[Federal Register Volume 59, Number 95 (Wednesday, May 18, 1994)]
[Unknown Section]
[Page 0]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 94-12028]
[[Page Unknown]]
[Federal Register: May 18, 1994]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
[Program Announcement No. ACYF-HS 93.600-94-1]
Availability of Financial Assistance To Expand Head Start
Enrollment
agency: Administration on Children, Youth and Families (ACYF),
Administration for Children and Families (ACF), HHS.
action: Announcement of financial assistance to expand Head Start
enrollment.
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summary: The Head Start Bureau of the Administration on Children, Youth
and Families announces that competing applications will be accepted to
establish new Head Start programs or to expand current programs in
geographical areas, including Federally recognized Indian Reservations,
not currently served by Head Start.
dates: The closing date for submission of applications is July 18,
1994.
addresses: Address applications to: Department of Health and Human
Services, Administration for Children and Families, Division of
Discretionary Grants, 370 L'Enfant Plaza, SW., 6th floor, Washington,
DC 20447.
for further information contact: For applications under Category 1--The
ACF Regional Office which is responsible for the Head Start programs in
your State. Regional Office telephone numbers are listed in appendix A.
For applications under Category 2--Lee Fields, Chief, American
Indian Programs Branch, Program Operations Division, Head Start Bureau;
(202) 205-8437.
Applicants interested in receiving copies of applicable law and
regulations should address their requests to the persons referred to
above.
SUPPLEMENTARY INFORMATION:
Part I. General Information
A. Background
This announcement solicits applications from eligible applicants
that wish to compete for Head Start grants to serve low-income
preschool children in areas not currently served by Head Start.
In fiscal year (FY) 1994 Head Start received an increase in funding
of $550 million. Most of this money will be allocated to Head Start
programs to improve program quality and responsiveness and to increase
enrollment in areas currently served by Head Start. Although the great
majority of children eligible for Head Start live in areas served by
current programs, we are committed to assuring that eligible children
in all communities have access to Head Start. Therefore, a share of the
new FY 1994 funds--$5,048,000--is being reserved, as discussed in this
announcement, to either establish new Head Start programs in unserved
areas or to expand current programs into neighboring areas that are
currently unserved. We plan to fund approximately 25 new or expanded
programs.
Applicants seeking funds to establish Head Start programs in
currently unserved areas are expected to establish programs which will
be of high quality and responsive to the needs of the community.
Applicants should address how program characteristics such as staff
compensation, child-staff ratios, transportation, training, and
facilities will ensure that the needs of the communities' children and
families are well met. Applicants may propose to use a portion of their
funding to provide full-day, full-year child care services to Head
Start families who need such services. Proposals should include a
discussion of the need of the community for full-day and full-year
services and, for applicants proposing to provide such services,
describe how the program proposes to meet those needs.
Expansion applications under this announcement should be submitted
under one of the following two categories:
Category 1 Children living in geographical areas that are not
currently served by Head Start. A list of unserved areas is included
in Table A.
Eligible applicants are (a) local public or private nonprofit
organizations that wish to initiate a Head Start program in one or
more unserved geographical areas and (b) Head Start grantees from
nearby geographical areas that wish to expand their programs into
unserved geographical areas.
Category 2 Children living on Federally recognized Indian
reservations where a Head Start program does not currently operate.
Eligible applicants are Tribal governments, or agencies
designated by the Tribal government, of unserved reservations that
wish to initiate a Head Start program.
Applicants must designate the category for which they are
applying.
B. Program Purpose
Head Start is a national program providing comprehensive
developmental services primarily to low-income preschool children and
their families. To help enrolled children achieve their full potential,
Head Start programs provide comprehensive health, nutritional,
educational, social, and other services. In addition, Head Start
programs are required to provide for the direct participation of the
parents of enrolled children in the development, conduct, and direction
of local programs. Head Start currently serves approximately 714,000
children through a network of 1,395 grantees.
While Head Start is targeted primarily towards children whose
families have incomes at or below the poverty line or who are eligible
for public assistance, regulations permit up to 10 percent of the Head
Start children in local programs to be from families which do not meet
these low-income criteria. Head Start regulations also require that a
minimum of 10 percent of enrollment opportunities in each program be
made available to children with disabilities. Such children are
expected to be enrolled in the full range of Head Start services and
activities in a mainstream setting with their non-disabled peers and to
receive needed special education and related services.
Statutory and Regulatory Authority
The Head Start program is authorized by the Head Start Act, 42
U.S.C. 9801 et seq.
The relevant regulations are:
45 CFR part 1301, Head Start grants administration.
45 CFR part 1302, Policies and procedures for selection, initial
funding, and refunding of Head Start grantees, and for selection of
replacement grantees.
45 CFR part 1303, Appeal Procedures for Head Start grantees and
current or prospective delegate agencies.
45 CFR part 1304, Program Performance Standards for the operation
of Head Start programs by grantees and delegate agencies.
45 CFR part 1305, Eligibility, Recruitment, Selection, Enrollment
and Attendance in Head Start.
45 CFR part 1306, Head Start Staffing Requirements and Program
Options.
45 CFR part 1308, Head Start Program Performance Standards on
Services for Children with Disabilities.
45 CFR part 74, Administration of Grants, and 45 CFR part 92,
Uniform Administrative Requirements for Grants and Cooperative
Agreements to State and Local Governments.
C. Available Funds
Category 1. A total of approximately $4,298,000 will be made
available under Category 1 of this announcement for establishing new
Head Start programs in currently unserved geographical areas, pursuant
to the authority of section 640(a)(2)(D) of the Head Start Act. The
available funds for this category, which are based on the relative
unmet need for Head Start services in a State's unserved counties as
compared to all other counties in the State, are provided in Table B.
