[Federal Register Volume 59, Number 67 (Thursday, April 7, 1994)]
[Unknown Section]
[Page 0]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 94-8275]
[[Page Unknown]]
[Federal Register: April 7, 1994]
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Part V
Department of Health and Human Services
_______________________________________________________________________
Office of Community Services
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Fiscal Year 1994 Job Opportunities for Low-Income Individuals Program
(Demonstration Projects); Request for Applications; Notice
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Office of Community Services
[Program Announcement No. OCS-94-01]
Request for Applications Under the Office of Community Services'
Fiscal Year 1994 Job Opportunities for Low-Income Individuals Program
(Demonstration Projects)
AGENCY: Administration for Children and Families (ACF), DHHS.
ACTION: Announcement of availability of funds and request for
applications under the Office of Community Services' FY 1994 Job
Opportunities for Low-Income Individuals Programs (Demonstration
Projects).
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SUMMARY: The Administration for Children and Families (ACF), Office of
Community Services (OCS), announces that competing applications will be
accepted for new grants pursuant to the Secretary's discretionary
authority under section 505 of the Family Support Act of 1988.
CLOSING DATE: The closing date for submission of applications is June
6, 1994.
FOR FURTHER INFORMATION CONTACT: Office of Community Services,
Administration for Children and Families, 370 L'Enfant Promenade SW.,
Washington, DC 20447, Telephone (202) 401-9233, Contact: Nolan Lewis.
Table of Contents
Part I--Preamble
A. Legislative Authority
B. Eligible Applicants
C. Definition of Terms
D. Purpose of the Job Opportunities for Low-Income Individuals
Program (JOLI)
Part II--Program Priority Area
A. General Projects 1.0
B. Community Development Corporations Set-aside 2.0
Part III--Application Requirements
A. Background Information
1. Availability of Funds and Grant Amounts
2. Project and Budget Periods
3. Mobilization of Resources
4. Program Participants/Beneficiaries
5. Cooperative Partnership Agreement
6. Prohibition and Restrictions on the Use of Funds
7. Multiple Submittals
8. Third-Party Evaluation
9. Economic Development Strategy
10. Maintenance of Effort
Part IV--Application Review Process
A. Criteria for Review and Assessment of Applications in Priority
Areas 1.0 and 2.0
Part V--Application Procedures and Selection Process
A. Availability of Forms
B. Application Submission
C. Intergovernmental Review
D. Application Consideration or OCS Specific Requirements
E. Criteria for Screening Applications
Part VI--Instructions for Completing the SF-424
A. SF-424--``Application for Federal Assistance''
B. SF-424A--``Budget Information-NonConstruction Programs''
C. SF-424B--``Assurances-Non-Construction''
Part VII--Contents of Application and Receipt Process
A. Contents and Order of Application
B. Acknowledgement of Receipt
Part VIII--Post Award Information and Reporting Requirements
Part I--Preamble
A. Legislative Authority
The Senate Committee on Appropriations, in its recommendations,
provides $5,500,000 for job creation demonstration activities
authorized under section 505 of the Family Support Act of 1988, Public
Law 100-485. Sen. Rep. No. 143, 103d Cong., 1st Sess. 170 (1993).
Section 505 of the Family Support Act of 1988 authorizes the Secretary
to enter into agreements with not less than 5 nor more than 10 non-
profit organizations (including community development corporations) for
the purpose of conducting demonstration projects to create employment
and business opportunities for certain low-income individuals.
B. Eligible Applicants
The organizations eligible to apply for funding under this program
is any non-profit organization (including community development
corporations) that is exempt from taxation under section 501(a) of the
Internal Revenue Code of 1986 by reason of paragraph (3) or (4) of
section 501(c) of such Code. Applicants must provide documentation of
their tax exempt status. Any of the following is acceptable evidence of
non-profit status: (1) A copy of the applicant organization's list in
the Internal Revenue Service's most recent list of tax-exempt
organizations described in section 501(c)(3) of the IRS code; or (2) a
copy of the currently valid IRS tax exemption certificate. Failure to
provide evidence of non-profit status will result in rejection of the
application.
C. Definition of Terms
For purposes of this Program Announcement the following definitions
apply:
--Budget Period: The interval of time into which a multi-year period of
assistance (project period) is divided for budgetary and funding
purposes.
--Community-Level Data: Key information to be collected by each grantee
that will allow for a national-level analysis of common features of
JOLI projects. This includes data on the population of the target area,
the percentage on public assistance, the percentage whose incomes fall
below the poverty line, the unemployment rate, the number of new
business starts and business closings, and a description of the major
employers and average wage rates.
--Community Development Corporation: A private, locally initiated,
nonprofit entity, governed by a board consisting of residents of the
community and business and civic leaders, which has a record of
implementing economic development projects or whose Articles of
Incorporation and/or By-Laws indicate that it has a focus in the area
of economic development.
--Hypothesis: An assumption made in order to test its validity. It
should assert a cause-and-effect relationship between a program
intervention and its expected result. Both the intervention and result
must be measured in order to confirm the hypothesis. For example:
Eighty hours of classroom training in small business planning will be
sufficient for participants to prepare a successful loan application.
In this example, data would be obtained on the number of hours of
training actually received by participants (the intervention), and the
quality of loan applications (the result).
--Intervention: Any planned activity within a project that is intended
to produce changes in the target population and/or the environment and
can be formally evaluated. For example, assistance in the preparation
of a business plan and loan package are planned interventions.
--Job Creation: To bring about, by activities and services funded under
this program, new jobs. Jobs that were not in existence before the
start of the project. These activities can include self-employment/
entrepreneurial training, the development of new businesses or the
expansion of existing businesses.
--Non-profit Organizations: Any organization (including a community
development corporation) exempt from taxation under section 501(a) of
the Internal Revenue Code of 1986 by reason of paragraph (3) or (4) of
section 501(c) of such Code.
--Private employers: Third-party private non-profit organizations or
third-party for-profit businesses operating in the same community as
the applicant.
--Process Evaluation: The ongoing examination of the implementation of
a program. It focuses on the effectiveness and efficiency of the
program's activities and interventions (for example, methods of
recruiting participants, quality of training activities, or usefulness
of follow-up procedures). It should answer questions such as: Who is
receiving what services?, are the services being delivered as planned?,
and are client competencies improving? It is also known as formative
evaluation because it gathers information that can be used to improve
the way a program operates while the program is in progress.
--Program Participant/Beneficiary: Any individual eligible to receive
Aid to Families with Dependent Children under Part A of Title IV of the
Social Security Act and any other individual whose income level does
not exceed 100 percent of the official poverty line as found in the
most recent Annual Revision of Poverty Income Guidelines published by
the Department of Health and Human Services. (See Attachment A.)
--Project Period: The total time a project is approved for support,
including any extensions.
--Self-Sufficiency: A condition where an individual or family, by
reason of employment, does not need and is not eligible for public
assistance.
D. Purpose
The purpose of this program is to demonstrate and evaluate ways of
creating new employment and business opportunities for certain low-
income individuals through the provision of technical and financial
assistance to private employers in the community, self-employment/
micro-enterprise programs and/or new business development programs. A
low-income individual eligible to participate in a project conducted
under this program is any individual eligible to receive Aid to
Families with Dependent Children (AFDC) under Part A of Title IV of the
Social Security Act and any other individual whose income level does
not exceed 100 percent of the official poverty line. (See Attachment
A.) Within these categories, emphasis should be on individuals who are
unemployed, those residing in public housing, and those who are
homeless.
Part II--Program Priority Areas
A. General Projects 1.0
The Congressional Conference Report on the FY 1992 appropriations
for the Department of Labor, Health and Human Services, and Education
and related agencies directs the ACF to require economic development
strategies as part of the application process to ensure that highly
qualified organizations participate in the demonstration. H.R. Conf.
Rep. No. 282, 102d Cong., 1st Sess. 39 (1991). These strategies should
include descriptions of how projects financed and jobs created under
this program will be integrated into a larger effort to promote job and
business opportunities for eligible program participants. Proposed
projects should demonstrate how their program will impact the overall
community/communities served by the applicant. OCS will only fund
projects that create new jobs and/or business opportunities for
eligible program participants. Projects funded under this program must
demonstrate how the proposed project will enhance the participants'
ability and skills in their progress toward self-sufficiency.
Therefore, proposed projects must show promise toward progress of
achieving self-sufficiency among the target population. OCS expects
that the jobs and/or business/self employment opportunities to be
created under this program will contribute to the goal of self-
sufficiency. The employment opportunities should provide hourly wages
that exceed the minimum wage and also provide benefits such as health
insurance, transportation, child care, career development
opportunities, etc.
Applicants must show that the proposed project will create a
significant number of new full-time permanent jobs through the
expansion of a pre-identified business or new business development and
by providing opportunities for self-employment to eligible
participants.
While projected employment in future years may be included in the
application, it is essential that the focus of employment opportunities
concentrate on new full-time, permanent jobs to be created during the
duration of the grant project period and/or on the creation of new
business development opportunities for low-income individuals.
In creating self-employment business opportunities for eligible
participants, the applicant must detail how it will provide training
and support services to potential entrepreneurs. The assistance to be
provided to potential entrepreneurs must include, at a minimum,
technical assistance in basic business planning and management
concepts, and assistance in preparing a business plan (see Part IV,
Criterion III for requirements) and loan application.
Any funds that are used for training purposes must be limited to
providing specific job-related training to eligible participants who
have been selected for employment (expansion of an existing business or
new business development) and/or self-employment business
opportunities.
In the review process, favorable consideration will be given to
applicants with a demonstrated record of achievement in promoting job
and enterprise opportunities for low-income people. Favorable
consideration also will be given to those applicants who show the
lowest cost-per-job created for low-income individuals. For this
program, OCS views $15,000 as the maximum amount for the creation of a
job and, unless there are extenuating circumstances, will not fund
projects where the cost-per-job in OCS funds exceeds this amount. Only
those jobs created and filled by low-income people will be counted in
the cost-per-job formula. (See Part IV, Criterion IV)
Technical assistance should be specifically addressed to the needs
of the private employer in creating new jobs to be filled by eligible
individuals and/or to the individuals themselves such as skills
training, job preparation, self-esteem building, etc. Financial
assistance may be provided to the private employer as well as the
individual.
If the technical and/or financial assistance is to be provided to
pre-identified businesses that will be expanded or franchised, written
comments from the businesses must be included with the application.
The creation of a revolving loan fund with funds received under
this program is an allowable activity. However, OCS encourages the use
of funds from other sources for this purpose. Points will be awarded in
the review process to those applicants who leverage funds from other
sources. (See Part IV, Criterion VI.) Loans made to eligible
beneficiaries for business development activities must be at or below
market rate.
(Note: Interest accrued on revolving loan funds may be used to
continue or expand the activities of the approved project.)
Grant funds received under this program may not be used for
construction.
