[Federal Register Volume 59, Number 75 (Tuesday, April 19, 1994)]
[Unknown Section]
[Page 0]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 94-9423]
[[Page Unknown]]
[Federal Register: April 19, 1994]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Administration for Children and Families
[Program Announcement No. 93656-941]
Temporary Child Care for Children With Disabilities and Crisis
Nurseries Program
AGENCY: Administration on Children, Youth and Families (ACYF),
Administration for Children and Families (ACF), Department of Health
and Human Services (DHHS).
ACTION: Announcement of the availability of financial assistance and
request for applications from States to support demonstration projects
to provide temporary child care for children with disabilities and
children with chronic illnesses, and crisis nurseries for abused and
neglected children and children at risk of abuse and neglect.
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SUMMARY: The Administration on Children, Youth and Families (ACYF)
announces the availability of fiscal year 1994 funds for competing new
discretionary grants under the Temporary Child Care for Children with
Disabilities and Crisis Nurseries Program. Funding for ACYF grants and
the Cooperative Agreement identified in this announcement is authorized
by legislation governing ACF programs in the Administration on
Children, Youth and Families.
This announcement contains all of the necessary application
material to apply for these grants and the Cooperative Agreement.
DATES: The closing date for the submission of all applications under
this announcement is June 20, 1994.
ADDRESSES: Applications may be mailed to the Department of Health and
Human Services, Administration for Children and Families, Division of
Discretionary Grants, 370 L'Enfant Promenade, SW., 6th Floor East, OFM/
DDG, Washington, DC 20447. (Reference announcement number and priority
area.)
Hand delivered applications are accepted during the normal working
hours of 8 a.m. to 4:30 p.m., Monday through Friday, on or prior to the
established closing date at: Administration for Children and Families,
Division of Discretionary Grants, 6th Floor OFM/DDG, 901 D Street, SW.,
Washington, DC 20447.
FOR FURTHER INFORMATION CONTACT: Administration on Children, Youth and
Families, Children's Bureau, P.O. Box 1182, Washington, DC 20013,
Telephone: Ory Cuellar (202) 205-8899 or Shirley Haile-Howard (202)
205-8788.
SUPPLEMENTARY INFORMATION: The Administration on Children, Youth and
Families (ACYF) administers national programs for children and youth,
works with States and local communities to develop services which
support and strengthen family life, seeks out joint ventures with the
private sector to enhance the lives of children and their families, and
provides information and other assistance to parents.
The concerns of ACYF extend to all children from birth through
adolescence. Many of the programs administered by the agency focus on
children from low-income families; children and youth in need of foster
care, adoption or other child welfare services; preschool children;
children with disabilities; abused and neglected children; runaway and
homeless youth; and children from American Indian and migrant families.
Within ACYF, the Children's Bureau's Division of Child Welfare
plans, manages, coordinates and supports child welfare services
programs. It administers the Foster Care and Adoption Assistance
Program, the Child Welfare Services State Grants Program, the Child
Welfare Services Research, Demonstration and Training Programs, the
Independent Living Initiatives Program, the Adoption Opportunities
Program, the Temporary Child Care for Children With Disabilities and
Crisis Nurseries Program, the Abandoned Infants Assistance Program, the
Child Care and Development Block Grant Program, the State Dependent
Care Planning and Development Program and the recently enacted Family
Preservation and Family Support program.
The Children's Bureau programs are designed to promote the welfare
of all children, including disabled, homeless, dependent or neglected
children and their families. The programs aid in preventing and
remedying the neglect, abuse and exploitation of children. The programs
also encourage the strengthening of the family unit to help alleviate
the unnecessary separation of children from their families.
This program announcement consists of four parts. Part I provides
information on the goals of the Children's Bureau and the statutory
authorities for awarding grants. Part II describes the programmatic
priorities for which applications are being solicited. Part III
provides information on the application review process. Part IV
provides information and instructions for the development and
submission of applications.
Part I--General Information
A. Background
The Temporary Child Care for Children With Disabilities and Crisis
Nurseries Act of 1986 (the Act), as amended, authorizes grants to
States to assist public and private agencies in developing temporary
child care or respite care services for children with disabilities and
crisis nurseries for children who are abused or neglected, at risk of
abuse and neglect, or in families receiving protective services. These
programs are intended to maintain and support the family unit and
strengthen the parent-child bond. Programs were funded under this Act
in fiscal years 1988, 1989, 1990, 1991, and 1993. In FY 1992, ACYF
funded, through a limited competition, final continuations grants for
projects originally funded in FY 1990.
B. Statutory Authorities Covered Under This Announcement
The Temporary Child Care for Children With Disabilities and Crisis
Nurseries Program provides demonstration grants to States to assist
private and public agencies in developing temporary child care (respite
care) for children with disabilities and crisis nurseries for children
at risk of child abuse and neglect. Authorization: Temporary Child Care
for Children With Disabilities and Crisis Nurseries Act of 1986, as
amended, Public Law 102-295, 42 U.S.C. 5117a, 5117b, 5117c.
CFDA: 93.656
C. Eligibility Requirements
Eligibility requirements are referenced under each priority area.
D. Availability and Allocation of Funds
The Administration for Children, Youth and Families proposes to
award approximately 30 grants in varying amounts up to $200,000 per
budget period and one Cooperative Agreement in varying amounts
throughout the project period but with the first three years limited to
$600,000 per budget period. Award amounts are indicated in the
discussion of each priority area.
Part II--Programmatic Priorities for Funding
The priority areas identified in this announcement are derived from
legislative mandates as well as Departmental goals and initiatives. The
priorities reflect the state of current knowledge as well as emerging
issues which have come to ACYF's attention by several means including
consultation with advocates, policymakers, and practitioners in the
field.
The priorities seek to focus attention on and to encourage
demonstration efforts to obtain new knowledge and improvements in
service delivery for the solution of particular problems and to promote
the dissemination and utilization of the knowledge and model practices
developed under these priorities.
A. Structure of Priority Area Descriptions
This section presents the basic set of issues that must be
addressed in the application. Typically, they relate to project design,
evaluation, and community involvement. This section also asks for
specific information on the proposed project. Inclusion and discussion
of these items in the applicant's proposal is important since they will
be used by the reviewers in evaluating the proposal against the
evaluation criteria. Project products, continuation of the project
effort after the Federal support ceases, and dissemination/utilization
activities, if appropriate, should also be addressed.
Each priority area is composed of the following sections:
Eligible Applicants: This section specifies the type of
organization which is eligible to apply under the particular priority
area. Specific restrictions are also noted, where applicable.
Each priority area description contains information about the types
of agencies and organizations which are eligible to apply under that
priority area. Since eligibility varies among priority areas depending
on statutory provisions, it is critical that the Eligible Applicants
section under each specific priority area be read carefully.
Purpose: This section presents the basic focus and/or
broad goal(s) of the priority area.
Background: This section briefly discusses the current
state-of-the-art and/or current state-of practice that supports the
need for the particular priority area activity and provides relevant
information on projects previously funded by ACYF and/or other State
models, where applicable.
Minimum Requirements for Project Design: This section
presents the basic set of issues that must be addressed in the
application. Typically, they relate to project design, evaluation, and
community involvement. This section also asks for specific information
on the proposed project. The inclusion and discussion of these items in
the applicant's proposal is important since they will be used by the
reviewers in evaluating the proposal against the evaluation criteria.
Project products, continuation of the project effort after the Federal
support ceases, and dissemination/utilization activities, if
applicable, should also be addressed.
Project Duration: This section specifies the maximum
allowable length of time for the project period; it refers to the
amount of time for which Federal funding is available.
Federal Share of Project Cost: This section specifies the
amount of Federal support for the project.
The term budget period refers to the interval of time (usually 12
months) into which a multi-year period of assistance (project period)
is divided for budgetary and funding purposes. The term project period
refers to the total time a project is approved for support, including
any extensions.
