[Federal Register Volume 61, Number 107 (Monday, June 3, 1996)]
[Notices]
[Pages 27908-27926]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 96-13804]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Office of Refugee Resettlement
Request for applications for Fiscal Year 1996 Community and
Family Strengthening Discretionary Social Service Grants Program
AGENCY: Office of Refugee Resettlement (ORR), ACF, DHHS.
ACTION: Request for applications to support projects under the Office
of Refugee Resettlement's Fiscal Year 1996 Community and Family
Strengthening Discretionary Social Service Grants Program for services
to refugees.\1\
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\1\ In addition to persons who meet all requirements of 45 CFR
400.43, eligibility for refugee social services also includes: (1)
Cuban and Haitian entrants, under section 501 of the Refugee
Education Assistance Act of 1980 (Pub. L. No. 96-422); (2) certain
Amerasians from Vietnam who are admitted to the U.S. as immigrants
under section 584 of the Foreign Operations, Export Financing, and
Related Programs Appropriations Act, 1988, as included in the FY
1988 Continuing Resolution (Pub. L. No. 100-202); and (3) certain
Amerasians from Vietnam, including U.S. citizens, under title II of
the Foreign Operations, Export Financing, and Related Programs
Appropriations Act, 1989 (Pub. L. No. 100-461), 1990 (Pub. L. No.
101-167) and 1991 (Pub. L. No. 101-513). For convenience, the term
``refugee'' is used in this notice to encompass all such eligible
persons unless the specific context indicates otherwise.
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SUMMARY: This program announcement governs the availability of and
award procedures for approximately $1,500,000 in FY 1996 Social
Services discretionary grants. The Office of Refugee Resettlement (ORR)
will accept competing applications for grants pursuant to the
Director's discretionary authority under section 412(c)(1) of the
Immigration and Nationality Act (INA), as amended by section 311 of the
Refugee Act of 1980 (Pub. L. 96-212), 8 U.S.C. 1522(c); section 501(a)
of the Refugee Education Assistance Act of 1980 (Pub. L. 96-422), 8
U.S.C. 1522 note, insofar as it incorporates by reference with respect
to Cuban and Haitian entrants the authorities pertaining to assistance
for refugees established by section 412(c) of the INA, as cited above;
and the Refugee Assistance Extension Act of 1986 (Pub. L. 99-605).
Applications may request a project period of up to three years,
with an initial budget period of one year. Where awards are for
multiple year project periods, applications for continuation grants
will be entertained in subsequent years on a non-competitive basis,
subject to availability of funds, successful progress of the project,
and ACF's determination that this would be in the best interest of the
government. This announcement contains forms and instructions for
submitting an application.
CLOSING DATES: The closing dates for submission of applications is
August 2, 1996. Applications postmarked after the closing date will be
classified as late and will not be considered in the current
competition.
FOR FURTHER INFORMATION REGARDING THIS ANNOUNCEMENT, CONTACT: Anna Mary
Portz, Project Officer, telephone (202) 401-1196, or E-mail at
aportz@dhhs.acf.gov. You may address correspondence to the contact
person as follows: Office of Refugee Resettlement, Administration for
Children and Families, 370 L'Enfant Promenade SW., Washington, DC
20447.
SUPPLEMENTARY INFORMATION:
Legislative Authority
Section 412(c)(1)(A) of the INA authorizes the Director ``to make
grants to, and enter into contracts with, public or private nonprofit
agencies for projects specifically designed--(i) To assist refugees in
obtaining the skills which are necessary for economic self-sufficiency,
including projects for job training, employment services, day care,
professional refresher training, and other recertification services;
(ii) to provide training in English where necessary (regardless of
whether the refugees are employed or receiving cash or other
assistance); and (iii) to provide where specific needs have been shown
and recognized by the Director, health (including mental health)
services, social services, educational and other services.''
Eligible Applicants
Eligible applicants are States and other public or private,
nonprofit organizations and institutions. Current CFS grantees may
participate in coalition applications under this announcement but are
discouraged from being the lead applicant.
Availability of Funds
Approximately $1.5 million will be awarded in FY 1996. Individual
grants are expected to range from $80,000 to $250,000 per budget
period. The Director reserves the right to award less, or more, than
the funds described, in the absence of worthy applications, or under
such other circumstances as may be deemed to be in the best interest of
the government. Applicants may be required to reduce the scope of
selected
[[Page 27909]]
projects to accommodate the amount of the grant award approved.
Length of Application
Applicants are encouraged to limit project descriptions (Part IV of
the application for each component) to 20 pages (typewritten, double
spaced on standard, letter-size paper) plus no more than 20 pages of
appended material. This limitation of 20 pages per component should be
considered as a maximum, and not necessarily a goal to be achieved.
Cost-Sharing Requirement
In applications making provision for cost-sharing funds, applicants
will be held accountable for commitments of non-Federal resources.
Failure to provide required cost-sharing resources may result in
disallowance of Federal funds and/or cancellation of future budget
periods.
Background: Community and Family Strengthening
As with all programs funded by appropriations pursuant to the
Refugee Act, services may be provided only to refugees (see definition
in footnote 1, above) and may not be provided to refugees who have
become citizens (except for those Amerasians listed in footnote 1).
Further, the intent of this announcement is to target primarily
refugees who have arrived within the last five years and give special
consideration to the needs of refugees who have experienced long stays
in overseas camps. Therefore, applicants are advised to consider the
needs of recently arrived families and of their communities in
responding to the particulars of this announcement.
Many American communities with high concentrations of refugees also
experience urban sprawl, increased specialization of services, and a
diversity of local services and providers. These considerations have
increased the need for better communication and cooperation among
agencies in order to enhance program effectiveness, provide services
that meet the current needs of the refugee population, and avoid
duplication or fragmentation of services. These large communities have
experienced a broad range of social and economic problems among some
refugee populations, particularly with regard to refugee women, youth,
elderly, and in those sectors characterized by a high incidence of
crime, violence, and neighborhood deterioration.
Most newly arriving refugees join family members already residing
in the larger community. This concentration has the potential for a
highly supportive environment for new arrivals. Human service systems
tend to be strong in these areas. The larger communities are also
environments in which resources can be organized through refugee mutual
assistance associations (MAAs), as well as other refugee community
religious and social services organizations, to support and expand the
economic and social infrastructure of the community. Conversely, in
some areas, a mix of ethnic groups among arrivals also contributes to
reduced capacity for local self-help activity in each ethnic community
of newcomers.
While employment and economic independence continue to be ORR's
primary concern and the focus of the formula social services and
targeted assistance funding, this announcement provides an opportunity
for local organizations to request funding for activities which
supplement and complement employment-related services by strengthening
refugee families and communities.
