[Federal Register Volume 59, Number 129 (Thursday, July 7, 1994)]
[Unknown Section]
[Page 0]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 94-16315]
[[Page Unknown]]
[Federal Register: July 7, 1994]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Administration for Children and Families
[Program Announcement No. 93631-94-02]
Developmental Disabilities: Availability of Financial Assistance
for Projects of National Significance for Fiscal Year 1994
AGENCY: Administration on Developmental Disabilities (ADD),
Administration for Children and Families (ACF).
ACTION: Announcement of availability of financial assistance for
Projects of National Significance for Fiscal Year 1994.
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SUMMARY: The Administration on Developmental Disabilities,
Administration for Children and Families, announces that applications
are being accepted for funding of Fiscal Year 1994 Projects of National
Significance.
This program announcement consists of five parts. Part I, the
Introduction, discusses the goals and objectives of ACF and ADD. Part
II provides the necessary background information on ADD for applicants.
Part III describes the review process. Part IV describes the priorities
under which ADD solicits applications for Fiscal Year 1994 funding of
projects. Part V describes in detail how to prepare and submit an
application. All of the forms and instructions necessary to submit an
application are published as part of this announcement following Part
V.
No separate application kit is either necessary or available for
submitting an application. If you have a copy of this announcement, you
have all the information and forms required to submit an application.
Grants will be awarded under this program announcement subject to
the availability of funds for support of these activities.
DATE: Closing date for submittal of applications under this
announcement is August 8, 1994.
ADDRESSES: Applications should be mailed to: Department of Health and
Human Services, ACF/Division of Discretionary Grants, Sixth Floor, 370
L'Enfant Promenade SW., Washington, DC 20447, Attn: 93.631 ADD--
Projects of National Significance.
Hand delivered applications are accepted during the normal working
hours of 8 a.m. to 4:30 p.m., Monday through Friday, on or prior to the
established closing date at: Administration for Children and Families,
Division of Discretionary Grants, 6th Floor OFM/DDG, 901 D Street SW.,
Washington, DC 20447.
FOR FURTHER INFORMATION CONTACT: Gail Evans, Program Development
Division, Administration on Developmental Disabilities, (202) 690-5911.
SUPPLEMENTARY INFORMATION:
Part I. Introduction
A. Goals of the Administration on Developmental Disabilities
The Administration on Developmental Disabilities (ADD) is located
within the Administration for Children and Families (ACF), Department
of Health and Human Services (DHHS). Although different from the other
ACF program administrations in the specific populations it serves, ADD
shares a common set of goals that promote the economic and social well-
being of families, children, individuals and communities. Through
national leadership, ACF and ADD envision:
Families and individuals empowered to increase their own
economic independence and productivity;
Strong, healthy, supportive communities having a positive
impact on the quality of life and the development of children;
Partnerships with individuals, front-line service
providers, communities, States and Congress that enable solutions which
transcend traditional agency boundaries;
Services planned and integrated to improve client access;
and
A strong commitment to working with Native Americans,
persons with developmental disabilities, refugees and migrants to
address their needs, strengths and abilities.
Emphasis on these goals and progress toward them will help more
individuals, including people with developmental disabilities, to live
productive and independent lives integrated into their communities. The
Projects of National Significance Program is one means through which
ADD promotes the achievement of these goals.
B. Purpose of the Administration on Developmental Disabilities
The Administration on Developmental Disabilities (ADD) is the lead
agency within ACF and DHHS responsible for planning and administering
programs which promote the self-sufficiency and protect the rights of
persons with developmental disabilities.
The Developmental Disabilities Assistance and Bill of Rights Act
(42 U.S.C. 6000, et seq.) (the Act) supports and provides assistance to
States and public and private nonprofit agencies and organizations to
assure that individuals with developmental disabilities and their
families participate in the design of and have access to culturally
competent services, supports, and other assistance and opportunities
that promote independence, productivity and integration and inclusion
into the community.
The Act points out that:
Disability is a natural part of the human experience that
does not diminish the right of individuals with developmental
disabilities to enjoy the opportunity for independence, productivity
and inclusion into the community;
Individuals whose disabilities occur during their
developmental period frequently have severe disabilities that are
likely to continue indefinitely;
Individuals with developmental disabilities often require
lifelong specialized services and assistance, provided in a coordinated
and culturally competent manner by many agencies, professionals,
advocates, community representatives, and others to eliminate barriers
and to meet the needs of such individuals and their families;
The Act further finds that:
Individuals with developmental disabilities, including
those with the most severe developmental disabilities, are capable of
achieving independence, productivity, and integration and inclusion
into the community, and often require the provision of services,
supports and other assistance to achieve such;
Individuals with developmental disabilities have
competencies, capabilities and personal goals that should be
recognized, supported, and encouraged, and any assistance to such
individuals should be provided in an individualized manner, consistent
with the unique strengths, resources, priorities, concerns, abilities,
and capabilities of the individual;
Individuals with developmental disabilities and their
families are the primary decision makers regarding the services and
supports such individuals and their families receive; and play decision
making roles in policies and programs that affect the lives of such
individuals and their families; and
It is in the nation's interest for people with
developmental disabilities to be employed, and to live conventional and
independent lives as a part of families and communities.
Toward these ends, ADD seeks to enhance the capabilities of
families in assisting people with developmental disabilities to achieve
their maximum potential to support the increasing ability of people
with developmental disabilities to exercise greater choice and self-
determination; to engage in leadership activities in their communities;
as well as to ensure the protection of their legal and human rights.
Programs funded under the Act are:
Federal assistance to State developmental disabilities
councils;
State system for the protection and advocacy of individual
rights;
Grants to university affiliated programs for
interdisciplinary training, exemplary services, technical assistance,
and information dissemination; and
Grants for Projects of National Significance.
Part II. Background Information
A. Description of Projects of National Significance
Under Part E of the Act, grants and contracts are awarded for
projects of national significance that support the development of
national and State policy to enhance the independence, productivity,
and integration and inclusion of individuals with developmental
disabilities through:
Data collection and analysis;
Technical assistance to enhance the quality of State
developmental disabilities councils, protection and advocacy systems,
and university affiliated programs; and
Other projects of sufficient size and scope that hold
promise to expand or improve opportunities for people with
developmental disabilities, including:
--Technical assistance for the development of information and referral
systems;
--Educating policy makers;
--Federal interagency initiatives;
--The enhancement of participation of racial and ethnic groups in
public and private sector initiatives in developmental disabilities;
--Transition of youth with developmental disabilities from school to
adult life; and
--Special pilots and evaluation studies to explore the expansion of
programs under part B (State developmental disabilities councils) to
individuals with severe disabilities other than developmental
disabilities.
B. Comments on FY 1994 Proposed Priority Areas
The notice soliciting comments on the FY 1994 proposed priority
areas was published in the Federal Register on February 24, 1994. A 60
day period was required to allow the public to comment on the proposed
areas. After review and analysis of these comments, ADD is publishing
its final priorities in this announcement.
The public comment notice requested specific comments and
suggestions on the proposed funding priorities, in addition to
recommendations for additional priority areas which would assist in
bringing about the increased independence, productivity, and
integration into the community of people with developmental
disabilities.
ADD received a total of 52 letters and 93 individual comments in
response to the public comment notice. The majority of the comments
expressed support of the priority areas. Other comments were supportive
of the priority areas, but suggested changes.
Agencies which commented were identified as follows:
Advocacy agencies, which includes national organizations
and associations, national advocacy groups and State/local advocacy
groups;
Service organizations, which includes agencies that
provide services for individuals with developmental disabilities as
well as providing advocacy services on behalf of a particular
disability, including developmental disabilities councils;
Educational systems, which includes schools, colleges and
universities, programs located within a university setting (CA/N, R&TC,
youth w/disabilities) and university affiliated programs;
Private agencies, which includes national, State and local
non-profit organizations;
Government agencies, which includes Federal, State, county
and local government agencies;
Private individuals; and
Foundations.
The comments ranged from requests for copies of the final
application solicitation to general support to substantive, insightful
responses for this year's proposed funding priorities and
recommendations for other priority areas. Few of the comments provided
specific guidance on the development of the final priority areas.
Rather, the majority were supportive of and expanded upon what we
proposed in the announcement, in addition to relating specifically to
the program goals and priorities of the particular agencies submitting
the comments.
The comments received were helpful in highlighting the concerns of
the developmental disabilities field and have been used in refining the
final priority areas.
Comment: 24 letters were submitted to ADD recommending additional
funding priorities for FY 1994. Suggestions included best practice and
systems change, development of standards, and training in Personal
Assistance Services (PAS); projects that focus on the integration into
community activities of families who have a child who is medically
fragile and severely disabled; a project that cares for children with
HIV/AIDS; projects on home ownership; dissemination of information to
families and practitioners; and aging and developmental disabilities.
Response: ADD funded five PAS projects in FY 1993. We continue to
fund those projects and support a variety of other activities in the
area of personal assistance services.
Although ADD has not funded any recent projects on community
integration of individuals with severe disabilities or medically
fragile children through the PNS program, we continue to support
projects and activities in this area through the university affiliated
program.
ADD funded five HIV/AIDS projects from FY 1990-1992. We continue to
support HIV/AIDS projects and activities through the university
affiliated program.
ADD funded two projects on home ownership from FY 1991-1994. We
also awarded a five year grant in FY 1993 to the university affiliated
program at the University of New Hampshire to establish a national
information network on consumer based housing.
ADD supports a number of grant-related activities that focus on
dissemination of information on issues relating to developmental
disabilities. It has become a requirement of each grant award made.
We continue to fund projects on elderly persons with disabilities
through the university affiliated program's Training Initiative
component.
ADD appreciates the suggestions for additional priority areas for
this fiscal year. While we are unable to add new priority areas at this
time because of budget constraints, we will consider these suggestions
and recommendations for future grant announcements.
Comment: ADD received 34 comments on Proposed Priority Area 1,
Leadership Education and Development of Individuals with Disabilities
and Their Families from Culturally Diverse Backgrounds. The majority of
the comments received in this priority area were supportive of what was
proposed in the published notice. However, some of the comments
provided recommendations for project design and specific suggestions
for how the projects should be funded (based on the particular focus of
the organization submitting the comments). There was also a letter
writing campaign from advocacy groups supporting strong linkages to and
between ADD's national network associations. That writing campaign also
included adding a qualifier to the grant requirements regarding
composition of the funded agencies board of directors (at least 51%
individuals with disabilities or family members of individuals with
disabilities). Another letter writer suggested that we collaborate our
activities with other Federal and State agencies. There was a
suggestion that the requirements of the final priority area be specific
about how information would be disseminated as well as how the project
would be evaluated. There were also numerous recommendations for ADD to
specifically focus its FY 1994 efforts on Youth Leadership Development.