To assure that the program can operate cost-efficiently, applicants
that are not current Head Start grantees will generally not be funded
to initiate a new program in unserved geographical areas for less than
60 children unless the applicant can justify why a smaller enrollment
level is appropriate for the geographical area proposed for expansion.
Current Head Start grantees may be funded for as little as one class
when they expand into an unserved geographical area if such an
expansion would be cost efficient. We anticipate awarding 20 to 25
grants in this category.
Category 2. A total of approximately $750,000 will be made
available under Category 2 of this announcement for applicants applying
to serve children on unserved Federally recognized Indian reservations.
Applicants will generally not be funded for less than 60 children
unless the applicant can justify why a lower enrollment level is
appropriate. We anticipate awarding no more than three grants in this
category.
D. Eligible Applicants
Eligible applicants are those described in section A above.
Part II. Specific Responsibilities
A. Application Requirements
Applicants should address the following requirements in their
applications for financial assistance. In carrying out the proposed
expansion of Head Start enrollment under this announcement, applicants
should:
1. Demonstrate that there is a need for assistance based on the
stated objectives of the program the applicant intends to operate.
2. Assure that services will be provided to those families and
children who have the most serious need for Head Start services. All
applicants must clearly document the number of unserved Head Start
eligible children living in their proposed recruitment area.
3. Demonstrate that the proposed program is consistent with the
needs of the intended participants and the community proposed to be
served and that the program will assure a plan to provide
comprehensive health, nutritional, educational, social, and other
services. Applicants should state which program option or options
would be most appropriate for the community (e.g., part or full day
center-based, home-based, or combination option) and should include
a plan to meet the needs of non-English language children in the
community, when appropriate.
4. Demonstrate how the children and families proposed to be
enrolled will benefit from the services provided and the degree to
which the community (or communities) to be served will benefit from
the proposed Head Start program. Applicants should provide evidence
that the proposed Head Start program enjoys the support of the
community to be served.
5. Assure that program enrollment opportunities are made
available to children with disabilities, that children with
disabilities would be enrolled in the full range of Head Start
services and activities in a mainstream setting, and that children
with disabilities would receive needed special education and related
services.
6. Indicate the ages of the children to be included in the
expansion effort and explain why children of those ages are
proposed.
7. Provide for the involvement of parents and other community
members and organizations in the development and planning of the
application. Applicants should ensure that the plan for parent
involvement includes efforts to involve Head Start parents in
appropriate educational activities in order to aid their children to
attain their full potential.
8. Demonstrate the ability and experience to administer a Head
Start program. Programs that have past performance in providing
services comparable to Head Start should provide information on the
provision of such services. Applicants must also demonstrate the
ability to provide comprehensive health, nutritional, educational,
social, and other services.
9. Propose to implement the increase in enrollment in a timely
and efficient manner. This includes assuring the availability of
classroom space which meets required licensing standards, the
ability to provide adequate transportation, and the ability to
recruit eligible children and families.
10. Indicate what types of cooperative arrangements have been
made with other public or private agencies which would assist the
applicant in providing quality Head Start services. Such cooperative
arrangements must include a plan to coordinate the proposed Head
Start program with other preschool programs and with the educational
programs the children to be served will enter when they leave Head
Start.
11. Describe the mechanisms for hiring teachers who have
received appropriate training or have experience in early childhood
education and for providing employment opportunities for residents
from the service area.
12. Propose a staffing pattern that will enable high quality
services to be provided in all component areas. Identify all
proposed staff or staff positions, their proposed salary rates, and
the length of time they would be employed each year.
13. Propose a plan to provide child development and family
literacy skills training to parents of children who will participate
in the program. These services may be provided either directly or
through referral to educational services available in the community.
14. State how health services will be obtained from other
sources for the younger siblings of children who will participate in
the program, if the applicant chooses to assist the younger
siblings.
15. Indicate what geographical area or areas the applicant is
proposing to serve. Applicants may provide additional, verifiable
demographic data if they wish to demonstrate that the number of
eligible children in the area or areas proposed for service has
increased at a significantly faster rate than it has in the rest of
the State.
16. Explain why the proposed recruitment area has been chosen as
opposed to other possible recruitment areas in the unserved
geographical areas. Provide information on the types of problems
confronting those eligible residents of the proposed service area,
including data on the extent of poverty in the area and what other
services are available to the proposed service area's low-income
residents.
17. Describe how high quality ongoing services will be provided
at a reasonable cost. Provide two budgets, one for start-up costs,
the other for ongoing operating costs.
18. Explain what other resources in the community would help
support the proposed expansion in enrollment.
Waiver of Non-Federal Share Requirement
Section 640(b) of the Head Start Act requires that at least 20
percent of the total cost of Head Start projects come from sources
other than the Federal government. The non-Federal share may be in cash
or in kind. In-kind contributions must be fairly valued and may include
facilities, equipment, or volunteer services. Section 640(b) of the
Head Start Act permits a grantee to request a waiver of part or all of
the required non-Federal share. The grantee must demonstrate that it
has made a reasonable effort to meet the non-Federal share requirement
and is unable to do so. In deciding whether to grant the waiver
request, the Department will take into consideration (1) the lack of
resources available in the community that may prevent the Head Start
agency from providing all or a portion of the non-Federal contribution
*-*-*; (2) the impact of the cost the Head Start agency may incur in
the initial years it carries out such program; (3) the impact of an
unanticipated increase in the cost the Head Start agency may incur to
carry out such program; (4) whether the Head Start agency is located in
a community adversely affected by a major disaster; and (5) the impact
on the community that would result if the Head Start agency ceased to
carry out such program.
While some of these criteria will likely not be relevant for the
purposes of this announcement, any applicant which believes it
satisfies one or more of the above criteria may choose to request an
annual wavier of non-Federal share. Such requests will not be
considered by the panel reviewing the application, but will be
evaluated by the responsible ACF staff for those applicants selected
for funding. Any discussions necessary to determine the appropriateness
of granting a waiver will be between the responsible ACF staff and the
applicant.
