97-17207. Office of Special Education and Rehabilitative Services; National Institute on Disability and Rehabilitation Research; Notice Inviting Applications for New Awards Under Certain Programs for Fiscal Year 1997  

  • [Federal Register Volume 62, Number 126 (Tuesday, July 1, 1997)]
    [Notices]
    [Pages 35644-35657]
    From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
    [FR Doc No: 97-17207]
    
    
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    DEPARTMENT OF EDUCATION
    
    [CFDA Nos.: 84.133B and 84.133D]
    
    
    Office of Special Education and Rehabilitative Services; National 
    Institute on Disability and Rehabilitation Research; Notice Inviting 
    Applications for New Awards Under Certain Programs for Fiscal Year 1997
    
        Note to Applicants: This notice is a complete application package. 
    Together with the statute authorizing the programs and applicable 
    regulations governing the programs, including the Education Department 
    General Administrative Regulations (EDGAR), this notice contains 
    information, application forms, and instructions needed to apply for a 
    grant under these competitions.
        These programs support the National Education Goal that calls for 
    all Americans to possess the knowledge and skills necessary to compete 
    in a global economy and exercise the rights and responsibilities of 
    citizenship.
        The estimated funding levels in this notice do not bind the 
    Department of Education to make awards in any of these categories, or 
    to any specific number of awards or funding levels, unless otherwise 
    specified in statute.
    APPLICABLE REGULATIONS: The Education Department General Administrative 
    Regulations (EDGAR), 34 CFR Parts 74, 75, 77, 80, 81, 82, 85, and 86; 
    and the following program regulations:
        (a) Rehabilitation Research and Training Centers (RRTCs)--34 CFR 
    Parts 350 and 352; and
        (b) Knowledge Dissemination and Utilization Program (D&U)--34 CFR 
    Parts 350 and 355.
        Program Title: Rehabilitation Research and Training Centers.
        CFDA Number: 84.133B.
        Purpose of Program: RRTCs conduct coordinated and advanced programs 
    of research on disability and rehabilitation that will produce new 
    knowledge that will improve rehabilitation methods and service delivery 
    systems, alleviate or stabilize disabling conditions, and promote 
    maximum social and economic independence for individuals with 
    disabilities. RRTCs provide training to service providers at the pre-
    service, in-service training, undergraduate, and graduate levels, to 
    improve the quality and effectiveness of rehabilitation services. They 
    also provide advanced research training to individuals with 
    disabilities and those from minority backgrounds, engaged in research 
    on disability and rehabilitation. RRTCs serve as national and regional 
    technical assistance resources, and provide training for service 
    providers, individuals with disabilities and families and 
    representatives, and rehabilitation researchers.
    
                                         Application Notice for Fiscal Year 1997                                    
                              Rehabilitation Research and Training Centers CFDA No. 84.133B                         
    ----------------------------------------------------------------------------------------------------------------
                                                                 Deadline for                 Maximum               
                                                                  transmittal   Estimated      award       Project  
                          Funding Priority                            of        number of   amount (per     period  
                                                                 applications     awards       year)*      (months) 
    ----------------------------------------------------------------------------------------------------------------
    Maintaining the Employment and Addressing the Personal                                                          
     Adjustment of Individuals Who are L-D or HOH..............       8/15/97            1     $500,000           60
    Improving the VR Outcomes for Individuals Who Are Substance                                                     
     Abusers...................................................       8/15/97            1      500,000           60
    Improving Employment and IL Outcomes for Persons with                                                           
     Disabilities in Rural Areas...............................       8/15/97            1      550,000          60 
    ----------------------------------------------------------------------------------------------------------------
    Note: The Secretary will reject without consideration or evaluation any application that proposes a project     
      funding level that exceeds the stated maximum award amount (See 34 CFR 75.104(b)).                            
    
    
    [[Page 35645]]
    
    Rehabilitation Research and Training Centers
    
        Selection Criteria: The Secretary uses the following selection 
    criteria to evaluate applications under the RRTC program.
        (a) Relevance and importance of the research program (20 points). 
    The Secretary reviews each application to determine to what degree--
        (1) The proposed activities are responsive to a priority 
    established by the Secretary and address a significant need of a 
    disabled target population and rehabilitation service providers;
        (2) The overall research program of the Center includes appropriate 
    interdisciplinary and collaborative research activities, is likely to 
    lead to new and useful knowledge in the priority area, and is likely to 
    become a nationally recognized source of scientific knowledge; and
        (3) The applicant demonstrates that all component activities of the 
    Center are related to the overall objective of the Center, and will 
    build upon and complement each other to enhance the likelihood of 
    solving significant rehabilitation problems.
        (b) Quality of the research design (35 points). The Secretary 
    reviews each application to determine to what degree--
        (1) The applicant proposes a comprehensive research program for the 
    entire project period, including at least three interrelated research 
    projects;
        (2) The research design and methodology of each proposed activity 
    are meritorious in that--
        (i) The literature review is appropriate and indicates familiarity 
    with current research in the field;
        (ii) The research hypotheses are important and scientifically 
    relevant;
        (iii) The sample populations are appropriate and significant;
        (iv) The data collection and measurement techniques are appropriate 
    and likely to be effective;
        (v) The data analysis methods are appropriate; and
        (vi) The applicant assures that human subjects, animals, and the 
    environment are adequately protected; and
        (3) The application discusses the anticipated research results and 
    demonstrates how those results would satisfy the original hypotheses 
    and could be used for planning future research, including generation of 
    new hypotheses where applicable.
        (c) Quality of the training and dissemination program (25 points). 
    The Secretary reviews each application to determine the degree to 
    which--
        (1) The proposed plan for training and dissemination provides 
    evidence that research results will be effectively disseminated and 
    utilized based on the identification of appropriate and accessible 
    target groups; the proposed training materials and methods are 
    appropriate; the proposed activities are relevant to the regional and 
    national needs of the rehabilitation field; and the training materials 
    and dissemination packages will be developed in alternate media that 
    are usable by people with various types of disabilities.
        (2) The proposed plan for training and dissemination provides for--
        (i) Advanced training in rehabilitation research;
        (ii) Training rehabilitation service personnel and other 
    appropriate individuals to improve practitioner skills based on new 
    knowledge derived from research;
        (iii) Training packages that make research results available to 
    service providers, researchers, educators, individuals with 
    disabilities, parents, and others;
        (iv) Technical assistance or consultation that is responsive to the 
    concerns of service providers and consumers;
        (v) Dissemination of research findings through publication in 
    professional journals, textbooks, and consumer and other publications, 
    and through other appropriate media such as audiovisual materials and 
    telecommunications.
        (vi) Widespread dissemination of findings and other appropriate 
    materials to providers of rehabilitation and other relevant services to 
    individuals with disabilities, family members of individuals with 
    disabilities, and other authorized representatives, advocates, and 
    organizations that provide information and support to individuals with 
    disabilities and their families; and
        (vii) Dissemination of research findings and other materials in 
    appropriate formats and accessible media for use by individuals with 
    various disabilities.
        (d) Quality of the organization and management (20 points). The 
    Secretary reviews each application to determine the degree to which----
        (1) The staffing plan for the Center provides evidence that the 
    project director, research director, training director, principal 
    investigators, and other personnel have appropriate training and 
    experience in disciplines required to conduct the proposed activities; 
    the commitment of staff time is adequate to conduct all proposed 
    activities; and the Center, as part of its nondiscriminatory employment 
    practices, will ensure that its personnel are selected for employment 
    without regard to race, color, national origin, gender, age, or 
    handicapping conditions;
        (2) The budgets for the Center and for each component project are 
    reasonable, adequate, and cost-effective for the proposed activities;
        (3) The facilities, equipment, and other resources are adequate and 
    are appropriately accessible to persons with disabilities;
        (4) The plan of operations is adequate to accomplish the Center's 
    objectives and to ensure proper and efficient management of the Center;
        (5) The proposed relationships with Federal, State, and local 
    rehabilitation service providers and consumer organizations are likely 
    to ensure that the Center program is relevant and applicable to the 
    needs of consumers and service providers;
        (6) The past performance and accomplishments of the applicant 
    indicate an ability to complete successfully the proposed scope of 
    work;
        (7) The application demonstrates appropriate commitment and support 
    by the host institution and opportunities for interdisciplinary 
    activities and collaboration with other institutions and organizations; 
    and
        (8) The plan for evaluation of the Center provides for an annual 
    assessment of the outcomes of the research, the impact of the training 
    and dissemination activities on the target populations, and the extent 
    to which the overall objectives have been accomplished.
        Eligible Applicants: Institutions of higher education and public or 
    private agencies and organizations collaborating with institutions of 
    higher education, including Indian tribes and tribal organizations, are 
    eligible to apply for awards under this program.
    
