[Federal Register Volume 59, Number 67 (Thursday, April 7, 1994)] [Unknown Section] [Page 0] From the Federal Register Online via the Government Publishing Office [www.gpo.gov] [FR Doc No: 94-8275] [[Page Unknown]] [Federal Register: April 7, 1994] _______________________________________________________________________ Part V Department of Health and Human Services _______________________________________________________________________ Office of Community Services _______________________________________________________________________ Fiscal Year 1994 Job Opportunities for Low-Income Individuals Program (Demonstration Projects); Request for Applications; Notice DEPARTMENT OF HEALTH AND HUMAN SERVICES Office of Community Services [Program Announcement No. OCS-94-01] Request for Applications Under the Office of Community Services' Fiscal Year 1994 Job Opportunities for Low-Income Individuals Program (Demonstration Projects) AGENCY: Administration for Children and Families (ACF), DHHS. ACTION: Announcement of availability of funds and request for applications under the Office of Community Services' FY 1994 Job Opportunities for Low-Income Individuals Programs (Demonstration Projects). ----------------------------------------------------------------------- SUMMARY: The Administration for Children and Families (ACF), Office of Community Services (OCS), announces that competing applications will be accepted for new grants pursuant to the Secretary's discretionary authority under section 505 of the Family Support Act of 1988. CLOSING DATE: The closing date for submission of applications is June 6, 1994. FOR FURTHER INFORMATION CONTACT: Office of Community Services, Administration for Children and Families, 370 L'Enfant Promenade SW., Washington, DC 20447, Telephone (202) 401-9233, Contact: Nolan Lewis. Table of Contents Part I--Preamble A. Legislative Authority B. Eligible Applicants C. Definition of Terms D. Purpose of the Job Opportunities for Low-Income Individuals Program (JOLI) Part II--Program Priority Area A. General Projects 1.0 B. Community Development Corporations Set-aside 2.0 Part III--Application Requirements A. Background Information 1. Availability of Funds and Grant Amounts 2. Project and Budget Periods 3. Mobilization of Resources 4. Program Participants/Beneficiaries 5. Cooperative Partnership Agreement 6. Prohibition and Restrictions on the Use of Funds 7. Multiple Submittals 8. Third-Party Evaluation 9. Economic Development Strategy 10. Maintenance of Effort Part IV--Application Review Process A. Criteria for Review and Assessment of Applications in Priority Areas 1.0 and 2.0 Part V--Application Procedures and Selection Process A. Availability of Forms B. Application Submission C. Intergovernmental Review D. Application Consideration or OCS Specific Requirements E. Criteria for Screening Applications Part VI--Instructions for Completing the SF-424 A. SF-424--``Application for Federal Assistance'' B. SF-424A--``Budget Information-NonConstruction Programs'' C. SF-424B--``Assurances-Non-Construction'' Part VII--Contents of Application and Receipt Process A. Contents and Order of Application B. Acknowledgement of Receipt Part VIII--Post Award Information and Reporting Requirements Part I--Preamble A. Legislative Authority The Senate Committee on Appropriations, in its recommendations, provides $5,500,000 for job creation demonstration activities authorized under section 505 of the Family Support Act of 1988, Public Law 100-485. Sen. Rep. No. 143, 103d Cong., 1st Sess. 170 (1993). Section 505 of the Family Support Act of 1988 authorizes the Secretary to enter into agreements with not less than 5 nor more than 10 non- profit organizations (including community development corporations) for the purpose of conducting demonstration projects to create employment and business opportunities for certain low-income individuals. B. Eligible Applicants The organizations eligible to apply for funding under this program is any non-profit organization (including community development corporations) that is exempt from taxation under section 501(a) of the Internal Revenue Code of 1986 by reason of paragraph (3) or (4) of section 501(c) of such Code. Applicants must provide documentation of their tax exempt status. Any of the following is acceptable evidence of non-profit status: (1) A copy of the applicant organization's list in the Internal Revenue Service's most recent list of tax-exempt organizations described in section 501(c)(3) of the IRS code; or (2) a copy of the currently valid IRS tax exemption certificate. Failure to provide evidence of non-profit status will result in rejection of the application. C. Definition of Terms For purposes of this Program Announcement the following definitions apply: --Budget Period: The interval of time into which a multi-year period of assistance (project period) is divided for budgetary and funding purposes. --Community-Level Data: Key information to be collected by each grantee that will allow for a national-level analysis of common features of JOLI projects. This includes data on the population of the target area, the percentage on public assistance, the percentage whose incomes fall below the poverty line, the unemployment rate, the number of new business starts and business closings, and a description of the major employers and average wage rates. --Community Development Corporation: A private, locally initiated, nonprofit entity, governed by a board consisting of residents of the community and business and civic leaders, which has a record of implementing economic development projects or whose Articles of Incorporation and/or By-Laws indicate that it has a focus in the area of economic development. --Hypothesis: An assumption made in order to test its validity. It should assert a cause-and-effect relationship between a program intervention and its expected result. Both the intervention and result must be measured in order to confirm the hypothesis. For example: Eighty hours of classroom training in small business planning will be sufficient for participants to prepare a successful loan application. In this example, data would be obtained on the number of hours of training actually received by participants (the intervention), and the quality of loan applications (the result). --Intervention: Any planned activity within a project that is intended to produce changes in the target population and/or the environment and can be formally evaluated. For example, assistance in the preparation of a business plan and loan package are planned interventions. --Job Creation: To bring about, by activities and services funded under this program, new jobs. Jobs that were not in existence before the start of the project. These activities can include self-employment/ entrepreneurial training, the development of new businesses or the expansion of existing businesses. --Non-profit Organizations: Any organization (including a community development corporation) exempt from taxation under section 501(a) of the Internal Revenue Code of 1986 by reason of paragraph (3) or (4) of section 501(c) of such Code. --Private employers: Third-party private non-profit organizations or third-party for-profit businesses operating in the same community as the applicant. --Process Evaluation: The ongoing examination of the implementation of a program. It focuses on the effectiveness and efficiency of the program's activities and interventions (for example, methods of recruiting participants, quality of training activities, or usefulness of follow-up procedures). It should answer questions such as: Who is receiving what services?, are the services being delivered as planned?, and are client competencies improving? It is also known as formative evaluation because it gathers information that can be used to improve the way a program operates while the program is in progress. --Program Participant/Beneficiary: Any individual eligible to receive Aid to Families with Dependent Children under Part A of Title IV of the Social Security Act and any other individual whose income level does not exceed 100 percent of the official poverty line as found in the most recent Annual Revision of Poverty Income Guidelines published by the Department of Health and Human Services. (See Attachment A.) --Project Period: The total time a project is approved for support, including any extensions. --Self-Sufficiency: A condition where an individual or family, by reason of employment, does not need and is not eligible for public assistance. D. Purpose The purpose of this program is to demonstrate and evaluate ways of creating new employment and business opportunities for certain low- income individuals through the provision of technical and financial assistance to private employers in the community, self-employment/ micro-enterprise programs and/or new business development programs. A low-income individual eligible to participate in a project conducted under this program is any individual eligible to receive Aid to Families with Dependent Children (AFDC) under Part A of Title IV of the Social Security Act and any other individual whose income level does not exceed 100 percent of the official poverty line. (See Attachment A.) Within these categories, emphasis should be on individuals who are unemployed, those residing in public housing, and those who are homeless. Part II--Program Priority Areas A. General Projects 1.0 The Congressional Conference Report on the FY 1992 appropriations for the Department of Labor, Health and Human Services, and Education and related agencies directs the ACF to require economic development strategies as part of the application process to ensure that highly qualified organizations participate in the demonstration. H.R. Conf. Rep. No. 282, 102d Cong., 1st Sess. 39 (1991). These strategies should include descriptions of how projects financed and jobs created under this program will be integrated into a larger effort to promote job and business opportunities for eligible program participants. Proposed projects should demonstrate how their program will impact the overall community/communities served by the applicant. OCS will only fund projects that create new jobs and/or business opportunities for eligible program participants. Projects funded under this program must demonstrate how the proposed project will enhance the participants' ability and skills in their progress toward self-sufficiency. Therefore, proposed projects must show promise toward progress of achieving self-sufficiency among the target population. OCS expects that the jobs and/or business/self employment opportunities to be created under this program will contribute to the goal of self- sufficiency. The employment opportunities should provide hourly wages that exceed the minimum wage and also provide benefits such as health insurance, transportation, child care, career development opportunities, etc. Applicants must show that the proposed project will create a significant number of new full-time permanent jobs through the expansion of a pre-identified business or new business development and by providing opportunities for self-employment to eligible participants. While projected employment in future years may be included in the application, it is essential that the focus of employment opportunities concentrate on new full-time, permanent jobs to be created during the duration of the grant project period and/or on the creation of new business development opportunities for low-income individuals. In creating self-employment business opportunities for eligible participants, the applicant must detail how it will provide training and support services to potential entrepreneurs. The assistance to be provided to potential entrepreneurs must include, at a minimum, technical assistance in basic business planning and management concepts, and assistance in preparing a business plan (see Part IV, Criterion III for requirements) and loan application. Any funds that are used for training purposes must be limited to providing specific job-related training to eligible participants who have been selected for employment (expansion of an existing business or new business development) and/or self-employment business opportunities. In the review process, favorable consideration will be given to applicants with a demonstrated record of achievement in promoting job and enterprise opportunities for low-income people. Favorable consideration also will be given to those applicants who show the lowest cost-per-job created for low-income individuals. For this program, OCS views $15,000 as the maximum amount for the creation of a job and, unless there are extenuating circumstances, will not fund projects where the cost-per-job in OCS funds exceeds this amount. Only those jobs created and filled by low-income people will be counted in the cost-per-job formula. (See Part IV, Criterion IV) Technical assistance should be specifically addressed to the needs of the private employer in creating new jobs to be filled by eligible individuals and/or to the individuals themselves such as skills training, job preparation, self-esteem building, etc. Financial assistance may be provided to the private employer as well as the individual. If the technical and/or financial assistance is to be provided to pre-identified businesses that will be expanded or franchised, written comments from the businesses must be included with the application. The creation of a revolving loan fund with funds received under this program is an allowable activity. However, OCS encourages the use of funds from other sources for this purpose. Points will be awarded in the review process to those applicants who leverage funds from other sources. (See Part IV, Criterion VI.) Loans made to eligible beneficiaries for business development activities must be at or below market rate. (Note: Interest accrued on revolving loan funds may be used to continue or expand the activities of the approved project.) Grant funds received under this program may not be used for construction. A formal, cooperative relationship between the applicant and the agency responsible for administering the Job Opportunities and Basic Skills (JOBS) training program (as provided for under title IV-A of the Social Security Act) in the area served by the project is a requirement for funding. The application must include a signed, written agreement between the applicant and the local JOBS agency, or a letter of commitment (contingent only on receipt of OCS funds). The agreement must describe the cooperative relationship, including specific activities and/or actions each of these entities propose to carry out over the course of the grant period in support of the project. The agreement, at a minimum, must cover activities that will