B. Optional Application Requirements To Purchase Facilities
Section 644(f) of the Head Start Act allows Head Start agencies to
request approval to purchase facilities to be used to carry out Head
Start programs. We are hopeful that many programs will be able to
obtain donated facilities. We suggest the each applicant contact its
local Public Housing Authority to discuss the possibility of obtaining
donated space, especially when proposing to serve children living in
public housing. Where donated space cannot be found, programs may
choose to use grant funds to rent facilities. Applicants may request
one-time funds to renovate facilities which they will be renting.
Applicants proposing to purchase a facility as part of the FY 1994
expansion must include the following information in their applications,
as required by section 644(f)(2) of the Act, which is quoted below in
the underlined text:
(A) A description of the site of the facility proposed to be
purchased;
In describing the site, applicants should explain how the location
of the proposed facility is appropriate, given the applicant's proposed
service and recruitment area.
(B) The plans and specifications of such facility;
Applicants must provide the plans and specifications of the
proposed facility, i.e., the type of structure, its square footage,
number of rooms, bathrooms facilities, kitchen space, etc. Applicants
must also provide information on the property on which the facility is
located, including such information as the location of proposed
playground equipment and the availability of parking.
Applicants must demonstrate that any facility proposed for purchase
complies or will be able to comply, after renovation, with all State
and local licensing requirements and all accessibility requirements of
the Americans with Disabilities Act.
Applicants must describe the proposed uses of the facility proposed
for purchase. This facility should be one which will be used primarily
to provide classroom services to the children who will be enrolled if
the applicant receives a grant award in FY 1994. Part of the facility
may be used for non-classroom purposes, such as parent meeting rooms.
Applicants must provide information on what, if any, renovations
will be required to make the facility suitable for Head Start.
(C) information demonstrating that--
(i) The proposed purchase will result in savings when compared to
the costs that would be incurred to acquire the use of an alternative
facility to carry out such program; or * * *.
Applicants must develop complete business proposals which show the
costs and benefits of purchase as compared to rental. In developing
these proposals applicants should consider not only the relative costs
of a mortgage versus rent but any related costs, such as transportation
and utilities. Applicants must also describe the proposed one-time
costs necessary to purchase the facility.
Applicants must clearly state what method is being proposed to
purchase the requested facility; that is, whether the applicant is
seeking one-time funds to buy the facility outright, thus incurring no
mortgage obligation, or whether the request is to use grant funds to
offset mortgage costs. In either situation the applicant must also
clearly state what the anticipated costs will be for any proposed down
payment, necessary closing costs, and any renovation costs necessary to
make the facility suitable for Head Start.
All relevant cost allocation principles will apply if applicants
are proposing to purchase facilities which will not be used exclusively
by the Head Start program.
(ii) the lack of alternative facilities will prevent the operation
of such program * * *.
Any applicant asserting that alternative facilities are lacking
must include with its proposal an explanation of the process that was
used to determine that there were no alternative facilities available.
(D) Such other information and assurances as the Secretary may
require.
Applicants must address whether the facility proposed to be
purchased will make it easier for the applicant to collaborate with
other service providers in such areas as child care and health.
Applicants must certify that they understand that 45 CFR 74.32 (or
45 CFR 92.31, in the case of State and local governments and Federally
recognized Indian tribes), regarding the Government's rights and
responsibilities for properties bought in whole or in part with Federal
funds, will be applicable. A Notice of Federal Interest in any facility
purchased with grant funds will be required.
Applicants are reminded that the grantee agency will need to apply
for and obtain a mortgage without assistance from the Administration
for Children and Families.
The merits of any applicant's facility request will not be judged
by the review panel. For applications approved for funding, requests to
purchase facilities will be reviewed by the Administration for Children
and Families which will determine whether or not to approve such
requests.
III. Criteria for Review and Evaluation of the Grant Application
In considering how applicants will carry out the responsibilities
addressed under Part II of this announcement, competing applications
for financial assistance will be reviewed and evaluated against the
following criteria.
A. Objectives and Need for Assistance (20 points)
The extent to which the application pinpoints any relevant
physical, economic, social, financial, institutional, or other problems
requiring a grant; demonstrates the need for assistance; states the
principal and subordinate objectives of the project; and provides
supporting documentation or other testimonies from concerned interests
in the community to be served other than the applicant.
Information provided in response to Part II, Section A, Numbers 1,
2, and 3 will be used to review and evaluate applicants on the above
criterion.
B. Results or Benefits Expected (10 points)
The extent to which the application identifies the results and
benefits to be derived and describes the anticipated contribution to
policy, practice, theory, and/or research.
Information provided in response to Part II, Section A, Number 4
will be used to review and evaluate applicants on the above criterion.
C. Approach (45 points)
The extent to which the application outlines an acceptable plan of
action pertaining to the scope of the project which details how the
proposed work will be accomplished; lists each organization,
consultant, or other key individuals who will work on the project along
with a short description of the nature of their effort or contribution;
and demonstrates that the program would employ residents of the
applicant's proposed service area.
Information provided in response to Part II, Section A, Numbers 5-
14 of this announcement will be used to review and evaluate applicants
on the above criterion.
d. Geographic Location (15 points)
The extent to which the application gives a precise location of the
project and area to be served by the proposed project and describes the
families to be served.
Information provided in response to Part II, Section A, Numbers 15
and 16 of this announcement will be used to review and evaluate
applicants on the above criterion.
E. Budget Appropriateness and Reasonableness (10 points)
The extent to which the project's costs are reasonable in view of
the activities to be carried out and the anticipated outcomes. The
extent to which assurances are provided that the applicant can and will
contribute the required non-Federal share of the total project cost.
Information provided in response to Part II, Section A, Numbers 17
and 18 of this announcement will be used to review and evaluate
applicants on the above criterion.