Coalitions
Local organizations, which have not already done so, are encouraged
to build coalitions for the purpose of applying under this
announcement. The activities funded by these grants are intended to
serve as a catalyst to bring the community together to address the
economic and social problems of refugee families and the refugee
community. The goal in all cases should be to build and strengthen the
community's capacity to serve its members in improving the quality of
life and standard of living for refugee families. While activities
proposed do not have to be directly employment related, applicants
should be guided by the overarching goal of improving the economic
condition of refugee families and of gearing them to adjust socially
and economically to their new country and their new communities.
This announcement strongly encourages partnerships or consortia of
three or more eligible organizations to submit joint applications for
grants. In each application, one organization must be clearly
identified as the grant recipient (grantee) with primary administrative
and fiscal responsibilities. Applications from consortia which do not
clearly specify which organization will serve as grantee cannot be
considered. In all cases the applicant must demonstrate that wherever
potential partners for collaboration exist, the applicant, at a
minimum, has planned the proposed activities in collaboration with
these potential partners, whether they are in the refugee services
provider community of organizations and institutions or in mainstream
services organizations, e.g., adult basic education providers, senior
citizens organizations, women's shelters. Consultation might also
include the Mayor's office, school parent-teacher groups, local police
departments, and other mainstream community service organizations.
This announcement is intended to encourage service planners and
providers to consider the various unmet needs of refugee families and
communities relative to existing services, the capacity of the service-
providing network, and ultimately the community's capacity to continue
the activity without additional ORR resources beyond the three-year
project period of this announcement. Long-range viability may depend
on: linkages to activities funded by other sources, the availability of
expertise in the community, the relatedness of proposed activities to
existing activities, the willingness of the community to participate
actively in assuring the success of the activity--including volunteer
commitment, and the likelihood of tangible results.
The scoring in the review criteria is heavily weighted to encourage
coalition projects. To receive maximum consideration, the applicant
should represent a coalition of a minimum of three participating
organizations in the local project area.
Service Compatibility
Applicants also are more likely to be successful in obtaining a
grant if they describe the refugee community, family, and service
capacity concerns under consideration. It should be clear how the
proposed activity fits into the existing network of services; how it
responds to the particular needs of families in that community or to a
broader need of the community of families; who is committed to do what
in order to accomplish this goal; and what the goal or expected outcome
of the activity is.
The process of coalition-building is key to strengthening
cooperation and coordination among the local service providers,
community leaders, Mutual Assistance Associations, voluntary agencies,
churches, and other public and private organizations involved in
refugee resettlement and/or community service. ORR intends that this
process will be part of local efforts to build strategic partnerships
among these groups to expand their capacity to serve the social and
economic needs of refugees and to give support and direction to ethnic
communities facing
[[Page 27910]]
problems in economic independence and social adjustment.
In all cases, regardless of the nature of the organization proposed
to provide services or conduct activities funded under this
announcement, the services/activities must be conducted by staff
linguistically and culturally compatible with the refugee families or
communities to be served. In addition, the applicant must describe how
proposed providers will have access to the families and to the
community to be served.
Where the application represents a coalition of providers, the
applicant should include in the application package a signed
partnership agreement which includes a commitment or statement of
intent to commit resources from the prospective partner(s) contingent
upon receipt of ORR funds. The agreement should state how the
partnership arrangement relates to the objectives of the project. The
applicant should also include: supporting documentation identifying the
resources, experience, and expertise of the partner(s); evidence that
the partner(s) has been involved in the planning of the project; and a
discussion of the role of the partner(s) in the implementation and
conduct of the project. In this context, ORR is defining partnership as
a formal negotiated arrangement among organizations that provides for
substantive collaborative roles for each of the partners in the
planning and conduct of the project.
All applicants should demonstrate existing refugee community
support for their agency and their proposed project. If the applicant
works in an area where no other organizations work with refugees, and a
coalition with other organizations is not possible, this should be
explained and documented. Applicants and their partners should provide
evidence that their governing bodies, boards of directors, or advisory
bodies are representative of the refugee communities being served, and
have both male and female representation.
Because funding under this program announcement is limited,
applicants are urged to plan for the use of these funds in conjunction
with other Federal, State, and private funds available to assist the
target populations and to carry out similar programs and activities
(cost-sharing). In subsequent year continuation applications, the
grantee will be asked to document receipt of non-Federal funds from
other sources. The requirement will be not less than 20% of the full
budget for the second year award, and 40% for the third year award. For
example, if the original budget is $150,000, the federal share for that
year may be 100%. The second year the federal award might be $120,000
and the grantee would be required to provide at a minimum cost-sharing
of 20% of the full budget, or in the amount of $30,000 cash or in-kind
support. The third year federal award might be $90,000 and the grantee
would be required to provide cost-sharing of 40% of the full budget.
Only in unusual circumstances will the Director of ORR entertain a
request from the grantee to reduce or waive the cost-sharing
requirement which may be determined to be in the best interest of the
government.
Allowable Services/Activities for Community Support Grants
ORR will consider applications for services which an applicant
justifies, based on an analysis of service needs and available
resources, as necessary to address the social and economic problems of
refugee families and of the refugee community.
The specific services proposed may be as diverse as the communities
themselves. Some examples follow which are not intended to be a
comprehensive list but are intended to stimulate planning and community
discussion. The examples do not include the more traditional employment
and English language services for which the States predominantly
contract with the formula social services and targeted assistance
funds--not because these services are discouraged or disallowed under
this announcement, but because repetition here is not necessary. It
will be the task of the local planning processes to determine what is
needed to address the economic and social adjustment needs of families
and the community and to make the case for what is being proposed in
the application. Activities and services proposed should be planned in
conjunction with existing services and should supplement and complement
these services. Special attention should be given in the planning
process to the services available to all citizens, including community
institutions which serve the elderly, youth and special needs
populations.
Non-Allowable Activities
Funds will not be awarded to applicants who propose to engage in
activities of a distinctly political nature or which are designed
primarily to promote the preservation of cultural heritage, or which
have an international objective. ORR supports refugee community efforts
to preserve cultural heritage, but believes these are activities which
communities should conduct without recourse to ORR resources.
Some Examples of Allowable Activities
Orientation and Community Education
--Activities designed to inform the refugee community about issues
essential to effective participation in the new society.
--Classes in parenting skills, including information about U.S.
cultural and legal issues, e.g., related to corporal punishment,
generational conflict, and child abuse.
--Orientation and assistance to parents in connecting with the school
system and other local community organizations.
--Information services on health care: information on access to health
care for the uninsured, on health insurance, on health maintenance
organizations, on the importance of preventive health, and on available
universal coverage services, e.g., immunizations.
Specialized English Language Training
--Specialized classes for specific industries in conjunction with
employers.