A formal, cooperative relationship between the applicant and the
agency responsible for administering the Job Opportunities and Basic
Skills (JOBS) training program (as provided for under title IV-A of the
Social Security Act) in the area served by the project is a requirement
for funding. The application must include a signed, written agreement
between the applicant and the local JOBS agency, or a letter of
commitment (contingent only on receipt of OCS funds). The agreement
must describe the cooperative relationship, including specific
activities and/or actions each of these entities propose to carry out
over the course of the grant period in support of the project.
The agreement, at a minimum, must cover activities that will be
provided to the target population and which are related to one or more
of the mandatory or optional components offered by the appropriate
State's JOBS program. The mandatory activities offered by the States'
JOBS programs consist of the following components: Basic education
activities, job skills training, job readiness activities, job
development and job placement. The optional components offered by the
States' JOBS programs include: Group and individual job search
counseling and training on job seeking skills; on-the-job-training;
work supplementation; and community work experience. (See Attachment I
for a list of the State JOBS agencies.)
Projects also must include an independent, methodologically sound
evaluation of the effectiveness of the activities carried out with the
grant funds in creating new jobs and business opportunities. (See Part
IV, Criterion V).
Applications should include a plan for disseminating the results of
the project after expiration of the grant period. Applicants may budget
up to $1,000 for dissemination purposes.
Priority will be given to applications proposing to serve those
areas containing the highest percentage of individuals receiving Aid to
Families with Dependent Children under Title IV-A of the Social
Security Act. (See Part IV, Criterion II.)
B. Community Development Corporations Set-Aside 2.0
For Fiscal Year 1994, a set-aside fund of $1 million will be
included for community development corporations. A community
development corporation for purposes of this set-aside fund is a
private, non-profit entity which has a record of implementing economic
development projects or, whose Articles of Incorporation and/or By-Laws
indicate that it has a focus in the area of economic development, and
which has a tax exempt determination under Section 501(a) of the
Internal Revenue Code of 1986 by reason of paragraph (3) or (4) of
Section 501(c) of such code.
Such projects must conform to the purposes, requirements, and
prohibitions applicable to those submitted under Part II, General
Projects 1.0.
Applications for these set-aside funds which are not funded due to
the limited amount of funds available will also be considered
competitively within the larger pool of eligible applicants.
Part III--Application Requirements
A. Background Information
1. Availability of Funds and Grant Amounts
The Office of Community Services expects to award approximately
$5,500,000 by September 30, 1994 for new grants under this program.
A maximum of $500,000 for the entire multi-year project period will
be awarded to selected organizations under this program in FY 94. OCS
will award no less than 5 and no more than 10 grants under this
program. Due to the limited number of grants available under this
program, only one grant will be allowed to any organization.
2. Project and Budgets Periods
Project and budget periods will be 36 months. Full funding of the
three-year project and budget periods in FY 94 assures stability for
these 36 months.
3. Mobilization of Resources
OCS will give favorable consideration in the review process to
applicants who mobilize cash and/or third-party in-kind contributions
for direct use in the project. (See Part IV, Criterion VI.)
4. Program Participants/Beneficiaries
Projects proposed for funding under this announcement must result
in direct benefits to low-income people as defined in the most recent
Annual Revision of Poverty Income Guidelines published by DHHS and
individuals eligible to receive Aid to Families with Dependent Children
under Part A of title IV of the Social Security Act.
Attachment A to this announcement is an excerpt from the guidelines
currently in effect. Annual revisions of these guidelines are normally
published in the Federal Register in February or early March of each
year. Grantees will be required to apply the most recent guidelines
throughout the project period. These revised guidelines also may be
obtained at public libraries, Congressional offices, or by writing the
Superintendent of Documents, U.S. Government Printing Office,
Washington, DC 20402.
No other government agency or privately-defined poverty guidelines
are applicable for the determination of low-income eligibility for this
program.
5. Cooperative Partnership Agreement
A signed written agreement or letter of commitment between the
applicant and the local JOBS (welfare) agency must be submitted with
the application in order to be reviewed and evaluated competitively.
The agreement/letter must describe the cooperative relationship and
include specific activities and/or actions that each of the entities
proposes to carry out over the course of the grant period in support of
the project. (Please review PART II, General Projects 1.0 for
additional specific information related to this agreement.)
6. Prohibition and Restrictions on the Use of Funds
The use of funds for new construction or the purchase of real
property is prohibited. Costs incurred for rearrangement and alteration
of facilities required specifically for the grant program are allowable
when specifically approved by ACF in writing.
If the applicant is proposing a project which will affect a
property listed in, or eligible for inclusion in the National Register
of Historic Places, it must identify this property in the narrative and
explain how it has complied with the provisions of section 106 of the
National Historic Preservation Act of 1966 as amended. If there is any
question as to whether the property is listed in or eligible for
inclusion in the National Register of Historic Places, the applicant
should consult with the State Historic Preservation Officer. (See
Attachment D: SF-424B, Item 13 for additional guidelines.) The
applicant should contact OCS early in the development of its
application for instructions regarding compliance with the Act and data
required to be submitted to the Department of Health and Human
Services. Failure to comply with the cited Act must result in the
application being ineligible for funding consideration.
7. Multiple Submittals
Due to the limited number of grants which will be made under this
program, only one proposal from an eligible applicant will be funded by
OCS for either the general project fund or the community development
corporation set-aside fund.
8. Refunding
OCS will not provide refunding to a previously funded grantee to
conduct the same demonstration in the same target area.
9. Third-Party Project Evaluation
Projects also must include an independent, methodologically sound
evaluation of the effectiveness of the activities carried out with the
grant in creating new jobs and business opportunities.
10. Economic Development Strategy
Applicants must include an economic development strategy in
accordance with the legislative reference cited in Part II, Section A.
11. Maintenance of Effort
The application must include an assurance that activities funded
under this program announcement are in addition to, and not in
substitution for, activities previously carried on without Federal
assistance.
Part IV--Application Review Process
Applications which pass the pre-rating review will be assessed and
scored by reviewers. Each reviewer will give a numerical score for each
application reviewed. These numerical scores will be supported by
explanatory statements on a formal rating form describing major
strengths and weaknesses under each applicable criterion published in
the announcement.
The in-depth assessment and review process will use the following
criteria coupled with the specific requirements described in Part III.
Scoring will be based on a total of 100 points.
(Note: the following review criteria reiterate the collection of
information requirements contained in Part VI of this announcement.
These requirements are approved under OMB Control Number 0970-0062
expiration 09-30-95.)
A. Criteria for Review and Assessment of Applications in Priority Areas
1.0 and 2.0
Criterion I: Organizational Experience in Program Area and Staff
Responsibilities (Maximum: 15 Points)
(i) Agency's Commitment and Experience in Program Area
The application includes documentation which summarizes two similar
projects undertaken by the applicant agency and the extent to which the
stated and achieved performance targets, including permanent benefits
to low-income populations, have been achieved. Application indicates
how the agency will verify the extent to which the performance targets
are achieved in this project. Application notes and justifies the
priority that this project will have within the agency including the
facilities and resources that it has available to carry out the
project. In addition, the application describes how the job creation
activities planned in this project relate to the job creation
activities of the agency and how this project will continue without
investment from this source.
(Note: The maximum number of points will be given only to those
organizations with a demonstrated record of achievement in promoting
job creation and enterprise opportunities for low-income people.)
(ii) Staff Skills, Resources and Responsibilities
The application must profile two or three individuals who will have
the most responsibility for shaping the project, connecting it to
customers, and achieving performance targets. The focus should be on
the energy, capacity and commitment of those persons who will implement
the project. Because this is a demonstration project within an already-
established agency, OCS expects that the key staff person(s) would be
identified, if not hired.
The application must include the minimum qualifications and a
position description for the third-party evaluator (independent entity,
i.e. an entity organizationally distinct from, and not under the
control of the applicant). A third-party evaluator must have knowledge
about and have experience in conducting process and outcome
evaluations, evaluating issues in the job creation field, expansion of
businesses and the creation of self-employment and small business
opportunities for low-income neighborhoods and understands the
complexity of the problems that target population faces. The
competitive procurement regulations (45 CFR Part 74, Appendix H) apply
to service contracts such as those for evaluators when the costs of
such service will exceed $25,000.
Described the facilities and resources (i.e. space, equipment,
etc.) that it has available to carry out the project.
Criterion II: Analysis of Need (Maximum: 15 Points)
The application includes a description of the geographic area and
population to be served as well as a discussion of the nature and
extent of the problem to be solved. It should indicate what the
unemployment rates are in the geographic areas to be served and (to the
extent practicable) cite how the proposed businesses and subsequent
jobs will impact on the nature and extent of the problem. It should
also include documentation regarding the number and percentage of
individuals receiving Aid to Families with Dependent Children and the
total number of individuals which make up the population in the area
where the project will operate.
Criterion III: Work Program (Maximum: 20 Points)
The work plan and business plan(s), where appropriate, must be both
sound and feasible. If the applicant is proposing to use project funds
to provide technical and/or financial assistance to a third-party
private employer to develop or expand a pre-identified business, the
application must include a complete business plan. An application that
does not include a business plan where one is appropriate may be
disqualified and returned to the applicant.
The project must be responsive to the needs identified in the
Analysis of Need.
(i) Work Plan
The work plan must include a hypothesis or hypotheses that is
significant and includes the key interventions and permits measurement
of the extent to which the target population can achieve greater self-
sufficiency as a result of its involvement in the project. The key
interventions should include the types of technical and financial
assistance to be provided the recipients, the level of effort, as well
as other activities. If the technical and/or financial assistance is to
be provided to pre-identified businesses that will be expanded or
franchised, written commitments from the businesses must be included
with the application. The work program must set forth realistic
quarterly time targets by which the various work tasks will be
completed. Critical issues or potential problems that might impact
negatively on the project are defined and the project objectives can be
reasonably attained despite such potential problems. The application
provides a description of the process evaluation which will culminate
in the development of a policies and procedures manual.
(ii) Business Plan
The business plan, where appropriate, is one of the major
components that will be evaluated by OCS to determine the feasibility
of a jobs creation project.
Because the guidelines were written to cover a variety of
possibilities, rigid adherence to them is not possible nor even
desirable for all projects. For example, a plan for a service business
would not require a discussion of manufacturing nor product design.
The business plan should include the following:
--The Business and its Industry. This section should describe the
nature and history of the business if the proposal is an expansion of
an existing business, including the following:
1. Products and services;
2. Market research and evaluation (show that the product or service
has a substantial market and can achieve sales in the face of
competition);
3. Marketing plan (including the estimated market share and sales)
4. Manufacturing and operations plan (describe the kind of
facilities, plant location, space, capital equipment and labor force
[part and/or full-time wage structure] that are required to provide the
company's product or service).
5. Critical risk and assumptions (include a description of the
risks and critical assumptions relating to the industry, the venture,
its personnel, the product's market appeal, and the timing and
financing of the venture).