        Program Authority: 29 U.S.C. 762.
    
    [[Page 35646]]
    
    
    
                                         Application Notice for Fiscal Year 1997                                    
                            Knowledge Dissemination and Utilization Program, CFDA No. 84.133D                       
    ----------------------------------------------------------------------------------------------------------------
                                                              Deadline for                                          
                                                               transmittal    Estimated      Maximum       Project  
                        Funding priority                           of         number of   award amount     period   
                                                              applications     awards      (per year)*    (months)  
    ----------------------------------------------------------------------------------------------------------------
    Parenting with a Disability Technical Assistance Center.      8/15/97             1      $500,000           60  
    ----------------------------------------------------------------------------------------------------------------
    * Note: The Secretary will reject without consideration or evaluation any application that proposes a project   
      funding level that exceeds the stated maximum award amount (See 34 CFR 75.104(b)).                            
    
        Program Title: Knowledge Dissemination and Utilization Program.
        CFDA Number: 84.133D.
        Purpose of Program: The Knowledge Dissemination and Utilization is 
    designed to support activities that will ensure that rehabilitation 
    knowledge generated from projects and centers funded by NIDRR and from 
    other sources is fully utilized to improve the lives of individuals 
    with disabilities and their families.
    
    Knowledge Dissemination and Utilization Program
    
        Selection Criteria: The Secretary uses the following selection 
    criteria to evaluate applications under the D&U program.
        (a) Potential Impact of Outcomes: Importance of Program (Weight 
    3.0). The Secretary reviews each application to determine to what 
    degree--
        (1) The proposed activity relates to the announced priority;
        (2) The research is likely to produce new and useful information 
    (research activities only);
        (3) The need and target population are adequately defined;
        (4) The outcomes are likely to benefit the defined target 
    population;
        (5) The training needs are clearly defined (training activities 
    only);
        (6) The training methods and developed subject matter are likely to 
    meet the defined need (training activities only); and
        (7) The need for information exists (utilization activities only).
        (b) Potential Impact of Outcomes: Dissemination/Utilization (Weight 
    3.0). The Secretary reviews each application to determine to what 
    degree--
        (1) The research results are likely to become available to others 
    working in the field (research activities only);
        (2) The means to disseminate and promote utilization by others are 
    defined;
        (3) The training methods and content are to be packaged for 
    dissemination and use by others (training activities only);
        (4) The utilization approach is likely to address the defined need 
    (utilization activities only); and
        (5) There is likely to be widespread dissemination of the results, 
    in a usable and effective manner, to all appropriate target 
    populations, including individuals with disabilities and their family 
    members.
        (c) Probability of Achieving Proposed Outcomes; Program/ Project 
    Design (Weight 5.0). The Secretary reviews each application to 
    determine to what degree--
        (1) The objectives of the project(s) are clearly stated;
        (2) The hypothesis is sound and based on evidence (research 
    activities only);
        (3) The project design/methodology is likely to achieve the 
    objectives;
        (4) The measurement methodology and analysis is sound (research and 
    development/demonstration activities only);
        (5) The conceptual model (if used) is sound (development/ 
    demonstration activities only);
        (6) The sample populations are correct and significant (research 
    and development/demonstration activities only);
        (7) The human subjects are sufficiently protected (research and 
    development/demonstration activities only);
        (8) The device(s) or model system is to be developed in an 
    appropriate environment;
        (9) The training content is comprehensive and at an appropriate 
    level (training activities only);
        (10) The training methods are likely to be effective (training 
    activities only);
        (11) The new materials (if developed) are likely to be of high 
    quality and uniqueness (training activities only);
        (12) The target populations are linked to the project (utilization 
    activities only);
        (13) The format of the dissemination medium is the best to achieve 
    the desired result (utilization activities only); and
        (14) The materials to be used in the project and the materials to 
    be disseminated are likely to be in formats that are accessible to the 
    appropriate populations.
        (d) Probability of Achieving Proposed Outcomes: Key Personnel 
    (Weight 4.0). The Secretary reviews each application to determine to 
    what degree --
        (1) The principal investigator and other key staff have adequate 
    training and/or experience and demonstrate appropriate potential to 
    conduct the proposed research, demonstration, training, development, or 
    dissemination activity;
        (2) The principal investigator and other key staff are familiar 
    with pertinent literature and/or methods;
        (3) All required disciplines are effectively covered;
        (4) Commitments of staff time are adequate for the project; and
        (5) The applicant is likely, as part of its non-discriminatory 
    employment practices, to encourage applications for employment from 
    persons who are members of groups that traditionally have been 
    underrepresented, such as--
        (i) Members of racial or ethnic minority groups;
        (ii) Women;
        (iii) Handicapped persons; and
        (iv) The elderly.
        (e) Probability of Achieving Proposed Outcomes: Evaluation Plan 
    (Weight 1.0). The Secretary reviews each application to determine to 
    what degree --
        (1) There is a mechanism to evaluate plans, progress and results;
        (2) The evaluation methods and objectives are likely to produce 
    data that are quantifiable; and
        (3) The evaluation results, where relevant, are likely to be 
    assessed in a service setting.
        (f) Program/Project Management: Plan of Operation (Weight 2.0). The 
    Secretary reviews each application to determine to what degree--
        (1) There is an effective plan of operation that insures proper and 
    efficient administration of the project(s);
        (2) The applicant's planned use of its resources and personnel is 
    likely to achieve each objective;
        (3) Collaboration between institutions, if proposed, is likely to 
    be effective; and
        (4) There is a clear description of how the applicant will include 
    eligible project participants who have been traditionally 
    underrepresented, such as--
    