be provided to the target population and which are related to one or more of the mandatory or optional components offered by the appropriate State's JOBS program. The mandatory activities offered by the States' JOBS programs consist of the following components: Basic education activities, job skills training, job readiness activities, job development and job placement. The optional components offered by the States' JOBS programs include: Group and individual job search counseling and training on job seeking skills; on-the-job-training; work supplementation; and community work experience. (See Attachment I for a list of the State JOBS agencies.) Projects also must include an independent, methodologically sound evaluation of the effectiveness of the activities carried out with the grant funds in creating new jobs and business opportunities. (See Part IV, Criterion V). Applications should include a plan for disseminating the results of the project after expiration of the grant period. Applicants may budget up to $1,000 for dissemination purposes. Priority will be given to applications proposing to serve those areas containing the highest percentage of individuals receiving Aid to Families with Dependent Children under Title IV-A of the Social Security Act. (See Part IV, Criterion II.) B. Community Development Corporations Set-Aside 2.0 For Fiscal Year 1994, a set-aside fund of $1 million will be included for community development corporations. A community development corporation for purposes of this set-aside fund is a private, non-profit entity which has a record of implementing economic development projects or, whose Articles of Incorporation and/or By-Laws indicate that it has a focus in the area of economic development, and which has a tax exempt determination under Section 501(a) of the Internal Revenue Code of 1986 by reason of paragraph (3) or (4) of Section 501(c) of such code. Such projects must conform to the purposes, requirements, and prohibitions applicable to those submitted under Part II, General Projects 1.0. Applications for these set-aside funds which are not funded due to the limited amount of funds available will also be considered competitively within the larger pool of eligible applicants. Part III--Application Requirements A. Background Information 1. Availability of Funds and Grant Amounts The Office of Community Services expects to award approximately $5,500,000 by September 30, 1994 for new grants under this program. A maximum of $500,000 for the entire multi-year project period will be awarded to selected organizations under this program in FY 94. OCS will award no less than 5 and no more than 10 grants under this program. Due to the limited number of grants available under this program, only one grant will be allowed to any organization. 2. Project and Budgets Periods Project and budget periods will be 36 months. Full funding of the three-year project and budget periods in FY 94 assures stability for these 36 months. 3. Mobilization of Resources OCS will give favorable consideration in the review process to applicants who mobilize cash and/or third-party in-kind contributions for direct use in the project. (See Part IV, Criterion VI.) 4. Program Participants/Beneficiaries Projects proposed for funding under this announcement must result in direct benefits to low-income people as defined in the most recent Annual Revision of Poverty Income Guidelines published by DHHS and individuals eligible to receive Aid to Families with Dependent Children under Part A of title IV of the Social Security Act. Attachment A to this announcement is an excerpt from the guidelines currently in effect. Annual revisions of these guidelines are normally published in the Federal Register in February or early March of each year. Grantees will be required to apply the most recent guidelines throughout the project period. These revised guidelines also may be obtained at public libraries, Congressional offices, or by writing the Superintendent of Documents, U.S. Government Printing Office, Washington, DC 20402. No other government agency or privately-defined poverty guidelines are applicable for the determination of low-income eligibility for this program. 5. Cooperative Partnership Agreement A signed written agreement or letter of commitment between the applicant and the local JOBS (welfare) agency must be submitted with the application in order to be reviewed and evaluated competitively. The agreement/letter must describe the cooperative relationship and include specific activities and/or actions that each of the entities proposes to carry out over the course of the grant period in support of the project. (Please review PART II, General Projects 1.0 for additional specific information related to this agreement.) 6. Prohibition and Restrictions on the Use of Funds The use of funds for new construction or the purchase of real property is prohibited. Costs incurred for rearrangement and alteration of facilities required specifically for the grant program are allowable when specifically approved by ACF in writing. If the applicant is proposing a project which will affect a property listed in, or eligible for inclusion in the National Register of Historic Places, it must identify this property in the narrative and explain how it has complied with the provisions of section 106 of the National Historic Preservation Act of 1966 as amended. If there is any question as to whether the property is listed in or eligible for inclusion in the National Register of Historic Places, the applicant should consult with the State Historic Preservation Officer. (See Attachment D: SF-424B, Item 13 for additional guidelines.) The applicant should contact OCS early in the development of its application for instructions regarding compliance with the Act and data required to be submitted to the Department of Health and Human Services. Failure to comply with the cited Act must result in the application being ineligible for funding consideration. 7. Multiple Submittals Due to the limited number of grants which will be made under this program, only one proposal from an eligible applicant will be funded by OCS for either the general project fund or the community development corporation set-aside fund. 8. Refunding OCS will not provide refunding to a previously funded grantee to conduct the same demonstration in the same target area. 9. Third-Party Project Evaluation Projects also must include an independent, methodologically sound evaluation of the effectiveness of the activities carried out with the grant in creating new jobs and business opportunities. 10. Economic Development Strategy Applicants must include an economic development strategy in accordance with the legislative reference cited in Part II, Section A. 11. Maintenance of Effort The application must include an assurance that activities funded under this program announcement are in addition to, and not in substitution for, activities previously carried on without Federal assistance. Part IV--Application Review Process Applications which pass the pre-rating review will be assessed and scored by reviewers. Each reviewer will give a numerical score for each application reviewed. These numerical scores will be supported by explanatory statements on a formal rating form describing major strengths and weaknesses under each applicable criterion published in the announcement. The in-depth assessment and review process will use the following criteria coupled with the specific requirements described in Part III. Scoring will be based on a total of 100 points. (Note: the following review criteria reiterate the collection of information requirements contained in Part VI of this announcement. These requirements are approved under OMB Control Number 0970-0062 expiration 09-30-95.) A. Criteria for Review and Assessment of Applications in Priority Areas 1.0 and 2.0 Criterion I: Organizational Experience in Program Area and Staff Responsibilities (Maximum: 15 Points) (i) Agency's Commitment and Experience in Program Area The application includes documentation which summarizes two similar projects undertaken by the applicant agency and the extent to which the stated and achieved performance targets, including permanent benefits to low-income populations, have been achieved. Application indicates how the agency will verify the extent to which the performance targets are achieved in this project. Application notes and justifies the priority that this project will have within the agency including the facilities and resources that it has available to carry out the project. In addition, the application describes how the job creation activities planned in this project relate to the job creation activities of the agency and how this project will continue without investment from this source. (Note: The maximum number of points will be given only to those organizations with a demonstrated record of achievement in promoting job creation and enterprise opportunities for low-income people.) (ii) Staff Skills, Resources and Responsibilities The application must profile two or three individuals who will have the most responsibility for shaping the project, connecting it to customers, and achieving performance targets. The focus should be on the energy, capacity and commitment of those persons who will implement the project. Because this is a demonstration project within an already- established agency, OCS expects that the key staff person(s) would be identified, if not hired. The application must include the minimum qualifications and a position description for the third-party evaluator (independent entity, i.e. an entity organizationally distinct from, and not under the control of the applicant). A third-party evaluator must have knowledge about and have experience in conducting process and outcome evaluations, evaluating issues in the job creation field, expansion of businesses and the creation of self-employment and small business opportunities for low-income neighborhoods and understands the complexity of the problems that target population faces. The competitive procurement regulations (45 CFR Part 74, Appendix H) apply to service contracts such as those for evaluators when the costs of such service will exceed $25,000. Described the facilities and resources (i.e. space, equipment, etc.) that it has available to carry out the project. Criterion II: Analysis of Need (Maximum: 15 Points) The application includes a description of the geographic area and population to be served as well as a discussion of the nature and extent of the problem to be solved. It should indicate what the unemployment rates are in the geographic areas to be served and (to the extent practicable) cite how the proposed businesses and subsequent jobs will impact on the nature and extent of the problem. It should also include documentation regarding the number and percentage of individuals receiving Aid to Families with Dependent Children and the total number of individuals which make up the population in the area where the project will operate. Criterion III: Work Program (Maximum: 20 Points) The work plan and business plan(s), where appropriate, must be both sound and feasible. If the applicant is proposing to use project funds to provide technical and/or financial assistance to a third-party private employer to develop or expand a pre-identified business, the application must include a complete business plan. An application that does not include a business plan where one is appropriate may be disqualified and returned to the applicant. The project must be responsive to the needs identified in the Analysis of Need. (i) Work Plan The work plan must include a hypothesis or hypotheses that is significant and includes the key interventions and permits measurement of the extent to which the target population can achieve greater self- sufficiency as a result of its involvement in the project. The key interventions should include the types of technical and financial assistance to be provided the recipients, the level of effort, as well as other activities. If the technical and/or financial assistance is to be provided to pre-identified businesses that will be expanded or franchised, written commitments from the businesses must be included with the application. The work program must set forth realistic quarterly time targets by which the various work tasks will be completed. Critical issues or potential problems that might impact negatively on the project are defined and the project objectives can be reasonably attained despite such potential problems. The application provides a description of the process evaluation which will culminate in the development of a policies and procedures manual. (ii) Business Plan The business plan, where appropriate, is one of the major components that will be evaluated by OCS to determine the feasibility of a jobs creation project. Because the guidelines were written to cover a variety of possibilities, rigid adherence to them is not possible nor even desirable for all projects. For example, a plan for a service business would not require a discussion of manufacturing nor product design. The business plan should include the following: --The Business and its Industry. This section should describe the nature and history of the business if the proposal is an expansion of an existing business, including the following: 1. Products and services; 2. Market research and evaluation (show that the product or service has a substantial market and can achieve sales in the face of competition); 3. Marketing plan (including the estimated market share and sales) 4. Manufacturing and operations plan (describe the kind of facilities, plant location, space, capital equipment and labor force [part and/or full-time wage structure] that are required to provide the company's product or service). 5. Critical risk and assumptions (include a description of the risks and critical assumptions relating to the industry, the venture, its personnel, the product's market appeal, and the timing and financing of the venture). 