6. Community benefits (identify low-income individuals to be
employed); and
7. A financial plan (In developing the financial plan, the
following exhibits must be prepared for the first three years of the
business' operation: (a) Profit and Loss Forecasts--for each year; (b)
Cash Flow Projections--for each year; (c) pro forma balance sheets--for
each year; (d) initial uses of project funds; and (e) any future
capital requirements and sources.
(iii) Facilities
If the rearrangement or alteration of facilities will be required
in implementing the project, the applicant has described and justified
such changes.
Criterion IV: Significant and Beneficial Impact (Maximum: 25 Points)
(i) Quality of JOBS/Business Opportunities
The proposed project is expected to produce permanent and
measurable results that will reduce the incidence of poverty in the
community. Expected results are quantifiable in terms of the creation
of permanent, full-time jobs or business opportunities developed. In
developing business opportunities and self-employment for low-income
individuals the applicant proposes, at a minimum, to provide basic
business planning and management concepts, and assistance in preparing
a business plan and loan package. The application documents that:
--The business opportunities to be developed for eligible participants
will contribute significantly to their progress toward self-
sufficiency; and/or
--Jobs to be created for eligible participants will contribute
significantly to their progress toward self-sufficiency; they provide,
for example, wages that exceed the minimum wage, plus benefits such as
health insurance, transportation, child care and career development
opportunities.
(ii) Cost-per-Job
During the project period the proposed project will create new,
permanent jobs or business opportunities for low-income residents at a
cost-per-job below $15,000 in OCS funds, (e.g. cost per job is
calculated by dividing the total amount of grant funds requested
($420,000) divided by the number of jobs to be created (60) equals the
cost-per-job ($7,000)). If any other calculations are used, please
include your methodology in this section.
(Note: Except in those instances where independent reviewers
identify extenuating circumstances related to business development
activities, the maximum number of points will be given only to those
applicants proposing cost-per-job created estimates of $5,000 or
less of OCS requested funds. Higher cost-per-job estimates will
receive correspondingly fewer points.)
Criterion V: Third-Party Evaluation (Maximum: 10 Points)
A plan for a methodologically sound third-party (i.e., independent)
evaluation of the demonstration project must be included in the
application.
The Evaluation Plan:
--Includes a specific working definition of ``self-sufficiency''
(consistent with the broad definition contained in Part I) that permits
the measurement of incremental progress of eligible individuals and
their families from dependency toward self-sufficiency;
--Clearly defines the changes or benefits (outcomes) to be produced,
the activities (interventions) that will produce the changes, and the
measures of client progress toward self-sufficiency for which
information will be collected (for example: increases in income,
decreases in public assistance payments);
--Provides for the annual compilation of community-level data on the
characteristics of the population in the project area, including
percentage on public assistance, percentage below the poverty line,
unemployment rate, business starts and failures, and major employers;
--Provides for the conduct of a continuing process evaluation. This
should include the periodic assessment of the following: client
characteristics, pertinent policies and procedures, staffing,
cooperative partnerships with state and local agencies, use of other
community resources, client outreach and recruitment, client service
delivery, cost of services, and level of technical and financial
assistance to employers. The types of data and information, measures
and indicators to be used for the process evaluation, as well as the
methods and timeframe for collecting and analyzing the required data
should be indicated;
--Provides for the completion of two interim evaluation reports and a
final report. The final evaluation report will describe the program
design and any changes from the original workplan, outreach and
recruitment results, interventions, and accomplishments. The
measurement instruments, data collection procedures, and analysis
techniques should be discussed, and the report should yield conclusions
as to how well the program works and why. It should also discuss the
program's potential for replication in other communities; and
--Includes a realistic plan for disseminating the project findings to
other interested organizations and public agencies.
Criterion VI: Public-Private Partnerships (Maximum: 10 Points)
--The cooperative partnership arrangements are fully described and
clearly relate to the objectives of the proposed project, and the
activities include one or more of the mandatory or optional components
of the State's JOBS program as described in Part II, Section A.
--The application documents that the applicant will mobilize from
public and/or private sources cash and/or third-party in-kind
contributions. Applications that document that the value of such
contributions will be at least equal to the OCS funds requested, and
demonstrate that the cooperative partnership arrangements clearly
relate to the objectives of the proposed project, will receive the
maximum number of points for this criterion. Lesser contributions will
be given consideration based upon the value documented.
--Applicants should note that partnership relationships are not created
via service delivery contracts; partners should be responsible for
substantive project components or elements.
Criterion VII: Budget Appropriateness and Reasonableness (Maximum: 5
Points)
Funds requested are commensurate with the level of effort necessary
to accomplish the goals and objectives of the project.
The application includes a detailed budget break-down for each of
the budget categories in the SF-424A. The applicant presents a
reasonable administrative cost if an indirect cost rate has not been
negotiated with the cognizant Federal agency (See Part VI, Section B,
Line 6j). The estimated cost to the government of the project also is
reasonable in relation to the anticipated results.
Part V--Application Procedures
A. Availability of Forms
Attachment B contains all of the standard forms necessary for the
application for awards under this OCS program. This attachment and
Parts VI and VII of this announcement contain all of the instructions
required for submittal of applications. These forms may be photocopied
for the application.
Copies of the Federal Register containing this announcement are
available at most local libraries and Congressional District Offices
for reproduction. If copies are not available at these sources, they
may be obtained by writing or telephoning the office listed under the
section entitled FOR FURTHER INFORMATION at the beginning of this
announcement.
The applicant must be aware that in signing and submitting the
application for this award, it is certifying that it will comply with
the Federal requirements concerning the drug-free workplace and
debarment regulations set forth in Attachments C and D.
Part VII, Section A contains instructions for the project
narrative.
B. Application Submission
The closing date for submission of applications is June 6, 1994.
1. Deadlines. Applications shall be considered as meeting the
deadline if they are either:
a. Received on or before the deadline date at the Department of
Health and Human Services, Administration for Children and Families,
Division of Discretionary Grants, 370 L'Enfant Promenade, SW., 6th
Floor, Washington, DC 20447, or
b. Sent on or before the deadline date and received by the granting
agency in time for them to be considered during the competitive review
and evaluation process under Chapter 1-62 of the Health and Human
Services Grants Administration Manual. (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 the U.S. Postal
Service. Private metered postmarks are not acceptable as proof of
timely mailing.)
2. Applications submitted by other means. Applications which are
not submitted in accordance with the above criteria shall be considered
as meeting the deadline only if they are physically received before the
close of business on or before the deadline date. Hand delivered
applications will be accepted at the Department of Health and Human
Services, Administration for Children and Families, Division of
Discretionary Grants, 901 D Street, SW., 6th Floor, Washington, DC
20447 during the normal working hours of 8:30 a.m. to 5 p.m., Monday
through Friday.
3. Late Applications. Applications which do not meet one of these
criteria are considered late applications. The ACF Division of
Discretionary Grants will notify each late applicant that its
application will not be considered in this competition.
4. Extension of Deadline. The ACF may extend the deadline for all
applicants because of acts of God such as floods, hurricanes, etc. or
when there is a 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 applicant.
Applications once submitted are considered final and no additional
materials will be accepted.
One signed original application and four copies should be
submitted.
C. Intergovernmental Review
This program is covered under Executive Order 12372,
``Intergovernmental Review of Federal Programs,'' and 45 CFR Part 100,
``Intergovernmental Review of Department of Health and Human Services
Programs and Activities.'' Under the Order, States may design their own
processes for reviewing and commenting on proposed Federal assistance
under covered programs.
All States and Territories except Alabama, Alaska, Connecticut,
Hawaii, Idaho, Kansas, Louisiana, Minnesota, Montana, Nebraska,
Pennsylvania, Oklahoma, Oregon, Virginia, Washington, American Samoa
and Palau have elected to participate in the Executive Order process
and have established Single Points of Contact (SPOCs).
Applicants from these seventeen jurisdictions need take no action
regarding E.O. 12372. Applicants for projects to be administered by
Federally-recognized Indian Tribes are also exempt from the
requirements of E.O. 12372. Otherwise, applicants must submit any
required material to the SPOCs as soon as possible to alert them of the
prospective applications and receive any necessary instructions, so
that the ACF 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 date to comment on proposed new 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 they intend to trigger the ``accommodate
or explain'' rule under 45 CFR 100.10.
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, Washington, DC 20447.
A list of the Single Points of Contact for each State and Territory
is included as Attachment E of this announcement.
D. Application Consideration of OCS Specific Requirements
Applications which meet the screening requirements in Part V, item
E below will be reviewed competitively. Such applications will be
referred to reviewers for a numerical score and explanatory comments
based solely on responsiveness to the guidelines and evaluation
criteria published in this announcement.
Applications will be reviewed by persons outside of the OCS unit
which will be directly responsible for programmatic management of the
grant. The results of these reviews will assist the Director and OCS
program staff in considering competing applications. Reviewers' scores
will weigh heavily in funding decisions but will not be the only
factors considered. Applications generally will be considered in order
of the average scores assigned by reviewers. However, highly ranked
applications are not guaranteed funding since other factors are taken
into consideration, including, but not limited to, the timely and
proper completion of projects funded with OCS funds granted in the last
five (5) years; comments of reviewers and government officials; staff
evaluation and input; geographic distribution; previous program
performance of applicants; compliance with grant terms under previous
DHHS grants; audit reports; investigative reports; and applicant's
progress in resolving any final audit disallowances on previous OCS or
other Federal agency grants.
OCS reserves the right to discuss applications with other Federal
or non-Federal funding sources to ascertain the applicant's performance
record.
E. Criteria for Screening Applicants
1. Initial Screening
All timely applicants will receive an acknowledgement with an
assigned identification number. This number, along with any
identification code, must be referenced in all subsequent
communications concerning the application. If an acknowledgement is not
received within three weeks after the deadline date, please notify ACF
by telephone at (202) 401-9234.
All applications that meet the published deadline for submission
will be screened to determine completeness and conformity to the
requirements of this announcement. Only those applications meeting the
following requirements will be reviewed and evaluated competitively.
Others will be returned to the applicants with a notation that they
were unacceptable.
a. The application must contain a Standard Form 424 Application for
Federal Assistance (SF-424), a budget (SF-424A), and signed Assurances
(SF 424B) completed according to instructions published in Part VI and
Attachments B, C, and D of this Program Announcement.
b. A project narrative must also accompany the standard forms. OCS
requires that the narrative portion of the application be limited to 50
pages, typewritten on one side of the paper only. Charts, exhibits,
letters of support and cooperative agreements are not counted against
this page limit. It is strongly recommended that you follow the format
for the narrative in Part VII, A, 10.
c. The SF-424 and the SF-424B must be signed by an official of the
organization applying for the grant who has authority to obligate the
organization legally.
d. Application must contain documentation of the applicant's tax
exempt status as required under Part I, Section B.