--Specialized classes for groups outside the regular classes, e.g.,
homebound women, elderly. Use of volunteers is encouraged.
Accessibility of site and time is important.
Leadership Training
--Potential participants should be involved in designing the training.
Activities might include community organizing, fund raising, non-profit
management, other needs identified by potential participants.
Mentoring Programs
--Pairing participant individuals or families with community
volunteers. Programs should target refugees who are not otherwise
receiving core services, and mentoring should target needs they
identify.
Peer Support Groups
--Assisting subgroups to form a common bond for resolution of peer-
specific problems. The purposes are to solve individual, family, and
community problems with the support of peers and to solve common
problems through group action.
Citizenship Education
--Education and training designed to prepare refugees to become
citizens.
Combating Violence in Families
--Information and training against domestic violence, child abuse,
sexual
[[Page 27911]]
harassment and coercion, roles of men and women in U.S. culture,
techniques for protection. Bi-lingual staff for women's shelters.
Crime Prevention/Victimization
--Activities designed to improve relations between refugees and the law
enforcement communities: (a) public service officers or community
liaisons; (b) neighborhood storefronts and/or watch programs; (c)
refugee business watch program; (d) cross cultural training for the law
enforcement community (police departments, court system, mediation/
dispute resolution centers).
Note: Law enforcement activities, such as hiring sworn police
officers (except those who are public service officers or community
liaison officers), fingerprinting, incarceration, etc., are outside
the scope of allowable services under the Refugee Act and will not
be considered for funding. Other unallowable activities are those
limited to, or principally focused on, parole counseling, court
advocacy, and child protection services.
Refugee Community Centers
--Developing and operating community centers for delivering services to
refugee individuals and families. Centers may also be used for
recreation, information and referral services and community gatherings.
(Costs related to construction or renovation will not be considered,
nor will costs for food or beverages).
Community Organizing
--Communities might be organized for housing cooperatives, for youth
activities, for services to elderly, for volunteer mentoring services,
for crime prevention.
The above are only examples of services. They are not intended to
limit potential applicants in community planning.
These examples are listed and generically described without regard
to the population to be served. It will be necessary in the application
to describe more specifically the target population. For example, one
activity might be appropriately designed to serve only homebound women.
Another might be designed for teen-agers and their parents. Another
might be for elderly. Some might be targeted for all members of the
family. Applications should correlate a planned activity with specific
target audiences and discuss the relationship between the proposed
activities and the target population.
Application Content and Review Criteria
Application Content
A. Need and Scope
Applicants should submit a detailed profile of the target community
or communities to include the following:
--Refugee Community: A description by geographic area or ethnic group
of the refugee community to be served, including numbers, ethnicity,
welfare utilization pattern, number of refugee families in the
community, family characteristics, and an assessment of attitudes of
the refugees and the general community toward each other.
--Target Population: Applicants must submit a profile of the specific
target population to be served. The applicant must describe the target
population, reflecting ethnicity, age makeup, and length of time in the
United States. All discrete refugee target populations may be
considered. A target population may include, but is not limited to: an
ethnic group, refugee families, women, youth, older workers, two-parent
families on public assistance, or the aged. The applicant must provide
justification for the selection of the target population.
Include a description of the problem(s) which the applicant/
coalition has identified and for which funds are being requested, and a
broad overview of the refugee resettlement picture in the community in
which the applicant is proposing to conduct activities.
The applicant shall describe the existing service delivery
systems(s) and existing community networks and explain how the
activities proposed complement and do not supplant existing services.
B. Strategy and Program Design
Project design must include representatives of the target
population. For example, a project designed to assist single mothers
needs to be designed in consultation with single mothers. Input by the
target population is viewed as particularly important.
The description of strategy and program design should also include:
--The proposed strategy for addressing the needs identified for the
target population.
--The activities proposed to be funded under this grant application,
including locations proposed for services, time of service vis-a-vis
normal workday, and any special cultural considerations.
--Identification of projected performance outcomes and proposed
milestones measuring progress, as appropriate to the services proposed
by the end of the first budget period and over the entire requested
project period. While ORR recognizes that in many family and community
services outcomes may be difficult to quantify, ORR encourages
applicants, to the extent possible, to develop innovative quantifiable
measures related to the desired outcomes for purposes of monitoring and
project assessment.
--The extent to which the award is projected to be augmented or
supplemented by other funding during and beyond (i.e. in the second and
any subsequent year of) the grant period, or can be integrated into
other existing service systems.
C. Capability Statement
A list of the organizations participating in the applicant
coalition, a clear statement of which agency will serve as grantee in
the event of an award, a description of the role of each member of the
coalition in the project's proposed activities, and a memorandum
detailing collaboration signed by all parties must be submitted.
Applications representing coalitions of local organizations shall
describe the nature of the agreement among collaborating agencies and
include a copy of a signed agreement attesting to a common
understanding of how the partners will relate to each other
administratively and programmatically in carrying out the proposed
activities under the grant. Document resources, experience, and
expertise. In addition, proposed linkages with other refugee/entrant
service agencies and/or organizations, and with human service agencies
should be detailed.
The applicant shall discuss the gender balance and constituent
representation of the board members of the participating organizations
or of the proposed project's advisory board.
The applicant shall describe how this project will gain access to
the target population and ensure that services are linguistically and
culturally appropriate.
The applicant shall describe the administrative and management
features of the project. The administrative description should detail
each of the following:
--Qualifications of the applicant organization and any partners.
--A description of the applicant's plan for fiscal and programmatic
management of each activity, including proposed start-up time, ongoing
timelines, major milestones
[[Page 27912]]
or benchmarks, a component/project organization chart, and a staffing
chart.
--A description of information collection (participant and outcome
data) and monitoring proposed.
D. Budget and Funding
--Budget, by line item, with narrative justification.
--A description of how the need for the ORR funding requested will be
phased out over the life of the project and a description of the cost-
sharing plan for any subsequent budget periods (e.g. how other
resources will be leveraged to maintain the full budget during the
overall project period of the ORR grant).
Criteria for Evaluating Grant Applications
Each application will be rated individually on the following:
A. Need and Scope--(25 points)
--Profile of refugee community and target population. Clarity of
description and soundness of rationale for selection of targeted
community or population.
--Adequacy and quality of data provided and quality of the analysis of
data provided in the application.
--Clarity and comprehensiveness of needs identification and problem
statement and of the description of the local context in which grant
activities are proposed.
--Comprehensiveness of description of existing services and community
network and explanation of how the proposed services complement what is
already in place.
--Evidence of consultation with target population.
B. Proposed Strategy and Program Design (25 points)
--Soundness of strategy and program design for meeting identified
needs.