Response: The above comments are representative of the comments
received in this priority area. We will make every effort to coordinate
this priority area's activities with the Department of Education and
other Federal agencies. We will also make every effort to collaborate
with our national network associations during the funded projects'
grant period. We agree with the recommendation for information
dissemination and evaluation. The final priority area project design
requirements include dissemination, evaluation, and composition of the
project's advisory body. In addition, because there was interest
expressed that ADD focus this priority area on youth leadership
development, the final leadership education and development priority
area will be an inclusive one--to cover individuals and families of all
ages.
Comment: ADD received fifteen comments on Proposed Priority Area 2,
Expanding the Scope of Developmental Disabilities Councils. The
majority of the comments received in this priority area were supportive
of what ADD proposed in the published notice. Some of the comments also
provided recommendations for project length, specific suggestions for
which Councils should be eligible for funding, and ideas on project
design. There were two non-supportive letters submitted in this
priority area. Those letters will be addressed at the end of this
discussion.
There was a recommendation that the project conduct an assessment
of the population of persons with disabilities served by the
developmental disabilities network (Developmental Disabilities
Councils, University Affiliated Programs, and Protection and Advocacy
Systems) in their States. Several writers suggested that participation
in the fifteen month pilot studies not be limited to just the
additional five States. It was also noted that six months to complete
the short-term study would be too short of a time frame. ADD was also
encouraged to receive input for the studies from the States and not
limit participation to the network associations. We were cautioned that
each of the DD program components not lose sight of their specific
mission and focus during the expansion studies. This was reiterated in
one of the non-supportive letters, in addition to the fact that
expansion would duplicate the efforts of other State and Federally
funded agencies. The other non-supportive letter indicated that the
Councils were not adequately addressing the issues of the disability
groups they already serve, and suggested that the Councils make some
changes in the way they do business before they take on expansion.
Response: The expansion priority area is a legislatively mandated
activity. ADD is limited in the number of States to participate in the
pilot studies or the length of time to complete each phase of the
expansion study. In addition, the short term study of Councils and the
national study have already been funded under a separate contractual
solicitation. The fifteen month pilot studies are the only part of the
expansion study to be funded through this grant announcement. We do,
however, agree with the remainder of the comments (including the non-
supportive ones) and the final priority area reflects such, as well as
a sensitivity to specific foci of Councils and their ability to take on
expansion activities without negatively impacting their original
mission.
Comment: ADD received three comments on providing technical
assistance (through separate contractual solicitations) to improve the
functions of the developmental disabilities planning council,
protection and advocacy system, and the university affiliated program;
and to develop information and referral systems. Two letters supported
and expanded upon what we proposed. One letter was non-supportive. The
supportive letters recommended specific technical assistance
activities, i.e., ongoing technical assistance and information and
referral on cultural diversity; and technical assistance activities on
self-advocacy of consumers. The one non-supportive letter requested
that the technical assistance contract solicitations be provided to all
Councils, P&As, and UAPs, and not a sole source contractor.
Response: The technical assistance component of the PNS program is
a legislatively mandated activity targeted at supporting and improving
the functions of the developmental disabilities program components
(Councils, P&As, and UAPs). Contract awards for technical assistance to
UAPs and P&As are in their last year of funding. A full and open
competition for UAP and P&A technical assistance funds will be
announced during the FY 1995 PNS funding cycle. Likewise, an
announcement for a full and open competition for technical assistance
funds for Councils has been made through the ACF procurement process.
Technical assistance for information and referral systems will not be
announced this fiscal year, but considered for future PNS funding
announcements.
Comment: ADD received two comments on funding projects through
demonstrations as well as procurements that would ensure the
integration and active participation of racial and ethnic groups into
the ``mainstream'' of theservice delivery system. Both letters
recommended that we offer an additional solicitation for a data
collection and analysis project to establish a national multicultural
database.
Response: The FY 1994 PNS program budget is limited in providing
funds for additional grants and contracts. Therefore, these
recommendations will not be considered this fiscal year, but considered
for future PNS announcements.
Comment: ADD received fifteen general comments, the majority of
which were supportive of what we proposed for our FY 1994 funding
priorities. Several comments were received that commended us for the
way in which we approached this year's priorities, but wanted to see
changes in the focus of the priority areas.
Response: We appreciate the input and commendations given for this
year's priority areas. We believe the final priority areas reflect the
input received from the public comment process and a sensitivity to the
concerns expressed in each of the letters received.
Part III. The Review Process
A. Eligible Applicants
Before applications are reviewed, each will be screened to
determine that the applicant is eligible for funding, as specified
under the selected priority area. Applications from organizations which
do not meet the eligibility requirements for the priority area will not
be considered or reviewed in the competition, and the applicant will be
so informed.
Only public or non-profit private entities, not individuals, are
eligible to apply under any of the priority areas. On all applications
developed jointly by more than one agency or organization, the
applications must identify only one organization as the lead
organization and official applicant. The other participating agencies
and organizations can be included as co-participants, subgrantees or
subcontractors.
Any non-profit organization submitting an application must submit
proof of its non-profit status in its application at the time of
submission. One means of accomplishing this is by the non-profit agency
providing a copy of the applicant's listing in the Internal Revenue
Service's most recent list of tax-exempt organizations described in
section 501(c)(3) of the IRS code or by providing a copy of the
currently valid IRS tax exemption certificate.
ADD cannot fund a non-profit applicant without acceptable proof of
its non-profit status.
B. Review Process and Funding Decisions
Applications from eligible applicants that meet the deadline date
requirements under Part V, Section C will be reviewed and scored
competitively. Experts in the field, generally persons from outside of
the Federal government, will use the appropriate evaluation criteria
listed later in this part to review and score the applications. The
results of this review are a primary factor in making funding
decisions.
ADD reserves the option of discussing applications with, or
referring them to, other Federal or non-Federal funding sources when
this is determined to be in the best interest of the Federal government
or the applicant. It may also solicit comments from ADD Regional Office
staff, other Federal agencies, interested foundations, national
organizations, specialists, experts, States and the general public.
These comments, along with those of the expert reviewers, will be
considered by ADD in making funding decisions.
In making decisions on awards, ADD may give preference to
applications which focus on or feature: Culturally diverse racial or
ethnic populations; a substantially innovative strategy with the
potential to improve theory or practice in the field of human services;
a model practice or set of procedures that holds the potential for
replication by organizations involved in the administration or delivery
of human services; substantial involvement of volunteers; substantial
involvement (either financial or programmatic) of the private sector; a
favorable balance between Federal and non-Federal funds available for
the proposed project; the potential for high benefit for low Federal
investment; a programmatic focus on those most in need; and/or
substantial involvement in the proposed project by national or
community foundations.
To the greatest extent possible, efforts will be made to ensure
that funding decisions reflect an equitable distribution of assistance
among the States and geographical regions of the country, rural and
urban areas, and ethnic populations. In making these decisions, ADD may
also take into account the need to avoid unnecessary duplication of
effort.
C. Evaluation Criteria
Using the evaluation criteria below, a panel of at least three
reviewers (primarily experts from outside the Federal government) will
review the applications. Applicants should ensure that they address
each minimum requirement in the priority area description under the
appropriate section of the Program Narrative Statement.
Reviewers will determine the strengths and weaknesses of each
proposal in terms of the evaluation criteria, provide comments and
assign numerical scores. The point value following each criterion
heading indicates the maximum numerical weight that each section may be
given in the review process.
1. 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 solution; demonstrates the need for the assistance; States
the principal and subordinate objectives of the project; provides
supporting documentation or other testimonies from concerned interests
other than the applicant; and includes and/or footnotes relevant data
based on the results of planning studies. The application must identify
the precise location of the project and area to be served by the
proposed project. Maps and other graphic aids may be attached.
2. Results or Benefits Expected (20 points)
The extent to which the application identifies the results and
benefits to be derived, the extent to which they are consistent with
the objectives of the proposal, and the extent to which the application
indicates the anticipated contributions to policy, practice, theory
and/or research. The extent to which the proposed project costs are
reasonable in view of the expected results.
3. Approach (35 points)
The extent to which the application outlines a sound and workable
plan of action pertaining to the scope of the project, and details how
the proposed work will be accomplished; cites factors which might
accelerate or decelerate the work, giving acceptable reasons for taking
this approach as opposed to others; describes and supports any unusual
features of the project, such as design or technological innovations,
reductions in cost or time, or extraordinary social and community
involvements; and provides for projections of the accomplishments to be
achieved. It lists the activities to be carried out in chronological
order, showing a reasonable schedule of accomplishments and target
dates.
The extent to which, when applicable, the application identifies
the kinds of data to be collected and maintained, and discusses the
criteria to be used to evaluate the results and successes of the
project. The extent to which the application describes the evaluation
methodology that will be used to determine if the needs identified and
discussed are being met and if the results and benefits identified are
being achieved. The application also lists each organization, agency,
consultant, or other key individuals or groups who will work on the
project, along with a description of the activities and nature of their
effort or contribution.
4. Staff Background and Organization's Experience (25 points)
The application identifies the background of the project director/
principal investigator and key project staff (including name, address,
training, educational background and other qualifying experience) and
the experience of the organization to demonstrate the applicant's
ability to effectively and efficiently administer this project. The
application describes the relationship between this project and other
work planned, anticipated or underway by the applicant which is being
supported by Federal assistance.
D. Structure of Priority Area Descriptions
Each priority area description is composed of the following
sections:
Eligible Applicants: This section specifies the type of
organization which is eligible to apply under the particular priority
area.
Purpose: This section presents the basic focus and/or
broad goal(s) of the priority area.
Background Information: This section briefly discusses the
legislative background as well as the current state-of-the-art and/or
current state-of-practice that supports the need for the particular
priority area activity. Relevant information on projects previously
funded by ACF and/or other State models are noted, where applicable.
Minimum Requirements for Project Design: This section
presents the basic set of issues that must be addressed in the
application. Typically, they relate to project design, evaluation, and
community involvement. This section also asks for specific information
on the proposed project. Inclusion and discussion of these items is
important since they will be used by the reviewers in evaluating the
applications against the evaluation criteria. Project products,
continuation of the project effort after the Federal support ceases,
and dissemination/utilization activities, if appropriate, are also
addressed.
Project Duration: This section specifies the maximum
allowable length of time for the project period; it refers to the
amount of time for which Federal funding is available.
Federal Share of Project Costs: This section specifies the
maximum amount of Federal support for the project.
Matching Requirement: This section specifies the minimum
non-Federal contribution, either through cash or in-kind match, that is
required to the maximum Federal funds requested for the project.