2. Pre-Rating Review
Applications which pass the initial screening will be forwarded to
reviewers and/or OCS staff prior to the programmatic review to verify
that the applications comply with this Program Announcement in the
following areas:
a. Eligibility: Applicant meets the eligibility requirements
described in Part I, Section B. Proof of non-profit status must be
included in the Appendices to the Project Narrative (See Part VII,
Section A, 11).
Applicants must also be aware that the applicant's legal name as
required on the SF-424 (Item 5) must match that listed as corresponding
to the Employer Identification Number (Item 6).
b. Target Populations: The application clearly targets the specific
outcomes and benefits of the project to those types of low-income
participants and beneficiaries described in Part III, Section A,
Program Participants/Beneficiaries.
c. Grant Amount: The amount of funds requested does not exceed the
limits indicated in Part III, Section A., item 1.
d. Cooperative Partnership Agreement. The application contains a
written agreement or letter of commitment that includes, at a minimum,
the activities cited in Part II, Section A. The agreement must be
signed by an official of the agency responsible for administering the
JOBS program in the area to be served.
e. Third-Party Project Evaluation. A third-party project evaluation
plan is included.
f. Business Plan. If a third-party private employer is part of the
proposed project, a complete business plan is included in the
application.
An application will be disqualified from the competition and
returned if it does not conform to all of the above requirements.
Part VI--Instructions for Completing Application Package
(Approved by the Office of Management and Budget under Control
Number 0970-0062 date of expiration 09-30-93.)
The standard forms attached to this announcement shall be used to
apply for funds under this program announcement.
It is suggested that you reproduce single-sided copies of the SF-
424 and SF-424A, and type your application on the copies. Please
prepare your application in accordance with instructions provided on
the forms as well as with the OCS specific instructions set forth
below:
A. SF-424--Application for Federal Assistance
Top of Page. Please enter the single priority area number under
which the application is being submitted. An application should be
submitted under only one priority area.
Item 1. For the purposes of this announcement, all projects are
considered Applications; there are no Pre-Applications.
Prepare your application in accordance with the standard
instructions given in Attachments B and C corresponding to the forms,
as well as the OCS specific instructions set forth below:
Item 2. Date Submitted and Applicant Identifier--Date application
is submitted to ACF and applicant's own internal control number, if
applicable.
Item 3. Date Received by State--N/A
Item 4. Date Received by Federal Agency--Leave blank.
Items 5 and 6. The legal name of the applicant must match that
listed as corresponding to the Employer Identification Number. Where
the applicant is a previous Department of Health and Human Services
grantee, enter the Central Registry System Employee Identification
Number (CRS/EIN) and the Payment Identifying Number, if one has been
assigned, in the Block entitled Federal Identifier located at the top
right hand corner of the form.
Item 7. If the applicant is a non-profit corporation, enter N in
the box and specify non-profit corporation in the space marked Other.
Proof of non-profit status, such as IRS determination, Articles of
Incorporation, or By-laws, must be included as an appendix to the
project narrative.
Item 8. Type of Application--Please indicate the type of
application.
Item 9. Name of Federal Agency--Enter DHHS-ACF/OCS.
Item 10. The Catalog of Federal Domestic Assistance number for OCS
programs covered under this announcement is 93.561. The title is Job
Opportunities for Low-Income Individuals Program (Demonstration
Projects).
Item 11. In addition to a brief descriptive title of the project,
indicate the priority area for which funds are being requested. Use the
following letter designations:
JO--General Project
JS--Community Development Corporation Set-Aside
Item 12. Areas Affected by Project--List only the largest unit or
units affected, such as State, county or city.
Item 13. Proposed Project--The ending date should be calculated
based on a 36-month project period.
Item 14. Congressional District of Applicant/Project--Enter the
number of the Congressional District where the applicant's principal
office is located and the number of the Congressional district(s) where
the project will be located.
Item 15a. This amount should be no greater than the amount
specified under Part III, Availability of Funds and Grant Amounts.
Item 15b-e. These items should reflect both cash and third-party,
in-kind contributions for the budget period requested.
Item 15f. N/A
Item 15g. Enter the sum of Items 15a-15e.
B. SF-424A--Budget Information--Non-Construction Programs
See Instructions accompanying this form as well as the instructions
set forth below:
In completing these sections, the Federal Funds budget entries will
relate to the requested OCS funds only, and Non-Federal will include
mobilized funds from all other sources--applicant, state, local, and
other. Federal funds other than requested OCS funding should be
included in Non-Federal entries.
Sections A B, C and D of SF-424A should reflect budget estimates
for the first budget period of the project.
Section A--Budget Summary
Lines 1-4.
Col. (a)
Line 1--Enter Job Opportunities for Low-Income Individuals.
Col. (b)
Line 1--Catalog of Federal Domestic Assistance number is 93.561.
Cols. (c) and (d)
Columns (c) and (d) are not relevant to this program and should not
be completed.
Column (e)-(g)
For line 1, enter in columns (e), (f) and (g) the appropriate
amounts needed to support the project. (Maximum $500,000)
Line 5--Enter the figures from Line 1 for all columns completed
(e), (f), and (g).
Section B--Budget Categories
Please Note: This information supersedes the instructions provided
following SF-424A.
Columns (1)-(5):
Column 1: Enter the first budget period of 12 months.
Column 2: Enter the second budget period of 12 months.
Column 3: Enter the third budget period of 12 months.
Column 4: Leave blank.
Column 5: Enter the total requirements for Federal funds by the
Object Class Categories of this section.
Allocability of costs are governed by the cost principles set forth
in OMB Circular A-122 and 45 CFR Part 74.
Budget estimates for national administrative costs must be
supported by adequate detail for the grants officer to perform a cost
analysis and review. Adequately detailed calculations for each budget
object class are those which reflect estimation methods, quantities,
unit costs, salaries, and other similar quantitative detail sufficient
for the calculation to be duplicated. For any additional object class
categories included under the object class other identify the
additional object class(es) and provide supporting calculations.
Supporting narratives and justifications are required for each
budget category, with emphasis on unique/special initiatives, large
dollar amounts; local, regional, or other travels, new positions, major
equipment purchases and training programs.
A detailed itemized budget with a separate budget justification for
each major item should be included as indicated below:
Personnel--Line 6a. Enter the total costs of salaries and wages.
Justification
Identify the principal investigator or project director, if known.
Specify by title or name the percentage of time allocated the project,
the individual annual salaries, and the cost to the project of the
organization's staff who will be working on the project. Do not include
costs of consultants or personnel costs of delegate agencies or of
specific project(s) or businesses to be financed by the applicant.
Fringe Benefits--Line 6b. Enter the total costs of fringe benefits
unless treated as part of an approved indirect cost rate which is
entered on line 6j.
Justification
Provide a breakdown of amounts and percentages that comprise fringe
benefit costs, such as health insurance, FICA, retirement insurance,
taxes, etc.
Travel--Line 6c. Enter total costs of all travel by employees of
the project. Do not enter costs for consultant's travel.
Justification
Include the total number of traveler(s), total number of trips,
destinations, number of days, transportation costs and subsistence
allowances. Travel costs to attend two national workshops in
Washington, DC by the project director should be included.
Equipment--Line 6d. Enter the total costs of all non-expendable
personal property to be acquired by the project. Non-expendable
personal property means tangible personal property having a unit cost
of $5,000 or more and having a useful life of one year.
Justification
Only equipment required to conduct the project may be purchased
with Federal funds. The applicant organization or its subgrantees must
not have such equipment, or a reasonable facsimile, available for use
in the project. The justification also must contain plans for future
use or disposal of the equipment after the project ends. An applicant
may use its own definition of non-expendable personal property,
provided that such a definition would at least include all tangible
personal property as defined above. (See Line 21 for additional
requirements.)
Supplies--Line 6e. Enter the total costs of all tangible personal
property (supplies) other than that included on line 6d.
Justification
Specify general categories of supplies and their costs.
Contractual--Line 6f. Enter the total costs of all contracts,
including: (1) The estimated cost of the third-party evaluation
contract; travel costs for the chief evaluator to attend two national
workshops in Washington, DC should be included; (2) procurement
contracts (except those which belong on other lines such as equipment,
supplies, etc.), and (3) contracts with secondary recipient
organizations including delegate agencies and specific project(s) or
businesses to be financed by the applicant.
Justification
Attach a list of contractors, indicating the names of the
organizations, the purposes of the contracts, the estimated dollar
amounts, and selection process of the awards as part of the budget
justification. Also provide back-up documentation identifying the name
of contractor, purpose of contract, and major cost elements.
Note: Whenever the applicant/grantee intends to delegate part of
the program to another agency, the applicant/grantee must submit
Sections A and B of this Form SF-424A, completed for each delegate
agency by agency title, along with the required supporting
information referenced in the applicable instructions. The total
costs of all such agencies will be part of the amount shown on Line
6f. Provide draft Request for Proposal in accordance with 45 CFR
Part 74, Appendix H. Free and open competition is encouraged for any
procurement activities planned using ACF grant funds. Applicants who
anticipate evaluation procurements that will exceed $5,000 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, a description of the survey
conducted of other service providers, 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 contractor is not
sufficient justification for sole source.)
For successful applicants, the Financial Assistance Award will cite
under Remarks, item 18, approval of this action. Also include any
contracts with organizations for the provision of technical assistance.
Construction--Line 6g. Not applicable.
Other--Line 6h. Enter the total of all other costs. Such costs,
where applicable, may include but are not limited to insurance, food,
medical and dental costs (noncontractual), fees and travel paid
directly to individual consultants, space and equipment rentals,
printing and publication, computer use, training costs, including
tuition and stipends, training service costs including wage payments to
individuals and supportive service payments, and staff development
costs.
Total Direct Charges--Lines 6i. Show the total of Lines 6a through
6h.
Indirect Charges--Line 6j. Enter the total amount of indirect
costs. This line should be used only when the applicant currently has
an indirect cost rate approved by the Department of Health and Human
Services or another cognizant Federal agency. With the exception of
local governments, applicants should enclose a copy of the current rate
agreement if it was negotiated with a cognizant Federal agency other
than the Department of Health and Human Services. If the applicant
organization is in the process of initially developing or renegotiating
a rate, it should immediately upon notification that an award will be
made, develop a tentative indirect cost rate proposal based on its most
recently completed fiscal year in accordance with the principles set
forth in the pertinent DHHS Guide for Establishing Indirect Cost Rates,
and submit it to the appropriate DHHS Regional Office. Applicants
awaiting approval of their indirect cost proposals may also request
indirect costs.
It should be noted that when an indirect cost rate is requested,
those costs included in the indirect cost pool should not be also
charged as direct costs to the grant.
Totals--Line 6k. Enter the total amounts of Lines 6i and 6j.