6. Community benefits (identify low-income individuals to be employed); and 7. A financial plan (In developing the financial plan, the following exhibits must be prepared for the first three years of the business' operation: (a) Profit and Loss Forecasts--for each year; (b) Cash Flow Projections--for each year; (c) pro forma balance sheets--for each year; (d) initial uses of project funds; and (e) any future capital requirements and sources. (iii) Facilities If the rearrangement or alteration of facilities will be required in implementing the project, the applicant has described and justified such changes. Criterion IV: Significant and Beneficial Impact (Maximum: 25 Points) (i) Quality of JOBS/Business Opportunities The proposed project is expected to produce permanent and measurable results that will reduce the incidence of poverty in the community. Expected results are quantifiable in terms of the creation of permanent, full-time jobs or business opportunities developed. In developing business opportunities and self-employment for low-income individuals the applicant proposes, at a minimum, to provide basic business planning and management concepts, and assistance in preparing a business plan and loan package. The application documents that: --The business opportunities to be developed for eligible participants will contribute significantly to their progress toward self- sufficiency; and/or --Jobs to be created for eligible participants will contribute significantly to their progress toward self-sufficiency; they provide, for example, wages that exceed the minimum wage, plus benefits such as health insurance, transportation, child care and career development opportunities. (ii) Cost-per-Job During the project period the proposed project will create new, permanent jobs or business opportunities for low-income residents at a cost-per-job below $15,000 in OCS funds, (e.g. cost per job is calculated by dividing the total amount of grant funds requested ($420,000) divided by the number of jobs to be created (60) equals the cost-per-job ($7,000)). If any other calculations are used, please include your methodology in this section. (Note: Except in those instances where independent reviewers identify extenuating circumstances related to business development activities, the maximum number of points will be given only to those applicants proposing cost-per-job created estimates of $5,000 or less of OCS requested funds. Higher cost-per-job estimates will receive correspondingly fewer points.) Criterion V: Third-Party Evaluation (Maximum: 10 Points) A plan for a methodologically sound third-party (i.e., independent) evaluation of the demonstration project must be included in the application. The Evaluation Plan: --Includes a specific working definition of ``self-sufficiency'' (consistent with the broad definition contained in Part I) that permits the measurement of incremental progress of eligible individuals and their families from dependency toward self-sufficiency; --Clearly defines the changes or benefits (outcomes) to be produced, the activities (interventions) that will produce the changes, and the measures of client progress toward self-sufficiency for which information will be collected (for example: increases in income, decreases in public assistance payments); --Provides for the annual compilation of community-level data on the characteristics of the population in the project area, including percentage on public assistance, percentage below the poverty line, unemployment rate, business starts and failures, and major employers; --Provides for the conduct of a continuing process evaluation. This should include the periodic assessment of the following: client characteristics, pertinent policies and procedures, staffing, cooperative partnerships with state and local agencies, use of other community resources, client outreach and recruitment, client service delivery, cost of services, and level of technical and financial assistance to employers. The types of data and information, measures and indicators to be used for the process evaluation, as well as the methods and timeframe for collecting and analyzing the required data should be indicated; --Provides for the completion of two interim evaluation reports and a final report. The final evaluation report will describe the program design and any changes from the original workplan, outreach and recruitment results, interventions, and accomplishments. The measurement instruments, data collection procedures, and analysis techniques should be discussed, and the report should yield conclusions as to how well the program works and why. It should also discuss the program's potential for replication in other communities; and --Includes a realistic plan for disseminating the project findings to other interested organizations and public agencies. Criterion VI: Public-Private Partnerships (Maximum: 10 Points) --The cooperative partnership arrangements are fully described and clearly relate to the objectives of the proposed project, and the activities include one or more of the mandatory or optional components of the State's JOBS program as described in Part II, Section A. --The application documents that the applicant will mobilize from public and/or private sources cash and/or third-party in-kind contributions. Applications that document that the value of such contributions will be at least equal to the OCS funds requested, and demonstrate that the cooperative partnership arrangements clearly relate to the objectives of the proposed project, will receive the maximum number of points for this criterion. Lesser contributions will be given consideration based upon the value documented. --Applicants should note that partnership relationships are not created via service delivery contracts; partners should be responsible for substantive project components or elements. Criterion VII: Budget Appropriateness and Reasonableness (Maximum: 5 Points) Funds requested are commensurate with the level of effort necessary to accomplish the goals and objectives of the project. The application includes a detailed budget break-down for each of the budget categories in the SF-424A. The applicant presents a reasonable administrative cost if an indirect cost rate has not been negotiated with the cognizant Federal agency (See Part VI, Section B, Line 6j). The estimated cost to the government of the project also is reasonable in relation to the anticipated results. Part V--Application Procedures A. Availability of Forms Attachment B contains all of the standard forms necessary for the application for awards under this OCS program. This attachment and Parts VI and VII of this announcement contain all of the instructions required for submittal of applications. These forms may be photocopied for the application. Copies of the Federal Register containing this announcement are available at most local libraries and Congressional District Offices for reproduction. If copies are not available at these sources, they may be obtained by writing or telephoning the office listed under the section entitled FOR FURTHER INFORMATION at the beginning of this announcement. The applicant must be aware that in signing and submitting the application for this award, it is certifying that it will comply with the Federal requirements concerning the drug-free workplace and debarment regulations set forth in Attachments C and D. Part VII, Section A contains instructions for the project narrative. B. Application Submission The closing date for submission of applications is June 6, 1994. 1. Deadlines. Applications shall be considered as meeting the deadline if they are either: a. Received on or before the deadline date at the Department of Health and Human Services, Administration for Children and Families, Division of Discretionary Grants, 370 L'Enfant Promenade, SW., 6th Floor, Washington, DC 20447, or b. Sent on or before the deadline date and received by the granting agency in time for them to be considered during the competitive review and evaluation process under Chapter 1-62 of the Health and Human Services Grants Administration Manual. (Applicants are cautioned to request a legibly dated U.S. Postal Service postmark or to obtain a legibly dated receipt from a commercial carrier or the U.S. Postal Service. Private metered postmarks are not acceptable as proof of timely mailing.) 2. Applications submitted by other means. Applications which are not submitted in accordance with the above criteria shall be considered as meeting the deadline only if they are physically received before the close of business on or before the deadline date. Hand delivered applications will be accepted at the Department of Health and Human Services, Administration for Children and Families, Division of Discretionary Grants, 901 D Street, SW., 6th Floor, Washington, DC 20447 during the normal working hours of 8:30 a.m. to 5 p.m., Monday through Friday. 3. Late Applications. Applications which do not meet one of these criteria are considered late applications. The ACF Division of Discretionary Grants will notify each late applicant that its application will not be considered in this competition. 4. Extension of Deadline. The ACF may extend the deadline for all applicants because of acts of God such as floods, hurricanes, etc. or when there is a disruption of the mails. However, if the granting agency does not extend the deadline for all applicants, it may not waive or extend the deadline for any applicant. Applications once submitted are considered final and no additional materials will be accepted. One signed original application and four copies should be submitted. C. Intergovernmental Review This program is covered under Executive Order 12372, ``Intergovernmental Review of Federal Programs,'' and 45 CFR Part 100, ``Intergovernmental Review of Department of Health and Human Services Programs and Activities.'' Under the Order, States may design their own processes for reviewing and commenting on proposed Federal assistance under covered programs. All States and Territories except Alabama, Alaska, Connecticut, Hawaii, Idaho, Kansas, Louisiana, Minnesota, Montana, Nebraska, Pennsylvania, Oklahoma, Oregon, Virginia, Washington, American Samoa and Palau have elected to participate in the Executive Order process and have established Single Points of Contact (SPOCs). Applicants from these seventeen jurisdictions need take no action regarding E.O. 12372. Applicants for projects to be administered by Federally-recognized Indian Tribes are also exempt from the requirements of E.O. 12372. Otherwise, applicants must submit any required material to the SPOCs as soon as possible to alert them of the prospective applications and receive any necessary instructions, so that the ACF can obtain and review SPOC comments as part of the award process. It is imperative that the applicant submit all required materials, if any, to the SPOC and indicate the date of this submittal (or the date of contact if no submittal is required) on the Standard Form 424, item 16a. Under 45 CFR 100.8(a)(2), a SPOC has 60 days from the application deadline date to comment on proposed new awards. SPOCs are encouraged to eliminate the submission of routine endorsements as official recommendations. Additionally, SPOCs are requested to clearly differentiate between mere advisory comments and those official State process recommendations which they intend to trigger the ``accommodate or explain'' rule under 45 CFR 100.10. When comments are submitted directly to ACF, they should be addressed to: Department of Health and Human Services, Administration for Children and Families, Division of Discretionary Grants, 370 L'Enfant Promenade, SW., 6th Floor, Washington, DC 20447. A list of the Single Points of Contact for each State and Territory is included as Attachment E of this announcement. D. Application Consideration of OCS Specific Requirements Applications which meet the screening requirements in Part V, item E below will be reviewed competitively. Such applications will be referred to reviewers for a numerical score and explanatory comments based solely on responsiveness to the guidelines and evaluation criteria published in this announcement. Applications will be reviewed by persons outside of the OCS unit which will be directly responsible for programmatic management of the grant. The results of these reviews will assist the Director and OCS program staff in considering competing applications. Reviewers' scores will weigh heavily in funding decisions but will not be the only factors considered. Applications generally will be considered in order of the average scores assigned by reviewers. However, highly ranked applications are not guaranteed funding since other factors are taken into consideration, including, but not limited to, the timely and proper completion of projects funded with OCS funds granted in the last five (5) years; comments of reviewers and government officials; staff evaluation and input; geographic distribution; previous program performance of applicants; compliance with grant terms under previous DHHS grants; audit reports; investigative reports; and applicant's progress in resolving any final audit disallowances on previous OCS or other Federal agency grants. OCS reserves the right to discuss applications with other Federal or non-Federal funding sources to ascertain the applicant's performance record. E. Criteria for Screening Applicants 1. Initial Screening All timely applicants will receive an acknowledgement with an assigned identification number. This number, along with any identification code, must be referenced in all subsequent communications concerning the application. If an acknowledgement is not received within three weeks after the deadline date, please notify ACF by telephone at (202) 401-9234. All applications that meet the published deadline for submission will be screened to determine completeness and conformity to the requirements of this announcement. Only those applications meeting the following requirements will be reviewed and evaluated competitively. Others will be returned to the applicants with a notation that they were unacceptable. a. The application must contain a Standard Form 424 Application for Federal Assistance (SF-424), a budget (SF-424A), and signed Assurances (SF 424B) completed according to instructions published in Part VI and Attachments B, C, and D of this Program Announcement. b. A project narrative must also accompany the standard forms. OCS requires that the narrative portion of the application be limited to 50 pages, typewritten on one side of the paper only. Charts, exhibits, letters of support and cooperative agreements are not counted against this page limit. It is strongly recommended that you follow the format for the narrative in Part VII, A, 10. c. The SF-424 and the SF-424B must be signed by an official of the organization applying for the grant who has authority to obligate the organization legally. d. Application must contain documentation of the applicant's tax exempt status as required under Part I, Section B. 2. Pre-Rating Review Applications which pass the initial screening will be forwarded to reviewers and/or OCS staff prior to the programmatic review to verify that the applications comply with this Program Announcement in the following areas: a. Eligibility: Applicant meets the eligibility requirements described in Part I, Section B. Proof of non-profit status must be included in the