Matching Requirement: This section specifies the minimum
non-Federal contribution, either through cash or in-kind match, that is
required. Applicants are encouraged to meet their match requirements
through cash contributions. Grantees must provide at least 25 percent
of the total approved cost of the project. The total approved cost of
the project is the sum of the ACYF share and the non-Federal share.
Therefore, a project requesting $50,000 in Federal funds must include a
match of at least $16,666 (25 percent of the total project cost of
$66,666).
Anticipated Number of Projects To Be Funded: This section
specifies the number of projects that ACYF anticipates it will fund in
the priority area.
B. List of Priority Areas Included in This Announcement
1.01A--Temporary Child Care for Children with Disabilities and
Chronically Ill Children
1.01B--Crisis Nurseries
1.02--National Resource Center for Respite and Crisis Care Services
C. Priority Area Descriptions and Requirements
1.01A Temporary Child Care for Children With Disabilities and
Chronically Ill Children and 1.01B Crisis Nurseries
Eligible Applicants: Only State agencies designated by the Governor
of the State to carry out programs funded under the Temporary Child
Care for Children With Disabilities and Crisis Nurseries Act of 1986,
as amended (42 U.S.C. 5117a and 5117b) are eligible to apply. Other
State agencies carrying out similar programs are ineligible.
States, including those currently receiving financial assistance
under these programs, may apply under each priority area described
below. A separate application, however, must be submitted under each
priority area. Only one application per State may be submitted under
each priority area. Applications must clearly indicate whether they are
being submitted under 1.01A, Temporary Child Care for Children with
Disabilities and Chronically Ill Children, or 1.01B, Crisis Nurseries.
Purpose: To support States in their efforts to assist private and
public agencies in developing two types of services:
In-home or out-of-home temporary non-medical child care
(respite care) for children with disabilities and children with chronic
or terminal illnesses, including children with AIDS or AIDS-related
conditions (priority area 1.01A); and
Crisis nurseries for abused and neglected children,
children at risk of abuse and neglect, or children in families
receiving protective services (priority area 1.01B).
Special attention should be paid in both priority areas to the
needs of drug-affected infants.
42 U.S.C. Section 5117a: Temporary Child Care for Children With
Disabilities and Chronically Ill Children (Priority Area 1.01A)
Background: The Act authorizes temporary child care programs for
children with disabilities and requires applicants seeking temporary
child care funds to define disabilities using the definition in the
Individuals with Disabilities Education Act:
* * * The term children with disabilities means children--(A)(i)
with mental retardation, hearing impairments including deafness, speech
or language impairments, visual impairments including blindness,
serious emotional disturbance, orthopedic impairments, autism,
traumatic brain injury, other health impairments, or specific learning
disabilities; and (ii) who, by reason thereof, need special education
and related services.
(B) The term children with disabilities for children aged 3 to 5,
inclusive, may at a State's discretion, include children--(i)
experiencing developmental delays, as defined by the State and as
measured by appropriate diagnostic instruments and procedures, in one
or more of the following areas: physical development, cognitive
development, communication development, social or emotional
development, or adaptive development; and,
(ii) who, by reason thereof; need special education and related
services * * * (Public Law 102-119)
The purpose of establishing a temporary child care program (also
known as respite care) for children with disabilities or who are
chronically or terminally ill is to alleviate social, economic, and
financial stress among the families of such children. Such care
provides the families or primary caregivers with periods of temporary
relief from the pressures of the demanding child care routine, thus
preventing severe family stress.
The following components may be included in temporary child care or
respite care projects:
24-hour services;
Access to primary medical services;
Referral to counseling/therapy services;
Staff training, including child abuse/neglect reporting
responsibilities;
Public awareness programs; and
Linkages to other family support and/or family
preservation services.
42 U.S.C. Section 5117b: Crisis Nurseries (Priority Area 1.01B)
Background: A crisis nursery is defined in section 42 U.S.C.
Section 5117c(d) to mean a center providing temporary emergency
services and care for children. Crisis nurseries are child care
facilities which protect children by providing a safe environment at a
time when the chances of neglect or abuse in the home are increased.
The programs offer parents the option of ``time out'' as a
preventive measure in reducing the incidence of child maltreatment.
They are designed to: (1) Develop a safe environment as a resource for
children at risk of abuse; (2) deliver non-punitive, non-threatening
services as a resource to caregivers of at-risk children; and (3)
utilize existing community-based services to further diminish the
potential for the maltreatment of children in families experiencing
crisis. Services funded under 42 U.S.C. Section 5117b must be provided
without fee and may be provided for a maximum of 30 days in any year.
Crisis nurseries must also provide referral to support services.
The following components may be included in crisis nursery
programs:
24-hour services;
Referral to counseling/therapy services, including out-of-
home placement (when appropriate);
Access to primary medical services;
Staff training, including child abuse/neglect reporting
responsibilities;
Public awareness programs; and
Linkages to other family support and/or family
preservation services.
Minimum Requirements for Project Design: 1.01A--Temporary Child
Care for Children With Disabilities and Chronically Ill Children, and
1.01B - Crisis Nurseries
In order to successfully compete under one or both of these
priority areas, the applicant should:
Provide a letter addressed to the Commissioner,
Administration on Children, Youth and Families, and signed by the
Governor which certifies that the State agency applying for funding is
the State agency designated to carry out programs funded under 42
U.S.C. Sections 5117a and 5117b of the Temporary Child Care for
Children With Disabilities and Crisis Nurseries Act.
Provide documentation of the State's commitment to develop
a State plan for coordination among agencies carrying out programs and
activities provided by the State pursuant to a temporary child care
grant under 42 U.S.C. Section 5117a. (Section 5117c(a)(1)(A)(v))
Describe collaborative efforts with programs funded
through the Child Care and Development Block Grant.
Describe collaborative efforts with other family
preservation and/or support programs including how the project(s)
funded under this program will be family-centered and incorporated into
an integrated service system being planned under the Family
Preservation and Family Support program authorized in Title IV-B,
Subpart 2 of the Social Security Act.
Describe the proposed State program to assist private and
public agencies or organizations in providing in-home or out-of-home
temporary, non-medical care to children with disabilities and children
with chronic or terminal illnesses, including drug-related conditions
and children with AIDS or AIDS-related conditions, or crisis nurseries
for abused and neglected children.
(1) If the State has previously received an award under this
statute, describe the types of services being provided and the
geographical sites served utilizing these funds.
(2) If the funds being requested would be used to enhance services
previously or currently supported under this statute, substantial
detailed documentation must be provided on the increased need for
services such as the existence of waiting lists or an increase in the
population of the geographical area.
(3) If the funds being requested would be used to expand services
to geographical sites not previously or currently supported under this
statute, describe the process that was used or will be used to select
the sites. Particularly encouraged are sites which would serve homeless
families, families living in public housing projects or American Indian
communities and/or other minority families.
Describe the services to be provided, the agencies and
organizations that would provide the services and the criteria that
would be employed in the selection of children and families for
participation in the project. (42 U.S.C. Section 5117c(a)(1)(A)(i))
Describe State plans for the submission of an annual
report to the Secretary evaluating the programs that are funded,
including information on costs, number of participants, impact on
family stability, incidence of child abuse and neglect and such other
information as the Secretary may require. Describe fully how this
requirement would be met and specifically describe how the data
required to conduct this evaluation and to generate the information
would be collected. (42 U.S.C. 5117c(C))
Describe a plan for dissemination of the results of the
programs and projects funded under the Act. (42 U.S.C.
5117c(a)(1)(A)(iii))
Discuss plans for continuation of the program after the
federally funded project period has ended.
Provide assurances and adequate budget funds to enable at
least one key person from the State agency and one key person from each
service provider site receiving funds from the grant to attend an
annual three day conference in Washington, DC.
Provide assurances that travel to these conferences would
not be subject to any limitations on travel which may be imposed by the
State on its employees.
Provide the following assurances as required by statute:
(1) That not more than 5 percent of the funds made available under
each section of the Act would be used for State administrative costs.
(2) That projects funded by the State would be of sufficient size,
scope and quality to achieve the objectives of the program.