Program Income--Line 7. Enter the estimated amount of income, if
any, expected to be generated from this project. Separately show
expected program income generated from OCS support and income generated
from other mobilized funds. Do not add or subtract this amount from the
budget total. Show the nature and source of income in the program
narrative statement.
Justification
Describe the nature, source and anticipated use of program income
in the Program Narrative Statement.
Column 5: Carry totals from Column 1 to Column 5 for all line
items.
Section C--Non-Federal Resources
This section is to record the amounts of non-Federal resources that
will be used to support the project. Non-Federal resources mean those
other than OCS funds. Therefore, mobilized funds from other Federal
programs should be entered on these lines. Provide a brief listing of
the non-Federal resources on a separate sheet and describe whether it
is a grantee-incurred cost or a third-party in-kind contribution. The
firm commitment of these resources must be documented and submitted
with the application in order to be given credit in the Public-Private
Partnerships criterion.
Except in unusual situations, this documentation must be in the
form of letters of commitment from the organization(s)/individuals from
which funds will be received.
Justification
Describe third-party, in-kind contributions, if included.
Grant Program--Line 8
Column (a): Enter the project title.
Column (b): Enter the amount of contributions to be made by the
applicant to the project.
Column (c): Enter the State contribution. If the applicant is a
State agency, enter the non-Federal funds to be contributed by the
State other than the applicant.
Column (d): Enter the amount of cash and third-party in-kind
contributions to be made from all other sources.
Column (e): Enter the total of columns (b), (c), and (d).
Grant Program--Lines 9, 10, and 11 Should be Left Blank
Grant Program--Line 12
Carry the total of each column of Line 8, (b) through (e). The
amount in Column (e) should be equal to the amount on Section A, Line
5, column (f).
Section D--Forecasted Cash Needs
Federal--Line 13. Enter the amount of Federal (OCS) cash needed for
this grant, by quarter, during the first 12 month budget period.
Non Federal--Line 14. Enter the amount of cash from all other
sources needed by quarter during the first 12-month budget period.
Totals--Line 15. Enter the total of Lines 13 and 14.
Section E--Budget Estimates of Federal Funds Needed for Balance of
Project(s)
For new applications, enter in the proper columns amounts of
Federal funds which will be needed to complete the program or project
over the succeeding funding periods (usually in years).
Section F--Other Budget Information
Direct Charges--Line 21. Use this space and continuation sheets as
necessary to fully explain and justify the major items included in the
budget categories shown in Section B. Include sufficient detail to
facilitate determination of allowability, relevance to the project, and
cost benefits. Particular attention must be given to the explanation of
any requested direct cost budget item which requires explicit approval
by the Federal agency. Budget items which require identification and
justification shall include, but not be limited to, the following:
A. Salary amounts and percentage of time worked for those key
individuals who are identified in the project narrative;
B. Any foreign travel;
C. A list of all equipment and estimated cost of each item to be
purchased wholly or in part with grant funds which meet the definition
of nonexpendable personal property provided on Line 6d, Section B. Need
for equipment must be supported in program narrative;
D. Contractual: major items or groups of smaller items; and
E. Other: group into major categories all costs for consultants,
local transportation, space, rental, training allowances, staff
training, computer equipment, etc. Provide a complete breakdown of all
costs that make up this category.
Indirect Charges--Line 22. Enter the type of HHS or other cognizant
Federal agency approved indirect cost rate (provisional, predetermined,
final or fixed) that will be in effect during the funding period, the
estimated amount of the base to which the rate is applied and the total
indirect expense. Also, enter the date the rate was approved and attach
a copy of the rate agreement.
Remarks--Line 23. Provide any other explanations and continuation
sheets required or deemed necessary to justify or explain the budget
information.
C. SF-424B Assurances-Non-Construction
All applicants must fill out, sign, date and return the Assurances
with the application.
Part VII--Contents of Application and Receipt Process
A. Contents of Application
Each application submission should include a signed original and
four additional copies of the application. Each application should
include the following in the order presented:
1. Table of Contents;
2. Completed Standard Form 424 which has been signed by an Official
of the organization applying for the grant who has authority to
obligate the organization legally.
(Note: The original SF-424 must bear the original signature of
the authorizing representative of the applicant organization)
3. Budget Information-Non-Construction Programs (SF-424A);
4. A narrative budget justification for each object class category
required under Section B, SF-424A;
5. Filled out, signed, and dated Assurances-Non-Construction
Programs (SF-424B);
6. By signing and submitting this application, the applicant is
certifying that it will comply with the Federal requirements concerning
debarment regulations set forth in attachments E and F.
7. Restrictions on Lobbying, Certification for Contracts, Grants,
Loans, and Cooperative Agreements: fill out, sign and date form found
at Attachment H.
8. Disclosure of Lobbying Activities, SF-LLL: Filled out, signed,
and dated form found at Attachment H, if appropriate.
9. An Executive Summary--not to exceed 300 words;
10. A Project Narrative consisting of the following elements
preceded by a consecutively numbered Table of Contents that will
describe the project in the following order:
(i) Eligibility Confirmation
(ii) Organizational Experience and Staff Responsibilities
(iii) Analysis of Need
(iv) Project Design/Work Program
(v) Business Plan (If appropriate)
(vi) Third-Party Evaluation
(vii) Cooperative Partnership Agreement
(viii) Budget Appropriateness and Reasonableness
11. Appendices--proof of non-profit status as outlined in Part I,
Section B; proof that the organization is a community development
corporation, if applying under the CDC Set-aside; commitments from
officials of businesses that will be expanded or from franchises, where
applicable; Single Point of Contact comments, if applicable;
Maintenance of Effort Certification and resumes.
The total number of pages for the narrative portion of the
application package must not exceed 50 pages, excluding Appendices.
Pages should be numbered sequentially throughout, excluding Appendices,
beginning with the SF 424 as Page 1. The application may also contain
letters that show collaboration or substantive commitments to the
project by organizations other than the JOBS agency. Such letters are
not part of the narrative and should be included in the Appendices.
These letters are, therefore, not counted against the fifty page limit.
Applications must be uniform in composition since OCS may find it
necessary to duplicate them for review purposes. Therefore,
applications must be submitted on white 8\1/2\ x 11 inch paper only.
They must not include colored, oversized or folded materials. Do not
include organizational brochures or other promotional materials,
slides, films, clips, etc. in the proposal. They will be discarded if
included. The applications should be two-holed, punched at the top
center and fastened separately with a compressor slide paper fastener,
or a binder clip. The submission of bound applications, or applications
enclosed in binders, is specifically discouraged.
Attachment J provides a checklist to applicants in preparing a
complete application package.
B. Acknowledgement of Receipt
Applicants who meet the initial screening criteria outlined in Part
V, Section E, 1, will receive an acknowledgement postcard with an
assigned identification number. Applicants are requested to supply a
self-addressed mailing label with their application which can be
attached to this acknowledgement postcard. This number and the program
letter code must be referred to in all subsequent communication with
OCS concerning the application. If an acknowledgement is not received
within three weeks after the deadline date, please notify ACF by
telephone (202) 401-9234.
Part VIII--Post Award Information and Reporting Requirements
Following approval of the applications selected for funding, notice
of project approval and authority to draw down project funds will be
made in writing. The official award document is the Financial
Assistance Award which provides the amount of Federal funds approved
for use in the project, the project and budget period for which support
is provided, the terms and conditions of the award, and the total
project period for which support is contemplated.
Project directors and chief evaluators will be required to attend
two national evaluation workshops in Washington, DC. A program
development and evaluation workshop will be scheduled shortly after the
effective date of the grant. They also will be required to attend, as
presenters, the final evaluation workshop on utilization and
dissemination to be held at the end of the project period.
Grantees will be required to submit quarterly progress and
financial reports (SF 269) as well as a final progress and financial
report within 90 days of the expiration of the grant. Interim
evaluation reports, along with a written policies and procedures manual
based on the findings of the process evaluation, will be due 30 days
after the first twelve months, and the second interim evaluation 30
days after the second twelve months, and a final evaluation report will
be due 90 days after the expiration of the grant. This final report
will cover 36 months of activities related to project participants.
Grantees are subject to the audit requirements in 45 CFR Parts 74
(non-profit organization) and OMB Circular A-133.
Section 319 of Public Law 101-121, signed into law on October 23,
1989, imposes new prohibitions and requirements for disclosure and
certification related to lobbying on recipients of Federal contracts,
grants, cooperative agreements, and loans. It provides limited
exemptions for Indian tribes and tribal organizations. Current and
prospective recipients (and their subtier contractors and/or grantees)
are prohibited from using appropriated funds for lobbying Congress or
any Federal agency in connection with the award of a contract, grant,
cooperative agreement or loan. In addition, for each award action in
excess of $100,000 (or $150,000 for loans) the law requires recipients
and their subtier contractors and/or subgrantees (1) to certify that
they have neither used nor will use any appropriated funds for payment
to lobbyists, (2) to submit a declaration setting forth whether
payments to lobbyists have been or will be made out of nonappropriated
funds and, if so, the name, address, payment details, and purpose of
any agreements with such lobbyists whom recipients or their subtier
contractors or subgrantees will pay with the nonappropriated funds and
(3) to file quarterly up-dates about the use of lobbyists if an event
occurs that materially affects the accuracy of the information
submitted by way of declaration and certification. The law establishes
civil penalties for noncompliance and is effective with respect to
contracts, grants, cooperative agreements and loans entered into or
made on or after December 23, 1989. See Attachment F for certification
and disclosure forms to be submitted with the applications for this
program.
Attachment G indicates the regulations which apply to all
applicants/grantees under the Job Opportunities for Low-Income
Individuals Program.
Dated: March 31, 1994.
Donald Sykes,
Director, Office of Community Services.
Attachment A.--1994 Poverty Income Guidelines for All States Except
Alaska and Hawaii) and the District of Columbia
------------------------------------------------------------------------
Poverty
Size of family unit guideline
------------------------------------------------------------------------
1............................................................ $7,360
2............................................................ 9,840
3............................................................ 12,320
4............................................................ 14,800
5............................................................ 17,280
6............................................................ 19,760
7............................................................ 22,240
8............................................................ 24,720
------------------------------------------------------------------------
For family units with more than 8 members, add $2,480 for each
additional member.
Poverty Income Guidelines for Alaska
------------------------------------------------------------------------
Poverty
Size of family unit guideline
------------------------------------------------------------------------
1............................................................ $9,200
2............................................................ 12,300
3............................................................ 15,400
4............................................................ 18,500
5............................................................ 21,600
6............................................................ 24,700
7............................................................ 27,800
8............................................................ 30,900
------------------------------------------------------------------------
For family units with more than 8 members, add $3,100 for each
additional member.