Appendices to the Project Narrative (See Part VII, Section A, 11). Applicants must also be aware that the applicant's legal name as required on the SF-424 (Item 5) must match that listed as corresponding to the Employer Identification Number (Item 6). b. Target Populations: The application clearly targets the specific outcomes and benefits of the project to those types of low-income participants and beneficiaries described in Part III, Section A, Program Participants/Beneficiaries. c. Grant Amount: The amount of funds requested does not exceed the limits indicated in Part III, Section A., item 1. d. Cooperative Partnership Agreement. The application contains a written agreement or letter of commitment that includes, at a minimum, the activities cited in Part II, Section A. The agreement must be signed by an official of the agency responsible for administering the JOBS program in the area to be served. e. Third-Party Project Evaluation. A third-party project evaluation plan is included. f. Business Plan. If a third-party private employer is part of the proposed project, a complete business plan is included in the application. An application will be disqualified from the competition and returned if it does not conform to all of the above requirements. Part VI--Instructions for Completing Application Package (Approved by the Office of Management and Budget under Control Number 0970-0062 date of expiration 09-30-93.) The standard forms attached to this announcement shall be used to apply for funds under this program announcement. It is suggested that you reproduce single-sided copies of the SF- 424 and SF-424A, and type your application on the copies. Please prepare your application in accordance with instructions provided on the forms as well as with the OCS specific instructions set forth below: A. SF-424--Application for Federal Assistance Top of Page. Please enter the single priority area number under which the application is being submitted. An application should be submitted under only one priority area. Item 1. For the purposes of this announcement, all projects are considered Applications; there are no Pre-Applications. Prepare your application in accordance with the standard instructions given in Attachments B and C corresponding to the forms, as well as the OCS specific instructions set forth below: Item 2. Date Submitted and Applicant Identifier--Date application is submitted to ACF and applicant's own internal control number, if applicable. Item 3. Date Received by State--N/A Item 4. Date Received by Federal Agency--Leave blank. Items 5 and 6. The legal name of the applicant must match that listed as corresponding to the Employer Identification Number. Where the applicant is a previous Department of Health and Human Services grantee, enter the Central Registry System Employee Identification Number (CRS/EIN) and the Payment Identifying Number, if one has been assigned, in the Block entitled Federal Identifier located at the top right hand corner of the form. Item 7. If the applicant is a non-profit corporation, enter N in the box and specify non-profit corporation in the space marked Other. Proof of non-profit status, such as IRS determination, Articles of Incorporation, or By-laws, must be included as an appendix to the project narrative. Item 8. Type of Application--Please indicate the type of application. Item 9. Name of Federal Agency--Enter DHHS-ACF/OCS. Item 10. The Catalog of Federal Domestic Assistance number for OCS programs covered under this announcement is 93.561. The title is Job Opportunities for Low-Income Individuals Program (Demonstration Projects). Item 11. In addition to a brief descriptive title of the project, indicate the priority area for which funds are being requested. Use the following letter designations: JO--General Project JS--Community Development Corporation Set-Aside Item 12. Areas Affected by Project--List only the largest unit or units affected, such as State, county or city. Item 13. Proposed Project--The ending date should be calculated based on a 36-month project period. Item 14. Congressional District of Applicant/Project--Enter the number of the Congressional District where the applicant's principal office is located and the number of the Congressional district(s) where the project will be located. Item 15a. This amount should be no greater than the amount specified under Part III, Availability of Funds and Grant Amounts. Item 15b-e. These items should reflect both cash and third-party, in-kind contributions for the budget period requested. Item 15f. N/A Item 15g. Enter the sum of Items 15a-15e. B. SF-424A--Budget Information--Non-Construction Programs See Instructions accompanying this form as well as the instructions set forth below: In completing these sections, the Federal Funds budget entries will relate to the requested OCS funds only, and Non-Federal will include mobilized funds from all other sources--applicant, state, local, and other. Federal funds other than requested OCS funding should be included in Non-Federal entries. Sections A B, C and D of SF-424A should reflect budget estimates for the first budget period of the project. Section A--Budget Summary Lines 1-4. Col. (a) Line 1--Enter Job Opportunities for Low-Income Individuals. Col. (b) Line 1--Catalog of Federal Domestic Assistance number is 93.561. Cols. (c) and (d) Columns (c) and (d) are not relevant to this program and should not be completed. Column (e)-(g) For line 1, enter in columns (e), (f) and (g) the appropriate amounts needed to support the project. (Maximum $500,000) Line 5--Enter the figures from Line 1 for all columns completed (e), (f), and (g). Section B--Budget Categories Please Note: This information supersedes the instructions provided following SF-424A. Columns (1)-(5): Column 1: Enter the first budget period of 12 months. Column 2: Enter the second budget period of 12 months. Column 3: Enter the third budget period of 12 months. Column 4: Leave blank. Column 5: Enter the total requirements for Federal funds by the Object Class Categories of this section. Allocability of costs are governed by the cost principles set forth in OMB Circular A-122 and 45 CFR Part 74. Budget estimates for national administrative costs must be supported by adequate detail for the grants officer to perform a cost analysis and review. Adequately detailed calculations for each budget object class are those which reflect estimation methods, quantities, unit costs, salaries, and other similar quantitative detail sufficient for the calculation to be duplicated. For any additional object class categories included under the object class other identify the additional object class(es) and provide supporting calculations. Supporting narratives and justifications are required for each budget category, with emphasis on unique/special initiatives, large dollar amounts; local, regional, or other travels, new positions, major equipment purchases and training programs. A detailed itemized budget with a separate budget justification for each major item should be included as indicated below: Personnel--Line 6a. Enter the total costs of salaries and wages. Justification Identify the principal investigator or project director, if known. Specify by title or name the percentage of time allocated the project, the individual annual salaries, and the cost to the project of the organization's staff who will be working on the project. Do not include costs of consultants or personnel costs of delegate agencies or of specific project(s) or businesses to be financed by the applicant. Fringe Benefits--Line 6b. Enter the total costs of fringe benefits unless treated as part of an approved indirect cost rate which is entered on line 6j. Justification Provide a breakdown of amounts and percentages that comprise fringe benefit costs, such as health insurance, FICA, retirement insurance, taxes, etc. Travel--Line 6c. Enter total costs of all travel by employees of the project. Do not enter costs for consultant's travel. Justification Include the total number of traveler(s), total number of trips, destinations, number of days, transportation costs and subsistence allowances. Travel costs to attend two national workshops in Washington, DC by the project director should be included. Equipment--Line 6d. Enter the total costs of all non-expendable personal property to be acquired by the project. Non-expendable personal property means tangible personal property having a unit cost of $5,000 or more and having a useful life of one year. Justification Only equipment required to conduct the project may be purchased with Federal funds. The applicant organization or its subgrantees must not have such equipment, or a reasonable facsimile, available for use in the project. The justification also must contain plans for future use or disposal of the equipment after the project ends. An applicant may use its own definition of non-expendable personal property, provided that such a definition would at least include all tangible personal property as defined above. (See Line 21 for additional requirements.) Supplies--Line 6e. Enter the total costs of all tangible personal property (supplies) other than that included on line 6d. Justification Specify general categories of supplies and their costs. Contractual--Line 6f. Enter the total costs of all contracts, including: (1) The estimated cost of the third-party evaluation contract; travel costs for the chief evaluator to attend two national workshops in Washington, DC should be included; (2) procurement contracts (except those which belong on other lines such as equipment, supplies, etc.), and (3) contracts with secondary recipient organizations including delegate agencies and specific project(s) or businesses to be financed by the applicant. Justification Attach a list of contractors, indicating the names of the organizations, the purposes of the contracts, the estimated dollar amounts, and selection process of the awards as part of the budget justification. Also provide back-up documentation identifying the name of contractor, purpose of contract, and major cost elements. Note: Whenever the applicant/grantee intends to delegate part of the program to another agency, the applicant/grantee must submit Sections A and B of this Form SF-424A, completed for each delegate agency by agency title, along with the required supporting information referenced in the applicable instructions. The total costs of all such agencies will be part of the amount shown on Line 6f. Provide draft Request for Proposal in accordance with 45 CFR Part 74, Appendix H. Free and open competition is encouraged for any procurement activities planned using ACF grant funds. Applicants who anticipate evaluation procurements that will exceed $5,000 and are requesting an award without competition should include a sole source justification in the proposal which at a minimum should include the basis for contractor's selection, a description of the survey conducted of other service providers, justification for lack of competition when competitive bids or offers are not obtained and basis for award cost or price. (Note: Previous or past experience with contractor is not sufficient justification for sole source.) For successful applicants, the Financial Assistance Award will cite under Remarks, item 18, approval of this action. Also include any contracts with organizations for the provision of technical assistance. Construction--Line 6g. Not applicable. Other--Line 6h. Enter the total of all other costs. Such costs, where applicable, may include but are not limited to insurance, food, medical and dental costs (noncontractual), fees and travel paid directly to individual consultants, space and equipment rentals, printing and publication, computer use, training costs, including tuition and stipends, training service costs including wage payments to individuals and supportive service payments, and staff development costs. Total Direct Charges--Lines 6i. Show the total of Lines 6a through 6h. Indirect Charges--Line 6j. Enter the total amount of indirect costs. This line should be used only when the applicant currently has an indirect cost rate approved by the Department of Health and Human Services or another cognizant Federal agency. With the exception of local governments, applicants should enclose a copy of the current rate agreement if it was negotiated with a cognizant Federal agency other than the Department of Health and Human Services. If the applicant organization is in the process of initially developing or renegotiating a rate, it should immediately upon notification that an award will be made, develop a tentative indirect cost rate proposal based on its most recently completed fiscal year in accordance with the principles set forth in the pertinent DHHS Guide for Establishing Indirect Cost Rates, and submit it to the appropriate DHHS Regional Office. Applicants awaiting approval of their indirect cost proposals may also request indirect costs. It should be noted that when an indirect cost rate is requested, those costs included in the indirect cost pool should not be also charged as direct costs to the grant. Totals--Line 6k. Enter the total amounts of Lines 6i and 6j. Program Income--Line 7. Enter the estimated amount of income, if any, expected to be generated from this project. Separately show expected program income generated from OCS support and income generated from other mobilized funds. Do not add or subtract this amount from the budget total. Show the nature and source of income in the program narrative statement. Justification Describe the nature, source and anticipated use of program income in the Program Narrative Statement. Column 5: Carry totals from Column 1 to Column 5 for all line items. Section C--Non-Federal Resources This section is to record the amounts of non-Federal resources that will be used to support the project. Non-Federal resources mean those other than OCS funds. Therefore, mobilized funds from other Federal programs should be entered on these lines. Provide a brief listing of the non-Federal resources on a separate sheet and describe whether it is a grantee-incurred cost or a third-party in-kind contribution. The firm commitment of these resources must be documented and submitted with the application in order to be given credit in the Public-Private Partnerships criterion. Except in unusual situations, this documentation must be in the form of letters of commitment from the organization(s)/individuals from which funds will be received. Justification Describe third-party, in-kind contributions, if included. Grant Program--Line 8 Column (a): Enter the project title. Column (b): Enter the amount of contributions to be made by the applicant to the project. Column (c): Enter the State