Part IV. The Application Process
A. Availability of Forms
Eligible agencies interested in applying for funds must submit all
of the required forms included at the end of this announcement in
Appendix C.
In order to be considered for a Head Start grant, an application
must be submitted on Standard Form 424. Each application must be signed
by an individual authorized to act for the applicant agency and to
assume responsibility for the obligations imposed by the terms and
conditions of the grant award and must contain the certification
regarding lobbying. Applications must be prepared in accordance with
the guidance provided in this announcement.
B. Conference for Prospective Applicants
A conference for prospective applicants will, if requested, be
conducted at the appropriate ACF Regional Office between two and four
weeks after the publication date of this announcement. A conference
will also, if requested, be held in Washington, D.C., for prospective
applicants for programs proposing to serve American Indian families.
At these conferences, staff will answer questions about this
announcement and about the Head Start program. It is not necessary to
attend the conference to submit a grant application.
Information about the location and time of the conferences may be
obtained by calling, for applications under Category 1, the appropriate
Regional Office at the number shown in Appendix A; and for applications
under Category 2, Lee Fields, Chief, American Indian Programs Branch,
Program Operations Division, Head Start Bureau (202) 205-8437.
C. Application Submission
One signed original and two copies of the grant application,
including all attachments, are required. Completed applications must be
sent to Department of Health and Human Services, Administration for
Children and Families, Division of Discretionary Grants, 370 L'Enfant
Plaza, S.W., 6th Floor, Washington, D.C. 20447. The program
announcement number (ACYF-HS 93.600-94-1) must be clearly identified on
the application. Applicants must also indicate in Box 11 on Standard
Form 424 which of the two categories in Section A above is being
applied for.
Pleas note that, in order to make the review of their applications
easier, applicants should include in their proposals a Table of
Contents, page numbers, and an abstract or brief summary statement of
the proposal.
D. Application Consideration
Applicants will be reviewed against the evaluation criteria
outlined in Part III. The review will be conducted in Washington, D.C.
Reviewers will be persons knowledgeable about the Head Start program
and early childhood education and development, including parents of
Head Start children, Federal staff, and other experts, such as
university staff or the staff of child development projects.
The results of the competitive review will be taken into
consideration by the Associate Commissioner, Head Start Bureau, who, in
consultation with ACF Regional officials, will recommend projects to be
funded. The Commissioner of ACYF will make the final selection of the
applicants to be funded. Applications may be funded in whole or in part
depending on relative need, applicant ranking, and funds available.
The Commissioner may elect not to fund any applicants that have
management, fiscal, or other problems and situations which make it
unlikely that they would be able to provide effective Head Start
services. For example, this might apply to a current Head Start grantee
which had large, chronic balances of unobligated funds due to poor
management, or one that has failed to serve the agreed upon numbers of
children. Also, the Commissioner may decide not to fund projects which
would require unreasonably large initial start-up costs for facilities
or equipment. In addition, ACYF will assess the quality of current Head
Start programs applying for expansion funding, using information from
the program Information Report, on-site reviews, cost studies, etc.,
and may elect not to provide expansion funding to programs experiencing
problems in providing quality services. The degree of community support
will be considered when selecting among applicants for an unserved
geographical area whose rankings are similar. The Commissioner may also
take into consideration the nature and extent of poverty in different
unserved geographical areas when making decisions among applicants with
similar rankings.
Successful applicants will be notified through the issuance of a
Financial Assistance Award which sets forth the amount of funds
awarded, the terms and conditions of the grant, the effective date of
the grant the budget period for which support is given, the non-Federal
share to be provided, and the total project period for which support is
provided.
E. Closing Date for Receipt of Applications
The closing date for the submission of applications is July 18,
1994.
Deadline. Applications shall be considered as meeting the deadline
if they are either:
1. Received on or before the deadline date at the address specified
in the program announcement, or
2. Sent on before the deadline date and received by the granting
agency in time for the independent review under DHHS GAM Chapter 1-62.
(Applicants are cautioned to request a legibly dated U.S. Postal
Service postmark or to obtain a legibly dated receipt from a commercial
carrier or U.S. Postal Service. Private metered postmarks are not
acceptable as proof of timely mailing.)
Late Applications. Applications which do not meet the criteria
stated above are considered late applications. The granting agency
shall notify each late applicant that its application will not be
considered in the current competition.
Extension of deadlines. The granting agency may extend the deadline
for all applicants because of acts of God such as floods, hurricanes,
etc., or when there is a disruption of the mails. However, if the
granting agency does not extend the deadline for all applicants, it may
not waive or extend the deadline for any applicants.
F. Paperwork Reduction Act of 1980
Under the Paperwork Reduction Act of 1980, Public Law 96-511, the
Department is required to submit to the Office of Management and Budget
(OMB) for review and approval any reporting and recordkeeping
requirements in regulations, including program announcements. This
program announcement does not contain information collection
requirements beyond those approved for ACF grant applications under OMB
Control Number 0348-0043.
G. Executive Order 12372--Notification Process
This program is covered under Executive Order (E.O.) 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,
Oklahoma, Oregon, Pennsylvania, Virginia, Washington, American Samoa,
and Palau have elected to participate in the Executive Order process
and have established Single Points of Contact (SPOCs). Applications
from Federally recognized Indian Tribes are exempt from E.O. 12372.
Applicants from these eighteen jurisdictions and from Federally
recognized Indian tribes need take no action regarding E.O. 12372. All
other applicants should contact their SPOCs as soon as possible to
alert them of the prospective application and to receive any necessary
instructions. Applicants must submit any required material to the SPOCs
as soon as possible so that the program office can obtain and review
SPOC comments as part of the award process. It is imperative that the
applicant submit all required materials, if any, to the SPOC and
indicate the date of this submittal (or date of contact if no submittal
is required) on the SF 424, item 16a.