--The quality of the outcomes proposed and the component's potential
for achieving the outcomes within the grant's project period. The
potential of the project to have a positive impact on the quality of
the lives of refugee families and communities.
--Adequate detail in the description of linkages with other providers
and roles of collaborating agencies in project implementation.
--Extent to which the need described is expected to be met and/or to
which the services will be augmented, supplemented, or integrated with
existing services.
C. Applicant/Coalition Capability--(30 points)
--Validity and reasonableness of the proposed coalition arrangement to
perform the proposed activities. Commitment of coalition partners in
implementing the activities as demonstrated by letters or the language
of the signed agreement among participants. (Where no potential
coalition partners are documented to be available, the applicant will
not be penalized under this criteria. The applicant shall still
describe any consultation efforts undertaken and its consultation with
the refugee community.)
--Experience of the applicant/coalition in performing the proposed
services.
--Adequacy of gender balance and constituent representatives of board
members of participant organizations or of the proposed project's
advisory board.
--Adequacy of assurance that proposed services will be linguistically
and culturally appropriate to the target population.
--Qualifications of the individual organization staff and any
volunteers.
D. Budget and Financial Management--(20 points)
--Reasonableness of budget in relation to the proposed activities and
anticipated results.
--Adequacy of proposed monitoring and information collection.
--Realistic plan for the continuation of services with a phase-out of
ORR grant funding over the multi-year project period. Extent to which
the application makes provision for cost-sharing (e.g. leveraging ORR
funds with non-Federal funds or in-kind support) to maintain the full
budget during the overall project. If available, the value of such
leveraged funds or in-kind support and any preliminary commitments.
Total: 100 points
General Procedure for Competitive Review of Applications
Applicants will be reviewed competitively and scored by an
independent review panel of experts in accordance with ACF grants
policy and the criteria stated below. The results of the independent
review panel scores and explanatory comments will assist the Director
of ORR 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 the reviewers. However, during the federal
assessment process, lead applicants who are current recipients of
Community and Family Strengthening funds in these areas may receive
less consideration than new lead applicants. Highly ranked applications
are not guaranteed funding since other factors are taken into
consideration, including: comments of reviewers and of ACF/ORR
officials; previous program performance of applicants; compliance with
grant terms under previous DHHS grants; audit reports; and
investigative reports. Final funding decisions will be made by the
Director of ORR.
Application Preparation and Submission
Availability of Forms
Attachments contain all of the standard forms necessary for the
application for awards under this announcement. Further, 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 following office: Office of Refugee
Resettlement, 370 L'Enfant Promenade SW., Washington, DC 20447
Telephone: (202) 401-1196.
Forms, Certifications, Assurances, and Disclosure
1. Applications for financial assistance under this announcement
must file the Standard Form (SF) 424, Application for Federal
Assistance; SF-424A, Budget Information--Non-Construction Programs; SF-
424B, Assurances--Non-Construction Programs. The instructions and forms
required for submission of applications are included. The forms may be
reproduced for use in submitting applications. An application with an
original signature and two copies is required.
2. Applicants must provide the following certifications. Copies of
the forms and assurances are located at the end of this announcement.
Certification regarding lobbying if your anticipated award exceeds
$100,000.
Certification regarding environmental tobacco smoke.
3. Applicants must make the appropriate certification of compliance
with the following three items. In each, by signing and submitting the
applications, applicants are providing the certification and need not
mail back the certification with the applications.
[[Page 27913]]
Certification regarding debarment, suspension, and other
responsibility matters.
Certification of compliance with the Pro-Children Act of 1994.
Certification of their compliance with the Drug-Free Workplace Act
of 1988.
4. (a) Deadline: Mailed applications shall be considered as meeting
an announced deadline if they are either received on or before the
deadline date or sent on or before the deadline date and received by
ACF in time for the independent review to: U.S. Department of Health
and Human Services, Administration for Children and Families, Division
of Discretionary Grants, 370 L'Enfant Promenade, S.W., Mail Stop 6C-
462, Washington, D.C. 20447, Attention: Application for New Community
and Family Strengthening
Applicants are cautioned to request a legibly dated U.S. Postal
Service postmark or to obtain a legibly dated receipt from a commercial
carrier or U.S. Postal Service. Private Metered postmarks shall not be
acceptable as proof of timely mailing.
Applications handcarried by applicants, applicant couriers, or by
overnight/express mail couriers shall be considered as meeting an
announced deadline if they are received on or before the deadline date,
between the hours of 8:00 a.m. and 4:30 p.m., at the U.S. Department of
Health and Human Services, Administration for Children and Families,
Division of Discretionary Grants, ACF Mailroom, 2nd Floor Loading Dock,
Aerospace Center, 901 D Street, S.W., Washington, D.C. 20024, between
Monday and Friday (excluding Federal holidays). (Applicants are
cautioned that express/overnight mail services do not always deliver as
agreed.)
ACF cannot accommodate transmission of applications by fax or
through other electronic media. Therefore, applications transmitted to
ACF electronically will not be accepted regardless of date or time of
submission and time of receipt.
b. Late applications: Applications which do not meet the criteria
above are considered late applications. ACF shall notify each late
applicant that its application will not be considered in the current
competition.
c. Extension of deadlines: ACF may extend the deadline for all
applicants because of acts of God such as floods, hurricanes, etc.,
widespread disruption of the mails, or when it is anticipated that many
of the applications will come from rural or remote areas. However, if
the granting agency does not extend the deadline for all applicants, it
may not waive or extend the deadline for any applicants.
d. Once an application has been submitted, it is considered as
final and no additional materials will be accepted by ACF.
Non-Profits Status
Applicants other than public agencies must provide evidence of
their nonprofit status with their applications. Any of the following is
acceptable evidence: (1) a copy of the applicant organization's listing
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.
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 Service
Programs and Activities.''
As of February, 1996, the following jurisdictions have elected not
to participate in the Executive Order process. Applicants from these
jurisdictions need take no action in regard to E.O. 12372: Alaska,
Colorado, Connecticut, Hawaii, Idaho, Kansas, Louisiana, Massachusetts,
Minnesota, Montana, Nebraska, Oklahoma, Oregon, Pennsylvania, South
Dakota, Tennessee, Virginia, Washington, American Samoa, and Palau.
All remaining jurisdictions participate in the E.O. process and
have established Single Points of Contact (SPOCs). A list of the Single
Points of Contact for each State and Territory is included as Appendix
A of this announcement.
Applicants from participating jurisdictions should contact their
SPOCs as soon as possible to alert them to the prospective applications
and receive instructions. Applicants must submit any required material
to the SPOCs as soon as possible so that the program office can obtain
and review SPOC comments as part of the award process. The applicant
must submit all required materials, if any, to the SPOC and indicate
the date of this submittal (or the date of contact if no submittal is
required) on the Standard Form 424, item 16a.