contribution. If the applicant is a State agency, enter the non-Federal funds to be contributed by the State other than the applicant. Column (d): Enter the amount of cash and third-party in-kind contributions to be made from all other sources. Column (e): Enter the total of columns (b), (c), and (d). Grant Program--Lines 9, 10, and 11 Should be Left Blank Grant Program--Line 12 Carry the total of each column of Line 8, (b) through (e). The amount in Column (e) should be equal to the amount on Section A, Line 5, column (f). Section D--Forecasted Cash Needs Federal--Line 13. Enter the amount of Federal (OCS) cash needed for this grant, by quarter, during the first 12 month budget period. Non Federal--Line 14. Enter the amount of cash from all other sources needed by quarter during the first 12-month budget period. Totals--Line 15. Enter the total of Lines 13 and 14. Section E--Budget Estimates of Federal Funds Needed for Balance of Project(s) For new applications, enter in the proper columns amounts of Federal funds which will be needed to complete the program or project over the succeeding funding periods (usually in years). Section F--Other Budget Information Direct Charges--Line 21. Use this space and continuation sheets as necessary to fully explain and justify the major items included in the budget categories shown in Section B. Include sufficient detail to facilitate determination of allowability, relevance to the project, and cost benefits. Particular attention must be given to the explanation of any requested direct cost budget item which requires explicit approval by the Federal agency. Budget items which require identification and justification shall include, but not be limited to, the following: A. Salary amounts and percentage of time worked for those key individuals who are identified in the project narrative; B. Any foreign travel; C. A list of all equipment and estimated cost of each item to be purchased wholly or in part with grant funds which meet the definition of nonexpendable personal property provided on Line 6d, Section B. Need for equipment must be supported in program narrative; D. Contractual: major items or groups of smaller items; and E. Other: group into major categories all costs for consultants, local transportation, space, rental, training allowances, staff training, computer equipment, etc. Provide a complete breakdown of all costs that make up this category. Indirect Charges--Line 22. Enter the type of HHS or other cognizant Federal agency approved indirect cost rate (provisional, predetermined, final or fixed) that will be in effect during the funding period, the estimated amount of the base to which the rate is applied and the total indirect expense. Also, enter the date the rate was approved and attach a copy of the rate agreement. Remarks--Line 23. Provide any other explanations and continuation sheets required or deemed necessary to justify or explain the budget information. C. SF-424B Assurances-Non-Construction All applicants must fill out, sign, date and return the Assurances with the application. Part VII--Contents of Application and Receipt Process A. Contents of Application Each application submission should include a signed original and four additional copies of the application. Each application should include the following in the order presented: 1. Table of Contents; 2. Completed Standard Form 424 which has been signed by an Official of the organization applying for the grant who has authority to obligate the organization legally. (Note: The original SF-424 must bear the original signature of the authorizing representative of the applicant organization) 3. Budget Information-Non-Construction Programs (SF-424A); 4. A narrative budget justification for each object class category required under Section B, SF-424A; 5. Filled out, signed, and dated Assurances-Non-Construction Programs (SF-424B); 6. By signing and submitting this application, the applicant is certifying that it will comply with the Federal requirements concerning debarment regulations set forth in attachments E and F. 7. Restrictions on Lobbying, Certification for Contracts, Grants, Loans, and Cooperative Agreements: fill out, sign and date form found at Attachment H. 8. Disclosure of Lobbying Activities, SF-LLL: Filled out, signed, and dated form found at Attachment H, if appropriate. 9. An Executive Summary--not to exceed 300 words; 10. A Project Narrative consisting of the following elements preceded by a consecutively numbered Table of Contents that will describe the project in the following order: (i) Eligibility Confirmation (ii) Organizational Experience and Staff Responsibilities (iii) Analysis of Need (iv) Project Design/Work Program (v) Business Plan (If appropriate) (vi) Third-Party Evaluation (vii) Cooperative Partnership Agreement (viii) Budget Appropriateness and Reasonableness 11. Appendices--proof of non-profit status as outlined in Part I, Section B; proof that the organization is a community development corporation, if applying under the CDC Set-aside; commitments from officials of businesses that will be expanded or from franchises, where applicable; Single Point of Contact comments, if applicable; Maintenance of Effort Certification and resumes. The total number of pages for the narrative portion of the application package must not exceed 50 pages, excluding Appendices. Pages should be numbered sequentially throughout, excluding Appendices, beginning with the SF 424 as Page 1. The application may also contain letters that show collaboration or substantive commitments to the project by organizations other than the JOBS agency. Such letters are not part of the narrative and should be included in the Appendices. These letters are, therefore, not counted against the fifty page limit. Applications must be uniform in composition since OCS may find it necessary to duplicate them for review purposes. Therefore, applications must be submitted on white 8\1/2\ x 11 inch paper only. They must not include colored, oversized or folded materials. Do not include organizational brochures or other promotional materials, slides, films, clips, etc. in the proposal. They will be discarded if included. The applications should be two-holed, punched at the top center and fastened separately with a compressor slide paper fastener, or a binder clip. The submission of bound applications, or applications enclosed in binders, is specifically discouraged. Attachment J provides a checklist to applicants in preparing a complete application package. B. Acknowledgement of Receipt Applicants who meet the initial screening criteria outlined in Part V, Section E, 1, will receive an acknowledgement postcard with an assigned identification number. Applicants are requested to supply a self-addressed mailing label with their application which can be attached to this acknowledgement postcard. This number and the program letter code must be referred to in all subsequent communication with OCS concerning the application. If an acknowledgement is not received within three weeks after the deadline date, please notify ACF by telephone (202) 401-9234. Part VIII--Post Award Information and Reporting Requirements Following approval of the applications selected for funding, notice of project approval and authority to draw down project funds will be made in writing. The official award document is the Financial Assistance Award which provides the amount of Federal funds approved for use in the project, the project and budget period for which support is provided, the terms and conditions of the award, and the total project period for which support is contemplated. Project directors and chief evaluators will be required to attend two national evaluation workshops in Washington, DC. A program development and evaluation workshop will be scheduled shortly after the effective date of the grant. They also will be required to attend, as presenters, the final evaluation workshop on utilization and dissemination to be held at the end of the project period. Grantees will be required to submit quarterly progress and financial reports (SF 269) as well as a final progress and financial report within 90 days of the expiration of the grant. Interim evaluation reports, along with a written policies and procedures manual based on the findings of the process evaluation, will be due 30 days after the first twelve months, and the second interim evaluation 30 days after the second twelve months, and a final evaluation report will be due 90 days after the expiration of the grant. This final report will cover 36 months of activities related to project participants. Grantees are subject to the audit requirements in 45 CFR Parts 74 (non-profit organization) and OMB Circular A-133. Section 319 of Public Law 101-121, signed into law on October 23, 1989, imposes new prohibitions and requirements for disclosure and certification related to lobbying on recipients of Federal contracts, grants, cooperative agreements, and loans. It provides limited exemptions for Indian tribes and tribal organizations. Current and prospective recipients (and their subtier contractors and/or grantees) are prohibited from using appropriated funds for lobbying Congress or any Federal agency in connection with the award of a contract, grant, cooperative agreement or loan. In addition, for each award action in excess of $100,000 (or $150,000 for loans) the law requires recipients and their subtier contractors and/or subgrantees (1) to certify that they have neither used nor will use any appropriated funds for payment to lobbyists, (2) to submit a declaration setting forth whether payments to lobbyists have been or will be made out of nonappropriated funds and, if so, the name, address, payment details, and purpose of any agreements with such lobbyists whom recipients or their subtier contractors or subgrantees will pay with the nonappropriated funds and (3) to file quarterly up-dates about the use of lobbyists if an event occurs that materially affects the accuracy of the information submitted by way of declaration and certification. The law establishes civil penalties for noncompliance and is effective with respect to contracts, grants, cooperative agreements and loans entered into or made on or after December 23, 1989. See Attachment F for certification and disclosure forms to be submitted with the applications for this program. Attachment G indicates the regulations which apply to all applicants/grantees under the Job Opportunities for Low-Income Individuals Program. Dated: March 31, 1994. Donald Sykes, Director, Office of Community Services. Attachment A.--1994 Poverty Income Guidelines for All States Except Alaska and Hawaii) and the District of Columbia ------------------------------------------------------------------------ Poverty Size of family unit guideline ------------------------------------------------------------------------ 1............................................................ $7,360 2............................................................ 9,840 3............................................................ 12,320 4............................................................ 14,800 5............................................................ 17,280 6............................................................ 19,760 7............................................................ 22,240 8............................................................ 24,720 ------------------------------------------------------------------------ For family units with more than 8 members, add $2,480 for each additional member. Poverty Income Guidelines for Alaska ------------------------------------------------------------------------ Poverty Size of family unit guideline ------------------------------------------------------------------------ 1............................................................ $9,200 2............................................................ 12,300 3............................................................ 15,400 4............................................................ 18,500 5............................................................ 21,600 6............................................................ 24,700 7............................................................ 27,800 8............................................................ 30,900 ------------------------------------------------------------------------ For family units with more than 8 members, add $3,100 for each additional member. Poverty Income Guidelines for Hawaii ------------------------------------------------------------------------ Poverty Size of family unit guideline ------------------------------------------------------------------------ 1............................................................ $8,470 2............................................................ 11,320 3............................................................ 14,170 4............................................................ 17,020 5............................................................ 19,870 6............................................................ 22,720 7............................................................ 25,570 8............................................................ 28,420 ------------------------------------------------------------------------ For family units with more than 8 members, add $2,850 for each additional member. (The same increment applies to smaller family sizes also, as can be seen in the figures above.) BILLING CODE 4184-01-P![]()