Anticipated Number of Projects To Be Funded: This section
specifies the number of projects that ADD anticipates it will fund in
the priority area.
CFDA: This section identifies the Catalog of Federal
Domestic Assistance (CFDA) number and title of the program under which
applications in this priority area will be funded. This information is
needed to complete item 10 on the SF 424.
Please note that applicants that do not comply with the specific
priority area requirements in the section on ``Eligible Applicants''
will not be reviewed.
Applicants must clearly identify the specific priority area under
which they wish to have their applications considered, and tailor their
applications accordingly. In addition, previous experience has shown
that an application which is broader and more general in concept than
outlined in the priority area description is less likely to score as
well as one which is more clearly focused on and directly responsive to
the concerns of that specific priority area.
E. Available Funds
ADD intends to award new grants resulting from this announcement
during the fourth quarter of fiscal year 1994, subject to the
availability of funding. The size of the actual awards will vary. Each
priority area description includes information on the maximum Federal
share of the project costs and the anticipated number of projects to be
funded.
The term ``budget period'' refers to the interval of time (usually
12 months) into which a multi-year period of assistance (project
period) is divided for budgetary and funding purposes. The term
``project period'' refers to the total time a project is approved for
support, including any extensions.
Where appropriate, applicants may propose project periods which are
shorter than the maximums specified in the various priority areas. Non-
Federal share contributions may exceed the minimums specified in the
various priority areas when the applicant is able to do so.
For multi-year projects, continued Federal funding beyond the first
budget period, but within the approved project period, is subject to
the availability of funds, satisfactory progress of the grantee and a
determination that continued funding would be in the best interest of
the Government.
F. Grantee Share of Project Costs
Other than the exception described below, Federal funds will be
provided to cover up to 75% of the total allowable project costs. The
total allowable project costs are the sum of the ACF share and the non-
Federal share. Therefore, the non-Federal share must amount to at least
25% of the total (Federal plus non-Federal) project cost. This means
that, for every $3 in Federal funds received, up to the maximum amount
allowable under each priority area, applicants must contribute at least
$1. For example, the cost breakout for a project costing $100,000 to
implement would be:
------------------------------------------------------------------------
Federal request Non-Federal share Total cost
------------------------------------------------------------------------
$75,000................ $25,000 $100,000
75%.................... 25% 100%
------------------------------------------------------------------------
The exception to the grantee cost sharing requirement relates to
applications originating from American Samoa, Guam, the Virgin Islands,
and the Commonwealth of the Northern Mariana Islands. Applications from
these areas are covered under section 501(d) of Pub. L. 95-134, which
requires that the Department waive ``any requirement for local matching
funds for grants under $200,000.''
The applicant contribution must generally be secured from non-
Federal sources. Except as provided by Federal statute, a cost-sharing
or matching requirement may not be met by costs borne by another
Federal grant. However, funds from some Federal programs benefitting
Tribes and Native American organizations have been used to provide
valid sources of matching funds. If this is the case for a Tribe or
Native American organization submitting an application to ADD, that
organization should identify the programs which will be providing the
funds for the match in its application. If the application successfully
competes for PNS grant funds, ADD will determine whether there is
statutory authority for this use of the funds. The Administration for
Native Americans and the DHHS Office of General Counsel will assist ADD
in making this determination.
The non-Federal share of total project costs may be in the form of
grantee-incurred costs and/or third party in-kind contributions. ADD
strongly encourages applicants to meet their match requirement through
a cash contribution, as opposed to an in-kind contribution. For further
information on in-kind contributions, refer to the instructions for
completing the SF 424A--Budget Information, in Part IV.
The required amount of non-Federal share to be met by the applicant
is the amount indicated in the approved application. Grant recipients
will be required to provide the agreed upon non-Federal share, even if
this exceeds 25% (or other required portion) of the project costs.
Therefore, an applicant should ensure the availability of any amount
proposed as match prior to including it in its budget.
The non-Federal share must be met by a grantee during the life of
the project. Otherwise, ADD will disallow any unmatched Federal funds.
G. Cooperation in Evaluation Efforts
Grantees funded by ADD may be requested to cooperate in evaluation
efforts funded by ADD. The purpose of these evaluation activities is to
learn from the combined experience of multiple projects funded under a
particular priority area.
H. Closed Captioning for Audiovisual Efforts
Applicants are encouraged to include ``closed captioning'' in the
development of any audiovisual products.
Part IV. Fiscal Year 1994 Priority Areas for Projects of National
Significance
The following section presents the final priority areas for Fiscal
Year 1994 Projects of National Significance (PNS) and solicits the
appropriate applications.
Fiscal Year 1994 Priority Area 1: Leadership Education and Development
of Individuals With Disabilities and Their Families From Culturally
Diverse Backgrounds
Eligible Applicants: State agencies, public or private
nonprofit organizations, institutions or agencies.
Purpose: Under this priority area, ADD will award
demonstration grant funds on Leadership Education and Development of
Individuals With Disabilities and Their Families From Culturally
Diverse Backgrounds. The lead initiative intends to target individuals
with developmental disabilities and their families from culturally
diverse backgrounds to enable them to impact service delivery and fully
access the services they need. This priority area is also a very
inclusive one meant to cover individuals and families of all ages.
However, we are particularly interested in proposals that foster the
leadership development of young adults (15-25 years of age).
These projects would strengthen the ability of individuals with
developmental disabilities and their families from culturally diverse
backgrounds to serve as leaders and advocates on critical issues in the
developmental disabilities field in the nation, and in their own
communities.
Background Information: Demographic trends continue to
rapidly change the character of our Nation. As communities become more
culturally, ethnically, and racially diverse, the need has increased to
assist individuals from culturally diverse backgrounds and their
families in the development and implementation of effective methods of
communication that increase public awareness, inform individuals from
other ethnic groups with disabilities of issues and services, and
develop and implement networking strategies that improve access to
community resources. Therefore, it is imperative to include persons
with disabilities who are from diverse cultural and ethnic backgrounds
in all aspects of service delivery.
The institutionalization of action strategies that promote
culturally competent policies and practices which are family-centered
and community-based will depend on the ease with which physicians and
other practitioners successfully incorporate ethnic and cultural
factors in their work. For example, issues of importance may include:
cultural and ethnic background of the health care professionals;
sensitivity and competence of the health care professionals to deal
with cultural and ethnic factors; or language and the strength of
cultural and ethnic identification.
Minimum Requirements for Project Design: ADD is seeking
Historically Black Colleges and Universities (HBCUs), grassroots
organizations, racial and ethnic coalitions, civil rights and other
private non-profit organizations experienced in working with culturally
diverse populations to develop successful models for accessing
services; and supporting the ability of these constituencies with
developmental disabilities to perform leadership functions, and make
their own choices--personal or professional.
In order to successfully compete under this priority area, the
application must include activities which would:
Strengthen the ability of members of culturally diverse
racial and ethnic groups with disabilities to serve as leaders and
advocates on critical issues in the developmental disabilities field,
particularly in their own communities;
Enable and actively support members of culturally diverse
racial and ethnic groups with disabilities and their families to take
part in and benefit from advocacy in accessing health care services;
recreational activities, public education efforts and employment
programs;
Support and train members of culturally diverse racial and
ethnic groups with disabilities and their families to participate on
boards of organizations that plan for and make decisions on their
behalf;
Support and train members of culturally diverse racial and
ethnic groups and their families in establishing effective methods of
communication at the community level, and establishing collaborative
relationships between local systems in the provision of individualized
services that they have choice and control of;
Develop and implement public awareness campaigns and other
written materials specifically geared toward members of culturally
diverse groups with disabilities to inform them of the services
available in their catchment areas;
Provide evidence of the applicant's ability to establish
an advisory board comprised of 51% persons with disabilities and 51%
persons from culturally diverse groups. Applicants must also commit to
including members of the project's advisory body into the board
membership of the organization. A plan to accomplish this goal must be
submitted to ADD; and
Provide leadership development and training to increase
and strengthen active participation by individuals with developmental
disabilities and their families from culturally diverse racial and
ethnic backgrounds.
Proposals should also include provisions for the travel of
two key personnel during the first and last year of the project to
Washington, DC. for a one day meeting with ADD staff.
Describe an evaluation component which will measure the
project's effectiveness in achieving desired objectives.
In addition, proposals should provide for the widespread
dissemination of their products (reports, summary documents, audio-
visual materials, and the like) in accessible formats. A plan to
accomplish this goal must be submitted to ADD.
Project Duration: This announcement is soliciting
applications for project periods up to three years under this priority
area. Awards, on a competitive basis, will be for a one-year budget
period, although project periods may be for three years. Applications
for continuation grants funded under this priority area beyond the one-
year budget period, but within the three year project period, will be
entertained in subsequent years on a non-competitive basis, subject to
the availability of funds, satisfactory progress of the grantee and
determination that continued funding would be in the best interest of
the Government.
Federal Share of Project Costs: The maximum Federal share
is not to exceed $100,000 for the first 12-month budget period or a
maximum of $300,000 for a 3-year project period.
Matching Requirement: The minimum non-Federal matching
requirement in proportion to the maximum Federal share of $300,000 is
$100,000 for a 3-year project period. This constitutes 25 percent of
the total project budget.
Anticipated Number of Projects to be Funded: It is
anticipated that up to two (2) projects will be funded.
CFDA: ADD's CFDA (Code of Federal Domestic Assistance)
number is 93.631--Developmental Disabilities--Projects of National
Significance.
Fiscal Year 1993 Priority Area 2: Expanding the Scope of Developmental
Disabilities Planning Councils
Eligible Applicants: State Developmental Disabilities
Councils (DDCs) in States with approved State plans and assurances as
required by the Act which do not have a State mandate to focus on
individuals with disabilities other than developmental disabilities.
Purpose: Under this priority area, ADD will award up to
five (5) individual grants at a maximum of $150,000 and/or one or more
consortium grants to consortiums including a total of no more than five
States to explore the implications of expanding the current scope of
DDC activities to include individuals with a broad range of severe
disabilities. Individuals with severe disabilities other than
developmental disabilities can and have benefitted from the systems
change, capacity building and advocacy activities of the DDCs. ADD is
interested in determining the feasibility and implications of expanding
the focus constituency of the DDCs in States differing in size,
population, geographical distribution, and allotments received under
Part B of the Act.