Under 45 CFR 100.8(a)(2), a SPOC has 60 days from the application
deadline date to comment on applications submitted under this
announcement. Therefore, the comment period for State processes will
end on September 15, 1994.
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.
When comments are submitted directly to ACF, they should be
addressed to the Department of Health and Human Services,
Administration for Children and Families, Division of Discretionary
Grants, 370 L`Enfant Plaza S.W., 6th Floor, Washington, D.C. 20447.
A list of Single Points of Contact for each State and territory is
included at Appendix B.
(Catalog of Federal Domestic Assistance Program Number 93.600,
Project Head Start)
Dated: April 12, 1994.
Olivia A. Golden,
Commissioner, Administration on Children, Youth and Families.
Table A
Counties Not Currently Service by Head Start Programs Funded by ACF
Regional Offices
Alabama
No unserved counties.
Alaska
Aleutian Islands, Juneau, Lake and Peninsula Borough, North Slope,
Northwest Arctic Borough, Sitka, Skagway-Yakutat, Southeast Fairbanks,
Yukon-Koyukuk.
Arizona
No unserved counties.
Arkansas
No unserved counties.
California
Alpine.
Colorado
Cheyenne, Custer, Dolores, Douglas, Elbert, Grand, Gunnison,
Jackson, Kiowa, Kit Carson, Lincoln, Mineral, Moffat, Ouray, Phillips,
Pitkin, Rio Blanco, Routt, San Juan, San Miguel, Sedgwick, Summit,
Teller; The cities of Golden, Wheatridge, Columbine, Morrison,
Evergreen, and Mountain View in Jefferson County; The city of Brush in
Morgan County; The city of Estes Park in Larimer County.
Connecticut
No unserved counties.
Delaware
No unserved counties.
District of Columbia
No unserved counties.
Florida
No unserved counties.
Georgia
Echols, Taliaferro.
Hawaii
No unserved counties.
Idaho
Adams, Boise, Butte, Clark, Fremont, Jefferson, Lemhi, Madison.
Illinois
No unserved counties.
Indiana
Kosciusko.
Iowa
Adair.
Kansas
Anderson, Barber, Chase, Chautauqua, Cheyenne, Clark, Coffey,
Comanche, Edwards, Elk, Ellsworth, Gray, Greeley, Greenwood, Hamilton,
Harper, Haskell, Hodgeman, Kingman, Kiowa, Lane, Lincoln, Logan,
Marion, Meade, Mitchell, Morris, Morton, Ness, Norton, Osborne, Ottawa,
Pawnee, Phillips, Pratt, Rawlins, Rooks, Sheridan, Smith, Stafford,
Stanton, Stevens, Wallace; All areas outside Hutchinson Board of
Education School District in Reno County.
Kentucky
No unserved counties.
Louisiana
West Feliciana.
Maine
No unserved counties.
Maryland
No unserved counties.
Massachusetts
No unserved counties.
Michigan
No unserved counties.
Minnesota
No unserved counties.
Mississippi
No unserved counties.
Missouri
No unserved counties.
Montana
Big Horn, Carbon, Carter, Chouteau, Daniels, Fallon, Lake, Pondera,
Powder River, Prairie, Richland, Roosevelt, Rosebud, Sheridan,
Stillwater, Sweet Grass, Teton, Treasure, Wibaux, Yellowstone National
Park.
Nebraska
Arthur, Banner, Blaine, Boyd, Chase, Cuming, Dixon, Dundy,
Franklin, Frontier, Furnas, Garfield, Gosper, Grant, Harlan, Hayes,
Hitchcock, Hooker, Johnson, Keya Paha, Logan, Loup, McPherson,
Nuckolls, Pawnee, Perkins, Pierce, Rock, Sioux, Thomas, Washington,
Wheeler.
Nevada
Douglas, Esmeralda, Eureka, Lander, Lincoln, Nye, Pershing, Storey.
New Hampshire
No unserved counties.
New Jersey
No unserved counties.
New Mexico
Harding, Los Alamos.
New York
No unserved counties.
North Carolina
Polk.
North Dakota
Burke, Cavalier, Dickey, Divide, Eddy, Emmons, Foster, Grant,
Kidder, La Moure, Logan, McIntosh, McKenzie, McLean, Mercer, Mountrail,
Oliver, Renville, Rolette, Sargent, Sheridan, Sioux, Slope.
Ohio
No unserved counties.
Oklahoma
Dewey, Grant, Harper.
Oregon
Gilliam, Harney, Lake, Sherman, Wheeler.
Pennsylvania
No unserved counties.
Puerto Rico
No unserved counties.
Rhode Island
No unserved counties.
South Carolina
No unserved counties.
South Dakota
Corson, Harding, Perkins.
Tennessee
No unserved counties.
Texas
Brewster, Coke, Culberson, Delta, Franklin, Jack, Jeff Davis,
Kennedy, Kent, McMullen, Presidio, Rains, Sterling, Stonewall, Terrell,
Throckmorton, Winkler; All areas outside of Tyler ISD in Smith County;
All areas outside of Beaumont ISD and Port Arthur ISD in Jefferson
County; All areas outside of Midland ISD in Midland County; All areas
outside of West-Orange Cove ISD in Orange County; All areas outside of
Denton ISD in Denton County.
Utah
Daggett, Sanpete.
Vermont
No unserved counties.
Virginia
Bath, Clarke, Frederick, Highland, King George, Prince George, The
cities of Colonial Heights, Manassas City, Manassas Park, Poquoson
City, Winchester.
Washington
Columbia, Garfield, Lincoln, Wahkiakum.
West Virginia
No unserved counties.
Wisconsin
Kewaunee, Ozaukee; All areas outside of the Merrill Area School
District in Lincoln County; All areas west of Interstate 94 in Kenosha
County.