    [[Page 35647]]
    
        (i) Members of racial or ethnic minority groups;
        (ii) Women;
        (iii) Handicapped persons; and
        (iv) The elderly.
        (g) Program/Project Management: Adequacy of Resources (Weight 1.0). 
    The Secretary reviews each application to determine to what degree--
        (1) The facilities planned for use are adequate;
        (2) The equipment and supplies planned for use are adequate; and
        (3) The commitment of the applicant to provide administrative 
    support and adequate facilities is evident.
        (h) Program/Project Management: (Budget and Cost Effectiveness 
    (Weight 1.0). The Secretary reviews each application to determine to 
    what degree--
        (1) The budget for the project(s) is adequate to support the 
    activities;
        (2) The costs are reasonable in relation to the objectives of the 
    project(s); and
        (3) The budget for subcontracts (if required) is detailed and 
    appropriate.
        Eligible Applicants: Parties eligible to apply for grants under 
    this program are public and private nonprofit and for-profit agencies 
    and organizations, including institutions of higher education and 
    Indian tribes and tribal organizations.
    
        Program Authority: 29 U.S.C. 761a and 762.
    
    Instructions for Application Narrative
    
        The Secretary strongly recommends that applicants include a one-
    page abstract in their application. The Secretary strongly recommends 
    that the narrative for Knowledge Dissemination and Utilization Program 
    applications be limited to no more than 50 double-spaced, typed pages 
    (on one side only), not including appendices. The Secretary strongly 
    recommends that the narrative for Rehabilitation Research and Training 
    Center applications be limited to no more than 100 double-spaced, typed 
    pages (on one side only), not including appendices. These recommended 
    page limits apply only to the narrative and not to the abstract, 
    application forms, assurances, certifications and attachments to those 
    forms, assurances, and certifications.
    
    Instructions for Transmittal of Applications
    
        (a) If an applicant wants to apply for a grant, the applicant 
    shall--
        (1) Mail the original and two copies of the application on or 
    before the deadline date to: U.S. Department of Education, Application 
    Control Center, Attention: (CFDA # [Applicant must insert number and 
    letter]), Washington, D.C. 20202-4725, or
        (2) Hand deliver the original and two copies of the application by 
    4:30 p.m. [Washington, D.C. time] on or before the deadline date to: 
    U.S. Department of Education, Application Control Center, Attention: 
    (CFDA # [Applicant must insert number and letter]), Room #3633, 
    Regional Office Building #3, 7th and D Streets, S.W., Washington, D.C.
        (b) An applicant must show one of the following as proof of 
    mailing:
        (1) A legibly dated U.S. Postal Service postmark.
        (2) A legible mail receipt with the date of mailing stamped by the 
    U.S. Postal Service.
        (3) A dated shipping label, invoice, or receipt from a commercial 
    carrier.
        (4) Any other proof of mailing acceptable to the Secretary.
        (c) If an application is mailed through the U.S. Postal Service, 
    the Secretary does not accept either of the following as proof of 
    mailing:
        (1) A private metered postmark.
        (2) A mail receipt that is not dated by the U.S. Postal Service.
    
        Notes: (1) The U.S. Postal Service does not uniformly provide a 
    dated postmark. Before relying on this method, an applicant should 
    check with its local post office.
        (2) An applicant wishing to know that its application has been 
    received by the Department must include with the application a 
    stamped self-addressed postcard containing the CFDA number and title 
    of this program.
        (3) The applicant must indicate on the envelope and--if not 
    provided by the Department--in Item 10 of the Application for 
    Federal Assistance (Standard Form 424) the CFDA number--and letter, 
    if any--of the competition under which the application is being 
    submitted.
    
    Application Forms and Instructions
    
        The appendix to this application is divided into four parts. These 
    parts are organized in the same manner that the submitted application 
    should be organized. These parts are as follows:
        Part I: Application for Federal Assistance (Standard Form 424 (Rev. 
    4-88)) and instructions.
        Part II: Budget Form--Non-Construction Programs (Standard Form 
    524A) and instructions.
        Part III: Application Narrative.
    