Under 45 CFR 100.8(a)(2), a SPOC has 60 days from the application
deadline to comment on proposed new or competing continuation awards.
SPOCs are encouraged to eliminate the submission of routine
endorsements as official recommendations.
Additionally, SPOCs are requested to clearly differentiate between
mere advisory comments and those official State process recommendations
which may trigger the ``accommodate or explain'' rule. When comments
are submitted directly to ACF, they should be addressed to: Department
of Health and Human Services, Administration for Children and Families,
Division of Discretionary Grants, 370 L'Enfant Promenade, S.W.,
Washington, D.C. 20447.
H. Paperwork Reduction Act of 1995
Under the Paperwork Reduction Act of 1995, Pub. Law 104-13, the
Department is required to submit to the Office of Management and Budget
(OMB) for review and approval any reporting and recordkeeping
requirements in regulations, including program announcements. All
information required by this is covered under the following OMB
Approval Nos:
SF 424 (OMB Clearance No. 0348-0043) Application for
Federal Assistance.
SF 424A (OMB Clearance No. 0348-044) Budget Information.
SF 424B (OMB Clearance No. 0348-040) Assurances--Non
Construction Programs.
SF ORR-6 (Revised 9/05/95; OMB Clearance No. 0970-0036)
Quarterly Performance Report.
I. Applicable Regulations
Applicable HHS regulations will be provided to grantees upon award.
J. Reporting Requirements
Grantees are required to file Financial Status (SF-269) semi-
annually and Program Progress Reports on a quarterly basis. Funds
issued under these awards must be accounted for and reported upon
separately from all other grant activities.
Although ORR does not expect the proposed components/projects to
include evaluation activities, it does expect grantees to maintain
adequate records to track and report on project outcomes and
expenditures by budget line item.
The official receipt point for all reports and correspondence is
the Division of Discretionary Grants. The original copy of each report
shall be submitted to the Grants Management Specialist, ACF, with a
copy being sent simultaneously to the ORR Project Officer. The mailing
address for both the Division of Discretionary Grants and the Office of
Refugee Resettlement is: Aerospace Building, Sixth Floor, 370
[[Page 27914]]
L'Enfant Promenade, S.W., Washington, D.C. 20447.
The final Financial and Program Progress Reports shall be due 90
days after the budget expiration date or termination of grant support.
(The Catalog of Federal Domestic Assistance (CFDA) number assigned
to this announcement is 93.576)
Dated: May 28, 1996.
Lavinia Limon,
Director, Office of Refugee Resettlement.
BILLING CODE 4184-01-P
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BILLING CODE 4184-01-C
[[Page 27916]]
Instructions for the SF 424
This is a standard form used by applicants as a required
facesheet for preapplications and applications submitted for Federal
assistance. It will be used by Federal agencies to obtain applicant
certification that States which have established a review and
comment procedure in response to Executive Order 12372 and have
selected the program to be included in their process, have been
given an opportunity to review the applicant's submission.
Item and Entry
1. Self-explanatory.
2. Date application submitted to Federal agency (or State if
applicable) & applicant's control number (if applicable).
3. State use only (if applicable).
4. If this application is to continue or revise an existing
award, enter present Federal identifier number. If for a new
project, leave blank.
5. Legal name of applicant, name of primary organizational unit
which will undertake the assistance activity, complete address of
the applicant, and name and telephone number of the person to
contact on matters related to this application.
6. Enter Employer Identification Number (EIN) as assigned by the
Internal Revenue Service.
7. Enter the appropriate letter in the space provided.
8. Check appropriate box and enter appropriate letter(s) in the
space(s) provided:
--``New'' means a new assistance award.
--``Continuation'' means an extension for an additional funding/
budget period for a project with a projected completion date.
--``Revision'' means any change in the Federal Government's
financial obligation or contingent liability from an existing
obligation.
9. Name of Federal agency from which assistance is being
requested with this application.
10. Use the Catalog of Federal Domestic Assistance number and
title of the program under which assistance is requested.
11. Enter a brief descriptive title of the project. If more than
one program is involved, you should append an explanation on a
separate sheet. If appropriate (e.g., construction or real property
projects), attach a map showing project location. For
preapplications, use a separate sheet to provide a summary
description of this project.
12. List only the largest political entities affected (e.g.,
State, counties, cities).
13. Self-explanatory.
14. List the applicant's Congressional District and any
District(s) affected by the program or project.
15. Amount requested or to be contributed during the first
funding/budget period by each contributor. Value of in-kind
contributions should be included on appropriate lines as applicable.
If the action will result in a dollar change to an existing award,
indicate only the amount of the change. For decreases, enclose the
amounts in parentheses. If both basic and supplemental amounts are
included, show breakdown on an attached sheet. For multiple program
funding, use totals and show breakdown using same categories as item
15.
16. Applicants should contact the State Single Point of Contact
(SPOC) for Federal Executive Order 12372 to determine whether the
application is subject to the State intergovernmental review
process.
17. This question applies to the applicant organization, not the
person who signs as the authorized representative. Categories of
debt include delinquent audit disallowances, loans and taxes.
18. To be signed by the authorized representative of the
applicant. A copy of the government 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
[[Page 27917]]
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[[Page 27918]]
[GRAPHIC] [TIFF OMITTED] TN03JN96.021
BILLING CODE 4184-01-C
[[Page 27919]]
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 amounts on Lines 6i and 6j. For all
applications for new grants and continuation grants the total amount
in column (5), Line 6k, should be the same as the total amount shown
in Section A, Column (g), Line 5. For supplemental grants and
changes to grants, the total amount of the increase or decrease as
shown in Columns (1)-(4), Line 6k should be the same as the sum of
the amounts in Section A, Columns (e) and (f) on Line 5.
Line 7--Enter the estimated amount of income, if any, expected
to be generated from this project. Do not add or subtract this
amount from the total project amount. Show under the program
narrative statement the nature and source of income. The estimated
amount of program income may be considered by the federal grantor
agency in determining the total amount of the grant.
Section C. Non-Federal-Resources
Lines 8-11--Enter amounts of non-Federal resources that will be
used on the grant. If in-kind contributions are included, provide a
brief explanation on a separate sheet.
Column (a)--Enter the program titles identical to Column (a),
Section A. A breakdown by function or activity is not necessary.
Column (b)--Enter the contribution to be made by the applicant.
Column (c)--Enter the amount of the State's cash and in-kind
contribution if the applicant is not a State or State agency.
Applicants which are a State or State agencies should leave this
column blank.
Column (d)--Enter the amount of cash and in-kind contributions
to be made from all other sources.
Column (e)--Enter totals of Columns (b), (c), and (d).