Background Information: While individuals with
developmental disabilities and their families directly benefit from DDC
advocacy, systemic change, and capacity building activities, there are
many people with severe disabilities other than developmental
disabilities who might benefit further if their concerns were within
the purview of DDCs. Therefore, ADD is accepting proposals, as mandated
through a special initiative under Part E of the Act, for studies in
consultation with and active support from State Protection and Advocacy
Systems and University Affiliated Programs, to explore the feasibility
and implications of expanding the scope of DDC systems change, capacity
building, advocacy and other activities mandated under Part B of the
Act to address the issues and concerns of people with a broader range
of severe disabilities. ADD is looking for information which examines
the potential effect, positive and/or adverse, of expanding the target
constituency to include individuals with severe disabilities whose
eligibility will be based on an extended age of onset and other
determining criteria.
Minimum Requirements for Project Design: These projects
must be conducted in consultation with and active support from the
State Protection and Advocacy System and the University Affiliated
Program. Through this collaboration, DDCs should conduct an assessment
of the characteristics of individuals with disabilities currently
served by all three ADD-funded networks in their States and address
consumer comments and 1990 report findings, particularly those
pertaining to individuals who are unserved or underserved. The project
must address the needs of individuals with developmental disabilities
and other severe disabilities from culturally diverse racial and ethnic
backgrounds. Individuals with disabilities, advocacy groups, and State
and other service agencies must play a role in these studies.
ADD is particularly interested in supporting projects which include
the following:
Propose criteria which define the constituency to be
served through potential DDC expansion (e.g.; age, functional
limitations, or other factors such as individuals from culturally
diverse racial and ethnic backgrounds, disadvantaged individuals,
individuals with limited-English proficiency, individuals from
underserved geographic areas, or specific groups of individuals with
severe disabilities, including individuals with developmental or other
disabilities attributable to physical impairment, mental impairment, or
a combination of physical and mental impairments).
Identify the service and support needs of the expanded
population of individuals with severe disabilities other than
developmental disabilities, and provide strategies that will assist all
such individuals and their families, the developmental disabilities
network, and others, in effecting positive changes on their behalf.
Identify State and local linkages that would be essential
to establishing collaborative relationships with service organizations.
Delineate the barriers, opportunities, and critical issues
related to DDC expansion to a broader range of disabilities as well as
other economic and organizational implications, and the allocation of
resources.
Define outreach activities and collaborative relationships
with other State agencies, organizations, task forces and commissions,
and the impact of these relationships on systems change, advocacy and
capacity building for the expanded constituency.
Explore the effects of expansion activities on the staff
support and other resources of the DDC. Provide a cost analysis of the
proposed expansion.
Describe how Federal, State, or other funds would be used.
Identify the potential for, and the strategies to avoid,
duplication of activities funded by the State or by other Federal
agencies.
Describe the anticipated changes in DDC board membership,
agency policies and procedures, and other requirements necessary to
respond to the needs of the expanded constituency.
Project Duration: This announcement is soliciting
applications for a 15-month project period to meet the legislative
provision for a 15-month investigation under this priority area.
Awards, on a competitive basis, will be for a 15-month budget period.
Applications for continuation grants will not be entertained.
Federal Share of Project Costs: The maximum Federal share
is not to exceed $150,000 for the 15-month budget period for individual
DD Council grants and/or $750,000 for one or more consortium grants to
consortiums that include a total of no more than five States for the
15-month budget period.
Matching Requirement: The minimum non-Federal matching
requirement in proportion to the maximum Federal share of $150,000 is
$50,000 for a 15-month project period for individual DD Council grants.
The minimum non-Federal matching requirement in proportion to the
maximum Federal share of $750,000 is $250,000 for a 15-month project
period for one consortium grant. This constitutes 25 percent of the
total project budget.
Anticipated Number of Projects to be Funded: It is
anticipated that up to five individual DD Council expansion studies
and/or at least one consortium DD Council expansion project will be
funded.
CFDA: ADD's CFDA (Code of Federal Domestic Assistance)
number is 93.631--Developmental Disabilities--Projects of National
Significance. This information is needed to complete item 10 on the SF
424.
Fiscal Year 1994 Priority Area 3: Technical Assistance Projects
(This priority area appeared in the February 1994 announcement without
a priority area number designation)
For this priority area, ADD will be awarding funds separately using
the procurement process to provide technical assistance to improve the
functions of the Developmental Disabilities Planning Councils.
Protection and Advocacy Systems, and University Affiliated Programs
have ongoing technical assistance contracts and will not be competing
for funds this fiscal year.
Part V. Instructions for the Development and Submission of Applications
This Part contains information and instructions for submitting
applications in response to this announcement. Application forms are
provided along with a checklist for assembling an application package.
Please copy and use these forms in submitting an application.
Potential applicants should read this section carefully in
conjunction with the information contained within the specific priority
area under which the application is to be submitted. The priority area
descriptions are in Part IV.
A. Required Notification of the State Single Point of Contact
All applications under the ADD priority areas are required to
follow the Executive Order (E.O.) 12372 process, ``Intergovernmental
Review of Federal Programs,'' and 45 CFR part 100, ``Intergovernmental
Review of Department of Health and Human Services Program 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, South Dakota, Virginia, Washington,
American Samoa and Palau, have elected to participate in the Executive
Order process and have established a State Single Point of Contact
(SPOC). Applicants from these 18 jurisdictions need take no action
regarding E.O. 12372. Applications for projects to be administered by
Federally-recognized Indian Tribes are also exempt from the
requirements of E.O. 12372. Otherwise, applicants should contact their
SPOCs as soon as possible to alert them of the prospective applications
and receive any necessary instructions.
Applicants must submit all required materials to the SPOC 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 and indicate the date of this
submittal (or date SPOC was 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
due date to comment on proposed new or competing continuation awards.
However, because PNS grant applications are due 30 days from the date
of publication, and grants are to be awarded in September 1994, there
is insufficient time to allow for a complete SPOC comment period.
Therefore, we have reduced the comment period to 30 days from the
closing date for applications. These comments are reviewed as part of
the award process. Failure to notify the SPOC can result in delays in
awarding grants.
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 recommendation which may trigger the
``accommodate or explain'' rule.
When comments are submitted directly to ACF, they should be
addressed to: Department of Health and Human Services, Administration
for Children and Families, Division of Discretionary Grants, Sixth
Floor, 370 L'Enfant Promenade SW., Washington, DC 20447, Attn: 93.631
ADD--Projects of National Significance.
Contact information for each State's SPOC is found at the end of
this Part.
B. Notification of State Developmental Disabilities Planning Councils
A copy of the application must also be submitted for review and
comment to the State Developmental Disabilities Council in each State
in which the applicant's project will be conducted. A list of the State
Developmental Disabilities Councils is included at the end of this
announcement.
C. Deadline for Submittal of Applications
One signed original and two copies of the application must be
submitted on or before August 8, 1994 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, Attn: 93.631 ADD--Projects of National
Significance.
Applications may be mailed or hand-delivered. Hand delivered
applications are accepted during the normal working hours of 8 a.m. to
4:30 p.m., Monday through Friday. Applications shall be considered as
meeting an announced deadline if they are either:
1. Received on or before the deadline date at the ACF Grants Office
specified in this section; or
2. Sent on or before the deadline date and received by ACF in time for
the independent review.
(Applicants are cautioned to request a legibly dated U.S. Postal
Service postmark or to obtain a legibly dated receipt from a commercial
carrier or U.S. Postal Service. Private metered postmarks shall not be
acceptable as proof of timely mailing)
Late applications: Applications which do not meet the criteria
stated above are considered late applications. ACF/ADD shall notify
each late applicant that its application will not be considered in the
current competition.
Extension of deadlines: ACF may extend the deadline for all
applicants due to acts of God, such as floods, hurricanes or
earthquakes; or when there is a widespread 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.
D. Instructions for Preparing the Application and Completing
Application Forms
The SF 424, SF 424A, SF 424A, Page 2 and Certifications have been
reprinted for your convenience in preparing the application. You should
reproduce single-sided copies of these forms from the reprinted forms
in the announcement, typing your information onto the copies. Please do
not use forms directly from the Federal Register announcement, as they
are printed on both sides of the page.
Please prepare your application in accordance with the following
instructions:
1. SF 424 Page 1, Application Cover Sheet
Please read the following instructions before completing the
application cover sheet. An explanation of each item is included.
Complete only the items specified.
Top of Page. 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. ``Type of Submission''--Preprinted on the form.
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''--State use only (if applicable).
Item 4. ``Date Received by Federal Agency''--Leave blank.
Item 5. ``Applicant Information''.
``Legal Name''--Enter the legal name of applicant organization. For
applications developed jointly, enter the name of the lead organization
only. There must be a single applicant for each application.
``Organizational Unit''--Enter the name of the primary unit within
the applicant organization which will actually carry out the project
activity. Do not use the name of an individual as the applicant. If
this is the same as the applicant organization, leave the
organizational unit blank.
``Address''--Enter the complete address that the organization
actually uses to receive mail, since this is the address to which all
correspondence will be sent. Do not include both street address and
P.O. box number unless both must be used in mailing.
``Name and telephone number of the person to be contacted on
matters involving this application (give area code)''--Enter the full
name (including academic degree, if applicable) and telephone number of
a person who can respond to questions about the application. This
person should be accessible at the address given here and will receive
all correspondence regarding the application.
Item 6. ``Employer Identification Number (EIN)''--Enter the
employer identification number of the applicant organization, as
assigned by the Internal Revenue Service, including, if known, the
Central Registry System suffix.
Item 7. ``Type of Applicant''--Self-explanatory.
Item 8. ``Type of Application''--Preprinted on the form.
Item 9. ``Name of Federal Agency''--Preprinted on the form.
Item 10. ``Catalog of Federal Domestic Assistance Number and
Title''--Enter the Catalog of Federal Domestic Assistance (CFDA) number
assigned to the program under which assistance is requested and its
title. For all of ADD's priority areas, the following should be
entered, ``93.631--Developmental Disabilities: Projects of National
Significance.''
Item 11. ``Descriptive Title of Applicant's Project''--Enter the
project title. The title is generally short and is descriptive of the
project, not the priority area title.
Item 12. ``Areas Affected by Project''--Enter the governmental unit
where significant and meaningful impact could be observed. List only
the largest unit or units affected, such as State, county, or city. If
an entire unit is affected, list it rather than subunits.
Item 13. ``Proposed Project''--Enter the desired start date for the
project and projected completion date.
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. If Statewide, a multi-State effort, or
nationwide, enter ``00.''
Items 15. Estimated Funding Levels. In completing 15a through 15f,
the dollar amounts entered should reflect, for a 17 month or less
project period, the total amount requested. If the proposed project
period exceeds 17 months, enter only those dollar amounts needed for
the first 12 months of the proposed project.
Item 15a. Enter the amount of Federal funds requested in accordance
with the preceding paragraph. This amount should be no greater than the
maximum amount specified in the priority area description.