    Additional Materials
    
        Estimated Public Reporting Burden.
        Assurances--Non-Construction Programs (Standard Form 424B).
        Certification Regarding Lobbying, Debarment, Suspension, and Other 
    Responsibility Matters: and Drug-Free Work-Place Requirements (ED Form 
    80-0013).
        Certification Regarding Debarment, Suspension, Ineligibility and 
    Voluntary Exclusion: Lower Tier Covered Transactions (ED Form 80-0014) 
    and instructions. (NOTE: ED Form GCS-014 is intended for the use of 
    primary participants and should not be transmitted to the Department.)
        Disclosure of Lobbying Activities (Standard Form LLL (if 
    applicable) and instructions; and Disclosure Lobbying Activities 
    Continuation Sheet (Standard Form LLL-A).
        An applicant may submit information on a photostatic copy of the 
    application and budget forms, the assurances, and the certifications. 
    However, the application form, the assurances, and the certifications 
    must each have an original signature. No grant may be awarded unless a 
    completed application form has been received.
        For Applications Contact: The Grants and Contracts Service Team, 
    Department of Education, 600 Independence Avenue S.W., Switzer 
    Building, 3317, Washington, D.C. 20202, or call (202) 205-8207. 
    Individuals who use a telecommunications device for the deaf (TDD) may 
    call the TDD number at (202) 205-9860. The preferred method for 
    requesting information is to FAX your request to (202) 205-8717.
        Information about the Department's funding opportunities, including 
    copies of application notices for discretionary grant competitions, can 
    be viewed on the Department's electronic bulletin board (ED Board), 
    telephone (202) 260-9950; on the Internet Gopher Server (at gopher://
    gcs.ed.gov); or on the World Wide Web (at http://gcs.ed.gov). However, 
    the official application notice for a discretionary grant competition 
    is the notice published in the Federal Register.
    
        Program Authority: 29 U.S.C. 760-762.
    
        Dated: June 25, 1997.
    Judith E. Heumann,
    Assistant Secretary for Special Education and Rehabilitative Services.
    
    Appendix
    
    Application Forms and Instructions
    
        Applicants are advised to reproduce and complete the application 
    forms in this Section. Applicants are required to submit an original 
    and two copies of each application as provided in this Section.
    
    Frequent Questions
    
        1. Can I get an extension of the due date?
        No! On rare occasions the Department of Education may extend a 
    closing date for all applicants. If that occurs, a notice of the 
    revised due date is published in the Federal Register. However, 
    there are no extensions or exceptions to the due date made for 
    individual applicants.
    
    [[Page 35648]]
    
        2. What should be included in the application?
        The application should include a project narrative, vitae of key 
    personnel, and a budget, as well as the Assurances forms included in 
    this package. Vitae of staff or consultants should include the 
    individual's title and role in the proposed project, and other 
    information that is specifically pertinent to this proposed project. 
    The budgets for both the first year and all subsequent project years 
    should be included.
        If collaboration with another organization is involved in the 
    proposed activity, the application should include assurances of 
    participation by the other parties, including written agreements or 
    assurances of cooperation. It is not useful to include general 
    letters of support or endorsement in the application.
        If the applicant proposes to use unique tests or other 
    measurement instruments that are not widely known in the field, it 
    would be helpful to include the instrument in the application.
        Many applications contain voluminous appendices that are not 
    helpful and in many cases cannot even be mailed to the reviewers. It 
    is generally not helpful to include such things as brochures, 
    general capability statements of collaborating organizations, maps, 
    copies of publications, or descriptions of other projects completed 
    by the applicant.
        3. What format should be used for the application?
        NIDRR generally advises applicants that they may organize the 
    application to follow the selection criteria that will be used. The 
    specific review criteria vary according to the specific program, and 
    are contained in this Consolidated Application Package.
        4. May I submit applications to more than one NIDRR program 
    competition or more than one application to a program?
        Yes, you may submit applications to any program for which they 
    are responsive to the program requirements. You may submit the same 
    application to as many competitions as you believe appropriate. You 
    may also submit more than one application in any given competition.
        5. What is the allowable indirect cost rate?
        The limits on indirect costs vary according to the program and 
    the type of application.
        An applicant for a project in the D&U grant program is limited 
    to the organization's approved indirect cost rate. If the 
    organization does not have an approved indirect cost rate, the 
    application should include an estimated actual rate.
        An applicant for a project in the RRTC program is limited to an 
    indirect cost rate of 15 percent.
        6. Can profitmaking businesses apply for grants?
        Yes. However, for-profit organizations will not be able to 
    collect a fee or profit on the grant, and in some programs will be 
    required to share in the costs of the project.
        7. Can individuals apply for grants?
        No. Only organizations are eligible to apply for grants under 
    NIDRR programs. However, individuals are the only entities eligible 
    to apply for fellowships.
        8. Can NIDRR staff advise me whether my project is of interest 
    to NIDRR or likely to be funded?
        No. NIDRR staff can advise you of the requirements of the 
    program in which you propose to submit your application. However, 
    staff cannot advise you of whether your subject area or proposed 
    approach is likely to receive approval.
        9. How do I assure that my application will be referred to the 
    most appropriate panel for review?
        Applicants should be sure that their applications are referred 
    to the correct competition by clearly including the competition 
    title and CFDA number, including alphabetical code, on the Standard 
    Form 424, and including a project title that describes the project.
        10. How soon after submitting my application can I find out if 
    it will be funded?
        The time from closing date to grant award date varies from 
    program to program. Generally speaking, NIDRR endeavors to have 
    awards made within five to six months of the closing date. 
    Unsuccessful applicants generally will be notified within that time 
    frame as well. For the purpose of estimating a project start date, 
    the applicant should estimate approximately six months from the 
    closing date, but no later than the following September 30.
        11. Can I call NIDRR to find out if my application is being 
    funded?
        No. When NIDRR is able to release information on the status of 
    grant applications, it will notify applicants by letter. The results 
    of the peer review cannot be released except through this formal 
    notification.
        12. If my application is successful, can I assume I will get the 
    requested budget amount in subsequent years?
        No. Funding in subsequent years is subject to availability of 
    funds and project performance.
        13. Will all approved applications be funded?
        No. It often happens that the peer review panels approve for 
    funding more applications than NIDRR can fund within available 
    resources. Applicants who are approved but not funded are encouraged 
    to consider submitting similar applications in future competitions.
    
    BILLING CODE 4000-01-P
    
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    [GRAPHIC] [TIFF OMITTED] TN01JY97.056
    
    
    
    BILLING CODE 4000-01-C
    
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    Instructions for the SF 424
    
        This is a standard form used by applicants as a required 
    facesheet for preapplications and applications submitted for Federal 
    assistance. It will be used by Federal agencies to obtain applicant 
    certification that States which have established a review and 
    comment procedure in response to Executive Order 12372 and have 
    selected the program to be included in their process, have been 
    given an opportunity to review the applicant's submission.
    