Line 12--Enter the total for each of Columns (b)-(e). The amount
in Column (e) should be equal to the amount on Line 5, Column (f),
Section A.
Section D. Forecasted Cash Needs
Line 13--Enter the amount of cash needed by quarter from the
grantor agency during the first year.
Line 14--Enter the amount of cash from all other sources needed
by quarter during the first year.
Line 15--Enter the totals of amounts on Lines 13 and 14.
Section E. Budget Estimates of Federal Funds Needed for Balance of
the Project
Lines 16-19--Enter in Column (a) the same grant program titles
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 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
[[Page 27920]]
accordance with generally accepted accounting standards or agency
directives.
3. Will establish safeguards to prohibit employees from using
their positions for a purpose that constitutes or presents the
appearance of personal or organizational conflict of interest, or
personal gain.
4. Will initiate and complete the work within the applicable
time frame after receipt of approval of the awarding agency.
5. Will comply with the Intergovernmental Personnel Act of 1970
(42 U.S.C. Secs. 4728-4763) relating to prescribed standards for
merit systems for programs funded under one of the nineteen statutes
or regulations specified in Appendix A of OPM's Standards for a
Merit System of Personnel Administration (5 C.F.R. 900, Subpart F).
6. Will comply with all Federal statutes relating to
nondiscrimination. These include but are not limited to: (a) Title
VI of the Civil Rights Act of 1964 (P.L. 88-352) which prohibits
discrimination on the basis of race, color or national origin; (b)
Title IX of the Education Amendments of 1972, as amended (20 U.S.C.
Secs. 1681-1683, and 1685-1686), which prohibits discrimination on
the basis of sex; (c) Section 504 of the Rehabilitation Act of 1973,
as amended (29 U.S.C. Sec. 794), which prohibits discrimination on
the basis of handicaps; (d) the Age Discrimination Act of 1975, as
amended (42 U.S.C. Secs. 6101-6107), which prohibits discrimination
on the basis of age;
(e) the Drug Abuse Office of Treatment Act of 1972 (P.L. 92-
255), as amended, relating to nondiscrimination on the basis of drug
abuse; (f) the Comprehensive Alcohol Abuse and Alcoholism
Prevention, Treatment and Rehabilitation Act of 1970 (P.L. 91-616),
as amended, relating to nondiscrimination on the basis of alcohol
abuse or alcoholism; (g) Secs. 523 and 527 of the Public Health
Service Act of 1912 (42 U.S.C. 290 dd-3 and 290 ee-3), as amended,
relating to confidentiality of alcohol and drug abuse patient
records; (h) Title VIII of the Civil Rights Act of 1968 (42 U.S.C.
Sec. 3601 et seq.), as amended, relating to nondiscrimination in the
sale, rental or financing of housing; (i) any other
nondiscrimination provisions in the specific statute(s) under which
application for Federal assistance is being made; and (j) the
requirements of any other nondiscrimination statute(s) which may
apply to the application.
7. Will comply, or has already complied, with the requirements
of Titles II and III of the Uniform Relocation Assistance and Real
Property Acquisition Policies Act of 1970 (P.L. 91-646) which
provide for fair and equitable treatment of persons displaced or
whose property is acquired as a result of Federal or federally
assisted programs. These requirements apply to all interests in real
property acquired for project purposes regardless of Federal
participation in purchases.
8. Will comply with the provisions of the Hatch Act (5 U.S.C.
Secs. 1501-1508 and 7324-7328) which limit the political activities
of employees whose principal employment activities are funded in
whole or in part with Federal funds.
9. Will comply, as applicable, with the provisions of the Davis-
Bacon Act (40 U.S.C. Secs. 276a to 276a-7), the Copeland Act (40
U.S.C. Sec. 276c and 18 U.S.C. Secs. 874), and the Contract Work
Hours and Safety Standards Act (40 U.S.C. Secs. 327-333), regarding
labor standards for federally assisted construction subagreements.
10. Will comply, if applicable, with flood insurance purchase
requirements of Section 102(a) of the Flood Disaster Protection Act
of 1973 (P.L. 93-234) which requires recipients in a special flood
hazard area to participate in the program and to purchase flood
insurance if the total cost of insurable construction and
acquisition is $10,000 or more.
11. Will comply with environmental standards which may be
prescribed pursuant to the following: (a) institution of
environmental quality control measures under the National
Environmental Policy Act of 1969 (P.L. 91-190) and Executive Order
(EO) 11514; (b) notification of violating facilities pursuant to EO
11738; (c) protection of wetlands pursuant to EO 11990; (d)
evaluation of flood hazards in floodplains in accordance with EO
11988; (e) assurance of project consistency with the approved State
management program developed under the Coastal Zone Management Act
of 1972 (16 U.S.C. Secs. 1451 et seq.); (f) conformity of Federal
actions to State (Clear Air) Implementation Plans under Section
176(c) of the Clear Air Act of 1955, as amended (42 U.S.C. Sec. 7401
et seq.); (g) protection of underground sources of drinking water
under the Safe Drinking Water Act of 1974, as amended, (P.L. 93-
523); and (h) protection of endangered species under the Endangered
Species Act of 1973, as amended, (P.L. 93-205).
12. Will comply with the Wild and Scenic Rivers Act of 1968 (16
U.S.C. Secs. 1271 et seq.) related to protecting components or
potential components of the national wild and scenic rivers system.
13. Will assist the awarding agency in assuring compliance with
Section 106 of the National Historic Preservation Act of 1966, as
amended (16 U.S.C. 470), EO 11593 (identification and protection of
historic properties), and the Archaeological and Historic
Preservation Act of 1974 (16 U.S.C. 469a-1 et seq.).
14. Will comply with P.L. 93-348 regarding the protection of
human subjects involved in research, development, and related
activities supported by this award of assistance.
15. Will comply with the Laboratory Animal Welfare Act of 1966
(P.L. 89-544, as amended, 7 U.S.C. 2131 et seq.) pertaining to the
care, handling, and treatment of warm blooded animals held for
research, teaching, or other activities supported by this award of
assistance.
16. Will comply with the Lead-Based Paint Poisoning Prevention
Act (42 U.S.C. Secs. 4801 et seq.) which prohibits the use of lead
based paint in construction or rehabilitation of residence
structures.
17. Will cause to be performed the required financial and
compliance audits in accordance with the Single Audit Act of 1984.
18. Will comply with all applicable requirements of all other
Federal laws, executive orders, regulations and policies governing
this program.