(3) That, in the distribution of funds under the Temporary Child
Care program, the State would give priority consideration to agencies
and organizations which have experience in working with disabled,
terminally ill, and chronically ill children and their families and
which serve communities which demonstrate the greatest need for such
services.
(4) That, in the distribution of funds under the Crisis Nurseries
program, the State would give priority consideration to agencies and
organizations with experience in working with abused or neglected
children and their families; in working with children at high risk of
abuse and neglect and their families; and in serving communities which
demonstrate the greatest need for such services.
(5) That Federal funds made available under these programs would be
used to supplement and, to the extent practicable, increase the amount
of State and local funds available for these purposes, and in no case
supplant such State or local funds.
(6) That the State would use the definition of children with
disabilities found in Public Law 102-119, the Individuals with
Disabilities Education Act, in implementing programs under the
Temporary Child Care program.
(7) That all agencies and organizations funded under the Temporary
Child Care for Children with Disabilities program would provide child
care only on a sliding fee scale with hourly and daily rates.
(8) That the services provided under the Crisis Nurseries program
would be provided without fee and for a maximum of 30 days in any year.
Federal Share of Project Costs: The maximum Federal share may not
exceed $200,000 for the first 12-month budget period or $600,000 for a
3-year project period.
Matching or Cost Sharing Requirements: The applicant must provide
at least 25 percent of the total cost of the project. The total
approved cost of the project is the sum of the ACYF share and the non-
Federal share. The non-Federal share may be cash or in-kind
contributions, although applicants are encouraged to meet their match
requirements through cash contributions. Therefore, a project
requesting $600,000 in Federal funds must include a match of at least
$200,000 (25 percent of the total project cost of $800,000).
Non-Federal share contributions may exceed the minimum specified
when the applicant is able to do so. An applicant should ensure the
availability of any amount proposed as match prior to including it in
the budget. The non-Federal share must be met by a grantee during the
life of the project. Otherwise, ACF will disallow any unmatched Federal
funds.
Project Duration: The length of the project may not exceed 36
months.
Anticipated Number of Projects to be Funded: It is anticipated that
approximately 30 projects, 15 under each priority area, 1.01A and
1.01B, will be funded.
Length of Proposal: The length of the proposal should not exceed 60
pages, including all preprinted forms and appendices. Refer to Part IV
for additional information regarding proposal requirements and
limitations.
CDFA: 93.656 Temporary Child Care for Children With Disabilities and
Crisis Nurseries Act of 1986, as amended, Title II, Public Law 102-295,
42 U.S.C. 5117a, 5117b, 5117c
1.02 National Resource Center for Respite and Crisis Care Services
Eligible Applicants: Only State agencies designated by the Governor
of the State to carry out programs funded under Sections 5117a and
5117b of the Temporary Child Care for Children With Disabilities and
Crisis Nurseries Act (the Act), including current grantees under the
Act, are eligible to apply. Other State agencies carrying out similar
programs are ineligible to apply.
Purpose: The purpose of this Resource Center is to assist in the
coordination, exchange of information, continuing development and
improvement of the types of services described in Sections 5117a and
5117b of the Temporary Child Care for Children With Disabilities and
Crisis Nurseries Act. The Resource Center will also assist programs
providing respite care services pursuant to the Family Preservation and
Family Support program authorized in Title IV-B, Subpart 2 of the
Social Security Act. The Resource Center will assist in the
coordination, the dissemination of information about, and the
continuing development and improvement of these respite care services.
These services will be provided by the Resource Center whether or not
the service providers receive Federal funds from the programs
authorized under these Acts. The services to be provided are:
(1) In-home or out-of-home temporary non-medical child care
(respite care) for children with disabilities and children with chronic
or terminal illnesses (Section 5117a), including children with AIDS or
AIDS-related conditions and drug-affected infants and children;
(2) Crisis nurseries for abused and neglected children, children at
risk of abuse and neglect, and children in families receiving
protective services, (Section 5117b), including drug-affected infants
and children;
(3) Respite care as part of a system of family preservation
services designed to assist families in crisis or at risk of having
their children placed in foster care; and,
(4) Respite care as a part of a system of family support services
designed to work with families before a crisis occurs to enhance child
development and increase family stability.
Background: Since 1988, the Children's Bureau in the Department of
Health and Human Services has awarded 145 grants to States to support
respite care services and crisis nurseries under the Temporary Child
Care for Children With Disabilities and Crisis Nurseries Program.
Through these State agency grantees, over 250 local service providers
have been recipients of the $52,106,552 awarded thus far. In addition,
other projects, not utilizing Federal funds available under this
program, have been developed and implemented in local communities
designed to address the needs of similar target populations.
In FY 1993 the Children's Bureau awarded grants to 24 States with
funds earmarked for expanding respite care and crisis nurseries
services within the States.
Respite care programs funded under the Temporary Child Care program
are designed to alleviate social, economic, and financial stress among
families of all children and, particularly, children with disabilities
or children who are chronically or terminally ill through the provision
of short-term, non-medical child care. Such respite care provides
families or primary care givers with periods of temporary relief from
the pressures of the demanding child care routine, thus preventing
severe family stress. Respite care programs generally provide 24-hour
services, access to medical services; referral access to counseling/
therapy; staff training, including child abuse/neglect reporting
responsibilities; and public awareness efforts.
Crisis Nurseries programs are designed to protect children by
providing a safe environment at a time when the chances of neglect or
physical abuse in the home are increased. These programs offer parents
the option of time out as a preventive measure to reduce the incidence
of child maltreatment. In general, crisis nursery programs provide many
of the same services as respite care programs but also place greater
emphasis on intervention, remediation and prevention services including
referrals for out-of-home placement, when appropriate.
Other community programs also provide respite care as an integrated
part of their services. New legislation recently established Subpart 2
of Title IV-B of the Social Security Act, entitled the Family
Preservation and Support Services, which encourages and enables States
to develop, establish or expand and operate programs for family
preservation and community-based family support services. These
programs are family-centered and will focus on strengthening the family
unit. Family preservation services will assist families in crisis when
the child is at imminent risk of being placed in out-of-home care
because of abuse and/or neglect. Family support services will focus on
activities aimed at increasing the strength and stability of families.
Existing programs vary considerably in terms of quality, experience
and methodology. However, the demand for services is increasing as the
number of single-parent families, families in poverty, and stress on
families increases; as fewer disabled children are institutionalized;
and as substance abuse impacts greater numbers of children and
families. Additional resources are needed to assist in identifying,
developing and utilizing effective program practices, information and
materials in order to meet this demand.
Minimum Requirements for Project Design
In order to successfully compete under this priority area, the
application should:
Provide a letter addressed to the Commissioner,
Administration on Children, Youth and Families, and signed by the
Governor which certifies that the State agency applying for funding is
the State agency designated to carry out the program.
Demonstrate knowledge about the problems and issues
involved in providing services for children with disabilities and
children at risk of abuse and neglect.
Provide documentation of the commitment to improving the
quality of respite care and crisis nurseries program and services.
Describe a plan for identifying emerging issues from the
fields of child welfare (including family preservation and family
support), developmental disabilities, and child health, particularly as
they relate to prenatal drug exposure and pediatric HIV infection.
Describe a plan for preparing and disseminating
information and policy papers to the field which address these emerging
issues.
Describe a plan for promoting collaboration among agencies
within states and communities.
Describe a plan that will establish an advisory committee
to provide overall guidance and support to the Resource Center.
Describe a plan for coordinating activities with other
national Resource Centers, Research Centers and Clearinghouses funded
by HHS and other organizations to assure effective utilization of
resources and avoid duplication of effort.
Describe a plan for holding at least one national
conference per year, in collaboration with the Children's Bureau, for
relevant service providers.
Describe a strategy for identifying and disseminating
information about innovative and/or exemplary programs.
Describe how the training and technical assistance needs
of States identified by the HHS Regional Offices will be met.
Describe a strategy for providing technical assistance to
programs to improve the quality and rigor of their evaluations.