    Item and Entry
    
        1. Self-explanatory.
        2. Data application submitted to Federal agency (or State if 
    applicable) & applicant's control number (if applicable).
        3. State use only (if applicable).
        4. If this application is to continue or revise an existing 
    award, enter present Federal identifier number. If for a new 
    project, leave blank.
        5. Legal name of applicant, name of primary organizational unit 
    which will undertake the assistance activity, complete address of 
    the applicant, and name and telephone number of the person to 
    contact on matters related to this application.
        6. Enter Employer Identification Number (EIN) as assigned by the 
    Internal Revenue Service.
        7. Enter the appropriate letter in the space provided.
        8. Check appropriate box and enter appropriate letter(s) in the 
    space(s) provided:
    
    --``New'' means a new assistance award.
    --``Continuation'' means an extension for an additional funding/
    budget period for a project with a projected completion date.
    --``Revision'' means any change in the Federal Government's 
    financial obligation or contingent liability from an existing 
    obligation.
    
        9. Name of Federal agency from which assistance is being 
    requested with this application.
        10. Use the Catalog of Federal Domestic Assistance number and 
    title of the program under which assistance is requested.
        11. Enter a brief descriptive title of the project, if more than 
    one program is involved, you should append an explanation on a 
    separate sheet. If appropriate (e.g., construction or real property 
    projects), attach a map showing project location. For 
    preapplications, use a separate sheet to provide a summary 
    description of this project.
        12. List only the largest political entities affected (e.g., 
    State, counties, cities).
        13. Self-explanatory.
        14. List the applicant's Congressional District and any 
    District(s) affected by the program or project.
        15. Amount requested or to be contributed during the first 
    funding/budget period by each contributor. Value of in-kind 
    contributions should be included on appropriate lines as applicable. 
    If the action will result in a dollar change to an existing award, 
    indicate only the amount of the change. For decreases, enclose the 
    amounts in parentheses. If both basic and supplemental amounts are 
    included, show breakdown on an attached sheet. For multiple program 
    funding, use totals and show breakdown using same categories as item 
    15.
        16. Applicants should contact the State Single Point of Contact 
    (SPOC) for Federal Executive Order 12372 to determine whether the 
    application is subject to the State intergovernmental review 
    process.
        17. This question applies to the applicant organization, not the 
    person who signs as the authorized representative. Categories of 
    debt include delinquent audit disallowances, loans and taxes.
        18. To be signed by the authorized representative of the 
    applicant. A copy of the governing body's authorization for you to 
    sign this application as official representative must be on file in 
    the applicant's office. (Certain Federal agencies may require that 
    this authorization be submitted as part of the application.)
    
    BILLING CODE 4000-01-P
    
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    BILLING CODE 4000-01-C
    
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        Public reporting burden of this collection of information is 
    estimated to vary from 13 to 22 hours per response, with an average 
    of 17.5 hours, including the time for reviewing instructions, 
    searching existing data sources, gathering and maintaining the data 
    needed, and completing and reviewing the collection of information. 
    Send comments regarding this burden estimate or any other aspect of 
    this collection of information, including suggestions for reducing 
    this burden, to the U.S. Department of Education, Information 
    Management and Compliance Division, Washington, D.C. 20202-4651; and 
    the Office of Management and Budget, Paperwork Reduction Project 
    1875-0102, Washington, D.C. 20503.
    
    Instructions for ED Form No. 524
    
    General Instructions
    
        This form is used to apply to individual U.S. Department of 
    Education discretionary grant programs. Unless directed otherwise, 
    provide the same budget information for each year of the multi-year 
    funding request. Pay attention to applicable program specific 
    instructions, if attached.
    
    Section A--Budget Summary
    
    U.S. Department of Education Funds
    
        All applicants must complete Section A and provide a breakdown 
    by the applicable budget categories shown in lines 1-11.
        Lines 1-11, columns (a)-(e): For each project year for which 
    funding is requested, show the total amount requested for each 
    applicable budget category.
        Lines 1-11, column (f): Show the multi-year total for each 
    budget category. If funding is requested for only one project year, 
    leave this column blank.
        Line 12, columns, (a)-(e): Show the total budget request for 
    each project year for which funding is requested.
        Line 12, column (f): Show the total amount requested for all 
    project years. If funding is requested for only one year, leave this 
    space blank.
    
    Section B--Budget Summary
    
    Non-Federal Funds
    
        If you are required to provide or volunteer to provide matching 
    funds or other non-Federal resources to the project, these should be 
    shown for each applicable budget category on lines 1-11 of Section 
    B.
        Lines 1-11, columns (a)-(e): For each project year for which 
    matching funds or other contributions are provided, show the total 
    contribution for each applicable budget category.
        Lines 1-11, column (f): Show the multi-year total for each 
    budget category. If non-Federal contributions are provided for only 
    one year, leave this column blank.
        Line 12, columns (a)-(e): Show the total matching or other 
    contribution for each project year.
        Line 12, column (f): Show the total amount to be contributed for 
    all years of the multi-year project. If non-Federal contributions 
    are provided for only one year, leave this space blank.
    
    Section C--Other Budget Information
    
        Pay attention to applicable program specific instructions, if 
    attached.
        1. Provide an itemized budget breakdown, by project year, for 
    each budget category listed in Sections A and B.
        2. If applicable to this program, enter the type of indirect 
    rate (provisional, predetermined, final or fixed) that will be in 
    effect during the funding period. In addition, enter the estimated 
    amount of the base to which the rate is applied, and the total 
    indirect expense.
        3. If applicable to this program, provide the rate and base on 
    which fringe benefits are calculated.
        4. Provide other explanations or comments you deem necessary.
        Public reporting burden for these collections of information is 
    estimated to average 30 hours per response, including the time for 
    reviewing instructions, searching existing data sources, gathering 
    and maintaining the data needed, and completing and reviewing the 
    collection of information.
        Send comments regarding this burden estimate or any other aspect 
    of these collections of information, including suggestions for 
    reducing this burden, to: the U.S. Department of Education, 
    Information Management and Compliance Division, Washington, D.C. 
    20202-4651; and to the Office of Management and Budget, Paperwork 
    Reduction Project 1820-0027, Washington, D.C. 20503.
        Rehabilitation Research and Training Center (CFDA No. 84.133B) 
    34 CFR Parts 350 and 352.
        Knowledge Dissemination and Utilization Program (CFDA No. 
    84.133D) 34 CFR Parts 350 and 355.
    