TN07AP94.000 BILLING CODE 4184-01-C Instructions for the SF 424 This is a standard form used by applicants as a required facesheet for preapplications and applications submitted for Federal assistance. It will be used by Federal agencies to obtain applicant certification that States which have established a review and comment procedure in response to Executive Order 12372 and have selected the program to be included in their process, have been given an opportunity to review the applicant's submission. Item and Entry 1. Self-explanatory. 2. Date application submitted to Federal agency (or State if applicable) and applicant's control number (if applicable). 3. State use only (if applicable). 4. If this application is to continue or revise an existing award, enter present Federal identifier number. If for a new project, leave blank. 5. Legal name of applicant, name of primary organizational unit which will undertake the assistance activity, complete address of the applicant, and name and telephone number of the person to contact on matters related to this application. 6. Enter Employer Identification Number (EIN) as assigned by the Internal Revenue Service. 7. Enter the appropriate letter in the space provided. 8. Check appropriate box and enter appropriate letter(s) in the space(s) provided: --``New'' means a new assistance award. --``Continuation'' means an extension for an additional funding/ budget period for a project with a projected completion date. --``Revision'' means any change in the Federal Government's financial obligation or contingent liability from an existing obligation. 9. Name of Federal agency from which assistance is being requested with this application. 10. Use the Catalog of Federal Domestic Assistance number and title of the program under which assistance is requested. 11. Enter a brief descriptive title of the project. If more than one program is involved, you should append an explanation on a separate sheet. If appropriate (e.g., construction or real property projects), attach a map showing project location. For preapplications, use a separate sheet to provide a summary description of this project. 12. List only the largest political entities affected (e.g., State, counties, cities). 13. Self-explanatory. 14. List the applicant's Congressional District and any District(s) affected by the program or project. 15. Amount requested or to be contributed during the first funding/budget period by each contributor. Value of in-kind contributions should be included on appropriate lines as applicable. If the action will result in a dollar change to an existing award, indicate only the amount of the change. For decreases, enclose the amounts in parentheses. If both basic and supplemental amounts are included, show breakdown on an attached sheet. For multiple program funding, use totals and show breakdown using same categories as item 15. 16. Applicants should contact the State Single Point of Contact (SPOC) for Federal Executive Order 12372 to determine whether the application is subject to the State intergovernmental review process. 17. This question applies to the applicant organization, not the person who signs as the authorized representative. Categories of debt include delinquent audit disallowances, loans and taxes. 18. To be signed by the authorized representative of the applicant. A copy of the governing body's authorization for you to sign this application as official representative must be on file in the applicant's office. (Certain Federal agencies may require that this authorization be submitted as part of the application.) BILLING CODE 4184-01-P ![]()
TN07AP94.001 ![]()
TN07AP94.002 BILLING CODE 4184-01-C Instructions for the SF-424A General Instructions This form is designed so that application can be made for funds from one or more grant programs. In preparing the budget, adhere to any existing Federal grantor agency guidelines which prescribe how and whether budgeted amounts should be separately shown for different functions or activities within the program. For some programs, grantor agencies may require budgets to be separately shown by function or activity. For other programs, grantor agencies may require a breakdown by function or activity. Sections A, B, C, and D should include budget estimates for the whole project except when applying for assistance which requires Federal authorization in annual or other funding period increments. In the latter case, Sections A, B, C, and D should provide the budget for the first budget period (usually a year) and Section E should present the need for Federal assistance in the subsequent budget periods. All applications should contain a breakdown by the object class categories shown in Lines a-k of Section B. Section A--Budget Summary Lines 1-4, Columns (a) and (b) For applications pertaining to a single Federal grant program (Federal Domestic Assistance Catalog number) and not requiring a functional or activity breakdown, enter on Line 1 under Column (a) the catalog program title and the catalog number in Column (b). For applications pertaining to a single program requiring budget amounts by multiple functions or activities, enter the name of each activity or function on each line in Column (a), and enter the catalog number in Column (b). For applications pertaining to multiple programs where none of the programs require a breakdown by function or activity, enter the catalog program title on each line in Column (a) and the respective catalog number on each line in Column (b). For applications pertaining to multiple programs where one or more programs require a breakdown by function or activity, prepare a separate sheet for each program requiring the breakdown. Additional sheets should be used when one form does not provide adequate space for all breakdown of data required. However, when more than one sheet is used, the first page should provide the summary totals by programs. Lines 1-4, Columns (c) Through (g) For new applications, leave Columns (c) and (d) blank. For each line entry in Columns (a) and (b), enter in Columns (e), (f), and (g) the appropriate amounts of funds needed to support the project for the first funding period (usually a year). For continuing grant program applications, submit these forms before the end of each funding period as required by the grantor agency. Enter in Columns (c) and (d) the estimated amounts of funds which will remain unobligated at the end of the grant funding period only if the Federal grantor agency instructions provide for this. Otherwise, leave these columns blank. Enter in columns (e) and (f) the amounts of funds needed for the upcoming period. The amount(s) in Column (g) should be the sum of amounts in Columns (e) and (f). For supplemental grants and changes to existing grants, do not use Columns (c) and (d). Enter in Column (e) the amount of the increase or decrease of Federal funds and enter in Column (f) the amount of the increase or decrease of non-Federal funds. In Column (g) enter the new total budgeted amount (Federal and non-Federal) which includes the total previous authorized budgeted amounts plus or minus, as appropriate, the amounts shown in Columns (e) and (f). The amount(s) in Column (g) should not equal the sum of amounts in Columns (e) and (f). Line 5--Show the totals for all columns used. Section B--Budget Categories In the column headings (1) through (4), enter the titles of the same programs, functions, and activities shown on Lines 1-4, Column (a), Section A. When additional sheets are prepared for Section A, provide similar column headings on each sheet. For each program, function or activity, fill in the total requirements for funds (both Federal and non-Federal) by object class categories. Lines 6a-i--Show the totals of Lines 6a to 6h in each column. Line 6j--Show the amount of indirect cost. Line 6k--Enter the total of amounts on Lines 6i and 6j. For all applications for new grants and continuation grants the total amount in column (5), Line 6k, should be the same as the total amount shown in Section A, Column (g), Line 5. For supplemental grants and changes to grants, the total amount of the increase or decrease as shown in Columns (1)-(4), Line 6k should be the same as the sum of the amounts in Section A, Columns (e) and (f) of Line 5. Line 7--Enter the estimated amount of income, if any, expected to be generated from this project. Do not add or subtract this amount from the total project amount. Show under the program narrative statement the nature and source of income. The estimated amount of program income may be considered by the federal grantor agency in determining the total amount of the grant. Section C--Non-Federal-Resources Lines 8-11--Enter amounts of non-Federal resources that will be used on the grant. If in-kind contributions are included, provide a brief explanation on a separate sheet. Column (a)--Enter the program titles identical to Column (a), Section A. A breakdown by function or activity is not necessary. Column (b)--Enter the contribution to be made by the applicant. Column (c)--Enter the amount of the State's cash and in-kind contribution if the applicant is not a State or State agency. Applicants which are a State or State agencies should leave this column blank. Column (d)--Enter the amount of cash and in-kind contributions to be made from all other sources. Column (e)--Enter totals of Columns (b), (c), and (d). Line 12--Enter the total for each of Columns (b)-(e). The amount in Column (e) should be equal to the amount on Line 5, Column (f), Section A. Section D--Forecasted Cash Needs Line 13--Enter the amount of cash needed by quarter from the grantor agency during the first year. Line 14--Enter the amount of cash from all other sources needed by quarter during the first year. Line 15--Enter the totals of amounts on Lines 13 and 14. Section E--Budget Estimates of Federal Funds Needed for Balance of the Project Lines 16-19--Enter in Column (a) the same grant program titles shown in Column (a), Section A. A breakdown by function or activity is not necessary. For new applications and continuation grant applications, enter in the proper columns amounts of Federal funds which will be needed to complete the program or project over the succeeding funding periods (usually in years). This section need not be completed for revisions (amendments, changes, or supplements) to funds for the current year of existing grants. If more than four lines are needed to list the program titles, submit additional schedules as necessary. Line 20--Enter the total for each of the Columns (b)-(e). When additional schedules are prepared for this Section, annotate accordingly and show the overall totals on this line. Section F--Other Budget Information Line 21--Use this space to explain amounts for individual direct object-class cost categories that may appear to be out of the ordinary or to explain the details as required by the Federal grantor agency. Line 22--Enter the type of indirect rate (provisional predetermined, final or fixed) that will be in effect during the funding period, the estimated amount of the base to which the rate is applied, and the total indirect expense. Line 23--Provide any other explanations or comments deemed necessary. Assurances--Non-Construction Programs Note: Certain of these assurances may not be applicable to your project or program. If you have questions, please contact the awarding agency. Further, certain Federal awarding agencies may require applicants to certify to additional assurances. If such is the case, you will be notified. As the duly authorized representative of the applicant I certify that the applicant: 1. Has the legal authority to apply for Federal assistance, and the institutional, managerial and financial capability (including funds sufficient to pay the non-Federal share of project costs) to ensure proper planning, management and completion of the project described in this application. 2. Will give the awarding agency, the Comptroller General of the United States, and if appropriate, the State, through any authorized representative, access to and the right to examine all records, books, papers, or documents related to the award; and will establish a proper accounting system in accordance with generally accepted accounting standards or agency directives. 3. Will establish safeguards to prohibit employees from using their positions for a purpose that constitutes or presents the appearance of personal or organizational conflict of interest, or personal gain. 4. Will initiate and complete the work within the applicable time frame after receipt of approval of the awarding agency. 5. Will comply with the Intergovernmental Personnel Act of 1970 (42 U.S.C. 4728-4763) relating to prescribed standards for merit systems for programs funded under one of the nineteen statutes or regulations specified in Appendix A of OPM's Standards for a Merit System of Personnel Administration (5 CFR 900, subpart F). 6. Will comply with all Federal statutes relating to nondiscrimination. These include but are not limited to: (a) Title VI of the Civil Rights Act of 1964 (P.L. 88-352) which prohibits discrimination on the basis of race, color or national origin; (b) Title IX of the Education Amendments of 1972, as amended (20 U.S.C. Secs. 1681-1683, and 1685-1686), which prohibits discrimination on the basis of sex; (c) Section 504 of the Rehabilitation Act of 1973, as amended (29 U.S.C. Sec. 794), which prohibits discrimination on the basis of handicaps; (d) the Age Discrimination Act of 1975, as amended (42 U.S.C. Secs. 6101-6107), which prohibits discrimination on the basis of age; (e) the Drug Abuse Office and Treatment Act of 1972 (P.L. 92-255), as amended, relating to nondiscrimination on the basis of drug abuse; (f) the Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment and Rehabilitation Act of 1970 (P.L. 91-616), as amended, relating to nondiscrimination on the basis of alcohol abuse or alcoholism; (g) Secs. 523 and 527 of the Public Health Service Act of 1912 (42 U.S.C. 290dd-3 and 290ee-3), as amended, relating to confidentiality of alcohol and drug abuse patient records; (h) Title VIII of the Civil Rights Act of 1968 (42 U.S.C. Sec. 3601 et seq.), as amended, relating to non- discrimination in the sale, rental or financing of housing; (i) any other nondiscrimination provisions in the specific statute(s) under which application for Federal assistance is being made; and (j) the requirements of any other nondiscrimination statute(s) which may apply to the application. 7. Will comply, or has already complied, with the requirements of Titles II and III of the Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970 (P.L. 91-646) which provide for fair and equitable treatment of persons displaced or whose property is acquired as a result of Federal or federally assisted programs. These requirements apply to all interests in real property acquired for project purposes regardless of Federal participation in purchases. 8. Will comply with the provisions of the Hatch Act (5 U.S.C. Secs. 1501-1508 and 7324-7328) which limit the political activities of employees whose principal employment activities are funded in whole or in part with Federal funds. 9. Will comply, as applicable, with the provisions of the Davis- Bacon Act (40 U.S.C. Secs. 276a to 276a-7), the Copeland Act (40 U.S.C. Sec. 276c and 18 U.S.C. Sec. 874), and the Contract Work Hours and Safety Standards Act (40 U.S.C. Secs. 327-333), regarding labor standards for federally assisted construction subagreements. 