Wyoming
Lincoln, Teton, Uinta.
Table B
[State Allocations--Estimated State Funding Levels for Unserved
Counties]
------------------------------------------------------------------------
State Amount
------------------------------------------------------------------------
Colorado..................................................... $420,000
Indiana...................................................... 300,000
Kansas....................................................... 370,000
Montana...................................................... 239,000
Texas........................................................ 420,000
Virginia..................................................... 320,000
Wisconsin.................................................... 225,000
*Alaska, California, Georgia, Idaho, Iowa, Louisiana,
Nebraska, Nevada, North Carolina, North Dakota, New Mexico,
Oklahoma, Oregon, South Dakota, Utah, Washington, and
Wyoming..................................................... 2,004,000
------------------------------------------------------------------------
*The States listed above did not have sufficient funds available in
their unserved counties allocation to allow the funding of a new Head
Start grantee. Therefore, allocations for these States are being
pooled together and applicants from these States will have the
opportunity to apply for a portion of these pooled funds. In the
following States all counties are served by Head Start and thus there
are no competitive funds available for expanding into unserved areas:
Alabama, Arizona, Arkansas, Connecticut, Delaware, Dist. of Columbia,
Florida, Hawaii, Illinois, Kentucky, Maine, Maryland, Massachusetts,
Michigan, Minnesota, Mississippi, Missouri, New Hampshire, New Jersey,
New York, Ohio, Pennsylvania, Puerto Rico, Rhode Island, South
Carolina, Tennessee, Vermont, and West Virginia.
Appendix A
ACF Regional Offices
Region I: (617) 565-1150, Connecticut, Maine, Massachusetts, New
Hampshire, Rhode Island, Vermont
Region II: (212) 264-2974, New Jersey, New York, Puerto Rico, Virgin
Islands
Region III (215) 596-1224, Delaware, District of Columbia, Maryland,
Pennsylvania, Virginia, West Virginia
Region IV (404) 331-2398, Alabama, Florida, Georgia, Kentucky,
Mississippi, North Carolina, South Carolina, Tennessee
Region V (312) 353-4241, Illinois, Indiana, Michigan, Minnesota,
Ohio, Wisconsin
Region VI (214) 767-2981, Arkansas, Louisiana, New Mexico, Oklahoma,
Texas
Region VII (816) 426-5401, Iowa, Kansas, Missouri, Nebraska
Region VIII (303) 844-3106, Colorado, Montana, North Dakota, South
Dakota, Utah, Wyoming
Region IX (415) 556-1039, Arizona, California, Hawaii, Nevada, Outer
Pacific
Region X (206) 553-0838, Alaska, Idaho, Oregon, Washington
American Indian Programs (202) 205-8437
Appendix B
Executive Order 12372--State Single Points of Contact
Arizona
Mrs. Janice Dunn, Attn: Arizona State Clearinghouse, 3800 N. Central
Avenue, 14th floor, Phoenix, Arizona 85012, Telephone (602) 280-1315
Arkansas
Ms. Tracie L. Copeland Manager, State Clearinghouse, Office of
Intergovernmental Service, Department of Finance and Administration,
P.O. Box 3278, Little Rock, Arkansas 72203, Telephone (501) 682-1074
California
Mr. Glenn Stober, Grants Coordinator, Office of Planning and
Research, 1400 Tenth Street, Sacramento, California 95814, Telephone
(916) 323-7480
Colorado
State Single Point of Contact, State Clearinghouse, Division of
Local Government, 1313 Sherman Street, Room 520, Denver, Colorado
80203, Telephone (303) 866-2156
Delaware
Ms. Francine Booth, State Single Point of Contact, Executive
Department, Thomas Collins Building, Dover, Delaware 19903,
Telephone (302) 736-3326
District of Columbia
Mr. Rodney T. Hallman, State Single Point of Contact, Office of
Grants Mgmt and Development, 717 14th Street, N.W., Suite 500,
Washington, D.C. 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-
8114
Georgia
Mr. Charles H. Badger, Administrator, Georgia State Clearinghouse,
254 Washington Street, S.W., room 534A, Atlanta, Georgia 30334,
Telephone (404) 656-3855
Illinois
Mr. Steve Klokkenga, State Single Point of Contact, Office of the
Governor, 107 Stratton Building, Springfield, Illinois 62706,
Telephone (217) 782-1671
Indiana
Ms. 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
Mr. 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
Ms. Karen Arone, State Clearinghouse, Executive Office of
Communities and Development, 100 Cambridge Street, room 1803,
Boston, Massachusetts 02202, Telephone (617) 727-7001
Michigan
Mr. 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) 949-2174
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, ATTN: Mr. Ron
Sparks, Clearinghouse Coordinator
New Hampshire
Mr. Jeffery 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
Mr. Gregory W. Adkins, Acting Director, Division of Community
Resources, New Jersey 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
Mr. 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 (318) 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
North Dakota 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
Mr. 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 Burgees, State Single Point of Contact, Grant Services,
Office of the Governor, 1205 Pendleton Street, Room 477, Columbia,
South Carolina 29201, Telephone (803) 734-0494
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: Ms.
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,
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 Office,
Wisconsin Department of Administration,
101 South Webster Street,
P.O. Box 7864,
Milwaukee, Wisconsin 53707,
Telephone (608) 266-0267
Wyoming
Ms. Sheryl Jeffries,
State Single Point of Contact,
Herachler 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 E. 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, No. 41
Norregade Emancipation Garden Station, Second Floor, Saint Thomas,
Virgin Islands 00802
Please direct correspondence to: Ms. Linda Clarke, Telephone (809)
774-0750
BILLING CODE 4184-01-P
TN18MY94.002
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 Employment 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.
--``Constitution'' 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 Catelog 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
TN18MY94.003
TN18MY94.004
BILLING CODE 4184-01-C
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 be 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) and 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 total 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) on Line 5.