Items 15 b-e. Enter the amount(s) of funds from non-Federal sources
that will be contributed to the proposed project. Items b-e are
considered cost-sharing or ``matching funds.'' The value of third party
in-kind contributions should be included on appropriate lines as
applicable. For more information regarding funding as well as
exceptions to these rules, see Part III, Sections E and F, and the
specific priority area description.
Item 15f. Enter the estimated amount of program income, if any,
expected to be generated from the proposed project. Do not add or
subtract this amount from the total project amount entered under item
15g. Describe the nature, source and anticipated use of this program
income in the Project Narrative Statement.
Item 15g. Enter the sum of items 15a-15e.
Item 16a. ``Is Application Subject to Review By State Executive
Order 12372 Process? Yes.''--Enter the date the applicant contacted the
SPOC regarding this application. Select the appropriate SPOC from the
listing provided at the end of Part IV. The review of the application
is at the discretion of the SPOC. The SPOC will verify the date noted
on the application.
Item 16b. ``Is Application Subject to Review By State Executive
Order 12372 Process? No.''--Check the appropriate box if the
application is not covered by E.O. 12372 or if the program has not been
selected by the State for review.
Item 17. ``Is the Applicant Delinquent on any Federal Debt?''--
Check the appropriate box. This question applies to the applicant
organization, not the person who signs as the authorized
representative. Categories of debt include audit disallowances, loans
and taxes.
Item 18. ``To the best of my knowledge and belief, all data in this
application/preapplication are true and correct. The document has been
duly authorized by the governing body of the applicant and the
applicant will comply with the attached assurances if the assistance is
awarded.''--To be signed by the authorized representative of the
applicant. A copy of the governing body's authorization for signature
of this application by this individual as the official representative
must be on file in the applicant's office, and may be requested from
the applicant.
Item 18 a-c. ``Typed Name of Authorized Representative, Title,
Telephone Number''--Enter the name, title and telephone number of the
authorized representative of the applicant organization.
Item 18d. ``Signature of Authorized Representative''--Signature of
the authorized representative named in Item 18a. At least one copy of
the application must have an original signature. Use colored ink (not
black) so that the original signature is easily identified.
Item 18e. ``Date Signed''--Enter the date the application was
signed by the authorized representative.
2. SF 424A--Budget Information--Non-Construction Programs
This is a form used by many Federal agencies. For this application,
Sections A, B, C, E and F are to be completed. Section D does not need
to be completed.
Sections A and B should include the Federal as well as the non-
Federal funding for the proposed project covering (1) The total project
period of 15 months or less or (2) the first year budget period, if the
proposed project period exceeds 15 months.
Section A--Budget Summary. This section includes a summary of the
budget. On line 5, enter total Federal costs in column (e) and total
non-Federal costs, including third party in-kind contributions, but not
program income, in column (f). Enter the total of (e) and (f) in column
(g).
Section B--Budget Categories. This budget, which includes the
Federal as well as non-Federal funding for the proposed project, covers
(1) The total project period of 17 months or less or (2) the first year
budget period if the proposed project period exceeds 17 months. It
should relate to item 15g, total funding, on the SF 424. Under column
(5), enter the total requirements for funds (Federal and non-Federal)
by object class category.
A separate budget justification should be included to explain fully
and justify major items, as indicated below. The types of information
to be included in the justification are indicated under each category.
For multiple year projects, it is desirable to provide this information
for each year of the project. The budget justification should
immediately follow the second page of the SF 424A.
Personnel--Line 6a. Enter the total costs of salaries and wages of
applicant/grantee staff. Do not include the costs of consultants, which
should be included on line 6h, ``Other.''
Justification: Identify the principal investigator or project
director, if known. Specify by title or name the percentage of time
allocated to the project, the individual annual salaries, and the cost
to the project (both Federal and non-Federal) of the organization's
staff who will be working on the project.
Fringe Benefits--Line 6b. Enter the total costs of fringe benefits,
unless treated as part of an approved indirect cost rate.
Justification: Provide a break-down of amounts and percentages that
comprise fringe benefit costs, such as health insurance, FICA,
retirement insurance, etc.
Travel--6c. Enter total costs of out-of-town travel (travel
requiring per diem) for staff of the project. Do not enter costs for
consultant's travel or local transportation, which should be included
on Line 6h, ``Other.''
Justification: Include the name(s) of traveler(s), total number of
trips, destinations, length of stay, transportation costs and
subsistence allowances.
Equipment--Line 6d. Enter the total costs of all equipment to be
acquired by the project. For State and local governments, including
Federally recognized Indian Tribes, ``equipment'' is tangible, non-
expendable personal property having a useful life of more than one year
and an acquisition cost of $5,000 or more per unit. For all other
applicants, the threshold for equipment is $500 or more per unit and
the required useful life is more than two years. The higher threshold
for State and local governments became effective October 1, 1988,
through the implementation of 45 CFR part 92, ``Uniform Administrative
Requirements for Grants and Cooperative Agreements to State and Local
Governments.''
Justification: Equipment to be purchased with Federal funds must be
justified. The equipment must be required to conduct the project, and
the applicant organization or its subgrantees must not have the
equipment or a reasonable facsimile available to the project. The
justification also must contain plans for future use or disposal of the
equipment after the project ends.
Supplies--Line 6e. Enter the total costs of all tangible expendable
personal property (supplies) other than those 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) procurement contracts (except those which belong on other
lines such as equipment, supplies, etc.) and (2) contracts with
secondary recipient organizations, including delegate agencies. Also
include any contracts with organizations for the provision of technical
assistance. Do not include payments to individuals on this line. If the
name of the contractor, scope of work, and estimated total costs are
not available or have not been negotiated, include on Line 6h,
``Other.''
Justification: Attach a list of contractors, indicating the names
of the organizations, the purposes of the contracts, and the estimated
dollar amounts of the awards as part of the budget justification.
Whenever the applicant/grantee intends to delegate part or all of the
program to another agency, the applicant/grantee must complete this
section (Section B, Budget Categories) for each delegate agency by
agency title, along with the supporting information. The total cost of
all such agencies will be part of the amount shown on Line 6f. Provide
backup documentation identifying the name of contractor, purpose of
contract, and major cost elements.
Construction--Line 6g. Not applicable. New construction is not
allowable.
Other--Line 6h. Enter the total of all other costs. Where
applicable, such costs may include, but are not limited to: Insurance;
medical and dental costs; noncontractual fees and travel paid directly
to individual consultants; local transportation (all travel which does
not require per diem is considered local travel); 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. Note that costs identified as ``miscellaneous'' and
``honoraria'' are not allowable.
Justification: Specify the costs included.
Total Direct Charges--Line 6i. Enter the total of Lines 6a through
6h.
Indirect Charges--6j. Enter the total amount of indirect charges
(costs). If no indirect costs are requested, enter ``none.'' Generally,
this line should be used when the applicant (except local governments)
has a current indirect cost rate agreement approved by the Department
of Health and Human Services or another Federal agency.
Local and State governments should enter the amount of indirect
costs determined in accordance with HHS requirements. When an indirect
cost rate is requested, these costs are included in the indirect cost
pool and should not be charged again as direct costs to the grant.
In the case of training grants to other than State or local
governments (as defined in title 45, Code of Federal Regulations, part
74), the Federal reimbursement of indirect costs will be limited to the
lesser of the negotiated (or actual) indirect cost rate or 8 percent of
the amount allowed for direct costs, exclusive of any equipment
charges, rental of space, tuition and fees, post-doctoral training
allowances, contractual items, and alterations and renovations.
For training grant applications, the entry under line 6j should be
the total indirect costs being charged to the project. The Federal
share of indirect costs is calculated as shown above. The applicant's
share is calculated as follows:
(a) Calculate total project indirect costs (a*) by applying the
applicant's approved indirect cost rate to the total project (Federal
and non-Federal) direct costs.
(b) Calculate the Federal share of indirect costs (b*) at 8 percent
of the amount allowed for total project (Federal and non-Federal)
direct costs exclusive of any equipment charges, rental of space,
tuition and fees, post-doctoral training allowances, contractual items,
and alterations and renovations.
(c) Subtract (b*) from (a*). The remainder is what the applicant
can claim as part of its matching cost contribution.
Justification: Enclose a copy of the indirect cost rate agreement.
Applicants subject to the limitation on the Federal reimbursement of
indirect costs for training grants should specify this.
Total--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. Do not add or subtract
this amount from the total project amount.
Justification: Describe the nature, source, and anticipated use of
program income in the Program Narrative Statement.
Section C--Non-Federal Resources. This section summarizes the
amounts of non-Federal resources that will be applied to the grant.
Enter this information on line 12 entitled ``Totals.'' In-kind
contributions are defined in title 45 of the Code of Federal
Regulations, Secs. 74.51 and 92.24, as ``property or services which
benefit a grant- supported project or program and which are contributed
by non-Federal third parties without charge to the grantee, the
subgrantee, or a cost-type contractor under the grant or subgrant.''
Justification: Describe third party in-kind contributions, if
included.
Section D--Forecasted Cash Needs. Not applicable.
Section E--Budget Estimate of Federal Funds Needed For Balance of
the Project. This section should only be completed if the total project
period exceeds 17 months.
Totals--Line 20. For projects that will have more than one budget
period, enter the estimated required Federal funds for the second
budget period (months 13 through 24) under column ``(b) First.'' If a
third budget period will be necessary, enter the Federal funds needed
for months 25 through 36 under ``(c) Second.'' Columns (d) and (e) are
not applicable in most instances, since ACF funding is almost always
limited to a three-year maximum project period. They should remain
blank.
Section F--Other Budget Information.
Direct Charges--Line 21. Not applicable.
Indirect Charges--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.
Remarks--Line 23. If the total project period exceeds 17 months,
you must enter your proposed non-Federal share of the project budget
for each of the remaining years of the project.
3. Project Summary Description
Clearly mark this separate page with the applicant name as shown in
item 5 of the SF 424, the priority area number as shown at the top of
the SF 424, and the title of the project as shown in item 11 of the SF
424. The summary description should not exceed 300 words. These 300
words become part of the computer database on each project.
Care should be taken to produce a summary description which
accurately and concisely reflects the proposal. It should describe the
objectives of the project, the approaches to be used and the outcomes
expected. The description should also include a list of major products
that will result from the proposed project, such as software packages,
materials, management procedures, data collection instruments, training
packages, or videos (please note that audiovisuals should be closed
captioned). The project summary description, together with the
information on the SF 424, will constitute the project ``abstract.'' It
is the major source of information about the proposed project and is
usually the first part of the application that the reviewers read in
evaluating the application.
4. Program Narrative Statement
The Program Narrative Statement is a very important part of an
application. It should be clear, concise, and address the specific
requirements mentioned under the priority area description in Part IV.