10. Will comply, if applicable, with flood insurance purchase requirements of Section 102(a) of the Flood Disaster Protection Act of 1973 (P.L. 93-234) which requires recipients in a special flood hazard area to participate in the program and to purchase flood insurance if the total cost of insurable construction and acquisition is $10,000 or more. 11. Will comply with environmental standards which may be prescribed pursuant to the following: (a) institution of environmental quality control measures under the National Environmental Policy Act of 1969 (P.L. 91-190) and Executive Order (EO) 11514; (b) notification of violating facilities pursuant to EO 11738; (c) protection of wetlands pursuant to EO 11990; (d) evaluation of flood hazards in floodplains in accordance with EO 11988; (e) assurance of project consistency with the approved State management program developed under the Coastal Zone Management Act of 1972 (16 U.S.C. Secs. 1451 et seq.); (f) conformity of Federal actions to State (Clear Air) Implementation Plans under Section 176(c) of the Clear Air Act of 1955, as amended (42 U.S.C. Sec. 7401 et seq.); (g) protection of underground sources of drinking water under the Safe Drinking Water Act of 1974, as amended, (P.L. 93- 523); and (h) protection of endangered species under the Endangered Species Act of 1973, as amended, (P.L. 93-205). 12. Will comply with the Wild and Scenic Rivers Act of 1968 (16 U.S.C. Secs. 1271 et seq.) related to protecting components or potential components of the national wild and scenic rivers system. 13. Will assist the awarding agency in assuring compliance with Section 106 of the National Historic Preservation Act of 1966, as amended (16 U.S.C. 470), EO 11593 (identification and protection of historic properties), and the Archaeological and Historic Preservation Act of 1974 (16 U.S.C. 469a-1 et seq.). 14. Will comply with P.L. 93-348 regarding the protection of human subjects involved in research, development, and related activities supported by this award of assistance. 15. Will comply with the Laboratory Animal Welfare Act of 1966 (P.L. 89-544, as amended, 7 U.S.C. 2131 et seq.) pertaining to the care, handling, and treatment of warm blooded animals held for research, teaching, or other activities supported by this award of assistance. 16. Will comply with the Lead-Based Paint Poisoning Prevention Act (42 U.S.C. Secs. 4801 et seq.) which prohibits the use of lead based paint in construction or rehabilitation of residence structures. 17. Will cause to be performed the required financial and compliance audits in accordance with the Single Audit Act of 1984. 18. Will comply with all applicable requirements of all other Federal laws, executive orders, regulations and policies governing this program. ---------------------------------------------------------------------- Signature of authorized certifying official ---------------------------------------------------------------------- Title ---------------------------------------------------------------------- Applicant organization ---------------------------------------------------------------------- Date submitted BILLING CODE 4184-01-P ![]()
TN07AP94.003 ![]()
TN07AP94.004 BILLING CODE 4184-01-C Attachment D--Certification Regarding Debarment, Suspension, and Other Responsibility Matters--Primary Covered Transactions By signing and submitting this proposal, the applicant, defined as the primary participant in accordance with 45 CFR Part 76, certifies to the best of its knowledge and believe that it and its principals: (a) Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transactions by any Federal Department or agency: (b) Have not within a 3-year period preceding this proposal been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (Federal, State, or local) transaction or contract under a public transaction; violation of Federal or State antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; (c) Are not presently indicted or otherwise criminally or civilly charged by a governmental entity (Federal, State or local) with commission of any of the offenses enumerated in paragraph (1)(b) of this certification; and (d) Have not within a 3-year period preceding this application/ proposal had one or more public transactions (Federal, State, or local) terminated for cause or default. The inability of a person to provide the certification required above will not necessarily result in denial of participation in this covered transaction. If necessary, the prospective participant shall submit an explanation of why it cannot provide the certification. The certification or explanation will be considered in connection with the Department of Health and Human Services (HHS) determination whether to enter into this transaction. However, failure of the prospective primary participant to furnish a certification or an explanation shall disqualify such person from participation in this transaction. The prospective primary participant agrees that by submitting this proposal, it will include the clause entitled ``Certification Regarding Debarment, Suspension, Ineligibility, and Voluntary Exclusion--Lower Tier Covered Transaction.'' Provided below without modification in all lower tier covered transactions and in all solicitations for lower tier covered transactions. Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion--Lower Tier Covered Transactions (To Be Supplied to Lower Tire Participants) By signing and submitting this lower tier proposal, the prospective lower tier participant, as defined in 45 CFR Part 76, certifies to the best of its knowledge and belief that it and its principals: (a) Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any federal department or agency. (b) Where the prospective lower tier participant is unable to certify to any of the above, such prospective participant shall attach an explanation to this proposal. The prospective lower tier participant further agrees by submitting this proposal that it will include this clause, entitled ``certification Regarding Debarment, Suspension, Ineligibility, and Voluntary Exclusion--Lower Tier Covered Transactions, ``without modification in all lower tier covered transactions and in all solicitations for lower tier covered transactions.'' Attachment E--Executive Order 12372--State Single Points of Contact Arizona Mrs. Janice Dunn, Attn: Arizona State Clearinghouse, 3800 N. Central Avenue, 14th Floor, Phoenix, Arizona 85012, Telephone (602) 280-1315 Arkansas Tracie L. Copeland, Manager, State Clearinghouse, Office of Intergovernmental Services, Department of Finance and Administration, P.O. Box 3278, Little Rock, Arkansas 72203, Telephone (501) 682-1074 California Glen Stober, Grants Coordinator, Office of Planning and Research, 1400 Tenth Street, Sacramento, California 95814, Telephone (916) 323-7480 Colorado State Single Point of Contact, State Clearinghouse, Division of Local Government, 1313 Sherman Street, Room 520, Denver, Colorado 80203, Telephone (303) 866-2156 Delaware Ms. Francine Booth, State Single Point of Contact, Executive Department, Thomas Collins Building, Dover, Delaware 19903, Telephone (302) 736-3326 District of Columbia Rodney T. Hallman, State Single Point of Contact, Office of Grants Management and Development, 717 14th Street, NW., Suite 500, Washington, DC 20005, Telephone (202) 727-6551 Florida Florida State Clearinghouse, Intergovernmental Affairs Policy Unit, Executive Office of the Governor, Office of Planning and Budgeting, The Capitol, Tallahassee, Florida 32399-0001, Telephone (904) 488- 8441 Georgia Mr. Charles H. Badger, Administrator, Georgia State Clearinghouse, 254 Washington Street, SW., Atlanta, Georgia 30334, Telephone (404) 656-3855 Illinois Steve Klokkenga, State Single Point of Contact, Office of the Governor, 107 Stratton Building, Springfield, Illinois 62706, Telephone (217) 782-1671 Indiana Jean S. Blackwell, Budget Director, State Budget Agency, 212 State House, Indianapolis, Indiana 46204, Telephone (317) 232-5610 Iowa Mr. Steven R. McCann, Division of Community Progress, Iowa Department of Economic Development, 200 East Grand Avenue, Des Moines, Iowa 50309, Telephone (515) 281-3725 Kentucky Ronald W. Cook, Office of the Governor, Department of Local Government, 1024 Capitol Center Drive, Frankfort, Kentucky 40601, Telephone (502) 564-2382 Maine Ms. Joyce Benson, State Planning Office, State House Station #38, Augusta, Maine 04333, Telephone (207) 289-3261 Maryland Ms. Mary Abrams, Chief, Maryland State Clearinghouse, Department of State Planning, 301 West Preston Street, Baltimore, Maryland 21201- 2365, Telephone (301) 225-4490 Massachusetts Karen Arone, State Clearinghouse, Executive Office of Communities and Development, 100 Cambridge Street, Room 1803, Boston, Massachusetts 02202, Telephone (617) 727-7001 Michigan Richard S. Pastula, Director, Michigan Department of Commerce, Lansing, Michigan 48909, Telephone (517) 373-7356 Mississippi Ms. Cathy Mallette, Clearinghouse Officer, Office of Federal Grant Management and Reporting, 301 West Pearl Street, Jackson, Mississippi 39203, Telephone (601) 960-2174 Missouri Ms. Lois Pohl, Federal Assistance Clearinghouse, Office of Administration, P.O. Box 809, Room 430, Truman Building, Jefferson City, Missouri 65102, Telephone (314) 751-4834 Nevada Department of Administration, State Clearinghouse, Capitol Complex, Carson City, Nevada 89710, Telephone (702) 687-4065, Attention: Ron Sparks, Clearinghouse Coordinator New Hampshire Mr. Jeffrey H. Taylor, Director, New Hampshire Office of State Planning, Attn: Intergovernmental Review, Process/James E. Bieber, 2\1/2\ Beacon Street, Concord, New Hampshire 03301, Telephone (603) 271-2155 New Jersey Gregory W. Adkins, Acting Director, Division of Community Resources, N.J. Department of Community Affairs, Trenton, New Jersey 08625- 0803, Telephone (609) 292-6613 Please direct correspondence and questions to: Andrew J. Jaskolka, State Review Process, Division of Community Resources, CN 814, Room 609, Trenton, New Jersey 08625-0803, Telephone (609) 292-9025 New Mexico George Elliott, Deputy Director, State Budget Division, Room 190, Bataan Memorial Building, Santa Fe, New Mexico 87503, Telephone (505) 827-3640, Fax (505) 827-3006 New York New York State Clearinghouse, Division of the Budget, State Capitol, Albany, New York 12224, Telephone (518) 474-1605 North Carolina Mrs. Chrys Baggett, Director, Office of the Secretary of Admin., N.C. State Clearinghouse, 116 W. Jones Street, Raleigh, North Carolina 27603-8003, Telephone (919) 733-7232 North Dakota N.D. Single Point of Contact, Office of Intergovernmental Assistance, Office of Management and Budget, 600 East Boulevard Avenue, Bismarck, North Dakota 58505-0170, Telephone (701) 224-2094 Ohio Larry Weaver, State Single Point of Contact, State/Federal Funds Coordinator, State Clearinghouse, Office of Budget and Management, 30 East Broad Street, 34th Floor, Columbus, Ohio 43266-0411, Telephone (614) 466-0698 Rhode Island Mr. Daniel W. Varin, Associate Director, Statewide Planning Program, Department of Administration, Division of Planning, 265 Melrose Street, Providence, Rhode Island 02907, Telephone (401) 277-2656 Please direct correspondence and questions to: Review Coordinator, Office of Strategic Planning South Carolina Omeagia Burgess, State Single Point of Contact, Grant Services, Office of the Governor, 1205 Pendleton Street, Room 477, Columbia, South Carolina 29201, Telephone (803) 734-0494 South Dakota Ms. Susan Comer, State Clearinghouse Coordinator, Office of the Governor, 500 East Capitol, Pierre, South Dakota 57501, Telephone (605) 773-3212 Tennessee Mr. Charles Brown, State Single Point of Contact, State Planning Office, 500 Charlotte Avenue, 309 John Sevier Building, Nashville, Tennessee 37219, Telephone (615) 741-1676 Texas Mr. Thomas Adams, Governor's Office of Budget and Planning, P.O. Box 12428, Austin, Texas 78711, Telephone (512) 463-1778 Utah Utah State Clearinghouse, Office of Planning and Budget, Attn: Carolyn Wright, Room 116 State Capitol, Salt Lake City, Utah 84114, Telephone (801) 538-1535 Vermont Mr. Bernard D. Johnson, Assistant Director, Office of Policy Research & Coordination, Pavilion Office Building, 109 State Street, Montpelier, Vermont 05602, Telephone (802) 828-3326 West Virginia Mr. Fred Cutlip, Director, Community Development Division, West Virginia Development Office, Building #6, Room 553, Charleston, West Virginia 25305, Telephone (304) 348-4010 Wisconsin Mr. William C. Carey, Federal/State Relations, Wisconsin Department of Administration, 101 South Webster Street, P.O. Box 7864, Madison, Wisconsin 53707, Telephone (608) 266-0267 Wyoming Sheryl Jeffries, State Single Point of Contact, Herschler Building, 4th Floor, East Wing, Cheyenne, Wyoming 82002, Telephone (307) 777- 7574 Guam Mr. Michael J. Reidy, Director, Bureau of Budget and Management Research, Office of the Governor, P.O. Box 2950, Agana, Guam 96910, Telephone (671) 472-2285 Northern Mariana Islands State Single Point of Contact, Planning and Budget Office, Office of the Governor, Saipan, CM, Northern Mariana Islands 96950 Puerto Rico Norma Burgos/Jose H. Caro, Chairman/Director, Puerto Rico Planning Board, Minillas Government Center, P.O. Box 41119, San Juan, Puerto Rico 00940-9985, Telephone (809) 727-4444 Virgin Islands Jose L. George, Director, Office of Management and Budget, #41 Norregade Emancipation Garden Station, Second Floor, Saint Thomas, Virgin Islands 00802 Please direct correspondence to: Linda Clarke, Telephone (809) 774-0750 Attachment F--Certification Regarding Lobbying Certification for Contracts, Grants, Loans, and Cooperative Agreements The undersigned certifies, to the best of his or her knowledge and belief, that: (1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement. (2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan or cooperative agreement, the undersigned shall complete and submit Standard Form-LLL, ``Disclosure Form to Report Lobbying,'' in accordance with its instructions. (3) The undersigned shall require that the language of this certification be included in the award documents for all subawards at all tiers (including subcontracts, subgrants, and contracts under grants, loans, and cooperative agreements) and that all subrecipients shall certify and disclose accordingly. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. State for Loan Guarantee and Loan Insurance The undersigned states, to the best of his or her knowledge and belief, that: If any funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this commitment providing for the United States to insure or guarantee a loan, the undersigned shall complete and submit Standard Form-LLL ``Disclosure Form to Report Lobbying,'' in accordance with its instructions. Submission of this statement is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required statement shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. ---------------------------------------------------------------------- Signature ---------------------------------------------------------------------- Title ---------------------------------------------------------------------- Organization ---------------------------------------------------------------------- Date BILLING CODE 4184-01-P ![]()