Describe the applicant's experience in providing training
and technical assistance on a variety of program models serving
economically, racially and culturally diverse populations.
Describe a strategy for identifying, documenting and
developing innovative and/or exemplary resources such as training
curricula and manuals and for assisting the field in adapting such
resources to meet specific needs.
Describe a plan for providing technical assistance,
training and consultation to service providers and to State agencies to
improve professional competency, to insure service coordination and
integration, and to promote the utilization of resources and best
practices related to the management and administration of respite care
programs and crisis nurseries.
Describe a plan for ensuring that the staff of the
Resource Center are racially and culturally reflective of the
population being served.
Describe a plan for developing a national network of
professionals in the field to serve as consultants, for linking these
individuals with agencies requesting assistance, for ensuring that the
network is racially and culturally diverse, and for ensuring the
quality of the consultation provided.
Provide assurances that at least one key staff member
would attend an annual four-day meeting in Washington, DC, and at least
three additional two-day meetings in Washington, DC with Children's
Bureau staff, grantees, service providers, and/or policymakers each
year.
Provide assurances that not more than 5 percent of the
funds awarded would be used for State administrative costs.
Agree to enter into a Cooperative Agreement which will
require the grantee to submit to the Children's Bureau for review and
approval: workplans, including, as appropriate, activities involving
Headquarters and Regional Office staff; lists of topics to be covered
in technical assistance resources, syntheses, summaries and literature
reviews; topics, times and places for conferences; topics for any
collection of original data; and draft reports, conference agendas and
other materials prior to their finalization and dissemination by the
grantee. (A Cooperative Agreement is Federal Assistance in which
substantial Federal involvement is anticipated. The respective
responsibilities of Federal staff and the awardee are negotiated prior
to the award.)
The grantee shall also cooperate, to the extent that its budget
will allow, with the Children's Bureau in meetings, briefings, or other
forums to disseminate knowledge gained from its work with States and
local communities.
Federal Share of Project Costs: The maximum Federal share may
notexceed $600,000 for the first 12-month budget period or $1,800,000
for the first 3-years of the project. Funding for years 4 and 5 may
exceed $600,000 per budget period based on a comprehensive needs
assessment submitted by the grantee.
Matching Requirement: There is no matching requirement.
Project Duration: The length of the project may not exceed 60
months.
Anticipated Number of Projects to be Funded: It is anticipated that
one project will be funded as a Cooperative Agreement.
Length of Proposal: There is no page limitation on applications
submitted under this priority area.
CDFA: 93.656 Temporary Child Care for Children With Disabilities and
Crisis Nurseries Act of 1986, as amended, 42 U.S.C. 5117
D. Available Funds
The ACYF intends to award new grants and a Cooperative Agreement
under this announcement during fiscal year 1994.
Applications for continuation grants funded under this program
beyond the first year's budget period, but within the total project
period, will be entertained in subsequent years on a non-competitive
basis, subject to the availability of funds and a determination that
continued funding would be in the best interest of the Federal
government. Applicants are advised that the Administration has proposed
the consolidation of this program into the Child Care and Development
Block Grant (CCDBG) beginning in FY 1995.
In addition, for priority areas 1.01A and 1.01B, non-competitive
funding for subsequent years will be based on a program staff review of
project status and performance, and evidence that the program is part
of an integrated system of services described in an approved State plan
as mandated by Title IV-B, Subpart 2, of the Social Security Act,
pursuant to the Family Preservation and Family Support program. If the
Temporary Child Care for Children With Disabilities and Crisis
Nurseries program is consolidated with CCDBG, ACYF will encourage
States to consider continuing those projects funded under these
priority areas. For priority area 1.02, non-competitive funding beyond
year three will be based on the project's responsiveness to customers'
needs.
Part III--Review Process
A. Eligible Applicants
Before applications are reviewed, each application will be screened
to determine that the applicant organization is an eligible applicant
as specified under the selected priority area. Applications from
organizations which do not meet the eligibility requirements for the
priority area will not be considered or reviewed in the competition,
and the applicant will be so informed.
B. Review Process and Funding Decisions
Timely applications from eligible applicants will be reviewed and
scored competitively. Experts in the field, generally persons from
outside of the Federal government, will use the evaluation criteria
listed in Section C, Evaluation Criteria, to review and score the
applications. The results of this review are a primary factor in making
funding decisions.
The ACYF reserves the option of discussing applications with, or
referring them to, other Federal or non-Federal funding sources when
this is determined to be in the best interest of the Federal government
or the applicant. It may also solicit comments from ACYF Regional
Office staff, other Federal agencies, interested foundations, national
organizations, specialists, experts, States and the general public.
These comments, along with those of the expert reviewers, will be
considered by ACYF in making funding decisions.
In making decisions on awards, ACYF may give preference to
applications which focus on or feature: Minority populations; programs
which are part of an integrated system of family support services and/
or family preservation services; a substantial innovative strategy with
the potential to improve theory or practice in the field of human
services; a model practice or set of procedures that holds the
potential for replication by organizations involved in the
administration or delivery of human services; substantial involvement
of volunteers; substantial involvement (either financial or
programmatic) of the private sector; a favorable balance between
Federal and non-Federal funds available for the proposed project; the
potential for high benefit for low Federal investment; a programmatic
focus on those most in need; and/or substantial involvement in the
proposed project by national or community foundations.
To the greatest extent possible, efforts will be made to ensure
that funding decisions reflect an equitable distribution of assistance
among the States, and geographical regions of the country, rural and
urban areas, and ethnic populations. In making these decisions, the
Assistant Secretary and HHS Senior Staff may also take into account the
need to avoid unnecessary duplication of efforts.
C. Evaluation Criteria
A panel of at least three reviewers (primarily experts from outside
the Federal government) will review the applications. Applicants should
ensure that they address each minimum requirement in the priority area
description under the appropriate section of the Program Narrative
Statement.
Reviewers will determine the strengths and weaknesses of each
proposal in terms of the evaluation criteria listed below, provide
comments and assign numerical scores. The point value following each
criterion heading indicates the maximum numerical weight that each
section may be given in the review process.
Applications under all priority areas will be evaluated against the
following criteria.
1. Objective and Need for Assistance (20 points). The extent to
which the application pinpoints any relevant physical, economic,
social, financial, institutional or other problems requiring a
solution; demonstrates the need for the assistance; states the
principal and subordinate objectives of the project; provides
supporting documentation or other testimonies from concerned interests
other than the applicant; and includes and/or references relevant data.
The application must identify the precise location of the project and
area to be served by the proposed project. Maps and other graphic aids
may be attached.
2. Results or Benefits Expected (20 points). The extent to which
the application identifies the results and benefits to be derived, the
extent to which they are consistent with the objectives of the
proposal, and the extent to which the application indicates the
anticipated contributions to policy, practice, theory and/or research.
The extent to which the proposed project costs are reasonable in view
of the expected results.
3. Approach (35 points). The extent to which the application
outlines a sound and workable plan of action pertaining to the scope of
the project, and details how the proposed work will be accomplished;
cites factors which might accelerate or decelerate the work, giving
acceptable reasons for taking the proposed approach as opposed to
others; describes and supports any unusual features of the project,
such as design or technological innovations, reductions in cost or
time, or extraordinary social and community involvements; provides for
projections of the accomplishments to be achieved; and lists the
activities to be carried out in chronological order, showing a
reasonable schedule of accomplishments and target dates.
The extent to which, when applicable, the application identifies
the kinds of data to be collected and maintained, and discusses the
criteria to be used to evaluate the results and successes of the
project. The extent to which the application describes the evaluation
methodology that will be used to determine if the needs identified and
discussed are being met and if the results and benefits identified are
being achieved. The extent to which the application identifies each
organization, agency, consultant, or other key individuals or groups
who will work on the project, along with a description of the
activities each will undertake and the nature of their effort or
contribution.