Line 7--Enter the estimated amount of income, if any, expected
to be generated from this project. Do not add or subtract this
amount from the total project amount. Show under the program
narrative statement the nature and source of income. The estimated
amount of program income may be considered by the federal grantor
agency in determining the total amount of the grant.
Section C. Non-Federal-Resources
Line 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 inkind contributions to
be made from all other sources.
Column (e)--Enter totals of Columns (b), (c), and (d).
Line 12--Enter the total for each of Columns (b)-(e). The amount
in Column (e) should be equal to the amount on Line 5, Column (f),
Section A.
Section D. Forecasted Cash Needs
Line 13--Enter the amount of cash needed by quarter from the
grantor agency during the first year.
Line 14--Enter the amount of cash from all other sources needed
by quarter during the first year.
Line 15--Enter the totals of amounts on Lines 13 and 14.
Section E. Budget Estimates of Federal Funds Needed for Balance of the
Project
Lines 16-19--Enter in Column (a) the same grant program titles
shown in Column (a), Section A. A breakdown by function or activity
is not necessary. For new applications and continuation grant
applications, enter in the proper columns amounts of Federal funds
which will be needed to complete the program or project over the
succeeding funding periods (usually in years). This section need not
be completed for revisions (amendments, changes, or supplements) to
funds for the current year of existing grants.
If more than four lines are needed to list the program titles,
submit additional schedules as necessary.
Line 20--Enter the total for each of the Columns (b)-(e). When
additional schedules are prepared for this Section, annotate
accordingly and show the overall totals on this line.
Section F. Other Budget Information
Line 21--Use this space to explain amounts for individual direct
object-class cost categories that may appear to be out of the
ordinary or to explain the details as required by the Federal
grantor agency.
Line 22--Enter the type of indirect rate (provisional,
predetermined, final or fixed) that will be in effect during the
funding period, the estimated amount of the base to which the rate
is applied, and the total indirect expense.
Line 23--Provide any other explanations or comments deemed
necessary.
Assurances--Non-Construction Programs
Note: Certain of these assurances may not be applicable to your
project or program. If you have questions, please contact the
awarding agency. Further, certain Federal awarding agencies may
require applicants to certify to additional assurances. If such is
the case, you will be notified.
As the duly authorized representative of the applicant I certify
that the applicant:
1. Has the legal authority to apply for Federal assistance, and
the institutional, managerial and financial capability (including
funds sufficient to pay the non-Federal share of project costs) to
ensure proper planning, management and completion of the project
described in this application.
2. Will give the awarding agency, the Comptroller General of the
United States, and if appropriate, the State, through any authorized
representative, access to and the right to examine all records,
books, papers, or documents related to the award; and will establish
a proper accounting system in accordance with generally accepted
accounting standards or agency directives.
3. Will establish safeguards to prohibit employees from using
their positions for a purpose that constitutes or presents the
appearance of personal or organizational conflict of interest, or
personal gain.
4. Will initiate and complete the work within the applicable
time frame after receipt of approval of the awarding agency.
5. Will comply with the Intergovernmental Personnel Act of 1970
(42 U.S.C. Secs. 4728-4763) relating to prescribed standards for
merit systems for programs funded under one of the nineteen statutes
or regulations specified in Appendix A of OPM's Standards for a
Merit System of Personnel Administration (5 C.F.R. 900, Subpart F).
6. Will comply with all Federal statutes relating to
nondiscrimination. These include but are not limited to: (a) Title
VI of the Civil Rights Act of 1964 (P.L. 88-352) which prohibits
discrimination on the basis of race, color or national origin; (b)
Title IX of the Education Amendments of 1972, as amended (20 U.S.C.
Secs. 1681-1683, and 1685-1686), which prohibits discrimination on
the basis of sex; (c) Section 504 of the Rehabilitation Act of 1973,
as amended (29 U.S.C. Sec. 794), which prohibits discrimination on
the basis of handicaps; (d) the Age Discrimination Act of 1975, as
amended (42 U.S.C. Secs. 6101-6107), which prohibits discrimination
on the basis of age; (e) the Drug Abuse Office and Treatment Act of
1972 (P.L. 92-255), as amended, relating to nondiscrimination on the
basis of drug abuse; (f) the Comprehensive Alcohol Abuse and
Alcoholism Prevention, Treatment and Rehabilitation Act of 1970
(P.L. 91-616), as amended, relating to nondiscrimination on the
basis of alcohol abuse or alcoholism; (g) Secs. 523 and 527 of the
Public Health Service Act of 1912 (42 U.S.C. 290 dd-3 and 290 ee-3),
as amended, relating to confidentiality of alcohol and drug abuse
patient records; (h) Title VIII of the Civil Rights Act of 1968 (42
U.S.C. Sec. 3601 et seq.), as amended, relating to non-
discrimination in the sale, rental or financing of housing; (i) any
other nondiscrimination provisions in the specific statute(s) under
which application for Federal assistance is being made; and (j) the
requirements of any other nondiscrimination statute(s) which may
apply to the application.
7. Will comply, or has already complied, with the requirements
of Titles II and III of the Uniform Relocation Assistance and Real
Property Acquisition Policies Act of 1970 (P.L. 91-646) which
provide for fair and equitable treatment of persons displaced or
whose property is acquired as a result of Federal or federally
assisted programs. These requirements apply to all interests in real
property acquired for project purposes regardless of Federal
participation in purchases.
8. Will comply with the provisions of Hatch Act (5 U.S.C.
Secs. 1501-1508 and 7324-7328) which limit the political activities
of employees whose principal employment activities are funded in
whole or in part with Federal funds.
9. Will comply, as applicable, with the provisions of the Davis-
Bacon Act (40 U.S.C. Secs. 276a to 276a-7), the Copeland Act (40
U.S.C. Sec. 276c and 18 U.S.C. Secs. 874), and the Contract Work
Hours and Safety Standards Act (40 U.S.C. Secs. 327-333), regarding
labor standards for federally assisted construction subagreements.