Poverty Income Guidelines for Hawaii
------------------------------------------------------------------------
Poverty
Size of family unit guideline
------------------------------------------------------------------------
1............................................................ $8,470
2............................................................ 11,320
3............................................................ 14,170
4............................................................ 17,020
5............................................................ 19,870
6............................................................ 22,720
7............................................................ 25,570
8............................................................ 28,420
------------------------------------------------------------------------
For family units with more than 8 members, add $2,850 for each
additional member. (The same increment applies to smaller family sizes
also, as can be seen in the figures above.)
BILLING CODE 4184-01-P
TN07AP94.000
BILLING 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) and 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
TN07AP94.001
TN07AP94.002
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.
Lines 6a-i--Show the totals of Lines 6a to 6h in each column.
Line 6j--Show the amount of indirect cost.
Line 6k--Enter the total of amounts on Lines 6i and 6j. For all
applications for new grants and continuation grants the total amount
in column (5), Line 6k, should be the same as the total amount shown
in Section A, Column (g), Line 5. For supplemental grants and
changes to grants, the total amount of the increase or decrease as
shown in Columns (1)-(4), Line 6k should be the same as the sum of
the amounts in Section A, Columns (e) and (f) of 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. 4728-4763) relating to prescribed standards for merit
systems for programs funded under one of the nineteen statutes or
regulations specified in Appendix A of OPM's Standards for a Merit
System of Personnel Administration (5 CFR 900, subpart F).
6. Will comply with all Federal statutes relating to
nondiscrimination. These include but are not limited to: (a) Title
VI of the Civil Rights Act of 1964 (P.L. 88-352) which prohibits
discrimination on the basis of race, color or national origin; (b)
Title IX of the Education Amendments of 1972, as amended (20 U.S.C.
Secs. 1681-1683, and 1685-1686), which prohibits discrimination on
the basis of sex; (c) Section 504 of the Rehabilitation Act of 1973,
as amended (29 U.S.C. Sec. 794), which prohibits discrimination on
the basis of handicaps; (d) the Age Discrimination Act of 1975, as
amended (42 U.S.C. Secs. 6101-6107), which prohibits discrimination
on the basis of age; (e) the Drug Abuse Office and Treatment Act of
1972 (P.L. 92-255), as amended, relating to nondiscrimination on the
basis of drug abuse; (f) the Comprehensive Alcohol Abuse and
Alcoholism Prevention, Treatment and Rehabilitation Act of 1970
(P.L. 91-616), as amended, relating to nondiscrimination on the
basis of alcohol abuse or alcoholism; (g) Secs. 523 and 527 of the
Public Health Service Act of 1912 (42 U.S.C. 290dd-3 and 290ee-3),
as amended, relating to confidentiality of alcohol and drug abuse
patient records; (h) Title VIII of the Civil Rights Act of 1968 (42
U.S.C. Sec. 3601 et seq.), as amended, relating to non-
discrimination in the sale, rental or financing of housing; (i) any
other nondiscrimination provisions in the specific statute(s) under
which application for Federal assistance is being made; and (j) the
requirements of any other nondiscrimination statute(s) which may
apply to the application.
7. Will comply, or has already complied, with the requirements
of Titles II and III of the Uniform Relocation Assistance and Real
Property Acquisition Policies Act of 1970 (P.L. 91-646) which
provide for fair and equitable treatment of persons displaced or
whose property is acquired as a result of Federal or federally
assisted programs. These requirements apply to all interests in real
property acquired for project purposes regardless of Federal
participation in purchases.
8. Will comply with the provisions of the Hatch Act (5 U.S.C.
Secs. 1501-1508 and 7324-7328) which limit the political activities
of employees whose principal employment activities are funded in
whole or in part with Federal funds.
9. Will comply, as applicable, with the provisions of the Davis-
Bacon Act (40 U.S.C. Secs. 276a to 276a-7), the Copeland Act (40
U.S.C. Sec. 276c and 18 U.S.C. Sec. 874), and the Contract Work
Hours and Safety Standards Act (40 U.S.C. Secs. 327-333), regarding
labor standards for federally assisted construction subagreements.
10. Will comply, if applicable, with flood insurance purchase
requirements of Section 102(a) of the Flood Disaster Protection Act
of 1973 (P.L. 93-234) which requires recipients in a special flood
hazard area to participate in the program and to purchase flood
insurance if the total cost of insurable construction and
acquisition is $10,000 or more.
11. Will comply with environmental standards which may be
prescribed pursuant to the following: (a) institution of
environmental quality control measures under the National
Environmental Policy Act of 1969 (P.L. 91-190) and Executive Order
(EO) 11514; (b) notification of violating facilities pursuant to EO
11738; (c) protection of wetlands pursuant to EO 11990; (d)
evaluation of flood hazards in floodplains in accordance with EO
11988; (e) assurance of project consistency with the approved State
management program developed under the Coastal Zone Management Act
of 1972 (16 U.S.C. Secs. 1451 et seq.); (f) conformity of Federal
actions to State (Clear Air) Implementation Plans under Section
176(c) of the Clear Air Act of 1955, as amended (42 U.S.C. Sec. 7401
et seq.); (g) protection of underground sources of drinking water
under the Safe Drinking Water Act of 1974, as amended, (P.L. 93-
523); and (h) protection of endangered species under the Endangered
Species Act of 1973, as amended, (P.L. 93-205).
12. Will comply with the Wild and Scenic Rivers Act of 1968 (16
U.S.C. Secs. 1271 et seq.) related to protecting components or
potential components of the national wild and scenic rivers system.
13. Will assist the awarding agency in assuring compliance with
Section 106 of the National Historic Preservation Act of 1966, as
amended (16 U.S.C. 470), EO 11593 (identification and protection of
historic properties), and the Archaeological and Historic
Preservation Act of 1974 (16 U.S.C. 469a-1 et seq.).
14. Will comply with P.L. 93-348 regarding the protection of
human subjects involved in research, development, and related
activities supported by this award of assistance.
15. Will comply with the Laboratory Animal Welfare Act of 1966
(P.L. 89-544, as amended, 7 U.S.C. 2131 et seq.) pertaining to the
care, handling, and treatment of warm blooded animals held for
research, teaching, or other activities supported by this award of
assistance.
16. Will comply with the Lead-Based Paint Poisoning Prevention
Act (42 U.S.C. Secs. 4801 et seq.) which prohibits the use of lead
based paint in construction or rehabilitation of residence
structures.
17. Will cause to be performed the required financial and
compliance audits in accordance with the Single Audit Act of 1984.
18. Will comply with all applicable requirements of all other
Federal laws, executive orders, regulations and policies governing
this program.
----------------------------------------------------------------------
Signature of authorized certifying official
----------------------------------------------------------------------
Title
----------------------------------------------------------------------
Applicant organization
----------------------------------------------------------------------
Date submitted
BILLING CODE 4184-01-P
TN07AP94.003
TN07AP94.004
BILLING CODE 4184-01-C
Attachment D--Certification Regarding Debarment, Suspension, and Other
Responsibility Matters--Primary Covered Transactions
By signing and submitting this proposal, the applicant, defined
as the primary participant in accordance with 45 CFR Part 76,
certifies to the best of its knowledge and believe that it and its
principals:
(a) Are not presently debarred, suspended, proposed for
debarment, declared ineligible, or voluntarily excluded from covered
transactions by any Federal Department or agency:
(b) Have not within a 3-year period preceding this proposal been
convicted of or had a civil judgment rendered against them for
commission of fraud or a criminal offense in connection with
obtaining, attempting to obtain, or performing a public (Federal,
State, or local) transaction or contract under a public transaction;
violation of Federal or State antitrust statutes or commission of
embezzlement, theft, forgery, bribery, falsification or destruction
of records, making false statements, or receiving stolen property;
(c) Are not presently indicted or otherwise criminally or
civilly charged by a governmental entity (Federal, State or local)
with commission of any of the offenses enumerated in paragraph
(1)(b) of this certification; and
(d) Have not within a 3-year period preceding this application/
proposal had one or more public transactions (Federal, State, or
local) terminated for cause or default.
The inability of a person to provide the certification required
above will not necessarily result in denial of participation in this
covered transaction. If necessary, the prospective participant shall
submit an explanation of why it cannot provide the certification.
The certification or explanation will be considered in connection
with the Department of Health and Human Services (HHS) determination
whether to enter into this transaction. However, failure of the
prospective primary participant to furnish a certification or an
explanation shall disqualify such person from participation in this
transaction.
The prospective primary participant agrees that by submitting
this proposal, it will include the clause entitled ``Certification
Regarding Debarment, Suspension, Ineligibility, and Voluntary
Exclusion--Lower Tier Covered Transaction.'' Provided below without
modification in all lower tier covered transactions and in all
solicitations for lower tier covered transactions.
Certification Regarding Debarment, Suspension, Ineligibility and
Voluntary Exclusion--Lower Tier Covered Transactions
(To Be Supplied to Lower Tire Participants)
By signing and submitting this lower tier proposal, the
prospective lower tier participant, as defined in 45 CFR Part 76,
certifies to the best of its knowledge and belief that it and its
principals:
(a) Are not presently debarred, suspended, proposed for
debarment, declared ineligible, or voluntarily excluded from
participation in this transaction by any federal department or
agency.
(b) Where the prospective lower tier participant is unable to
certify to any of the above, such prospective participant shall
attach an explanation to this proposal.
The prospective lower tier participant further agrees by
submitting this proposal that it will include this clause, entitled
``certification Regarding Debarment, Suspension, Ineligibility, and
Voluntary Exclusion--Lower Tier Covered Transactions, ``without
modification in all lower tier covered transactions and in all
solicitations for lower tier covered transactions.''