----------------------------------------------------------------------
Signature of Authorized Certifying Official
----------------------------------------------------------------------
Title
----------------------------------------------------------------------
Applicant Organization
----------------------------------------------------------------------
Date Submitted
BILLING CODE 4184-01-P
[[Page 27921]]
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[[Page 27922]]
[GRAPHIC] [TIFF OMITTED] TN03JN96.023
BILLING CODE 4184-01-C
[[Page 27923]]
Certification Regarding Debarment, Suspension, and Other Responsibility
Matters--Primary Covered Transactions
By signing and submitting this proposal, the applicant, defined as
the primary participant in accordance with 45 CFR Part 76, certifies to
the best of its knowledge and belief that it and its principals:
(a) are not presently debarred, suspended, proposed for debarment,
declared ineligible, or voluntarily excluded from covered transactions
by any Federal Department or agency;
(b) have not within a 3-year period preceding this proposal been
convicted of or had a civil judgment rendered against them for
obtaining, attempting to obtain, or performing a public (Federal,
State, or local) transaction or contract under a public transaction;
violation of Federal or State antitrust statutes or commission of
embezzlement, theft, forgery, bribery, falsification or destruction of
records, making false statements, or receiving stolen property.
(c) are not presently indicated or otherwise criminally or civilly
charged by a governmental entity (Federal, State or local) with
commission of any of the offenses enumerated in paragraph (1)(b) of
this certification; and
(d) have not within a 3-year period preceding this application/
proposal had one or more public transactions (Federal, State or local)
terminated for cause or default.
The inability of a person to provide the certification required
above will not necessarily result in denial of participation in this
covered transaction. If necessary, the prospective participate shall
submit an explanation of why it cannot provide the certification. The
certification or explanation will be considered in connection with the
Department of Health and Human Services' (HHS) determination whether to
enter into this transaction. However, failure of the prospective
primary participant to furnish a certification or an explanation shall
disqualify such person from participation in this transaction.
The prospective primary participant agrees that by submitting this
proposal, it will include the clause entitled ``Certification Regarding
Debarment, Suspension, Ineligibility, and Voluntary Exclusion--Lower
Tier Covered Transactions'' provided below without modification in all
lower tier covered transactions and in all solicitations for lower tier
covered transactions.
Certification Regarding Debarment, Suspension, Ineligibility and
Voluntary Exclusion--Lower Tier Covered Transactions
(To Be Supplied to Lower Tier Participants)
By signing and submitting this lower tier proposal, the prospective
lower tier participant, as defined in 45 CFR Part 76, certifies to the
best of its knowledge and belief that it and its principals:
(a) are not presently debarred, suspended, proposed for debarment,
declared ineligible, or voluntarily excluded from participation in this
transaction by any federal department or agency.
(b) where the prospective lower tier participant is unable to
certify to any of the above, such prospective participant shall attach
an explanation to this proposal.
The prospective lower tier participant further agrees by submitting
this proposal that it will include this clause entitled ``Certification
Regarding Debarment, Suspension, Ineligibility, and Voluntary
Exclusion--Lower Tier Covered Transactions'' without modification in
all lower tier covered transactions and in all solicitations for lower
tier covered transactions.
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.
----------------------------------------------------------------------
Signature
----------------------------------------------------------------------
Title
----------------------------------------------------------------------
Organization
----------------------------------------------------------------------
Date
BILLING CODE 4184-01-P
[[Page 27924]]
[GRAPHIC] [TIFF OMITTED] TN03JN96.024
BILLING CODE 4184-01-C
[[Page 27925]]
Certification Regarding Environmental Tobacco Smoke
Public Law 103-227, Part C--Environmental Tobacco Smoke, also known
as the Pro-Children Act of 1994 (Act), requires that smoking not be
permitted in any portion of any indoor facility owned or leased or
contracted for by an entity and used routinely or regularly for the
provision of health, day care, education, or library services to
children under the age of 18, if the services are funded by Federal
programs either directly or through State or local governments, by
Federal grant, contract, loan, or loan guarantee. The law does not
apply to children's services provided in private residences, facilities
funded solely by Medicare or Medicaid funds, and portions of facilities
used for inpatient drug or alcohol treatment. Failure to comply with
the provisions of the law may result in the imposition of a civil
monetary penalty of up to $1,000 per day and/or the imposition of an
administrative compliance order on the responsible entity.
By signing and submitting this application the applicant/grantee
certifies that it will comply with the requirements of the Act. The
applicant/grantee further agrees that it will require the language of
this certification be included in any subawards which contain
provisions for children's services and that all subgrantees shall
certify accordingly.
OMB State Single Point of Contact Listing
Arizona
Joni Saad, Arizona State Clearinghouse, 3800 N. Central Avenue,
Fourteenth Floor, Phoenix, Arizona 85012, Telephone (602) 280-1315,
FAX: (602) 280-1305
Arkansas
Mr. Tracy L. Copeland, Manager, State Clearinghouse, Office of
Intergovernmental Services, Department of Finance and
Administration, 1515 W. 7th St., Room 412, Little Rock, Arkansas
72203, Telephone: (501) 682-1074, FAX: (501) 682-5206
Alabama
Jon C. Strickland, Alabama Department of Economic and Community
Affairs, Planning and Economic Development Division, 401 Adams
Avenue, Montgomery, Alabama 36103-5690, Telephone: (205) 242-5483,
Fax: (205) 242-5515
California
Grants Coordinator, Office of Planning & Research, 1400 Tenth
Street, Room 121, Sacramento, California 95814, Telephone (916) 323-
7480, FAX (916) 323-3018
Delaware
Francine Booth, State Single Point of Contact Executive Department,
Thomas Collins Building, P.O. Box 1401, Dover, Delaware 19903,
Telephone: (302) 739-3326, FAX: (302) 739-5661
District of Columbia
Charles Nichols, State Single Point of Contact, Office of Grants
Mgmt. & Dev., 717 14th Street, N.W.--Suite 500, Washington, D.C.
20005, Telephone: (202) 727-6554, FAX: (202) 727-1617
Florida
Florida State Clearinghouse, Department of Community Affairs, 2740
Centerview Drive, Tallahassee, Florida 32399-2100, Telephone: (904)
922-5438, FAX: (904) 487-2899
Georgia
Tom L. Reid, III, Administrator, Georgia State Clearinghouse, 254
Washington Street, S.W.--Room 401J, Atlanta, Georgia 30334,
Telephone: (404) 656-3855 or (404) 656-3829, FAX: (404) 656-7938
Illinois
Barbara Beard, State Single Point of Contact, Department of Commerce
and Community Affairs, 620 East Adams, Springfield, Illinois 62701,
Telephone: (217) 782-1671, FAX: (217) 534-1627
Indiana
Amy Brewer, State Budget Agency, 212 State House, Indianapolis,
Indiana 46204, Telephone: (317) 232-5619, FAX: (317) 233-3323
Iowa
Steven R. McCann, Division for Community Assistance, Iowa Department
of Economic Development, 200 East Grand Avenue, Des Moines, Iowa
50309, Telephone: (515) 242-4719, FAX: (515) 242-4859
Kentucky
Ronald W. Cook, Office of the Governor, Department of Local
Government, 1024 Capitol Center Drive, Frankfort, Kentucky 40601-
8204, Telephone: (502) 573-2382, FAX: (502) 573-2512
Maine
Joyce Benson, State Planning Office, State House Station #38,
Augusta, Maine 04333, Telephone: (207) 287-3261, FAX: (207) 287-6489
Maryland
William G. Carroll, Manager, State Clearinghouse for
Intergovernmental Assistance, Maryland Office of Planning, 301 W.