4. Staff Background and Organization's Experience (25 points). The
extent to which the background of the project director/principal
investigator and key project staff (including name, address, training,
educational background and other qualifying experience) and the
experience of the organization demonstrate the applicant's ability to
effectively and efficiently administer the project. The extent to which
the application describes the relationship between the proposed project
and other relevant work planned, anticipated or underway by the
applicant.
Part IV--Instructions for the Development and Submission of
Application
This Part contains information and instructions for submitting
applications in response to this announcement. Application forms are
provided along with a checklist for assembling an application package.
Please copy and use these forms in submitting an application.
Potential applicants should read this section carefully in
conjunction with the information contained within the specific priority
area under which the application is to be submitted. The priority area
descriptions are presented in Part II.
A. Required Notification of the State Single Point of Contact
The Temporary Child Care for Children with Disabilities and Crisis
Nurseries 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, Connecticut,
Hawaii, Idaho, Kansas, Louisiana, Minnesota, Montana, Nebraska,
Oklahoma, Oregon, Pennsylvania, Virginia, Washington, American Samoa
and Palau, have elected to participate in the Executive Order process
and have established State Single Point of Contact (SPOCs). Applicants
from these 17 jurisdictions need take no action regarding E.O. 12372.
Otherwise, applicants should contact their SPOCs as soon as possible to
alert them to 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 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, 370
L'Enfant Promenade, SW., 6th Floor East, OFM/DDG, Washington, DC 20447.
A list of the Single Points of Contact for each State and Territory
is included as Appendix B of this announcement.
B. Deadline for Submission of Applications
Deadline: Applications shall be considered as meeting the announced
deadline if they are either:
1. Mailed on or before the deadline date to: Department of Health
and Human Services, Administration for Children and Families, Division
of Discretionary Grants, 370 L'Enfant Promenade, SW., 6th Floor East,
OFM/DDG, Washington, DC 20447.
2. Mailed on or before the deadline date and received by the
granting agency in time for the independent review under DHHS GAM
Chapter 1-62. (Applicants are cautioned to request a legibly dated U.S.
Postal Service postmark or to obtain a legibly dated receipt from a
commercial carrier or U.S. Postal Service. Private Metered postmarks
shall not be acceptable as proof of timely mailing.)
3. Hand delivered during the normal working hours of 8 a.m. to 4:30
p.m., Monday through Friday, on or before to the established closing
date to: Administration for Children and Families, Division of
Discretionary Grants, 901 D Street, SW., 6th Floor OFM/DDG, Washington,
DC 20447.
Late Applications: Applications which do not meet the criteria
stated above are considered late applications. The granting agency
shall notify each late applicant that its application will not be
considered in the current competition.
Extension of Deadlines: The granting agency may extend the deadline
for all applicants because of acts of God such as floods, hurricanes,
etc., or when there is a widespread disruption of the mails. However,
if the granting agency does not extend the deadline for all applicants,
it may not waive or extend the deadline for any applicants.
C. Instructions for Preparing the Application and Completing
Application Forms
The SF 424, 424A, 424B, and certifications have been reprinted for
your convenience in preparing the application. See Appendix A. You
should reproduce single-sided copies of these forms from the reprinted
forms in the announcement, typing your information onto the copies.
Please do not use forms directly from the Federal Register
announcement, as they are printed on both sides of the page.
Please prepare your application in accordance with the following
instructions:
1. SF 424 Page 1, Application Cover Sheet
Please read the following instructions before completing the
application cover sheet. An explanation of each item is included.
Complete only the items specified.
Top of Page. Enter the single priority area number under which the
application is being submitted. An application should be submitted
under only one priority area.
Item 1. Type of Submission--Preprinted on the form.
Item 2. Date Submitted and Applicant Identifier--Date application is
submitted to ACYF and applicant's own internal control number, if
applicable.
Item 3. Date Received By State--State use only (if applicable).
Item 4. Date Received by Federal Agency--Leave blank.
Item 5. Applicant Information
Legal Name--Enter the legal name of the applicant organization. For
applications developed jointly, enter the name of the lead organization
only. There must be a single applicant for each application.
Organizational Unit--Enter the name of the primary unit within the
applicant organization which will actually carry out the project
activity. Do not use the name of an individual as the applicant. If
this is the same as the applicant organization, leave the
organizational unit blank.
Address--Enter the complete address that the organization actually
uses to receive mail, since this is the address to which all
correspondence will be sent. Do not include both street address and
P.O. box number unless both must be used in mailing.
Name and telephone number of the person to be contacted on matters
involving this application (give area code)--Enter the full name
(including academic degree, if applicable) and telephone number of a
person who can respond to questions about the application. This person
should be accessible at the address given here and will receive all
correspondence regarding the application.
Item 6. Employer Identification Number (EIN)--Enter the employer
identification number of the applicant organization, as assigned by the
Internal Revenue Service, including, if known, the Central Registry
System suffix.
Item 7. Type of Applicant--Self-explanatory.
Item 8. Type of Application--Preprinted on the form.
Item 9. Name of Federal Agency--Preprinted on the form.
Item 10. Catalog of Federal Domestic Assistance Number and Title--Enter
the Catalog of Federal Domestic Assistance (CFDA) number assigned to
the program under which assistance is requested and its title, as
indicated in the relevant priority area description.
Item 11. Descriptive Title of Applicant's Project--Enter the project
title. The title is generally short and is descriptive of the project,
not the priority area title.
Item 12. Areas Affected by Project--Enter the governmental unit where
significant and meaningful impact could be observed. List only the
largest unit or units affected, such as State, county, or city. If an
entire unit is affected, list it rather than subunits.
Item 13. Proposed Project--Enter the desired start date for the project
and projected completion date.
Item 14. Congressional District of Applicant/Project--Enter the number
of the Congressional district where the applicant's principal office is
located and the number of the Congressional district(s) where the
project will be located. If statewide, a multi-State effort, or
nationwide, enter 00.
Item 15. Estimated Funding Levels
In completing 15a through 15f, the dollar amounts entered should
reflect, for a 17-month or less project period, the total amount
requested. If the proposed project period exceeds 17- months, enter
only those dollar amounts needed for the first 12 months of the
proposed project.
Item 15a. Enter the amount of Federal funds requested in accordance
with the preceding paragraph. This amount should be no greater than the
maximum amount specified in the priority area description.
Items 15b-e. Enter the amount(s) of funds from non-Federal sources that
will be contributed to the proposed project. Items b-e are considered
cost-sharing or matching funds. The value of third party in-kind
contributions should be included on appropriate lines as applicable.
For more information regarding funding as well as exceptions to these
rules, see Part I, Section D, and the specific priority area
description (Part II, Section C).
Item 15f. Enter the estimated amount of income, if any, expected to be
generated from the proposed project. Do not add or subtract this amount
from the total project amount entered under item 15g. Describe the
nature, source and anticipated use of this income in the Project
Narrative Statement.
Item 15g. Enter the sum of items 15a-15e.
Item 16a. Is Application Subject to Review by State Executive Order
12372 Process? Yes.--Enter the date the applicant contacted the SPOC
regarding this application. Select the appropriate SPOC from the
listing provided at the end of Part IV. The review of the application
is at the discretion of the SPOC. The SPOC will verify the date noted
on the application. If there is a discrepancy in dates, the SPOC may
request that the Federal agency delay any proposed funding until
September 1994.
Item 16b. Is Application Subject to Review By State Executive Order
12372 Process? No.--Check the appropriate box if the application is not
covered by E.O. 12372 or if the program has not been selected by the
State for review.
Item 17. Is the Applicant Delinquent on any Federal Debt?--Check the
appropriate box. This question applies to the applicant organization,
not the person who signs as the authorized representative. Categories
of debt include audit disallowances, loans and taxes.
Item 18. To the best of my knowledge and belief, all data in this
application/ preapplication are true and correct. The document has been
duly authorized by the governing body of the applicant and the
applicant will comply with the attached assurances if the assistance is
awarded.--To be signed by the authorized representative of the
applicant. A copy of the governing body's authorization for signature
of this application by this individual as the official representative
must be on file in the applicant's office, and may be requested from
the applicant.