The narrative should also provide information concerning how the
application meets the evaluation criteria, using the following
headings:
(a) Objectives and Need for Assistance;
(b) Results and Benefits Expected;
(c) Approach; and
(d) Staff Background and Organization's Experience.
The specific information to be included under each of these
headings is described in Section C of Part III, Evaluation Criteria.
The narrative should be typed double-spaced on a single-side of an
8\1/2\'' x 11'' plain white paper, with 1'' margins on all sides. All
pages of the narrative (including charts, references/footnotes, tables,
maps, exhibits, etc.) must be sequentially numbered, beginning with
``Objectives and Need for Assistance'' as page number one. Applicants
should not submit reproductions of larger size paper, reduced to meet
the size requirement.
The length of the application, including the application forms and
all attachments, should not exceed 60 pages. A page is a single side of
an 8\1/2\'' x 11'' sheet of paper. Applicants are requested not to send
pamphlets, brochures or other printed material along with their
application as these pose xeroxing difficulties. These materials, if
submitted, will not be included in the review process if they exceed
the 60-page limit. Each page of the application will be counted to
determine the total length.
5. Organizational Capability Statement
The Organizational Capability Statement should consist of a brief
(two to three pages) background description of how the applicant
organization (or the unit within the organization that will have
responsibility for the project) is organized, the types and quantity of
services it provides, and/or the research and management capabilities
it possesses. This description should cover capabilities not included
in the Program Narrative Statement. It may include descriptions of any
current or previous relevant experience, or describe the competence of
the project team and its demonstrated ability to produce a final
product that is readily comprehensible and usable. An organization
chart showing the relationship of the project to the current
organization should be included.
6. Part V--Assurances/Certifications
Applicants are required to file an SF 424B, Assurances--Non-
Construction Programs and the Certification Regarding Lobbying. Both
must be signed and returned with the application. Applicants must also
provide certifications regarding: (1) Drug-Free Workplace Requirements;
and (2) Debarment and Other Responsibilities. These two certifications
are self-explanatory. Copies of these assurances/certifications are
reprinted at the end of this announcement and should be reproduced, as
necessary. A duly authorized representative of the applicant
organization must certify that the applicant is in compliance with
these assurances/certifications. A signature on the SF 424 indicates
compliance with the Drug Free Workplace Requirements, and Debarment and
Other Responsibilities certifications, and need not be mailed back with
the application.
In addition, applicants are required under section 162(c)(3) of the
Act to provide assurances that the human rights of all individuals with
developmental disabilities (especially those individuals without
familial protection) who will receive services under projects assisted
under Part E will be protected consistent with section 110 (relating to
the rights of individuals with developmental disabilities). Each
application must include a statement providing this assurance.
For research projects in which human subjects may be at risk, a
Protection of Human Subjects Assurance may be required. If there is a
question regarding the applicability of this assurance, contact the
Office for Research Risks of the National Institutes of Health at (301)
496-7041.
D. Checklist for a Complete Application
The checklist below is for your use to ensure that your application
package has been properly prepared.
--One original, signed and dated application, plus two copies.
Applications for different priority areas are packaged separately;
--Application is from an organization which is eligible under the
eligibility requirements defined in the priority area description
(screening requirement);
--Application length does not exceed 60 pages, unless otherwise
specified in the priority area description.
A complete application consists of the following items in this
order:
--Application for Federal Assistance (SF 424, REV 4-88);
--A completed SPOC certification with the date of SPOC contact entered
in line 16, page 1 of the SF 424 if applicable.
--Budget Information--Non-Construction Programs (SF 424A, REV 4-88);
--Budget justification for Section B--Budget Categories;
--Table of Contents;
--Letter from the Internal Revenue Service, etc. to prove non-profit
status, if necessary;
--Copy of the applicant's approved indirect cost rate agreement, if
appropriate;
--Project summary description and listing of key words;
--Program Narrative Statement (See Part III, Section C);
--Organizational capability statement, including an organization chart;
--Any appendices/attachments;
--Assurances--Non-Construction Programs (Standard Form 424B, REV 4-88);
--Certification Regarding Lobbying; and
--Certification of Protection of Human Subjects, if necessary.
E. The Application Package
Each application package must include an original and two copies of
the complete application. Each copy should be stapled securely (front
and back if necessary) in the upper left-hand corner. All pages of the
narrative (including charts, tables, maps, exhibits, etc.) must be
sequentially numbered, beginning with page one. In order to facilitate
handling, please do not use covers, binders or tabs. Do not include
extraneous materials as attachments, such as agency promotion
brochures, slides, tapes, film clips, minutes of meetings, survey
instruments or articles of incorporation.
(Federal Catalog of Domestic Assistance Number 93.631 Developmental
Disabilities--Projects of National Significance)
Dated: June 30, 1994.
Bob Williams,
Commissioner, Administration on Developmental Disabilities.
Executive Order 12372--State Single Points of Contact
Arizona
Janice Dunn, Arizona State Clearinghouse, 3800 N. Central Avenue,
Fourteenth Floor, Phoenix, Arizona 85012, Telephone: (602) 280-1315,
FAX # (602) 280-1305
Arkansas
Mr. Tracy L. Copeland, Manager, State Clearinghouse Office of
Intergovernmental Services, Department of Finance and
Administration, 1515 W. 7th St., room 412, Little Rock, Arkansas
72203, Telephone: (501) 682-1074, FAX # (501) 682-5206
California
Grants Coordinator, Office of Planning & Research, 1400 Tenth
Street, room 121, Sacramento, California 95814, Telephone: (916)
323-7480, FAX # (916) 323-3018
Colorado
State Single Point of Contact State Clearinghouse, Division of Local
Government, 1313 Sherman Street, room 521, Denver, Colorado 80203,
Telephone: (303) 866-2156, FAX # (303) 866-2251
Delaware
Francine Booth, State Single Point of Contact Executive Department,
Thomas Collins Building, Dover, Delaware 19903, Telephone: (302)
739-3326, FAX # (302) 739-5661
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, FAX # (202) 727-
1617
Florida
Suzanne Traub-Metlay, Florida State Clearinghouse, Intergovernmental
Affairs, Policy Unit, Executive Office of the Governor, The Capitol
(room 1603), Tallahassee, Florida 32399-0001, Telephone: (904) 488-
8114, FAX # (904) 488-9005
Georgia
Charles H. Badger, Administrator, Georgia State Clearinghouse, 254
Washington Street SW., room 401J, Atlanta, Georgia 30334, Telephone:
(404) 656-3855 or (404) 656-3829, FAX # (404) 656-7938
Illinois
Steve Klokkenga, State Single Point of Contact Office of the
Governor, 107 Stratton Building, Springfield, Illinois 62706,
Telephone: (217) 782-1671, FAX # (217) 782-6620
Indiana
Frances E. Williams, State Budget Agency, 212 State House,
Indianapolis, Indiana 46204, Telephone: (317) 232-2972, FAX # (317)
233-3323
Iowa
Steven R. McCann, Division for Community Assistance, Iowa Department
of Economic Development, 200 East Grand Avenue, Des Moines, Iowa
50309, Telephone: (515) 242-4719, FAX # (515) 242-4859
Kentucky
Ronald W. Cook, Office of the Governor, Department of Local
Government, 1024 Capitol Center Drive, Frankfort, Kentucky 40601-
8204, Telephone: (502) 573-2382, FAX # (502) 573-2512
Maine
Joyce Benson, State Planning Office, State House Station #38
Augusta, Maine 04333, Telephone: (207) 287-3261, FAX # (207) 287-
6489
Maryland
Mr. Roland E. English III, Chief, State Clearinghouse for
Intergovernmental Assistance, Maryland Office of Planning, 301 W.
