions.
When legislation for a particular block grant permits the use of
its funds as match, the applicant must show that it has received a
real increase in its block grant allotment and must certify that
other anti-poverty programs will not be scaled back to provide the
match required for this project.
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Attachment I--Checklist for Use in Submitting OCS Grant Applications
Job Opportunities for Low-Income Individuals (Optional)
The application should contain:
1. Table of Contents.
2. A completed, signed SF-424, Application for Federal
Assistance. The letter code for the priority area (JO) should be in
the lower right-hand corner of the page.
3. A completed SF-424A, Budget Information--Non-Construction.
4. A narrative budget justification for each object class
category required under Section B, SF-424A;
5. Filled out signed, and dated Assurances--Non-Construction
Programs (SF-424B);
6. The applicant should sign Attachments E and F. In so doing,
the applicant is certifying that it will comply with the Federal
requirements concerning the drug-free workplace and debarment
regulations set forth in Attachments E.
7. A signed copy of Certification Regarding Anti-Lobbying
Activities.
8. A completed Disclosure of Lobbying Activities, if applicable.
9. A Executive Summary--not to exceed 300 words;
10. A Project Narrative beginning with a Table of Contents that
describes the project in the following order:
(i) Eligibility Confirmation
(ii) Organization Experience and Staff Responsibilities
(iii) Analysis of Need
(iv) Project Design/Work Program
(v) Business Plan (If appropriate)
(vi) Third-Party Evaluation
(vii) Cooperative Partnership Agreement
(viii) Budget Appropriateness and Reasonableness
11. Appendices, including proof of non-profit status; proof that
the organization is a community development corporation, if applying
under the CDC Set-aside; a signed copy of the Cooperative
Partnership Agreement or letter of commitment with State IV-A agency
(JOBS Program); commitments from officials of businesses that will
be expanded or from franchises, where applicable; Single Point of
Contact comments, if applicable; Maintenance of Effort Certification
and resumes.
12. A self-addressed mailing label which can be affixed to a
postcard to acknowledge receipt of application.
Attachment J--Department of Health and Human Services, Administration
for Children and Families, Office of Family Assistance, Washington, DC
20447
Jobs Program Director
February 1994.
Alabama
Claire Ealy, Director, Office of Work and Training Services, Public
Assistance Division, S. Gordon Persons Building, 50 Ripley Street,
Montgomery, Alabama 36130, (205) 242-1950
Alaska
Charles Knittel, Work Programs Coordinator, Division of Public
Assistance, Department of Health and Social Service, P.O. Box
110640, Juneau, Alaska 99811-0640, (907) 465-3347
Arizona
Gretchen Evans, JOBS Program Director, Dept. of Economic Security,
P.O. Box 6123, Site Code 8011, Phoenix, Arizona 85005, (602) 542-
6310
Arkansas
Ken Whitlock, Deputy Director, Project SUCCESS, Department of Human
Services, P.O. Box 1437, Little Rock, Arkansas 72203, (501) 682-8375
California
Bruce Wagstaff, Chief, Employment and Immigrations Programs Branch,
Department of Social Services, 744 P Street M/S 6-700, Sacramento,
California 95814, (916) 657-2367
Colorado
Bob Henson, Director, Work Programs, Department of Social Services,
1575 Sherman Street, Denver, Colorado 80203, (303) 866-2643
Connecticut
Dawn Homer-Bouthiette, Planning Supervisor, Job Connection,
Department of Social Services, 110 Bartholomew Avenue, Hartford,
Connecticut 06106, (203) 566-7125
Delaware
Rebecca Varella, Chief Administrator, Employment and Training,
Division of Social Services, P.O. Box 906, New Castle, Delaware
19720, (302) 577-4451
District of Columbia
Shari Curtis, Chief, Bureau of Training and Employment, Department
of Human Services, 33 N Street N.E., Washington, D.C. 20001, (202)
727-1293
Florida
Reggis Smith, Chief, Benefit Recovery and Special Programs,
Department of Health and Rehabilitative Services, 1317 Winewood