TN07AP94.005 BILLING CODE 4184-01-C Sections 74.62(a).................. Non-Federal Audits. 74.173..................... Hospitals. 74.174(b).................. Other Nonprofit Organizations. 74.304..................... Final Decisions in Disputes. 74.710..................... Real Property, Equipment and Supplies. 74.715..................... General Program Income. Attachment G The following DHHS regulations apply to all applicants/ grantees under the Job Opportunities for Low-Income Individuals Program: Title 45 of the Code of Federal Regulations: Part 16--Procedures of the Departmental Grant Appeals Board Part 74--Administration of Grants (non-governmental) Part 74--Administration of Grants (state and local governments and Indian Tribal affiliates): Part 75--Informal Grant Appeal Procedures Part 76--Debarment and Suspension form Eligibility for Financial Assistance Subpart F--Drug Free Workplace Requirements Part 80--Non-discrimination under Programs Receiving Federal Assistance through the Department of Health and Human Services Effectuation of Title VI of the Civil Rights Act of 1964 Part 81--Practice and Procedures for Hearings Under Part 80 of this Title Part 83--Nondiscrimination on the basis of sex in the admission of individuals to training programs Part 84--Non-discrimination on the Basis of Handicap in Programs Part 91--Non-discrimination on the Basis of Age in Health and Human Services Programs or Activities Receiving Federal Financial Assistance Part 92--Uniform Administration Requirements for Grants and Cooperative Agreements to States and Local Governments (Federal Register, March 11, 1988) Part 93--New Restrictions on Lobbying Part 100--Intergovernmental Review of Department of Health and Human Services Programs and Activities Attachment H--Certification Regarding Maintenance of Effort The undersigned certifies that: (1) Activities funded under this program announcement are in addition to, and not in substitution for, activities previously carried on without Federal assistance. (2) Funds or other resources currently devoted to activities designed to meet the needs of the poor within a community, area, or State have not been reduced in order to provide the required matching contributions. When legislation for a particular block grant permits the use of its funds as match, the applicant must show that it has received a real increase in its block grant allotment and must certify that other anti-poverty programs will not be scaled back to provide the match required for this project. ---------------------------------------------------------------------- Organization ---------------------------------------------------------------------- Authorized Signature ---------------------------------------------------------------------- Title ---------------------------------------------------------------------- Date Attachment I--Department of Health and Human Services, Administration for Children and Families, Office of Family Assistance, Washington, DC 20447 Jobs Program Directory February 1994. Alabama Claire Ealy, Director, Office of Work and Training Services, Public Assistance Division, S. Gordon Persons Building, 50 Ripley Street, Montgomery, Alabama 36130, (205) 242-1950 Alaska Charles Knittel, Work Programs Coordinator, Division of Public Assistance, Department of Health and Social Services, P.O. Box 110640, Juneau, Alaska 99811-0640, (907) 465-3347 Arizona Gretchen Evans, JOBS Program Director, Dept. of Economic Security, P.O. Box 6123, Site Code 8011, Phoenix, Arizona 85005, (602) 542- 6310 Arkansas Ken Whitlock, Deputy Director, Project SUCCESS, Department of Human Services, P.O. Box 1437, Little Rock, Arkansas 72203, (501) 682-8375 California Bruce Wagstaff, Chief, Employment and Immigrations Programs Branch, Department of Social Services, 744 P Street M/S 6-700, Sacramento, California 95814, (916) 657-2367 Colorado Bob Henson, Director, Work Programs, Department of Social Services, 1575 Sherman Street, Denver, Colorado 80203, (303) 866-2643 Connecticut Dawn Homer-Bouthiette, Planning Supervisor, Job Connection, Department of Social Services, 110 Bartholomew Avenue, Hartford, Connecticut 06106, (203) 566-7125 Delaware Rebecca Varella, Chief Administrator, Employment and Training, Division of Social Services, P.O. Box 906, New Castle, Delaware 19720, (302) 577-4451 District of Columbia Shari Curtis, Chief, Bureau of Training and Employment, Department of Human Services, 33 N Street NE., Washington, DC 20001, (202) 727- 1293 Florida Reggis Smith, Chief, Benefit Recovery and Special Programs, Department of Health and Rehabilitative Services, 1317 Winewood Boulevard, Bldg. 6, Tallahassee, Florida 32399-0700, (904) 487-2966 Georgia Sylvia Elam, Chief, Employment Services Unit, Division of Family and Children Services, Department of Human Resources, 2 Peachtree St., 14th Floor, Room 402, Atlanta, Georgia 30303, (404) 657-3737 Guam Diana Calvo, Social Services Supervisor, Department of Public Health and Social Services, P.O. Box 2816, Agana, Guam 96910, (011-671) 734-7286 Hawaii Garry Kemp, Special Assistant to the Director, Department of Human Services, P.O. Box 339, Honolulu, Hawaii 96809, (808) 586-7054 Idaho Kathy James, Acting Bureau Chief, Bureau of Family Self Support, Department of Health and Welfare, 450 West State Street, Boise, Idaho 83720, (208) 334-5704 Illinois Karan Maxson, Administrator, Division of Planning and Community Services, Department of Public Aid, 100 S. Grand, 2nd Floor, Springfield, Illinois 62762, (217) 785-3300 Indiana Thomas Reel, Program Manager, IMPACT, Department of Public Welfare, 402 W. Washington, W. 363, Indianapolis, Indiana 46204, (317) 232- 2002 Iowa Doug Howard, Coordinator, Employment and Training Programs, Department of Human Services, Fifth Floor, Hoover State Office Building, Des Moines, Iowa 50319, (515) 281-8629 Kansas Phyllis Lewin, Director, Employment Preparation Services, Department of Social and Rehabilitation Services, 300 S.W. Oakley, West Hall, Topeka, Kansas 66606, (913) 296-4276 Kentucky Sharon Perry, Assistant Director, Center for Program Development, Department of Social Insurance, Cabinet for Human Resources, 275 E. Main Street, Frankfurt, Kentucky 40621, (502) 564-3703 Louisiana Howard Prejean, Assistant Secretary, Department of Social Services, Office of Eligibility Determination, P.O. Box 3776, Baton Rouge, Louisiana 70821, (504) 342-4953 Maine Barbara Van Burgel, ASPIRE Coordinator, Bureau of Income Maintenance, Department of Human Services, Statehouse Station #11, 32 Winthrop St., Augusta, Maine 04333, (207) 289-3106 Maryland Charlene Gallion, Acting Executive Director, Office of Project Independence Management, Department of Human Resources, Room 745, 311 W. Saratoga Street, Baltimore, Maryland 21201, (410) 333-0837 Massachusetts John Buonomo, Director, Massachusetts JOBS Program, Department of Public Welfare, 600 Washington, St., Boston, Massachusetts 02111, (617) 348-5931 Michigan Alex D. Hawkins, Director, Job Skills Development Group, Michigan Jobs Commission, 201 North Washington Square, Third Floor, Victor Centre, Lansing, Michigan 48913, (517) 373-7382 Minnesota Bonnie Baker, Supervisor, Program Development, Department of Human Services, 444 Lafayette Road, St. Paul, Minnesota 55155, (612) 296- 2499 Mississippi Jean Temple, Director, JOBS Branch, Office of Children and Youth, Department of Human Services, 421 W. Pascagoula, Jackson, Mississippi 29302, (601) 359-4855 Missouri Richard Koon, FUTURES Program Director, Income Maintenance, Division of Family Services, 72728 Plaza Drive, P.O. Box 88, Jefferson City, Missouri 65103, (314) 751-3124 Montana Marylis Filipovich, Bureau Chief, Program and Policy, Department of Social and Rehabilitation Services, P.O. Box 4210, Helena, Montana 59604, (406) 444-4540 Nebraska Margaret Hall, Public Assistance Administrator, Public Assistance Division, Department of Social Services, 301 Centennial Mall South, P.O. Box 95026, Lincoln, Nebraska 68509, (402) 471-3121 Nevada John Alexander, Employment and Training Coordinator, Nevada State Welfare Division, Capitol Complex, 2527 North Carson Street, Carson City, Nevada 98710, (702) 687-4143 New Hampshire Arthur Chicaderis, JOBS Administrator, Employment Support Services, Office of Economic Services, Division of Human Services, Department of Health and Human Services, 6 Hazen Drive, Concord, New Hampshire 03301-6521, (603) 271-4249 New Jersey Marion E. Reitz, Director, Division of Family Development, Department of Human Services, CN 176, Trenton, New Jersey 08625, (609) 588-2401 New Mexico Bill Dunbar, Acting Director, Income Support Division, Department of Human Services, P.O. Box 2348, Santa Fe, New Mexico 87500, (505) 827-7252 New York Jack Ryan, Director, Bureau of Employment Programs, Department of Social Services, 40 North Pearl Street, Albany, New York 12243, (518) 473-8744 North Carolina Lucy Burgess, Chief, Employment Programs Section, Department of Human Resources, 325 North Salisbury Street, Raleigh, North Carolina 27611, (919) 733-2873 North Dakota Gloria House, JOBS Coordinator, Director of Public Assistance, Department of Human Services, State Capitol, New Wing 3rd Floor, Bismark, North Dakota 58505, (701) 224-4001 Ohio Mary L. Harris, Deputy Director, Family Support and JOBS, Department of Human Services, State Office Tower, 31st Floor, 30 East Broad Street, Columbus, Ohio 43266-0423, (614) 466-3196 Oklahoma Raymond Haddock, Division Administrator, Family Services Division, Department of Human Services, P.O. Box 25352, Oklahoma City, Oklahoma 73125, (405) 521-3076 Oregon Debbi White, JOBS Program Manager, Adult and Family Services Division, Human Resource Bldg., 2nd Floor, Salem, Oregon 97310-1013, (503) 945-6127 Pennsylvania David Florey, Director, Bureau of Employment and Training Program, Department of Public Welfare, P.O. Box 2675, Harrisburg, Pennsylvania 17105, (717) 787-8613 Puerto Rico Migdalia Marrero, Special Asst. to Secretary, SOSEDF, Isla Grande, Building #10, P.O. Box 11398, Santurce, Puerto Rico 00910, (809) 722-2863 Rhode Island Sherry Campanelli, Associate Director, Community Services, Department of Human Services, 600 New London Avenue, Cranston, Rhode Island 02920, (401) 464-2423 South Carolina Hiram Spain, Executive Assistant for Self-Sufficiency, Department of Social Services, P.O. Box 1520, Columbia, South Carolina 29202, (803) 737-5937 South Dakota Julie Osnes, Administrator, Office of Family Independence, Department of Social Services, Richard F. Kneip Building, Pierre, South Dakota 57501, (605) 773-3493 Tennessee Wanda Moore, Director of Program Services, Department of Human Services, 12th Floor, 400 Deadericks, Nashville, Tennessee 37219, (615) 741-6953 Texas Irma Bermea, Deputy Commissioner, Department of Human Services, Mail Code 521E, P.O. Box 2960, Austin, Texas 78769, (512) 450-3011 Utah Helen Thatcher, Assistant Director, Office of Family Support, Department of Human Services, 120 North 200 West, Salt Lake City, Utah 84145-0500, (801) 538-8231 Vermont Steve Gold, Director, REACH-UP Program, Department of Social Welfare, State Office Building, 103 South Main Street, Waterbury, Vermont 05676, (802) 241-2800 Virgin Islands Ermin Boshulte, Director, Public Assistance Programs, Department of Human Services, Financial Programs Division, Knud Hansen Complex-- Building A, 1303 Hospital Ground, Charlotte Amalie, VI 00802, (809) 774-4673 Virginia David Olds, Program Manager, Employment Services, Department of Social Services, 730 E. Broad St., 2nd Floor, Richmond, Virginia 23219-1849, (804) 692-1229 Washington Lee Todorovich, Acting Assistant Director, Division of Income Assistance, Department of Social and Health Services, P.O. Box 45400, Olympia, Washington 98504-5400, (206) 438-8350 West Virginia Sharon Paterno, Director, Division of Work and Training, Department of Health and Human Services, Building 6, State Office Complex, Charleston, West Virginia 25305, (304) 558-3186 Wisconsin Jean Rogers, Administrator, Division of Economic Support Department of Health and Social Services, P.O. Box 7935, 1 West Wilson Street, Madison, Wisconsin 53707-7935, (608) 266-3035 Wyoming Kirk McKinney, JOBS Coordinator, Self-Sufficiency Division, Department of Family Services, Hathaway Building, Rm. 347, 2300 Capitol Avenue, Cheyenne, Wyoming 82002-0710, (307) 777-6849 Attachment J--Checklist for Use in Submitting OCS Grant Applications Job Opportunities for Low-Income Individuals (Optional) The application should contain: 1. Table of Contents. 2. A completed, signed SF-424, Application for Federal Assistance. The letter code for the priority area (JO) should be in the lower right-hand corner of the page. 3. A completed SF-424A, Budget Information--Non-Construction''. 4. A narrative budget justification for each object class category required under Section B, SF-424A; 5. Filled out signed, and dated Assurances-Non-Construction Programs (SF-424B); 6. The applicant should sign Attachments E and F. In so doing, the applicant is certifying that it will comply with the Federal requirements concerning the drug-free workplace and debarment regulations set forth in Attachments E. 7. A signed copy of Certification Regarding Anti-Lobbying Activities. 8. A completed Disclosure of Lobbying Activities, if applicable. 9. An Executive Summary--not to exceed 300 words; 10. A Project Narrative beginning with a Table of Contents that describes the project in the following order: (i) Eligibility Confirmation (ii) Organizational Experience and Staff Responsibilities (iii) Analysis of Need (iv) Project Design/Work Program (v) Business Plan (If appropriate) (vi) Third-Party Evaluation (vii) Cooperative Partnership Agreement (viii) Budget Appropriateness and Reasonableness 11. A signed copy of the Cooperative Partnership Agreement or letter of commitment. 12. Appendices, including proof of non-profit status; proof that the organization is a community development corporation, if applying under the CDC Set-aside; commitments from officials of businesses that will be expanded or from franchises, where applicable; Single Point of Contact comments, if applicable; Maintenance of Effort Certification and resumes. 13. A self-addressed mailing label which can be affixed to a postcard to acknowledge receipt of application. The narrative portion of the application must not exceed a total of 50 pages. It should include one original and four identical copies, printed on white 8\1/2\ by 11 inch paper, two-holed punched at the top center and fastened separately with a compressor slide paper fastener, such as an ACCO clip, or a binder clip. The submission of bound applications, enclosed in binders, is specifically discouraged. [FR Doc. 94-8275 Filed 4-6-94; 8:45 am] BILLING CODE 4184-01-P