    Assurances--Non-Construction Programs
    
        Note: Certain of these assurances may not be applicable to your 
    project or program. If you have questions, please contact the 
    awarding agency. Further, certain Federal awarding agencies may 
    require applicants to certify to additional assurances. If such is 
    the case, you will be notified.
    
        As the duly authorized representative of the applicant I certify 
    that the applicant:
        1. Has the legal authority to apply for Federal assistance, and 
    the institutional, managerial and financial capability (including 
    funds sufficient to pay the non-Federal share of project costs) to 
    ensure proper planning, management and completion of the project 
    described in this application.
        2. Will give the awarding agency, the Comptroller General of the 
    United States, and if appropriate, the State, through any authorized 
    representative, access to and the right to examine all records, 
    books, papers, or documents related to the award; and will establish 
    a proper accounting system in accordance with generally accepted 
    accounting standards or agency directives.
        3. Will establish safeguards to prohibit employees from using 
    their positions for a purpose that constitutes or presents the 
    appearance of personal or organizational conflict of interest, or 
    personal gain.
        4. Will initiate and complete the work within the applicable 
    time frame after receipt of approval of the awarding agency.
        5. Will comply with the Intergovernmental Personnel Act of 1970 
    (42 U.S.C. Secs. 4728-4763) relating to prescribed standards for 
    merit systems for programs funded under one of the nineteen statutes 
    or regulations specified in Appendix A of OPM's Standards for a 
    Merit System of Personnel Administration (5 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 XI of the Education Amendments of 1972, as amended (20 U.S.C. 
    Secs. 1681-1683, and 1685-1686), which prohibits discrimination on 
    the basis of sex; (c) Section 504 of the Rehabilitation Act of 1973, 
    as amended (29 U.S.C. Sec. 794), which prohibits discrimination on 
    the basis of handicaps; (d) the Age Discrimination Act of 1975, as 
    amended (42 U.S.C. Secs. 6101-6107), which prohibits discrimination 
    on the basis of age;
        (e) the Drug Abuse Office and Treatment Act of 1972 (P.L. 92-
    255), as amended, relating to nondiscrimination on the basis of drug 
    abuse; (f) the Comprehensive Alcohol Abuse and Alcoholism 
    Prevention, Treatment and Rehabilitation Act of 1970 (P.L. 91-616), 
    as amended, relating to nondiscrimination on the basis of alcohol 
    abuse or alcoholism; (g) Secs. 523 and 527 of the Public Health 
    Service Act of 1912 (42 U.S.C. 290 dd-3 and 290 ee-3), as amended, 
    relating to confidentiality of alcohol and drug abuse patient 
    records; (h) Title VIII of the Civil Rights Act of 1968 (42 U.S.C. 
    Sec. 3601 et seq.), as amended, relating to non-discrimination in 
    the sale, rental or financing of housing; (i) any other 
    nondiscrimination provisions in the specific statute(s) under which 
    application for Federal assistance is being made; and (j) the 
    requirements of any other nondiscrimination statute(s) which may 
    apply to the application.
        7. Will comply, or has already complied, with the requirements 
    of Titles II and III of the Uniform Relocation Assistance and Real 
    Property Acquisition Policies Act of 1970 (P.L. 91-646) which 
    provide for fair and equitable treatment of persons displaced or 
    whose property is acquired as a result of Federal or federally 
    assisted programs. These requirements apply to all interests in real 
    property acquired for project purposes regardless of Federal 
    participation in purchases.
        8. Will comply with the provisions of the Hatch Act (5 U.S.C. 
    Secs. 1501-1508 and 7324-7328) which limit the political activities 
    of employees whose principal employment activities are funded in 
    whole or in part with Federal funds.
        9. Will comply, as applicable, with the provisions of the Davis-
    Bacon Act (40 U.S.C. Secs. 276a to 276a-7), the Copeland Act (40 
    U.S.C.Sec. 276c and 18 U.S.C. Secs. 874), and the Contract Work 
    Hours and Safety Standards Act (40 U.S.C. Secs. 327-333), regarding 
    labor standards for federally assisted construction subagreements.
        10. Will comply, if applicable, with flood insurance purchase 
    requirements of Section 102(a) of the Flood Disaster Protection Act 
    of 1973 (P.L. 93-234) which requires recipients
    
    [[Page 35654]]
    
    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
    
    Certifications Regarding Lobbying; Debarment, Suspension and Other 
    Responsibility Matters; and Drug-Free Workplace Requirements
    
        Applicants should refer to the regulations cited below to 
    determine the certification to which they are required to attest. 
    Applicants should also review the instructions for certification 
    included in the regulations before completing this form. Signature 
    of this form provides for compliance with certification requirements 
    under 34 CFR Part 82, ``New Restricts on Lobbying,'' and 34 CFR Part 
    85, ``Government-wide Debarment and Suspension (Nonprocurement) and 
    Government-wide Requirements for Drug-Free Workplace (Grants).'' The 
    certifications shall be treated as a material representation of fact 
    upon which reliance will be placed when the Department of Education 
    determines to award the covered transaction, grant, or cooperative 
    agreement.
    
    1. Lobbying
    
        As required by Section 1352, Title 31 of the U.S. Code, and 
    implemented at 34 CFR Part 82, for persons entering into a grant or 
    cooperative agreement over $100,000, as defined at 34 CFR Part 82, 
    Sections 82.105 and 82.110, the applicant certifies that:
        (a) 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 connection with the making of 
    any Federal grant, the entering into of any cooperative agreement, 
    and the extension, continuation, renewal, amendment, or modification 
    of any Federal grant or cooperative agreement;
        (b) 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 grant or 
    cooperative agreement, the undersigned shall complete and submit 
    Standard Form--LLL, ``Disclosure Form to Report Lobbying,'' in 
    accordance with its instructions;
        (c) The undersigned shall require that the language of this 
    certification be included in the award documents for all subawards 
    at all tiers (including subgrants, contracts under grants and 
    cooperative agreements, and subcontracts) and that all subrecipients 
    shall certify and disclose accordingly.
    