Boulevard, Bldg 6, Tallahassee, Florida 32399-0700, (904) 487-2966
Georgia
Sylvia Elam, Chief, Employment Services Unit, Division of Family and
Children Services, Department of Human Resources, 2 Peachtree St.,
14th Floor, Room 402, Atlanta, Georgia 30303, (404) 657-3737
Guam
Diana Calvo, Social Services Supervisor, Department of Public Health
and Social Services, P.O. Box 2816, Agana, Guam 96910, (011-671)
734-7286
Hawaii
Garry Kemp, Special Assistant to the Director, Department of Human
Services, P.O. Box 339, Honolulu, Hawaii 96809, (808) 586-
7054 [[Page 19148]]
Idaho
Kathy James, Acting Bureau Chief, Bureau of Family Self Support,
Department of Health and Welfare, 450 West State Street, Boise,
Idaho 83720, (208) 334-5704
Illinois
Karan Maxson, Administrator, Division of Planning and Community
Services, Department of Public Aid, 100 S. Grand, 2nd Floor,
Springfield, Illinois 62762 (217) 785-3300
Indiana
Thomas Reel, Program Manager, IMPACT, Department of Public Welfare,
402 W. Washington, W. 363, Indianapolis, Indiana 46204, (317) 232-
2002
Iowa
Doug Howard, Coordinator, Employment and Training Programs,
Department of Human Services, Fifth Floor, Hoover State Office
Building, Des Moine, Iowa 50319, (515) 281-8629
Kansas
Phyllis Lewin, Director, Employment Preparation Services, Department
of Social and Rehabilitation Services, 300 S.W. Oakley, West Hall,
Topeka, Kansas 66606, (913) 296-4276
Kentucky
Sharon Perry, Assistant Director, Center for Program Development,
Department of Social Insurance, Cabinet for Human Resources, 275 E.
Main Street, Frankfurt, Kentucky 40621, (502) 564-3703
Louisiana
Howard Prejean, Assistant Secretary, Department of Social Services,
Office of Eligibility Determination, P.O. Box 3776, Baton Rouge,
Louisiana 70821, (504) 342-4953
Maine
Barbara Van Burgel, ASPIRE Coordinator, Bureau of Income
Maintenance, Department of Human Services, Statehouse Station #11,
32 Winthrop St., Augusta, Maine 04333, (207) 289-3106
Maryland
Charlene Gallion, Acting Executive Director, Office of Project
Independence Management, Department of Human Services, Room 745, 311
W. Saratoga Street, Baltimore, Maryland 21201, (410) 333-0837
Massachusetts
John Buonomo, Director, Massachusetts JOBS Program, Department of
Public Welfare, 600 Washington St., Boston, Massachusetts 02111,
(617) 348-5931
Michigan
Alex D. Hawkins, Director, Job Skills Development Group, Michigan
Jobs Commission, 201 North Washington Square, Third floor, Victor
Centre, Lansing, Michigan 48913, (517) 373-7382
Minnesota
Bonnie Baker, Supervisor, Program Development, Department of Human
Services, 444 Lafayette Road, St. Paul, Minnesota 55155, (612) 296-
2499
Mississippi
Jean Temple, Director, JOBS Branch, Office of Children and Youth,
Department of Human Services, 421 W. Pascagoula, Jackson,
Mississippi 29302, (601) 359-4855
Missouri
Richard Koon, FUTURES Program Director, Income Maintenance, Division
of Family Services, 72728 Plaza Drive, P.O. Box 88, Jefferson City,
Missouri 65103, (314) 751-3124
Montana
Marylis Filipovich, Bureau Chief, Program and Policy, Department of
Social and Rehabilitation Services, P.O. Box 4210, Helena, Montana
59604, (406) 444-4540
Nebraska
Margaret Hall, Public Assistance Administrator, Public Assistance
Division, Department of Social Services, 301 Centennial Mall South,
P.O. Box 95026, Lincoln, Nebraska 68509, (402) 471-3121
Nevada
John Alexander, Employment and Training Coordinator, Nevada State
Welfare Division, Capitol Complex, 2527 North Carson Street, Carson
City, Nevada 89710, (702) 687-4143
New Hampshire
Arthur Chicaderis, JOBS Administrator, Employment Support Services,
Office of Economic Services, Division of Human Services, Department
of Health and Human Services, 6 Hazen Drive, Concord, New Hampshire
03301-6521, (603) 271-4249
New Jersey
Marion E. Reitz, Director, Division of Family Development,
Department of Human Services, CN 716, Trenton, New Jersey 08625,
(609) 588-2401
New Mexico
Bill Dunbar, Acting Director, Income Support Division, Department of
Human Services, P.O. Box 2348, Santa Fe, New Mexico 87500, (505)
827-7252
New York