Preston Street, room 1104, Baltimore, Maryland 21201-2365,
Telephone: (410) 225-4490, FAX # (410) 225-4480
Massachusetts
Karen Arone, State Clearinghouse, Executive Office of Communities
and Development, 100 Cambridge Street, room 1803, Boston,
Massachusetts 02202, Telephone: (617) 727-7001 ext. 443, FAX # (617)
727-4259
Michigan
Richard S. Pastula, Director, Office of Federal Grants, Michigan
Department of Commerce, P.O. Box 30225, Lansing, Michigan 48909,
Telephone: (517) 373-7356, FAX # (517) 373-6683
Mississippi
Cathy Malette, Clearinghouse Officer, Office of Federal Grant
Management and Reporting, Department of Finance and Administration,
301 West Pearl Street, Jackson, Mississippi 39203, Telephone: (601)
949-2174, FAX # (601) 949-2125
Missouri
Lois Pohl, Federal Assistance Clearinghouse, Office of
Administration, P.O. Box 809, room 760, Truman Building, Jefferson
City, Missouri 65102, Telephone: (314) 751-4834, FAX # (314) 751-
7819
Nevada
Department of Administration, State Clearinghouse, Capitol Complex,
Carson City, Nevada 89710, Telephone: (702) 687-4065, FAX # (702)
687-3983
New Hampshire
Jeffrey H. Taylor, Director, New Hampshire Office of State Planning,
Attn: Intergovernmental Review Process, James E. Bieber, 2\1/2\
Beacon Street, Concord, New Hampshire 03301, Telephone: (603) 271-
2155, FAX # (603) 271-1728
New Jersey
Gregory W. Adkins, Director, Division of Community Resources, New
Jersey Department of Community, Affairs
Please direct all correspondence and questions about
intergovernmental review to: Andrew J. Jaskolka, State Review
Process, Division of Community Resources, CN 814, room 609, Trenton,
New Jersey 08625-0814, Telephone: (609) 292-9025, FAX # (609) 984-
0386
New Mexico
George Elliott, Deputy Director, State Budget Division, room 190,
Bataan Memorial Building, Santa Fe, New Mexico 87503, Telephone:
(505) 827-3640
New York
New York State Clearinghouse, Division of the Budget, State Capitol,
Albany, New York 12224, Telephone: (518) 474-1605
North Carolina
Chrys Baggett, Director, N.C. State Clearinghouse, Office of the
Secretary of Admin., 116 West Jones Street, Raleigh, North Carolina
27603-8003, Telephone: (919) 733-7232, FAX # (919) 733-9571
North Dakota
North Dakota Single Point of Contact, Office of Intergovernmental
Assistance, 600 East Boulevard Avenue, Bismarck, North Dakota 58505-
0170, Telephone: (701) 224-2094, FAX # (701) 224-2308
Ohio
Larry Weaver, State Single Point of Contact, State Clearinghouse,
Office of Budget and Management, 30 East Broad Street, 34th Floor,
Columbus, Ohio 43266-0411
Please direct correspondence and questions about intergovernmental
review to: Linda Wise, Telephone: (614) 466-0698, FAX # (614) 466-
5400
Rhode Island
Daniel W. Varin, Associate Director, Department of Administration,
Division of Planning, One Capitol Hill, 4th Floor, Providence, Rhode
Island 02908-5870, Telephone: (401) 277-2656, FAX # (401) 277-2083
Please direct correspondence and questions to: Review Coordinator,
Office of Strategic Planning
South Carolina
Omeagia Burgess, State Single Point of Contact Grant Services,
Office of the Governor, 1205 Pendleton Street, room 477, Columbia,
South Carolina 29201, Telephone: (803) 734-0494, FAX # (803) 734-
0385
Tennessee
Charles Brown, State Single Point of Contact State Planning Office,
500 Charlotte Avenue, John Sevier Building, suite 309, Nashville,
Tennessee 37243-0001, Telephone: (615) 741-1676
Texas
Tom Adams, Director, Intergovernmental Coordination, PO Box 13005,
Austin, Texas 78711, Telephone: (512) 463-1771, FAX # (512) 463-1984
Utah
Carolyn Wright, Utah State Clearinghouse, Office of Planning and
Budget, room 116, State Capitol, Salt Lake City, Utah 84114,
Telephone: (801) 538-1535, FAX # (801) 538-1547
Vermont
Nancy McAvoy, State Single Point of Contact, Pavilion Office
Building, 109 State Street, Montpelier, Vermont 05609, Telephone:
(802) 828-3326, FAX # (802) 828-3339
West Virginia
Fred Cutlip, Director, Community Development Division, W. Virginia
Development Office, Building #6, room 553, Charleston, West Virginia
25305, Telephone: (304) 558-4010, FAX # (304) 558-3248
Wisconsin
Martha Kerner, Section Chief, State/Federal Relations, Wisconsin
Department of Administration, 101 East Wilson Street, 6th Floor, PO
Box 7868, Madison, Wisconsin 53707, Telephone: (608) 266-2125, FAX #
(608) 267-6931
Wyoming
Sheryl Jeffries, State Single Point of Contact, Herschler Building,
4th floor, East Wing, Cheyenne, Wyoming 82002, Telephone: (307) 777-
7574, FAX # (307) 638-8967
Territories (SPOC)
Guam
Mr. Giovanni T. Sgambelluri, Director, Bureau of Budget and
Management Research, Office of the Governor, PO Box 2950, Agana,
Guam 96910, Telephone: 011-671-472-2285, FAX # 011-671-472-2825
Puerto Rico
Norma Burgos/Jose E. Caro, Chairwoman/Director, Puerto Rico Planning
Board, Federal Proposals Review Office, Minillas Government Center,
PO Box 41119, San Juan, Puerto Rico 00940-1119, Telephone: (809)
727-4444, (809) 723-6190, FAX # (809) 724-3270, (809) 724-3103
Northern Mariana Islands
State Single Point of Contact, Planning and Budget Office, Office of
the Governor, Saipan, CM, Northern Mariana Islands 96950
Virgin Islands
Jose George, Director, Office of Management and Budget, #41
Norregade Emancipation Garden Station, Second Floor, Saint Thomas,
Virgin Islands 00802
Please direct all questions and correspondence about
intergovernmental review to: Linda Clarke, Telephone: (809) 774-
0750, FAX # (809) 776-0069
State Developmental Disabilities Planning Councils
Alabama
Joan B. Hannah, Ed.D., Executive Director, Alabama Developmental
Disabilities Planning Council, 200 Interstate Park Dr., PO Box 3710,
Montgomery, Alabama 36193-5001, (205) 270-4680, 1-800-232-2158, FAX
# (205) 240-3195
Alaska
David Maltman, Director, Govenor's Council on Disabilities and
Special Education, PO Box 240249, Anchorage, Alaska 99524-0249,
(907) 563-5355, FAX # (907) 563-5357
Arizona
Diane Skay, Director, Governor's Council on Developmental
Disabilities, 1717 West Jefferson Street, Site Code 074Z, Phoenix,
Arizona 85007, (602) 542-4049, FAX # (602) 542-5339
Arkansas
Orson Berry, Executive Director, Governor's Developmental
Disabilities, Planning Council, 4815 West Markham, Slot 12, Little
Rock, Arkansas 72205-3867, (501) 661-2589, FAX # (501) 661-2399
California
Roberta A. Marlowe, Ph.D., Executive Director, CA State Council on
Developmental Disabilities, 2000 ``O'' Street, suite 100,
Sacramento, California 95814, (916) 322-8481, FAX # (916) 443-4957
Colorado
Donald St. Louis, Executive Director, Colorado Developmental
Disabilities Planning Council, 777 Grant Street, suite 304, Denver,
Colorado 80203, (303) 894-2345, FAX # (303) 894-2880
Connecticut
Edward T. Preneta, Director, CT Council on Developmental
Disabilities, 90 Pitkin Street, East Hartford, Connecticut 06108,
(203) 725-3829, FAX # (203) 528-3680
Delaware
James F. Linehan, Director, Developmental Disabilities Planning
Council, Department of Administrative Services, Box 1401, Townsend
Building, Dover, Delaware 19901, (302) 739-3333, FAX # (302) 739-
6704
District of Columbia
Carol Boykins, Executive Director, Developmental Disabilities State
Planning Council, 801 N. Capitol St. NE., suite 954, Washington, DC.
20002, (202) 279-6085, FAX # (202) 727-6587
Florida
K. Joseph Krieger, Executive Director, Florida Developmental
Disabilities Planning Council, 820 East Park Avenue, suite I-100,
Tallahassee, Florida 32301, (904) 488-4180, FAX # (904) 922-6702
Georgia
Zebe Schmitt, Executive Director, Governor's Council on
Developmental Disabilities, 2 Peachtree St. NE, room 3-210, Atlanta,
Georgia 30303, (404) 657-2126, FAX # (404) 657-2132, TDD 657-2133
Hawaii
Diana Tizard, Director, State Planning Council on Developmental
Disabilities, Five Waterfront Plaza, 500 Ala Moana Boulevard, suite
5-200, Honolulu, Hawaii 96813, (808) 586-8100, FAX # (808) 586-8129
Idaho
John D. Watts, Director, Idaho State Council on Developmental
Disabilities, 280 North 8th Street, suite 208, Boise, Idaho 83720,
(208) 334-2178, FAX # (208) 334-3417, 800-544-2433 (Idaho only)
Illinois
Rene Christensen-Leininger, Director, Illinois Council on
Developmental Disabilities, 830 S. Spring Street, Springfield, IL
62704, (217) 782-9696, FAX # (217) 524-5339
Joan Asturrizaga, Director, Illinois Council on Developmental
Disabilities, 100 W. Randolph/10-600, Chicago, Illinois, (312) 814-
2080, FAX # (312) 814-7141
Indiana
Ms. Suellen Jackson-Boner, Director, Governor's Planning Council for
People with Disabilities, 143 W. Market Street, Harrison Building,
suite 404, Indianapolis, Indiana 46204, (317) 232-7770/3, FAX #
(317) 233-3712
Iowa
Mr. Jay Brewer, Executive Director, Governor's Planning Council for
Developmental Disabilities, Hoover State Office Building, 1st Floor,
Des Moines, Iowa 50319, (515) 281-7632, FAX # (515) 281-4597
Kansas
Ms. Jane Rhys, Executive Director, Kansas Planning Council on
Developmental Disabilities, 915 Harrison, room 141, Topeka, Kansas
66612, (913) 296-2608/9, FAX # (913) 296-1158
Kentucky
Prudence Reilly, Executive Director, Kentucky Developmental
Disabilities Planning Council, Department for Mental Health and
Mental Retardation Services, 275 East Main Street, Frankfort,
Kentucky 40621, (502) 564-7842, FAX # (502) 564-3844
Louisiana
Clarice Eichelberger, Executive Director, Louisiana State Planning
Council on Developmental Disabilities, PO Box 3455 Bin 14, 1201
Capitol Access, 5th floor, DOT Edition, East Entrance, Baton Rouge,
Louisiana 70821-3455, (504) 342-6804, FAX # (504) 342-4419
Maine
Peter R. Stowell, Executive Director, Maine Developmental
Disabilities Council, Nash Building, Station #139, Augusta, Maine
04333-0139, (207) 287-4213, FAX # (207) 287-4268
Maryland
Susanne Elrod, Executive Director, Maryland State Planning Council
on Developmental Disabilities, One Market Center, Box 10, 300 West
Lexington Street, Baltimore, Maryland 21201-2323, (410) 333-3688,
FAX # (401) 333-6674
Massachusetts
Jody Williams, Executive Director, Massachusetts Developmental
Disabilities Council, 600 Washington Street, room 670, Boston,
Massachusetts 02111, (617) 727-6374, FAX # (617) 727-1174, TDD 617
727-1885
Michigan
Ms. Sharon Tipton, Executive Director, Dept. of Mental Health,
Michigan DD Council, Lewis Cass Building, 6th floor, Lansing,
Michigan 48913, (517) 334-6123, 7240, FAX # (517) 334-7353
Minnesota
Ms. Colleen Wieck, Ph.D., Executive Director, Governor's Planning
Council on Developmental Disabilities, 300 Centennial Office
Building, 658 Cedar Street, St. Paul, Minnesota 55155, (612) 296-
4018, FAX # (612) 296-3698
Mississippi
Ed C. Bell, Staff Director, Mississippi Developmental Disabilities
Planning Council, 1101 Robert E. Lee Building, Jackson, Mississippi
39201, (601) 359-6238, FAX # (601) 359-6295
Missouri
Ms. Kay Conklin, Director, Missouri Planning Council for
Developmental Disabilities, PO Box 687, 1706 East Elm Street,
Jefferson City, Missouri 65102, (314) 751-8611, FAX # (314) 751-9207
Montana
Greg A. Olsen, Executive Director, Developmental Disabilities
Planning and Advisory Council, 111 N. Last Chance Gulch, Arcade
Bldg., Unit C, Box 526, Helena, Montana 59620, (406) 444-1334, FAX #
(406) 444-5999.
Nebraska
Ms. Mary Gordon, Director, Dept. of Health/Developmental
Disabilities, 301 Centennial Mall South, PO Box 95007, Lincoln,
Nebraska 68509, (402) 471-2330, FAX # (402) 471-0383.
Nevada
Donny Loux, Director, DD Council, Dept. of Rehab., 711 S. Stewart,
Carson City, Nevada 89710, (702) 687-4440, FAX # (702) 687-5980.