    2. Debarment, Suspension, and Other Responsibility Matters
    
        As required by Executive Order 12549, Debarment and Suspension, 
    and implemented at 34 CFR Part 85, for prospective participants in 
    primary covered transactions, as defined at 34 CFR Part 85, Sections 
    85.105 and 85.110--
        A. The applicant certifies 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 three-year period preceding this 
    application 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 for 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 three-year period preceding this 
    application had one or more public transactions (Federal, State, or 
    local) terminated for cause or default; and
        B. Where the applicant is unable to certify to any of the 
    statements in this certification, he or she shall attach an 
    explanation to this application.
    
    3. Drug-Free Workplace (Grantees Other Than Individuals)
    
        As required by the Drug-Free Workplace Act of 1988, and 
    implemented at 34 CFR Part 85, Subpart F, for grantees, as defined 
    at 34 CFR Part 85, Sections 85.605 and 85.610--
        A. The applicant certifies that it will or will continue to 
    provide a drug-free workplace by:
        (a) Publishing a statement notifying employees that the unlawful 
    manufacture, distribution, dispensing, possession, or use of a 
    controlled substance is prohibited in the grantee's workplace and 
    specifying the actions that will be taken against employees for 
    violation of such prohibition;
        (b) Establishing an on-going drug-free awareness program to 
    inform employees about--
        (1) The dangers of drug abuse in the workplace;
        (2) The grantee's policy of maintaining a drug-free workplace;
        (3) Any available drug counseling, rehabilitation, and employee 
    assistance programs; and
        (4) The Penalties that may be imposed upon employees for drug 
    abuse violations occurring in the workplace;
        (c) Making it a requirement that each employee to be engaged in 
    the performance of the grant be given a copy of the statement 
    required by paragraph (a);'
        (d) Notifying the employee in the statement required by 
    paragraph (a) that, as a condition of employment under the grant, 
    the employee will--
        (1) Abide by the terms of the statement; and
        (d) Notify the employer in writing of his or her conviction for 
    a violation of a criminal drug statute occurring in the workplace no 
    later than five calendar days after such conviction;
        (e) Notifying the agency, in writing, within 10 calendar days 
    after receiving notice under
    
    [[Page 35655]]
    
    subparagraph (d)(2) from an employee or otherwise receiving actual 
    notice of such conviction. Employers of convicted employees must 
    provide notice, including position title, to: Director, Grants and 
    Contracts Service, U.S. Department of Education, 400 Maryland 
    Avenue, S.W. (Room 3124, GSA Regional Office Building No. 3), 
    Washington, DC 20202-4571. Notice shall include the identification 
    number(s) of each affected grant;
        (f) Taking one of the following actions, within 30 calendar days 
    of receiving notice under subparagraph (d)(2), with respect to any 
    employee who is so convicted--
        (1) Taking appropriate personnel action against such an 
    employee, up to and including termination, consistent with the 
    requirements of the Rehabilitation Act of 1973, as amended; or
        (2) Requiring such employee to participate satisfactorily in a 
    drug abuse assistance or rehabilitation program approved for such 
    purposes by a Federal, State, or local health, law enforcement, or 
    other appropriate agency;
        (g) Making a good faith effort to continue to maintain a drug-
    free workplace through implementation of paragraphs (a), (b), (c), 
    (d), (e), and (f).
        B. The grantee may insert in the space provided below the 
    site(s) for the performance of work done in connection with the 
    specific grant:
    
    Place of Performance (Street address, city, county, state, zip code)
    
    ----------------------------------------------------------------------
    
    ----------------------------------------------------------------------
    
    ----------------------------------------------------------------------
    
        Check {time}  if there are workplaces on file that are not 
    identified here.
    
    Drug-Free Workplace (Grantees Who Are Individuals)
    
        As required by the Drug-Free Workplace Act of 1988, and 
    implemented at 34 CFR Part 85, Subpart F, for grantees, as defined 
    at 34 CFR Part 85, Sections 85.650 and 85.610--
        A. As a condition of the grant, I certify that I will not engage 
    in the unlawful manufacture, distribution, dispensing, possession, 
    or use of a controlled substance in conducting any activity with the 
    grant; and
        B. If convicted of a criminal drug offense resulting from a 
    violation occurring during the conduct of any grant activity, I will 
    report the conviction, in writing, within 10 calendar days of the 
    conviction, to: Director, Grants and Contracts Service, U.S. 
    Department of Education, 400 Maryland Avenue, S.W. (Room 3124, GSA 
    Regional Office Building No. 3), Washington, DC 20202-4571. Notice 
    shall include the identification number(s) of each affected grant.
    
    ----------------------------------------------------------------------
    
        As the duly authorized representative of the applicant, I hereby 
    certify that the applicant will comply with the above 
    certifications.
    
    ----------------------------------------------------------------------
    Name of Applicant
    
    ----------------------------------------------------------------------
    PR/award number and/or project name
    
    ----------------------------------------------------------------------
    Printed name and title of authorized representative
    
    ----------------------------------------------------------------------
    Signature
    
    ----------------------------------------------------------------------
    Date
    
    Certification Regarding Debarment, Suspension, Ineligibility and 
    Voluntary Exclusion--Lower Tier Covered Transactions
    
        This certification is required by the Department of Education 
    regulations implementing Executive Order 12549, Debarment and 
    Suspension, 34 CFR Part 85, for all lower tier transactions meeting 
    the threshold and tier requirements stated at Section 85.110.
    