Preston Street--Room 1104, Baltimore, Maryland 21201-2365, Staff
Contact: Linda Janey, Telephone: (410) 225-4490, FAX: (410) 225-4480
Michigan
Richard Pfaff, Southeast Michigan Council of Governments, 1900
Edison Plaza, 660 Plaza Drive, Detroit, Michigan 48226, Telephone:
(313) 961-4266
Mississippi
Cathy Malette, Clearinghouse Officer, Department of Finance and
Administration, 455 North Lamar Street, Jackson, Mississippi 39202-
3087, Telephone: (601) 359-6762, FAX: (601) 359-6764
Missouri
Lois Pohl, Federal Assistance Clearinghouse, Office of
Administration, P.O. Box 809, Room 760, Truman Building, Jefferson
City, Missouri 65102, Telephone: (314) 751-4834, FAX: (314) 751-7819
Nevada
Department of Administration, State Clearinghouse, Capitol Complex,
Carson City, Nevada 89710, Telephone: (702) 687-4065, FAX: (702)
687-3983
New Hampshire
Jeffrey H. Taylor, Director, New Hampshire Office of State Planning,
Attn: Intergovernmental Review Process, Mike Blake, 2\1/2\ Beacon
Street, Concord, New Hampshire 03301, Telephone: (603) 271-2155,
FAX: (603) 271-1728
New Jersey
Gregory W. Adkins, Assistant Commissioner, New Jersey Department of
Community Affairs
Please direct all correspondence and questions about
intergovernmental review to: Andrew J. Jaskolka, State Review
Process, Intergovernmental Review Unit CN 800, Room 813A, Trenton,
New Jersey 08625-0800, Telephone: (609) 292-9025, FAX: (609) 633-
2132
New Mexico
Robert Peters, State Budget Division, Room 190 Bataan Memorial
Building, Santa Fe, New Mexico 87503, Telephone: (505) 827-3640
New York
New York State Clearinghouse, Division of the Budget, State Capitol,
Albany, New York 12224, Telephone: (518) 474-1605
North Carolina
Chrys Baggett, Director, N.C. State Clearinghouse, Office of the
Secretary of Admin., 116 West Jones Street, Raleigh, North Carolina
27603-8003, Telephone: (919) 733-7232, FAX: (919) 733-9571
North Dakota
North Dakota Single Point of Contact, Office of Intergovernmental
Assistance, 600 East Boulevard Avenue, Bismarck, North Dakota 58505-
0170, Telephone: (701) 224-2094, FAX: (701) 224-2308
Ohio
Larry Weaver, State Single Point of Contact, State Clearinghouse,
Office of Budget and Management, 30 East Broad Street, 34th Floor,
Columbus, Ohio 43266-0411
Please direct correspondence and questions about intergovernmental
review to: Linda Wise, Telephone: (614) 466-0698, FAX: (614) 466-
5400
Rhode Island
Daniel W. Varin, Associate Director, Department of Administration/
Division of Planning, One Capitol Hill, 4th Floor, Providence, Rhode
Island 02908-5870,
[[Page 27926]]
Telephone: (401) 277-2656, FAX: (401) 277-2083
Please direct correspondence and questions to: Review Coordinator,
Office of Strategic Planning
South Carolina
Omeagia Burgess, State Single Point of Contact, Grant Services,
Office of the Governor, 1205 Pendleton Street--Room 477, Columbia,
South Carolina 29201, Telephone: (803) 734-0494, FAX: (803) 734-0385
Texas
Tom Adams, Governor's Office, Director, Intergovernmental
Coordination, P.O. Box 12428, Austin, Texas 78711, Telephone: (512)
463-1771, FAX: (512) 463-1880
Utah
Carolyn Wright, Utah State Clearinghouse, Office of Planning and
Budget, Room 116, State Capitol, Salt Lake City, Utah 84114,
Telephone: (801) 538-1535, FAX: (801) 538-1547
Vermont
Nancy McAvoy, State Single Point of Contact, Pavilion Office
Building, 109 State Street, Montpelier, Vermont 05609, Telephone:
(802) 828-3326, FAX: (802) 828-3339
West Virginia
Fred Cutlip, Director, Community Development Division, W. Virginia
Development Office, Building #6, Room 553, Charleston, West Virginia
25305, Telephone: (304) 558-4010, FAX: (304) 558-3248
Wisconsin
Martha Kerner, Section Chief, State/Federal Relations, Wisconsin
Department of Administration, 101 East Wilson Street--6th Floor,
P.O. Box 7868, Madison, Wisconsin 53707, Telephone: (608) 266-2125,
FAX: (608) 267-6931
Wyoming
Sheryl Jeffries, State Single Point of Contact, Herschler Building
4th Floor, East Wing, Cheyenne, Wyoming 82002, Telephone: (307) 777-
7574, FAX: (307) 638-8967
Territories
Guam
Mr. Giovanni T. Sgambelluri, Director, Bureau of Budget and
Management Research, Office of the Governor, P.O. Box 2950, Agana,
Guam 96910, Telephone: 011-671-472-2285, FAX: 011-671-472-2825
Puerto Rico
Norma Burgos/Jose E. Caro, Chairwoman/Director, Puerto Rico Planning
Board, Federal Proposals Review Office, Minillas Government Center,
P.O. Box 4119, San Juan, Puerto Rico 00940-1119, Telephone: (809)
727-4444, (809) 723-6190, FAX: (809) 724-3270, (809) 724-3103
North Mariana Islands
State Single Point of Contact, Planning and Budget Office, Office of
the Governor, Saipan, CM, Northern Mariana Islands 96950
Virgin Islands
Jose George, Director, Office of Management and Budget, #41
Norregade Emancipation Garden Station, Second Floor, Saint Thomas,
Virgin Islands 00802
Please direct all questions and correspondence about,
intergovernmental review to: Linda Clarke, Telephone: (809) 774-
0750, FAX: (809) 776-0069
[FR Doc. 96-13804 Filed 5-31-96; 8:45 am]
BILLING CODE 4184-01-P