Item 18a-c. Typed Name of Authorized Representative, Title, Telephone
Number--Enter the name, title and telephone number of the authorized
representative of the applicant organization.
Item 18d. Signature of Authorized Representative--Signature of the
authorized representative named in Item 18a. At least one copy of the
application must have an original signature. Use colored ink (not
black) so that the original signature is easily identified.
Item 18e. Date Signed--Enter the date the application was signed by the
authorized representative.
2. SF 424A--Budget Information--Non-Construction Programs
This is a form used by many Federal agencies. For this application,
Sections A, B, C, E and F are to be completed. Section D does not need
to be completed.
Sections A and B should include the Federal as well as the non-
Federal funding for the proposed project covering the first year budget
period.
Section A--Budget Summary. This section includes a summary of the
budget. On line 5, enter total Federal costs in column (e) and total
non-Federal costs, including third party in-kind contributions, but not
program income, in column (f). Enter the total of (e) and (f) in column
(g).
Section B--Budget Categories. This budget, which includes the
Federal as well as non-Federal funding for the proposed project, covers
the first year budget period if the proposed project period exceeds 12
months. It should relate to item 15g, total funding, on the SF 424.
Under column (5), enter the total requirements for funds (Federal and
non-Federal) by object class category.
A separate itemized budget justification for each line item is
required. The types of information to be included in the justification
are indicated under each category. For multiple year projects, it is
desirable to provide this information for each year of the project. The
budget justification should immediately follow the second page of the
SF 424A.
Personnel--Line 6a. Enter the total costs of salaries and wages of
applicant/grantee staff. Do not include the costs of consultants, which
should be included on line 6h, Other.
Justification: Identify the principal investigator or project
director, if known. Specify by title or name the percentage of time
allocated to the project, the individual annual salaries, and the cost
to the project (both Federal and non-Federal) of the organization's
staff who will be working on the project.
Fringe Benefits--Line 6b. Enter the total cost of fringe benefits,
unless treated as part of an approved indirect cost rate.
Justification: Provide a break-down of amounts and percentages that
comprise fringe benefit costs, such as health insurance, FICA,
retirement insurance, etc.
Travel--6c. Enter total costs of out-of-town travel (travel
requiring per diem) for staff of the project. Do not enter costs for
consultant's travel or local transportation, which should be included
on Line 6h, Other.
Justification: Include the name(s) of traveler(s), total number of
trips, destinations, length of stay, transportation costs and
subsistence allowances.
Equipment--Line 6d. Enter the total costs of all equipment to be
acquired by the project. Equipment is defined as non-expendable
tangible personal property having a useful life of more than one year
and an acquisition cost of $5,000 or more per unit.
Justification: Equipment to be purchased with Federal funds must be
justified. The equipment must be required to conduct the project, and
the applicant organization or its subgrantees must not have the
equipment or a reasonable facsimile available to the project. The
justification also must contain plans for future use or disposal of the
equipment after the project ends.
Supplies--Line 6e. Enter the total costs of all tangible expendable
personal property (supplies) other than those included on Line 6d.
Justification: Specify general categories of supplies and their
costs.
Contractual--Line 6f. Enter the total costs of all contracts,
including (1) procurement contracts (except those which belong on other
lines such as equipment, supplies, etc.) and (2) contracts with
secondary recipient organizations, including delegate agencies. Also
include any contracts with organizations for the provision of technical
assistance. Do not include payments to individuals on this line. If the
name of the contractor, scope of work, and estimated total costs are
not available or have not been negotiated, include on Line 6h,
``Other.''
Justification: Attach a list of contractors, indicating the names
of the organizations, the purposes of the contracts, and the estimated
dollar amounts of the awards as part of the budget justification.
Whenever the applicant/grantee intends to delegate part or all of the
program to another agency, the applicant/grantee must complete this
section (Section B, Budget Categories) for each delegate agency by
agency title, along with the supporting information. The total cost of
all such agencies will be part of the amount shown on Line 6f. Provide
backup documentation identifying the name of contractor, purpose of
contract, and major cost elements. Applicants who anticipate
procurements that will exceed $5,000 (non-governmental entities) or
$25,000 (governmental entities) and are requesting an award without
competition should include a sole source justification in the proposal
which at a minimum should include the basis for contractor's selection,
justification for lack of competition when competitive bids or offers
are not obtained and basis for award cost or price.
(Note: Previous or past experience with a contractor is not
sufficient justification for sole source.)
Construction--Line 6g. Not applicable. New construction is not
allowable.
Other--Line 6h. Enter the total of all other costs. Where
applicable, such costs may include, but are not limited to: insurance;
medical and dental costs; noncontractual fees and travel paid directly
to individual consultants; local transportation (all travel which does
not require per diem is considered local travel); space and equipment
rentals; printing and publication; computer use; training costs,
including tuition and stipends; training service costs, including wage
payments to individuals and supportive service payments; and staff
development costs. Note that costs identified as ``miscellaneous'' and
honoraria are not allowable.
Justification: Specify the costs included.
Total Direct Charges--Line 6i. Enter the total of Lines 6a through
6h.
Indirect Charges--6j. Enter the total amount of indirect charges
(costs). If no indirect costs are requested, enter none. Generally,
this line should be used when the applicant (except local governments)
has a current indirect cost rate agreement approved by the Department
of Health and Human Services or another Federal agency.
Local and State governments should enter the amount of indirect
costs determined in accordance with HHS requirements. When an indirect
cost rate is requested, these costs are included in the indirect cost
pool and should not be charged again as direct costs to the grant.
Justification: Enclose a copy of the indirect cost rate agreement.
Total--Line 6k. Enter the total amounts of lines 6i and 6j.
Program Income--Line 7. Enter the estimated amount of income, if
any, expected to be generated from this project. Do not add or subtract
this amount from the total project amount.
Justification: Describe the nature, source, and anticipated use of
program income in the Program Narrative Statement.
Section C--Non-Federal Resources. This section summarizes the
amounts of non-Federal resources that will be applied to the grant.
Enter this information on line 12 entitled Totals. In-kind
contributions are defined in 45 CFR 74.51 and 45 CFR 92.3, as property
or services which benefit a grant-supported project or program and
which are contributed by non-Federal third parties without charge to
the grantee, the subgrantee, or a cost-type contractor under the grant
or subgrant.
Justification: Describe third party in-kind contributions, if
included.
Section D--Forecasted Cash Needs. Not applicable.
Section E--Budget Estimate of Federal Funds Needed For Balance of
the Project. This section should only be completed if the total project
period exceeds 12 months.
Totals--Line 20. For projects that will have more than one budget
period, enter the estimated required Federal funds for the second
budget period (months 13 through 24) under column (b) First. If a third
budget period will be necessary, enter the Federal funds needed for
months 25 through 36 under (c) Second. Columns (d) and (e) are not
applicable in most instances, since ACF funding is almost always
limited to a three-year maximum project period. Columns (d) and (e)
would be used in the case of a 60 month project.
Section F--Other Budget Information.
Direct Charges--Line 21. Not applicable.
Indirect Charges--Line 22. Enter the type of indirect rate
(provisional, predetermined, final or fixed) that will be in effect
during the funding period, the estimated amount of the base to which
the rate is applied, and the total indirect expense.
Remarks--Line 23. If the total project period exceeds 12 months,
you must enter your proposed non-Federal share of the project budget
for each of the remaining years of the project.
3. Project Summary Description
Clearly mark this separate page with the applicant name as shown in
item 5 of the SF 424, the priority area number as shown at the top of
the SF 424, and the title of the project as shown in item 11 of the SF
424. The summary description should not exceed 300 words. These 300
words become part of the computer database on each project.
Care should be taken to produce a summary description which
accurately and concisely reflects the proposal. It should describe the
objectives of the project, the approaches to be used and the outcomes
expected. The description should also include a list of major products
that will result from the proposed project, such as software packages,
materials, management procedures, data collection instruments, training
packages, or videos (please note that audiovisuals should be closed
captioned). The project summary description, together with the
information on the SF 424, will constitute the project abstract. It is
the major source of information about the proposed project and is
usually the first part of the application that the reviewers read in
evaluating the application.