    Instructions for Certification
    
        1. By signing and submitting this proposal, the prospective 
    lower tier participant is providing the certification set out below.
        2. The certification in this clause is a material representation 
    of fact upon which reliance was placed when this transaction was 
    entered into. If it is later determined that the prospective lower 
    tier participant knowingly rendered an erroneous certification, in 
    addition to other remedies available to the Federal Government, the 
    department or agency with which this transaction originated may 
    pursue available remedies, including suspension and/or debarment.
        3. The prospective lower tier participant shall provide 
    immediate written notice to the person to which this proposal is 
    submitted if at any time the prospective lower tier participant 
    learns that its certification was erroneous when submitted or has 
    become erroneous by reason of changed circumstances.
        4. The terms ``covered transaction,'' ``debarred,'' 
    ``suspended,'' ``Ineligible,'' ``lower tier covered transaction,'' 
    ``participant,'' ``person,'' ``primary covered transaction,'' 
    ``principal,'' ``proposal,'' and ``voluntarily excluded,'' as used 
    in this clause, have the meanings set out in the Definitions and 
    Coverage sections of rules implementing Executive Order 12549. You 
    may contact the person to which this proposal is submitted for 
    assistance in obtaining a copy of those regulations.
        5. The prospective lower tier participant agrees by submitting 
    this proposal that, should the proposed covered transaction be 
    entered into, it shall not knowingly enter into any lower tier 
    covered transaction with a person who is debarred, suspended, 
    declared ineligible, or voluntarily excluded from participation in 
    this covered transaction, unless authorized by the department or 
    agency with which this transaction originated.
        6. The prospective lower tier participant further agrees by 
    submitting this proposal that it will include the clause titled 
    ``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.
        7. A participant in a covered transaction may rely upon a 
    certification of a prospective participant in a lower tier covered 
    transaction that it is not debarred, suspended, ineligible, or 
    voluntarily excluded from the covered transaction, unless it knows 
    that the certification is erroneous. A participant may decide that 
    method and frequency by which it determines the eligibility of its 
    principals. Each participant may, but is not required to, check the 
    Nonprocurement List.
        8. Nothing contained in the foregoing shall be construed to 
    require establishment of a system of records in order to render in 
    good faith the certification required by this clause. The knowledge 
    and information of a participant is not required to exceed that 
    which is normally possessed by a prudent person in the ordinary 
    course of business dealings.
        9. Except for transactions authorized under paragraph 5 of these 
    instructions, if a participant in a covered transaction knowingly 
    enters into a lower tier covered transaction with a person who is 
    suspended, debarred, ineligible, or voluntarily excluded from 
    participation in this transaction, in addition to other remedies 
    available to the Federal Government, the department or agency with 
    which this transaction originated may pursue available remedies, 
    including suspension and/or debarment.
    
    Certification
    
        (1) The prospective lower tier participant certifies, by 
    submission of this proposal, that neither it nor its principals are 
    presently debarred, suspended, proposed for debarment, declared 
    ineligible, or voluntarily excluded from participation in this 
    transaction by any Federal department or agency.
        (2) Where the prospective lower tier participant is unable to 
    certify to any of the statements in this certification, such 
    prospective participant shall attach an explanation to this 
    proposal.
    
    ----------------------------------------------------------------------
    Name of applicant
    
    ----------------------------------------------------------------------
    PR/award number and/or project name
    ----------------------------------------------------------------------
    Printed name and title of authorized representative
    ----------------------------------------------------------------------
    Signature
    ----------------------------------------------------------------------
    Date
    
    BILLING CODE 4000-01-P
    
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    BILLING CODE 4000-01-C
    
    [[Page 35657]]
    
    Instructions for Completion of SF-LLL, Disclosure of Lobbying 
    Activities
    
        This disclosure form shall be completed by the reporting entity, 
    whether subawardee or prime Federal recipient, the initiation or 
    receipt of a covered Federal action, or a material change to a 
    previous filing, pursuant to title 31 U.S.C. section 1352. The 
    filing of a form is required for each payment or agreement to make 
    payment to any lobbying entity 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 a covered Federal action. 
    Complete all items that apply for both the initial filing and 
    material change report. Refer to the implementing guidance published 
    by the Office of Management and Budget for additional information.
        1. Identify the type of covered Federal action for which 
    lobbying activity is and/or has been secured to influence the 
    outcome of a covered Federal action.
        2. Identify the status of the covered Federal action.
        3. Identify the appropriate classification of this report. If 
    this is a follow up report caused by a material change to the 
    information previously reported, enter the year and quarter in which 
    the change occurred. Enter the date of the last previously submitted 
    report by this reporting entity for this covered Federal action.
        4. Enter the full name, address, city, state and zip code of the 
    reporting entity. Include Congressional District, if known. Check 
    the appropriate classification of the reporting entity that 
    designates if it is, or expects to be, a prime or subaward 
    recipient. Identify the tier of the subawards, e.g., the first 
    subawardee of the prime is the 1st tier. Subawards include but are 
    not limited to subcontracts, subgrants and contract awards under 
    grants.
        5. If the organization filing the report in item 4 checks 
    ``Subawardee'' then enter the full name, address, city, state and 
    zip code of the prime Federal recipient. Include Congressional 
    District, if known.
        6. Enter the name of the Federal agency make the award or loan 
    commitment. Include at least one organizational level below agency 
    name, if known. For example, Department of Transportation, United 
    States Cost Guard.
        7. Enter the Federal program name or description for the covered 
    Federal action (item 1). If known, enter the full Catalog of Federal 
    Domestic Assistance (CFDA) number of grants, cooperative agreements, 
    loans, and loan commitments.
        8. Enter the most appropriate Federal identifying number 
    available for the Federal action identified in item 1 (e.g., Request 
    for Proposal (RFP) number; Invitation for Bid (IFB) number, grant 
    announcement number; the contract, grant, or loan award number; the 
    application/proposal control number assigned by the Federal agency). 
    Include prefixes, e.g., ``RFP-DE-90-001.''
        9. For a covered Federal action where there has been an award or 
    loan commitment by the Federal agency, enter the Federal amount of 
    the award/loan commitment for the prime entity identified in item 4 
    or 5.
        10. (a) Enter the full name, address, city, state, zip code of 
    the registrant under the Lobbying Disclosure Act of 1995 engaged by 
    the reporting entity identified in item 4 to influence the covered 
    Federal action.
        (b) Enter the full names of the individual(s) performing 
    services, and include full address if different from 10(a). Enter 
    Last Name, First Name, and Middle Initial (MI).
        16. The certifying official shall sign and date the form, print 
    his/her name, title, and telephone number.
        Public reporting burden for this collection of information is 
    estimated to average 30 minutes per response, including time for 
    reviewing instructions, searching existing data sources, gathering 
    and maintaining the data needed, and completing and reviewing the 
    collection of information. Send comments regarding the burden 
    estimate or any other aspect of this collection of information, 
    including suggestions for reducing this burden, to the Office of 
    Management and Budget, Paperwork Reduction Project (0348-0046), 
    Washington, D.C. 20503.
    
    [FR Doc. 97-17207 Filed 6-30-97; 8:45 am]
    BILLING CODE 4000-01-P
    
    
    

Document Information

Published:
07/01/1997
Department:
Education Department
Entry Type:
Notice
Document Number:
97-17207
Pages:
35644-35657 (14 pages)
Docket Numbers:
CFDA Nos.: 84.133B and 84.133D
PDF File:
97-17207.pdf