10. Will comply, if applicable, with flood insurance purchase
requirements of Section 102(a) of the Flood Disaster Protection Act
of 1973 (P.L. 93-234) which requires recipients in a special flood
hazard area to participate in the program and to purchase flood
insurance if the total cost of insurable construction and
acquisition is $10,000 or more.
11. Will comply with environmental standards which may be
prescribed pursuant to the following: (a) institution of
environmental quality control measures under the National
Environmental Policy Act of 1969 (P.L. 91-190) and Executive Order
(EO) 11514; (b) notification of violating facilities pursuant to EO
11738; (c) protection of wetlands pursuant to EO 11990; (d)
evaluation of flood hazards in floodplains in accordance with EO
11988; (e) assurance of project consistency with the approved State
management program developed under the Coastal Zone Management Act
of 1972 (16 U.S.C. Secs. 1451 et seq.); (f) conformity of Federal
actions to State (Clear Air) Implementation Plans under Section
176(c) of the Clear Air Act of 1955, as amended (42 U.S.C. Sec. 7401
et seq.); (g) protection of underground sources of drinking water
under the Safe Drinking Water Act of 1974, as amended, (P.L. 93-
523); and (h) protection of endangered species under the Endangered
Species Act of 1973, as amended, (P.L. 93-205).
12. Will comply with the Wild and Scenic Rivers Act of 1968 (16
U.S.C. Secs. 1271 et seq.) related to protecting components or
potential components of the national wild and scenic river 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.
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Signature of Authorized Certifying Official
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Applicant Organization
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Title
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Date Submitted
BILLING CODE 4184-01-P
TN18MY94.005
TN18MY94.006
BILLING CODE 4184-01-P
Appendix E
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 indicated or otherwise criminally or
civilly charged by a governmental entity (Federal, State or local)
with commission of any of the offenses enumerated in paragraph
(1)(b) of this certification; and
(d) have not within a 3-year period preceding this application/
proposal had one or more public transactions (Federal, State, or
local) terminated for cause or default.
The inability of a person to provide the certification required
above will not necessarily result in denial of participation in this
covered transaction. If necessary, the prospective participant shall
submit an explanation of why it cannot provide the certification.
The certification or explanation will be considered in connection
with the Department of Health and Human Services (HHS) determination
whether to enter into this transaction. However, failure of the
prospective primary participant to furnish a certification or an
explanation shall disqualify such person from participation in this
transaction.
The prospective primary participant agrees that by submitting
this proposal, it will include the clause entitled ``Certification
Regarding Debarment, Suspension, Ineligibility, and Voluntary
Exclusion--Lower Tier Covered Transaction.'' provided below without
modification in all lower tier covered transactions and in all
solicitations for lower tier covered transactions.
Certification Regarding Debarment, Suspension, Ineligibility and
Voluntary Exclusion--Lower Tier Covered Transactions
(To Be Supplied to Lower Tier Participants)
By signing and submitting this lower tier proposal, the
prospective lower tier participant, as defined in 45 CFR Part 76,
certifies to the best of its knowledge and belief that it had 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.
Appendix F
Certification Regarding Lobbying
Certification for Contracts, Grants, Loans, and Cooperative
Agreements
The undersigned certifies, to the best of his or her knowledge
and belief, that:
(1) No Federal appropriated funds have been paid or will be
paid, by or on behalf of the undersigned, to any person for
influencing or attempting to influence an officer or employee of any
agency, a Member of Congress, an officer or employee of Congress, or
an employee of a Member of Congress in connection with the awarding
of any Federal contract, the making of any Federal grant, the making
of any Federal loan, the entering into of any cooperative agreement,
and the extension, continuation, renewal, amendment, or modification
of any Federal contract, grant, loan, or cooperative agreement.
(2) If any funds other than Federal appropriated funds have been
paid or will be paid to any person for influencing or attempting to
influence an officer or employee of any agency, a Member of
Congress, an officer or employee of Congress, or an employee of a
Member of Congress in connection with this Federal contract, grant,
loan or cooperative agreement, the undersigned shall complete and
submit Standard Form-LLL, ``Disclosure Form to Report Lobbying,'' in
accordance with its instructions.
(3) The undersigned shall require that the language of this
certification be included in the award documents for all subawards
at all tiers (including subcontracts, subgrants, and contracts under
grants, loans, and cooperative agreements) and that all
subrecipients shall certify and disclose accordingly.
This certification is a material representation of fact upon
which reliance was placed when this transaction was made or entered
into. Submission of this certification is a prerequisite for making
or entering into this transaction imposed by section 1352, title 31,
U.S. Code. Any person who fails to file the required certification
shall be subject to a civil penalty of not less than $10,000 and not
more than $100,000 for each such failure.
State for Loan Guarantee and Loan Insurance
The undersigned states, to the best of his or her knowledge and
belief, that:
If any funds have been paid or will be paid to any person for
influencing or attempting to influence an officer or employee of any
agency, a Member of Congress, an officer or employee of Congress, or
an employee of a Member of Congress in connection with this
commitment providing for the United States to insure or guarantee a
loan, the undersigned shall complete and submit Standard Form-LLL
``Disclosure Form to Report Lobbying,'' in accordance with its
instructions.
Submission of this statement is a prerequisite for making or
entering into this transaction imposed by section 1352, title 31,
U.S. Code. Any person who fails to file the required statement shall
be subject to a civil penalty of not less than $10,000 and not more
than $100,000 for each such failure.
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Signature
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Title
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Organization
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Date
BILLING CODE 4184-01-P
TN18MY94.007
[FR Doc. 94-12028 Filed 5-17-94; 8:45 am]
BILLING CODE 4184-01-C