At the bottom of the page, following the summary description, type
up to 10 key words which best describe the proposed project, the
service(s) involved and the target population(s) to be covered. These
key words will be used for computerized information retrieval for
specific types of funded projects.
4. Program Narrative Statement
The Program Narrative Statement is a very important part of an
application. It should be clear, concise, and address the specific
requirements mentioned under the priority area description in Part II.
The narrative should provide information concerning how the
application meets the evaluation criteria (see Section C, Part III),
using the following headings:
(a) Objectives and Need for Assistance;
(b) Results and Benefits Expected;
(c) Approach; and
(d) Staff Background and Organization's Experience.
The specific information to be included under each of these
headings is described in Section C of Part III, Evaluation Criteria.
The narrative should be typed double-spaced on a single-side of an
8\1/2\ x 11 plain white paper, with one inch margins on all sides. All
pages of the narrative (including charts, references/footnotes, tables,
maps, exhibits, etc.) must be sequentially numbered, beginning with
Objectives and Need for Assistance as page number one. Applicants
should not submit reproductions of larger size paper, reduced to meet
the size requirement.
The length of the application, including the application forms and
all attachments, should not exceed 60 pages. A page is a single side of
an 8\1/2\ x 11 sheet of paper. Applicants are requested not to send
pamphlets, brochures or other printed material along with their
application as these pose xeroxing difficulties. These materials, if
submitted, will not be included in the review process if they exceed
the 60-page limit. Each page of the application will be counted to
determine the total length.
5. Organizational Capability Statement
The Organizational Capability Statement should consist of a brief
(two to three pages) background description of how the applicant
organization (or the unit within the organization that will have
responsibility for the project) is organized, the types and quantity of
services it provides, and/or the research and management capabilities
it possesses. This description should cover capabilities not included
in the Program Narrative Statement. It may include descriptions of any
current or previous relevant experience, or describe the competence of
the project team and its demonstrated ability to produce a final
product that is readily comprehensible and usable. An organization
chart showing the relationship of the project to the current
organization should be included.
6. Part IV--Assurances/Certifications
Applicants are required to file an SF 424B, Assurances--Non-
Construction Programs and the Certification Regarding Lobbying. Both
must be signed and returned with the application. In addition,
applicants must certify their compliance with: (1) Drug-Free Workplace
Requirements; and (2) Debarment and Other Responsibilities. Copies of
these assurances/certifications are reprinted at the end of this
announcement and should be reproduced, as necessary. A duly authorized
representative of the applicant organization must certify that the
applicant is in compliance with these assurances/certifications. A
signature on the SF 424 indicates compliance with the Drug Free
Workplace Requirements, and Debarment and Other Responsibilities
certifications.
D. Checklist for a Complete Application
The checklist below is for your use to ensure that your application
package has been properly prepared.
--One original, signed and dated application, plus two copies.
Applications for different priority areas are packaged separately;
--Application is from an organization which is eligible under the
eligibility requirements defined in the priority area description
(screening requirement);
--Application length does not exceed 60 pages, unless otherwise
specified in the priority area description.
A complete application consists of the following items in this
order:
--Application for Federal Assistance (SF 424, REV 4-88);
--A completed SPOC certification with the date of SPOC contact entered
in line 16, page 1 of the SF 424;
--Budget Information--Non-Construction Programs (SF 424A, REV 4-88);
--Budget justification for Section B--Budget Categories;
--Table of Contents;
--Letter from the Internal Revenue Service to prove non-profit status,
if necessary;
--Copy of the applicant's approved indirect cost rate agreement, if
appropriate;
--Project summary description and listing of key words;
--Program Narrative Statement (See Part III, Section C);
--Organizational capability statement, including an organization chart;
--Any appendices/attachments;
--Assurances--Non-Construction Programs (Standard Form 424B, REV 4-88);
--Certification Regarding Lobbying; and
--Certification of Protection of Human Subjects, if necessary.
E. The Application Package
Each application package must include an original and two copies of
the complete application. Each copy should be stapled securely (front
and back if necessary) in the upper left-hand corner. All pages of the
narrative (including charts, tables, maps, exhibits, etc.) must be
sequentially numbered, beginning with page one. In order to facilitate
handling, please do not use covers, binders or tabs. Do not include
extraneous materials as attachments, such as agency promotion
brochures, slides, tapes, film clips, minutes of meetings, survey
instruments or articles of incorporation.
Do not include a self-addressed, stamped acknowledgment card. All
applicants will be notified automatically about the receipt of their
application. If acknowledgment of receipt of your application is not
received within eight weeks after the deadline date, please notify ACYF
by telephone at (202) 690-7016.
Dated: April 13, 1993.
Olivia A. Golden,
Commissioner, Administration on Children, Youth and Families.
BILLING CODE 4184-01-P
TN19AP94.001
BILLION CODE 4184-01-C
Instructions for the SF 424
This is a standard form used by applicants as a required
facesheet for preapplications and applications submitted for Federal
assistance. It will be used by Federal agencies to obtain applicant
certification that States which have established a review and
comment procedure in response to Executive Order 12372 and have
selected the program to be included in their process, have been
given an opportunity to review the applicant's submission.
Item and Entry
1. Self-explanatory.
2. Date application submitted to Federal agency (or State if
applicable) & applicant's control number (if applicable).
3. State use only (if applicable).
4. If this application is to continue or revise an existing
award, enter present Federal identifier number. If for a new
project, leave blank.
5. Legal name of applicant, name of primary organizational unit
which will undertake the assistance activity, complete address of
the applicant, and name and telephone number of the person to
contact on matters related to this application.
6. Enter Employer Identification Number (EIN) as assigned by the
Internal Revenue Service.
7. Enter the appropriate letter in the space provided.
8. Check appropriate box and enter appropriate letter(s) in the
space(s) provided:
--``New'' means a new assistance award.
--``Continuation'' means an extension for an additional funding/
budget period for a project with a projected completion date.
--``Revision'' means any change in the Federal Government's
financial obligation or contingent liability from an existing
obligation.
9. Name of Federal agency from which assistance is being
requested with this application.
10. Use the Catalog of Federal Domestic Assistance number and
title of the program under which assistance is requested.
11. Enter a brief descriptive title of the project. If more than
one program is involved, you should append an explanation on a
separate sheet. If appropriate (e.g., construction or real property
projects), attach a map showing project location. For
preapplications, use a separate sheet to provide a summary
description of this project.
12. List only the largest political entities affected (e.g.,
State, counties, cities).
13. Self-explanatory.
14. List the applicant's Congressional District and any
District(s) affected by the program or project.
15. Amount requested or to be contributed during the first
funding/budget period by each contributor. Value of in-kind
contributions should be included on appropriate lines as applicable.
If the action will result in a dollar change to an existing award,
indicate only the amount of the change. For decreases, enclose the
amounts in parentheses. If both basic and supplemental amounts are
included, show breakdown on an attached sheet. For multiple program
funding, use totals and show breakdown using same categories as item
15.
16. Applicants should contact the State Single Point of Contact
(SPOC) for Federal Executive Order 12372 to determine whether the
application is subject to the State intergovernmental review
process.
17. This question applies to the applicant organization, not the
person who signs as the authorized representative. Categories of
debt include delinquent audit disallowances, loans and taxes.
18. To be signed by the authorized representative of the
applicant. A copy of the governing body's authorization for you to
sign this application as official representative must be on file in
the applicant's office. (Certain Federal agencies may require that
this authorization be submitted as part of the application.)