Attachment E--Executive Order 12372--State Single Points of Contact
Arizona
Mrs. Janice Dunn, Attn: Arizona State Clearinghouse, 3800 N. Central
Avenue, 14th Floor, Phoenix, Arizona 85012, Telephone (602) 280-1315
Arkansas
Tracie L. Copeland, Manager, State Clearinghouse, Office of
Intergovernmental Services, Department of Finance and
Administration, P.O. Box 3278, Little Rock, Arkansas 72203,
Telephone (501) 682-1074
California
Glen 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. Joyce Benson, State Planning Office, State House Station #38,
Augusta, Maine 04333, Telephone (207) 289-3261
Maryland
Ms. Mary Abrams, Chief, Maryland State Clearinghouse, Department of
State Planning, 301 West Preston Street, Baltimore, Maryland 21201-
2365, Telephone (301) 225-4490
Massachusetts
Karen Arone, State Clearinghouse, Executive Office of Communities
and Development, 100 Cambridge Street, Room 1803, Boston,
Massachusetts 02202, Telephone (617) 727-7001
Michigan
Richard S. Pastula, Director, Michigan Department of Commerce,
Lansing, Michigan 48909, Telephone (517) 373-7356
Mississippi
Ms. Cathy Mallette, Clearinghouse Officer, Office of Federal Grant
Management and Reporting, 301 West Pearl Street, Jackson,
Mississippi 39203, Telephone (601) 960-2174
Missouri
Ms. Lois Pohl, Federal Assistance Clearinghouse, Office of
Administration, P.O. Box 809, Room 430, Truman Building, Jefferson
City, Missouri 65102, Telephone (314) 751-4834
Nevada
Department of Administration, State Clearinghouse, Capitol Complex,
Carson City, Nevada 89710, Telephone (702) 687-4065, Attention: Ron
Sparks, Clearinghouse Coordinator
New Hampshire
Mr. Jeffrey H. Taylor, Director, New Hampshire Office of State
Planning, Attn: Intergovernmental Review, Process/James E. Bieber,
2\1/2\ Beacon Street, Concord, New Hampshire 03301, Telephone (603)
271-2155
New Jersey
Gregory W. Adkins, Acting Director, Division of Community Resources,
N.J. Department of Community Affairs, Trenton, New Jersey 08625-
0803, Telephone (609) 292-6613
Please direct correspondence and questions to:
Andrew J. Jaskolka, State Review Process, Division of Community
Resources, CN 814, Room 609, Trenton, New Jersey 08625-0803,
Telephone (609) 292-9025
New Mexico
George Elliott, Deputy Director, State Budget Division, Room 190,
Bataan Memorial Building, Santa Fe, New Mexico 87503, Telephone
(505) 827-3640, Fax (505) 827-3006
New York
New York State Clearinghouse, Division of the Budget, State Capitol,
Albany, New York 12224, Telephone (518) 474-1605
North Carolina
Mrs. Chrys Baggett, Director, Office of the Secretary of Admin.,
N.C. State Clearinghouse, 116 W. Jones Street, Raleigh, North
Carolina 27603-8003, Telephone (919) 733-7232
North Dakota
N.D. Single Point of Contact, Office of Intergovernmental
Assistance, Office of Management and Budget, 600 East Boulevard
Avenue, Bismarck, North Dakota 58505-0170, Telephone (701) 224-2094
Ohio
Larry Weaver, State Single Point of Contact, State/Federal Funds
Coordinator, State Clearinghouse, Office of Budget and Management,
30 East Broad Street, 34th Floor, Columbus, Ohio 43266-0411,
Telephone (614) 466-0698
Rhode Island
Mr. Daniel W. Varin, Associate Director, Statewide Planning Program,
Department of Administration, Division of Planning, 265 Melrose
Street, Providence, Rhode Island 02907, Telephone (401) 277-2656
Please direct correspondence and questions to:
Review Coordinator, Office of Strategic Planning
South Carolina
Omeagia Burgess, State Single Point of Contact, Grant Services,
Office of the Governor, 1205 Pendleton Street, Room 477, Columbia,
South Carolina 29201, Telephone (803) 734-0494
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 & Coordination, Pavilion Office Building, 109 State Street,
Montpelier, Vermont 05602, Telephone (802) 828-3326
West Virginia
Mr. Fred Cutlip, Director, Community Development Division, West
Virginia Development Office, Building #6, Room 553, Charleston, West
Virginia 25305, Telephone (304) 348-4010
Wisconsin
Mr. William C. Carey, Federal/State Relations, Wisconsin Department
of Administration, 101 South Webster Street, P.O. Box 7864, Madison,
Wisconsin 53707, Telephone (608) 266-0267
Wyoming
Sheryl Jeffries, State Single Point of Contact, Herschler Building,
4th Floor, East Wing, Cheyenne, Wyoming 82002, Telephone (307) 777-
7574
Guam
Mr. Michael J. Reidy, Director, Bureau of Budget and Management
Research, Office of the Governor, P.O. Box 2950, Agana, Guam 96910,
Telephone (671) 472-2285
Northern Mariana Islands
State Single Point of Contact, Planning and Budget Office, Office of
the Governor, Saipan, CM, Northern Mariana Islands 96950
Puerto Rico
Norma Burgos/Jose H. Caro, Chairman/Director, Puerto Rico Planning
Board, Minillas Government Center, P.O. Box 41119, San Juan, Puerto
Rico 00940-9985, Telephone (809) 727-4444
Virgin Islands
Jose L. George, Director, Office of Management and Budget, #41
Norregade Emancipation Garden Station, Second Floor, Saint Thomas,
Virgin Islands 00802
Please direct correspondence to:
Linda Clarke, Telephone (809) 774-0750
Attachment F--Certification Regarding Lobbying
Certification for Contracts, Grants, Loans, and Cooperative
Agreements
The undersigned certifies, to the best of his or her knowledge
and belief, that:
(1) No Federal appropriated funds have been paid or will be
paid, by or on behalf of the undersigned, to any person for
influencing or attempting to influence an officer or employee of any
agency, a Member of Congress, an officer or employee of Congress, or
an employee of a Member of Congress in connection with the awarding
of any Federal contract, the making of any Federal grant, the making
of any Federal loan, the entering into of any cooperative agreement,
and the extension, continuation, renewal, amendment, or modification
of any Federal contract, grant, loan, or cooperative agreement.
(2) If any funds other than Federal appropriated funds have been
paid or will be paid to any person for influencing or attempting to
influence an officer or employee of any agency, a Member of
Congress, an officer or employee of Congress, or an employee of a
Member of Congress in connection with this Federal contract, grant,
loan or cooperative agreement, the undersigned shall complete and
submit Standard Form-LLL, ``Disclosure Form to Report Lobbying,'' in
accordance with its instructions.
(3) The undersigned shall require that the language of this
certification be included in the award documents for all subawards
at all tiers (including subcontracts, subgrants, and contracts under
grants, loans, and cooperative agreements) and that all
subrecipients shall certify and disclose accordingly.
This certification is a material representation of fact upon
which reliance was placed when this transaction was made or entered
into. Submission of this certification is a prerequisite for making
or entering into this transaction imposed by section 1352, title 31,
U.S. Code. Any person who fails to file the required certification
shall be subject to a civil penalty of not less than $10,000 and not
more than $100,000 for each such failure.
State for Loan Guarantee and Loan Insurance
The undersigned states, to the best of his or her knowledge and
belief, that:
If any funds have been paid or will be paid to any person for
influencing or attempting to influence an officer or employee of any
agency, a Member of Congress, an officer or employee of Congress, or
an employee of a Member of Congress in connection with this
commitment providing for the United States to insure or guarantee a
loan, the undersigned shall complete and submit Standard Form-LLL
``Disclosure Form to Report Lobbying,'' in accordance with its
instructions.
Submission of this statement is a prerequisite for making or
entering into this transaction imposed by section 1352, title 31,
U.S. Code. Any person who fails to file the required statement shall
be subject to a civil penalty of not less than $10,000 and not more
than $100,000 for each such failure.
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BILLING CODE 4184-01-P
TN07AP94.005
BILLING CODE 4184-01-C
Sections 74.62(a).................. Non-Federal Audits.
74.173..................... Hospitals.
74.174(b).................. Other Nonprofit Organizations.
74.304..................... Final Decisions in Disputes.
74.710..................... Real Property, Equipment and
Supplies.
74.715..................... General Program Income.
Attachment G
The following DHHS regulations apply to all applicants/ grantees
under the Job Opportunities for Low-Income Individuals Program:
Title 45 of the Code of Federal Regulations:
Part 16--Procedures of the Departmental Grant Appeals Board
Part 74--Administration of Grants (non-governmental)
Part 74--Administration of Grants (state and local governments and
Indian Tribal affiliates):
Part 75--Informal Grant Appeal Procedures
Part 76--Debarment and Suspension form Eligibility for Financial
Assistance Subpart F--Drug Free Workplace Requirements
Part 80--Non-discrimination under Programs Receiving Federal
Assistance through the Department of Health and Human Services
Effectuation of Title VI of the Civil Rights Act of 1964
Part 81--Practice and Procedures for Hearings Under Part 80 of this
Title
Part 83--Nondiscrimination on the basis of sex in the admission of
individuals to training programs
Part 84--Non-discrimination on the Basis of Handicap in Programs
Part 91--Non-discrimination on the Basis of Age in Health and Human
Services Programs or Activities Receiving Federal Financial
Assistance
Part 92--Uniform Administration Requirements for Grants and
Cooperative Agreements to States and Local Governments (Federal
Register, March 11, 1988)
Part 93--New Restrictions on Lobbying
Part 100--Intergovernmental Review of Department of Health and Human
Services Programs and Activities
Attachment H--Certification Regarding Maintenance of Effort
The undersigned certifies that:
(1) Activities funded under this program announcement are in
addition to, and not in substitution for, activities previously
carried on without Federal assistance.
(2) Funds or other resources currently devoted to activities
designed to meet the needs of the poor within a community, area, or
State have not been reduced in order to provide the required
matching contributions.
When legislation for a particular block grant permits the use of
its funds as match, the applicant must show that it has received a
real increase in its block grant allotment and must certify that
other anti-poverty programs will not be scaled back to provide the
match required for this project.
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Date
Attachment I--Department of Health and Human Services, Administration
for Children and Families, Office of Family Assistance, Washington, DC
20447
Jobs Program Directory
February 1994.
Alabama
Claire Ealy, Director, Office of Work and Training Services, Public
Assistance Division, S. Gordon Persons Building, 50 Ripley Street,
Montgomery, Alabama 36130, (205) 242-1950
Alaska
Charles Knittel, Work Programs Coordinator, Division of Public
Assistance, Department of Health and Social Services, P.O. Box
110640, Juneau, Alaska 99811-0640, (907) 465-3347
Arizona
Gretchen Evans, JOBS Program Director, Dept. of Economic Security,
P.O. Box 6123, Site Code 8011, Phoenix, Arizona 85005, (602) 542-
6310
Arkansas
Ken Whitlock, Deputy Director, Project SUCCESS, Department of Human
Services, P.O. Box 1437, Little Rock, Arkansas 72203, (501) 682-8375
California
Bruce Wagstaff, Chief, Employment and Immigrations Programs Branch,
Department of Social Services, 744 P Street M/S 6-700, Sacramento,
California 95814, (916) 657-2367
Colorado
Bob Henson, Director, Work Programs, Department of Social Services,
1575 Sherman Street, Denver, Colorado 80203, (303) 866-2643
Connecticut
Dawn Homer-Bouthiette, Planning Supervisor, Job Connection,
Department of Social Services, 110 Bartholomew Avenue, Hartford,
Connecticut 06106, (203) 566-7125
Delaware
Rebecca Varella, Chief Administrator, Employment and Training,
Division of Social Services, P.O. Box 906, New Castle, Delaware
19720, (302) 577-4451
District of Columbia
Shari Curtis, Chief, Bureau of Training and Employment, Department
of Human Services, 33 N Street NE., Washington, DC 20001, (202) 727-
1293
Florida
Reggis Smith, Chief, Benefit Recovery and Special Programs,
Department of Health and Rehabilitative Services, 1317 Winewood
Boulevard, Bldg. 6, Tallahassee, Florida 32399-0700, (904) 487-2966
Georgia
Sylvia Elam, Chief, Employment Services Unit, Division of Family and
Children Services, Department of Human Resources, 2 Peachtree St.,
14th Floor, Room 402, Atlanta, Georgia 30303, (404) 657-3737
Guam
Diana Calvo, Social Services Supervisor, Department of Public Health
and Social Services, P.O. Box 2816, Agana, Guam 96910, (011-671)
734-7286
Hawaii
Garry Kemp, Special Assistant to the Director, Department of Human
Services, P.O. Box 339, Honolulu, Hawaii 96809, (808) 586-7054
Idaho
Kathy James, Acting Bureau Chief, Bureau of Family Self Support,
Department of Health and Welfare, 450 West State Street, Boise,
Idaho 83720, (208) 334-5704
Illinois
Karan Maxson, Administrator, Division of Planning and Community
Services, Department of Public Aid, 100 S. Grand, 2nd Floor,
Springfield, Illinois 62762, (217) 785-3300
Indiana
Thomas Reel, Program Manager, IMPACT, Department of Public Welfare,
402 W. Washington, W. 363, Indianapolis, Indiana 46204, (317) 232-
2002
Iowa
Doug Howard, Coordinator, Employment and Training Programs,
Department of Human Services, Fifth Floor, Hoover State Office
Building, Des Moines, Iowa 50319, (515) 281-8629
Kansas
Phyllis Lewin, Director, Employment Preparation Services, Department
of Social and Rehabilitation Services, 300 S.W. Oakley, West Hall,
Topeka, Kansas 66606, (913) 296-4276
Kentucky
Sharon Perry, Assistant Director, Center for Program Development,
Department of Social Insurance, Cabinet for Human Resources, 275 E.