Jack Ryan, Director, Bureau of Employment Programs, Department of
Social Services, 40 North Pearl Street, Albany, New York 12243,
(518) 473-8744
North Carolina
Lucy Burgess, Chief, Employment Programs Section, Department of
Human Resources, 325 North Salisbury Street, Raleigh, North Carolina
27611, (919) 733-2873
North Dakota
Gloria House, JOBS Coordinator, Director of Public Assistance,
Department of Human Services, State Capitol, New Wing, 3rd Floor,
Bismark, North Dakota 58505, (701) 224-4001
Ohio
Mary L. Harris, Deputy Director, Family Support and JOBS, Department
of Human Services, State Office Tower, 31st Floor, 30 East Broad
Street, Columbus, Ohio 43266-0423, (614) 466-3196
Oklahoma
Raymond Haddock, Division Administrator, Family Services Division,
Department of Human Services, P.O. Box 25352, Oklahoma City,
Oklahoma 73125, (405) 521-3076
Oregon
Debbi White, JOBS Program Manager, Adult and Family Services
Division, Human Resource Bldg., 2nd Floor, Salem, Oregon 97310-1013,
(503) 945-6127
Pennsylvania
David Florey, Director, Bureau of Employment and Training Program,
Department of Public Welfare, P.O. Box 2675, Harrisburg,
Pennsylvania 17105, (717) 787-8613
Puerto Rico
Migdalia Marrero, Special Asst. to Secretary, SOSEDF, Isla Grande,
Building #10, P.O. Box 11398, Santurce, Puerto Rico 00910, (809)
722-2863
Rhode Island
Sherry Campanelli, Associate Director, Community Services,
Department of Human Services, 600 New London Avenue, Cranston, Rhode
Island 02920, (401) 464-2423
South Carolina
Hiram Spain, Executive Assistant for Self-Sufficiency, Department of
Social Services, P.O. Box 1520, Columbia, South Carolina 29202,
(803) 737-5937
South Dakota
Julie Osnes, Administrator, Office of Family Independence,
Department of Social Services, Richard F. Kneip Building, Pierre,
South Dakota 57501, (605) 773-3493
Tennessee
Wanda Moore, Director of Program Services, Department of Human
Services, 12th Floor, 400 Deadericks, Nashville, Tennessee 37219,
(615) 741-6953
Texas
Irma Bermea, Deputy Commissioner, Department of Human Services, Mail
Code 521E, P.O. Box 2960, Austin, Texas 78769, (512) 450-3011
Utah
Helen Thatcher, Assistant Director, Office of Family Support,
Department of Human Services, 120 North 200 West, Salt Lake City,
Utah 84145-0500, (801) 538-8231
Vermont
Steve Gold, Director, REACH-UP Program, Department of Social
Welfare, State Office Building, 103 South Main Street, Waterbury,
Vermont 05676, (802) 241-2800
Virgin Islands
Ermin Boshulte, Director, Public Assistance Programs, Department of
Human Services, [[Page 19149]] Financial Programs Division, Knud
Hansen Complex--Building A, 1303 Hospital Ground, Charlotte Amalie,
V.I. 00802, (809) 774-4673
Virginia
David Olds, Program Manager, Employment Services, Department of
Social Services, 730 E. Broad St., 2nd Floor, Richmond, Virginia
23219-1849, (804) 692-1229
Washington
Lee Todorovich, Acting Assistant Director, Division of Income
Assistance, Department of Social and Health Services, P.O. Box
45400, Olympia, Washington 98504-5400, (206) 438-8350
West Virginia
Sharon Paterno, Director, Division of Work and Training, Department
of Health and Human Services, Building 6, State Office Complex,
Charleston, West Virginia 25305, (304) 558-3186
Wisconsin
Jean Rogers, Administrator, Division of Economic Support, Department
of Health and Social Services, P.O. Box 7935, 1 West Wilson Street,
Madison, Wisconsin 53707-7935, (608) 266-3035
Wyoming
Kirk McKinney, JOBS Coordinator, Self-Sufficiency Division,
Department of Family Services, Hathaway Building, Rm 347, 2300
Capitol Avenue, Cheyenne, Wyoming 82002-0710, (307) 777-6849
Attachment K--Certification Regarding Environmental Tobacco Smoke
Public Law 103-227, Part C--Environmental Tobacco Smoke, also
known as the Pro-Children Act 1994 (Act), requires that smoking not
be permitted in any portion of any indoor routinely owned or leased
or contracted for by an entity and used routinely or regularly for
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 the children's services and that all subgrantees
shall certify accordingly.
[FR Doc. 95-8374 Filed 4-13-95; 8:45 am]
BILLING CODE 4184-01-P