BILLING CODE 4184-01-P
TN19AP94.002
TN19AP94.003
BILLING CODE 4184-01-C
Instructions for the SF-424A
General Instructions
This form is designed so that application can be made for funds
from one or more grant programs. In preparing the budget, adhere to
any existing Federal grantor agency guidelines which prescribe how
and whether budgeted amounts should be separately shown for
different functions or activities within the program. For some
programs, grantor agencies may require budgets to be separately
shown by function or activity. For other programs, grantor agencies
may require a breakdown by function or activity. Sections A, B, C
and D should include budget estimates for the whole project except
when applying for assistance which requires Federal authorization in
annual or other funding period increments. In the latter case,
Sections A, B, C, and D should provide the budget for the first
budget period (usually a year) and Section E should present the need
for Federal assistance in the subsequent budget periods. All
applications should contain a breakdown by the object class
categories shown in Lines a-k of Section B.
Section A. Budget Summary
Lines 1-4, Columns (a) and (b).
For applications pertaining to a single Federal grant program
(Federal Domestic Assistance Catalog number) and not requiring a
functional or activity breakdown, enter on Line 1 under Column (a)
the catalog program title and the catalog number in Column (b).
For applications pertaining to a single program requiring budget
amounts by multiple functions or activities, enter the name of each
activity or function on each line in Column (a), and enter the
catalog number in Column (b). For applications pertaining to
multiple programs where none of the programs require a breakdown by
function or activity, enter the catalog program title on each line
in Column (a) and the respective catalog number on each line in
Column (b).
For applications pertaining to multiple programs where one or
more programs require a breakdown by function or activity, prepare a
separate sheet for each program requiring the breakdown. Additional
sheets should be used when one form does not provide adequate space
for all breakdown of data required. However, when more than one
sheet is used, the first page should provide the summary totals by
programs.
Lines 1-4, Columns (c) through (g).
For new applications, leave Columns (c) and (d) blank. For each
line entry in Columns (a) and (b), enter in Columns (e), (f), and
(g) the appropriate amounts of funds needed to support the project
for the first funding period (usually a year).
For continuing grant program applications, submit these forms
before the end of each funding period as required by the grantor
agency. Enter in Columns (c) and (d) the estimated amounts of funds
which will remain unobligated at the end of the grant funding period
only if the Federal grantor agency instructions provide for this.
Otherwise, leave these columns blank. enter in columns (e) and (f)
the amounts of funds needed for the upcoming period. The amount(s)
in Column (g) should be the sum of amounts in Columns (e) and (f).
For supplemental grants and changes to existing grants, do not
use Columns (c) and (d). Enter in Column (e) the amount of the
increase or decrease of Federal funds and enter in Column (f) the
amount of the increase or decrease of non-Federal funds. In Column
(g) enter the new total budgeted amount (Federal and non-Federal)
which includes the total previous authorized budgeted amounts plus
or minus, as appropriate, the amounts shown in Columns (e) and (f).
The amount(s) in Column (g) should not equal the sum of amounts in
Columns (e) and (f).
Line 5--Show the totals for all columns used.
Section B. Budget Categories
In the column headings (1) through (4), enter the titles of the
same programs, functions, and activities shown on Lines 1-4, Column
(a), Section A. When additional sheets are prepared for Section A,
provide similar column headings on each sheet. For each program,
function or activity, fill in the total requirements for funds (both
Federal and non-Federal) by object class categories.
Line 6a-i--Show the totals of Lines 6a to 6h in each column.
Line 6k--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 or
decrease as shown in Columns (1)-(4), Line 6k should be the same as
the sum of 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
shown in Column (a), Section A. A breakdown by function or activity
is not necessary. For new applications and continuation grant
applications, enter in the proper columns amounts of Federal funds
which will be needed to complete the program or project over the
succeeding funding periods (usually in years). This section need not
be completed for revisions (amendments, changes, or supplements) to
funds for the current year of existing grants.
If more than four lines are needed to list the program titles,
submit additional schedules as necessary.
Line 20--Enter the total for each of the Columns (b)-(e). When
additional schedules are prepared for this Section, annotate
accordingly and 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 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. 1505-1508 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 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
Appendix B--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
Colorado
State Single Point of Contact, State Clearinghouse, Division of
Local Government, 1313 Sherman Street, Room 520, Denver, Colorado
80203, Telephone (303) 866-2156
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, NW., Suite 500,
Washington, DC 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, SW., 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. Joynce 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: Intergovernmetnal 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, 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
ND 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
South Dakota
Ms. Susan Comer, State Clearinghouse Coordinator, Office of the
Governor, 500 East Capitol, Pierre, South Dakota 57501, Telephone
(605) 773-3212
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
BILLING CODE 4184-01-P
TN19AP94.004
TN19AP94.005
BILLING CODE 4184-01-C
Appendix--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
principles:
(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 indicated or otherwise criminally or
civilly charged by a governmental entity (Federal, State of local)
with commission of any of the offenses enumbered 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.
Certification Regarding Lobbying
Certification for Contracts, Grants, Loans, and Cooperative
Agreements
The undersigned certifies, to the best of his or her knowledge
and belief, that:
(1) No Federal appropriated funds have been paid or will be
paid, by or on behalf of the undersigned, to any person for
influencing or attempting to influence an officer or employee of any
agency, a Member of Congress, an officer or employee of Congress, or
an employee of a Member of Congress in connection with the awarding
of any Federal contract, the making of any Federal grant, the making
of any Federal loan, the entering into of any cooperative agreement,
and the extension, continuation, renewal, amendment, or modification
of any Federal contract, grant, loan, or cooperative agreement.
(2) If any funds other than Federal appropriated funds have been
paid or will be paid to any person for influencing or attempting to
influence an officer or employee of any agency, a Member of
Congress, an officer or employee of Congress, or an employee of a
Member of Congress in connection with this Federal contract, grant,
loan or cooperative agreement, the undersigned shall complete and
submit Standard Form-LLL, ``Disclosure Form to Report Lobbying,'' in
accordance with its instructions.
(3) The undersigned shall require that the language of this
certification be included in the award documents for all subawards
at all tiers (including subcontracts, subgrants, and contracts under
grants, loans, and cooperative agreements) and that all
subrecipients shall certify and disclose accordingly.
This certification is a material representation of fact upon
which reliance was placed when this transaction was made or entered
into. Submission of this certification is a prerequisite for making
or entering into this transaction imposed by section 1352, title 31,
U.S. Code. Any person who fails to file the required certification
shall be subject to a civil penalty of not less than $10,000 and not
more than $100,000 for each such failure.
State for Loan Guarantee and Loan Insurance
The undersigned states, to the best of his or her knowledge and
belief, that:
If any funds have been paid or will be paid to any person for
influencing or attempting to influence an officer or employee of any
agency, a Member of Congress, an officer or employee of Congress, or
an employee of a Member of Congress in connection with this
commitment providing for the United States to insure or guarantee a
loan, the undersigned shall complete and submit Standard Form-LLL
``Disclosure Form to Report Lobbying,'' in accordance with its
instructions.
Submission of this statement is a prerequisite for making or
entering into this transaction imposed by section 1352, title 31,
U.S. Code. Any person who fails to file the required statement shall
be subject to a civil penalty of not less than $10,000 and not more
than $100,000 for each such failure.
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Signature
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Title
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Organization
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Date
BILLING CODE 4184-01-P
TN19AP94.006
[FR Doc. 94-9276 Filed 4-18-94; 8:45 am]
BILLING CODE 4184-01-C
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Administration on Aging
White House Conference on Aging; Recognition of Activities;
Extension of Recognition Period
AGENCY: White House Conference on Aging, AoA, HHS.
ACTION: Notice; extension of recognition period.
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SUMMARY: The 1995 White House Conference on Aging (WHCOA) published a
document in the Federal Register on March 17, 1994, page 12609,
announcing its intention to recognize local and regional activities,
events and programs developed by outside organizations during 1994. The
WHCOA is extending the period for recognition to April 30, 1995.
FOR FURTHER INFORMATION CONTACT:
Judy Satine, White House Conference on Aging, 501 School St. SW., 8th
floor, Washington, DC 20024, 202-245-7826.
Fernando M. Torres-Gil,
Assistant Secretary for Aging.
[FR Doc. 94-9423 Filed 4-18-94; 8:45 am]
BILLING CODE 4130-02-M