Main Street, Frankfurt, Kentucky 40621, (502) 564-3703
Louisiana
Howard Prejean, Assistant Secretary, Department of Social Services,
Office of Eligibility Determination, P.O. Box 3776, Baton Rouge,
Louisiana 70821, (504) 342-4953
Maine
Barbara Van Burgel, ASPIRE Coordinator, Bureau of Income
Maintenance, Department of Human Services, Statehouse Station #11,
32 Winthrop St., Augusta, Maine 04333, (207) 289-3106
Maryland
Charlene Gallion, Acting Executive Director, Office of Project
Independence Management, Department of Human Resources, Room 745,
311 W. Saratoga Street, Baltimore, Maryland 21201, (410) 333-0837
Massachusetts
John Buonomo, Director, Massachusetts JOBS Program, Department of
Public Welfare, 600 Washington, St., Boston, Massachusetts 02111,
(617) 348-5931
Michigan
Alex D. Hawkins, Director, Job Skills Development Group, Michigan
Jobs Commission, 201 North Washington Square, Third Floor, Victor
Centre, Lansing, Michigan 48913, (517) 373-7382
Minnesota
Bonnie Baker, Supervisor, Program Development, Department of Human
Services, 444 Lafayette Road, St. Paul, Minnesota 55155, (612) 296-
2499
Mississippi
Jean Temple, Director, JOBS Branch, Office of Children and Youth,
Department of Human Services, 421 W. Pascagoula, Jackson,
Mississippi 29302, (601) 359-4855
Missouri
Richard Koon, FUTURES Program Director, Income Maintenance, Division
of Family Services, 72728 Plaza Drive, P.O. Box 88, Jefferson City,
Missouri 65103, (314) 751-3124
Montana
Marylis Filipovich, Bureau Chief, Program and Policy, Department of
Social and Rehabilitation Services, P.O. Box 4210, Helena, Montana
59604, (406) 444-4540
Nebraska
Margaret Hall, Public Assistance Administrator, Public Assistance
Division, Department of Social Services, 301 Centennial Mall South,
P.O. Box 95026, Lincoln, Nebraska 68509, (402) 471-3121
Nevada
John Alexander, Employment and Training Coordinator, Nevada State
Welfare Division, Capitol Complex, 2527 North Carson Street, Carson
City, Nevada 98710, (702) 687-4143
New Hampshire
Arthur Chicaderis, JOBS Administrator, Employment Support Services,
Office of Economic Services, Division of Human Services, Department
of Health and Human Services, 6 Hazen Drive, Concord, New Hampshire
03301-6521, (603) 271-4249
New Jersey
Marion E. Reitz, Director, Division of Family Development,
Department of Human Services, CN 176, Trenton, New Jersey 08625,
(609) 588-2401
New Mexico
Bill Dunbar, Acting Director, Income Support Division, Department of
Human Services, P.O. Box 2348, Santa Fe, New Mexico 87500, (505)
827-7252
New York
Jack Ryan, Director, Bureau of Employment Programs, Department of
Social Services, 40 North Pearl Street, Albany, New York 12243,
(518) 473-8744
North Carolina
Lucy Burgess, Chief, Employment Programs Section, Department of
Human Resources, 325 North Salisbury Street, Raleigh, North Carolina
27611, (919) 733-2873
North Dakota
Gloria House, JOBS Coordinator, Director of Public Assistance,
Department of Human Services, State Capitol, New Wing 3rd Floor,
Bismark, North Dakota 58505, (701) 224-4001
Ohio
Mary L. Harris, Deputy Director, Family Support and JOBS, Department
of Human Services, State Office Tower, 31st Floor, 30 East Broad
Street, Columbus, Ohio 43266-0423, (614) 466-3196
Oklahoma
Raymond Haddock, Division Administrator, Family Services Division,
Department of Human Services, P.O. Box 25352, Oklahoma City,
Oklahoma 73125, (405) 521-3076
Oregon
Debbi White, JOBS Program Manager, Adult and Family Services
Division, Human Resource Bldg., 2nd Floor, Salem, Oregon 97310-1013,
(503) 945-6127
Pennsylvania
David Florey, Director, Bureau of Employment and Training Program,
Department of Public Welfare, P.O. Box 2675, Harrisburg,
Pennsylvania 17105, (717) 787-8613
Puerto Rico
Migdalia Marrero, Special Asst. to Secretary, SOSEDF, Isla Grande,
Building #10, P.O. Box 11398, Santurce, Puerto Rico 00910, (809)
722-2863
Rhode Island
Sherry Campanelli, Associate Director, Community Services,
Department of Human Services, 600 New London Avenue, Cranston, Rhode
Island 02920, (401) 464-2423
South Carolina
Hiram Spain, Executive Assistant for Self-Sufficiency, Department of
Social Services, P.O. Box 1520, Columbia, South Carolina 29202,
(803) 737-5937
South Dakota
Julie Osnes, Administrator, Office of Family Independence,
Department of Social Services, Richard F. Kneip Building, Pierre,
South Dakota 57501, (605) 773-3493
Tennessee
Wanda Moore, Director of Program Services, Department of Human
Services, 12th Floor, 400 Deadericks, Nashville, Tennessee 37219,
(615) 741-6953
Texas
Irma Bermea, Deputy Commissioner, Department of Human Services, Mail
Code 521E, P.O. Box 2960, Austin, Texas 78769, (512) 450-3011
Utah
Helen Thatcher, Assistant Director, Office of Family Support,
Department of Human Services, 120 North 200 West, Salt Lake City,
Utah 84145-0500, (801) 538-8231
Vermont
Steve Gold, Director, REACH-UP Program, Department of Social
Welfare, State Office Building, 103 South Main Street, Waterbury,
Vermont 05676, (802) 241-2800
Virgin Islands
Ermin Boshulte, Director, Public Assistance Programs, Department of
Human Services, Financial Programs Division, Knud Hansen Complex--
Building A, 1303 Hospital Ground, Charlotte Amalie, VI 00802, (809)
774-4673
Virginia
David Olds, Program Manager, Employment Services, Department of
Social Services, 730 E. Broad St., 2nd Floor, Richmond, Virginia
23219-1849, (804) 692-1229
Washington
Lee Todorovich, Acting Assistant Director, Division of Income
Assistance, Department of Social and Health Services, P.O. Box
45400, Olympia, Washington 98504-5400, (206) 438-8350
West Virginia
Sharon Paterno, Director, Division of Work and Training, Department
of Health and Human Services, Building 6, State Office Complex,
Charleston, West Virginia 25305, (304) 558-3186
Wisconsin
Jean Rogers, Administrator, Division of Economic Support Department
of Health and Social Services, P.O. Box 7935, 1 West Wilson Street,
Madison, Wisconsin 53707-7935, (608) 266-3035
Wyoming
Kirk McKinney, JOBS Coordinator, Self-Sufficiency Division,
Department of Family Services, Hathaway Building, Rm. 347, 2300
Capitol Avenue, Cheyenne, Wyoming 82002-0710, (307) 777-6849
Attachment J--Checklist for Use in Submitting OCS Grant Applications
Job Opportunities for Low-Income Individuals (Optional)
The application should contain:
1. Table of Contents.
2. A completed, signed SF-424, Application for Federal
Assistance. The letter code for the priority area (JO) should be in
the lower right-hand corner of the page.
3. A completed SF-424A, Budget Information--Non-Construction''.
4. A narrative budget justification for each object class
category required under Section B, SF-424A;
5. Filled out signed, and dated Assurances-Non-Construction
Programs (SF-424B);
6. The applicant should sign Attachments E and F. In so doing,
the applicant is certifying that it will comply with the Federal
requirements concerning the drug-free workplace and debarment
regulations set forth in Attachments E.
7. A signed copy of Certification Regarding Anti-Lobbying
Activities.
8. A completed Disclosure of Lobbying Activities, if applicable.
9. An Executive Summary--not to exceed 300 words;
10. A Project Narrative beginning with a Table of Contents that
describes the project in the following order:
(i) Eligibility Confirmation
(ii) Organizational Experience and Staff Responsibilities
(iii) Analysis of Need
(iv) Project Design/Work Program
(v) Business Plan (If appropriate)
(vi) Third-Party Evaluation
(vii) Cooperative Partnership Agreement
(viii) Budget Appropriateness and Reasonableness
11. A signed copy of the Cooperative Partnership Agreement or
letter of commitment.
12. Appendices, including proof of non-profit status; proof that
the organization is a community development corporation, if applying
under the CDC Set-aside; commitments from officials of businesses
that will be expanded or from franchises, where applicable; Single
Point of Contact comments, if applicable; Maintenance of Effort
Certification and resumes.
13. A self-addressed mailing label which can be affixed to a
postcard to acknowledge receipt of application.
The narrative portion of the application must not exceed a total
of 50 pages. It should include one original and four identical
copies, printed on white 8\1/2\ by 11 inch paper, two-holed punched
at the top center and fastened separately with a compressor slide
paper fastener, such as an ACCO clip, or a binder clip. The
submission of bound applications, enclosed in binders, is
specifically discouraged.
[FR Doc. 94-8275 Filed 4-6-94; 8:45 am]
BILLING CODE 4184-01-P