New Hampshire
Thomas Flayton, (Acting) Executive Director, New Hampshire
Developmental Disabilities Council, The Concord Center--Room 315, PO
Box 315, 10 Ferry Street, Concord, New Hampshire 03301-5022, (603)
271-3236,7,8, FAX # (603) 225-6766.
New Jersey
Ethan B. Ellis, Executive Director, NJ Developmental Disabilities
Planning Council, 32 W. State Street, CN 700, Trenton, New Jersey
08625-0700, (609) 292-3745, FAX # (609) 292-7114.
New Mexico
Chris Isengard, Executive Director, Developmental Disabilities
Planning Council, State of New Mexico, 435 St. Michael's Drive,
Building D, Santa Fe, New Mexico 87501, (505) 827-7590, FAX # (505)
827-7589.
New York
Isabel T. Mills, Executive Director, New York State Developmental
Disabilities Planning Council, 155 Washington Avenue, 2nd Floor,
Albany, New York 12210, (518) 432-8233, FAX # 518-432-8238.
North Carolina
Holly Riddle, Executive Director, North Carolina Council on
Developmental Disabilities, 1508 Western Blvd., Raleigh, North
Carolina 27606-1359, (919) 733-6566, FAX # (919) 733-1863.
North Dakota
Tom Wallner, Director, North Dakota Council on Developmental
Disabilities, c/o Department of Human Services, State Capitol, 600
E. Boulevard Avenue, Bismarck, North Dakota 58505-0250, (701) 224-
3219, FAX # (701) 224-2359.
Ohio
Mr. Ken Campbell, Executive Director, Ohio Developmental
Disabilities, Planning Council, Department of Mental Retardation/
Developmental Disabilities, 8 East Long Street, 6th Floor, Columbus,
Ohio 43266-0523, (614) 466-5205, FAX # (614) 466-0298.
Oklahoma
Ann Trudgeon, Director, Developmental Disabilities Planning Council,
Department of Human Services, PO Box 25352, Oklahoma City, Oklahoma
73125-0352, (405) 521-4984(5), FAX # (405) 521-6684.
Oregon
Charlotte Duncan, Executive Director, Oregon Developmental
Disabilities Planning Council, 540 24th Place NE, Salem, Oregon
97301-4517, (503) 373-7555, FAX # (503) 373-7172.
Pennsylvania
David B. Schwartz, Executive Director, Developmental Disabilities
Planning Council, Forum Building, Room 569, Commonwealth Avenue,
Harrisburg, Pennsylvania 17120, (717) 787-6057.
Rhode Island
Marie V. Citrone, Executive Director, Rhode Island Developmental
Disabilities Council, State Executive Department, 600 New London
Avenue, Cranston, Rhode Island 02920-3028, (401) 464-3191, FAX #
(401) 464-3570.
South Carolina
Charles Lang, Interim Executive Director, South Carolina
Developmental Disabilities, Planning Council, Edgar Brown Building,
Room 372, 1205 Pendleton Street, Columbia, South Carolina 29201-
3731, (803) 734-0465, FAX # (803) 734-0356.
South Dakota
Charles A. Anderson, Director, South Dakota Governor's Planning
Council on Developmental Disabilities, Hillsview Plaza, c/o 500 East
Capitol, Pierre, South Dakota 57501-5070, (605) 773-6415, FAX #
(605) 773-5483.
Tennessee
Wanda Willis, Director, Developmental Disabilities Planning Council,
Department of Mental Health and Mental Retardation, 706 Church
Street, 3rd Floor, Doctor's Building, Nashville, Tennessee 37219-
5393, (615) 741-9791, FAX # (615) 741-0770.
Texas
Roger A. Webb, Executive Director, Texas Planning Council for
Developmental Disabilities, 4900 North Lamar Blvd., Austin, Texas
78751-2399, (512) 483-4080, FAX # (512) 483-4097.
Utah
Catherine E. Chambless, Director, Utah Governor's Council for People
with Disabilities, PO Box 1958, Salt Lake City, Utah 84110-1958,
(801) 533-4128, FAX # (801) 533-5302.
Vermont
Thomas A. Pombar, Executive Secretary, Vermont Developmental
Disabilities Council, Waterbury Office Complex, 103 South Main
Street, Waterbury, Vermont 05671-1534, (802) 241-2612, FAX # (802)
241-2979.
Virginia
Sandy Reen, Director, Virginia Board for People with Disabilities,
Post Office Box 613, Richmond, Virginia 23205-0613, (804) 786-0016,
FAX # (804) 786-1118.
Washington
Edward M. Holen, Executive Director, Developmental Disabilities
Planning Council, Department of Community Development, 906 Columbia
St., SW, Post Office Box 48314, Olympia, Washington 98504-8314,
(206) 753-3908, 1-800-634-4473, FAX # (206) 586-2424.
West Virginia
Julie Pratt, Director, West Virginia Developmental Disabilities,
Planning Council, 1601 Kanawha Blvd., West--Suite 200, Charleston,
West Virginia 25312-2500, (304) 558-0416 (Voice), (304) 558-2376
(TDD), FAX # (304) 558-0941.
Wisconsin
Ms. Jayn Wittenmyer, Executive Director, Council on Developmental
Disabilities, State of Wisconsin, 722 Williamson Street, PO Box
7851, Madison, Wisconsin 53707-7851, (608) 266-7826, FAX # (608)
267-3906.
Wyoming
Sharron C. Kelsey, Executive Director, Governor's Planning Council
on Developmental Disabilities, 122 West 25th Street, Herschler
Bldg., First Floor East, Cheyenne, Wyoming 82002, (307) 777-7230, 1-
800-442-4333 (in-state-only), FAX # (307) 777-5690.
National Office
Ms. Susan Ames-Zierman, Executive Director, National Association of
Developmental Disabilities Councils (NADDC), 1234 Massachusetts
Avenue, NE., Suite 103, Washington, DC 20005, (202) 347-1234, FAX #
(202) 347-4023.
TERRITORIES (DDCs)
American Samoa
Henry Sesepasara, Executive Director, American Samoa Developmental
Disabilities Council, PO Box 184, Pago Pago, American Samoa 96799,
(684) 633-2919, FAX # (684) 633-1139
Commonwealth of the Northern Mariana Islands
Juanita S. Malone, CNMI DD Council, PO Box 2565, Saipan, MP 96950,
(011) 670-323-3014/16, FAX # (011) 670-322-4168.
Government of Federated State of Micronesia
Yosiro Suta, Gov't of Federated States, of Micronesia, Dept of Ed.,
Palikir, Pohnpei, FM 96941, (691) 320-2609, FAX # (691) 320-5500.
Guam
Frances Limitiaco Standing Soldier, Executive Director, Guam
Developmental Disabilities Council, 122 IT&E Plazza, Rm. 201,
Harmon, Guam 96911, (671) 646-9468, 9469, FAX # (671) 649-7672, TDD
671-649-3911.
Northern Mariana Islands
Juanita S. Malone, Executive Director, Developmental Disabilities
Council, Department of Education, PO Box 2565, Saipan, CM 96950, W
(670) 322-3014, H (670) 322-1398.
Puerto Rico
Maria Luisa Mendia, Executive Director, Puerto Rico Developmental
Disabilities State Council, PO Box 9543, Santurce, Puerto Rico
00908, (809) 722-0595, FAX # (809) 721-3622.
Virgin Islands
Mark Vinzant, Director, VI Developmental Disabilities Council, P.O.
Box 2671 Kings Hill, St. Croix, U.S. Virgin Islands 00850-9999,
(809) 772-2133
Western Carolina Islands (Trust Territories of the Pacific)
Minoru Ueki, MD, Trust Territory Health Council, MacDonald Memorial
Hospital KOROR, Palau. WCI 96940
BILLING CODE 4184-01-P
TN07JY94.000
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) & 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 the 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
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TN07JY94.002
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) 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 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
Line 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 nondiscrimination
in the sale, rental or financing of housing; (i) any other
nondiscrimination provisions in the specific statute(s) under which
application for Federal assistance is being made; and (j) the
requirements of any other nondiscrimination statute(s) which may
apply to the application.
7. Will comply, or has already complied, with the requirements
of Titles II and III of the Uniform Relocation Assistance and Real
Property Acquisition Policies Act of 1970 (P.L. 91-646) which
provide for fair and equitable treatment of persons displaced or
whose property is acquired as a result of Federal or federally
assisted programs. These requirements apply to all interests in real
property acquired for project purposes regardless of Federal
participation in purchases.
8. Will comply with the provisions of the Hatch Act (5 U.S.C.
Secs. 1501-1508 and 7324-7328) which limit the political activities
of employees whose principal employment activities are funded in
whole or in part with Federal funds.
9. Will comply, as applicable, with the provisions of the Davis-
Bacon Act (40 U.S.C. Secs. 276a to 276a-7), the Copeland Act (40
U.S.C. Sec. 276c and 18 U.S.C. Secs. 874), and the Contract Work
Hours and Safety Standards Act (40 U.S.C. Secs. 327-333), regarding
labor standards for federally assisted construction subagreements.
10. Will comply, if applicable, with flood insurance purchase
requirements of Section 102(a) of the Flood Disaster Protection Act
of 1973 (P.L. 93-234) which requires recipients in a special flood
hazard area to participate in the program and to purchase flood
insurance if the total cost of insurable construction and
acquisition is $10,000 or more.
11. Will comply with environmental standards which may be
prescribed pursuant to the following: (a) institution of
environmental quality control measures under the National
Environmental Policy Act of 1969 (P.L. 91-190) and Executive Order
(EO) 11514; (b) notification of violating facilities pursuant to EO
11738; (c) protection of wetlands pursuant to EO 11990; (d)
evaluation of flood hazards in floodplains in accordance with EO
11988; (e) assurance of project consistency with the approved State
management program developed under the Coastal Zone Management Act
of 1972 (16 U.S.C. Secs. 1451 et seq.); (f) conformity of Federal
actions to State (Clear Air) Implementation Plans under Section
176(c) of the Clear Air Act of 1955, as amended (42 U.S.C. Sec. 7401
et seq.); (g) protection of underground sources of drinking water
under the Safe Drinking Water Act of 1974, as amended, (P.L. 93-
523); and (h) protection of endangered species under the Endangered
Species Act of 1973, as amended, (P.L. 93-205).
12. Will comply with the Wild and Scenic Rivers Act of 1968 (16
U.S.C. Secs. 1271 et seq.) related to protecting components or
potential components of the national wild and scenic rivers system.
13. Will assist the awarding agency in assuring compliance with
Section 106 of the National Historic Preservation Act of 1966, as
amended (16 U.S.C. 470), EO 11593 (identification and protection of
historic properties), and the Archaeological and Historic
Preservation Act of 1974 (16 U.S.C. 469a-1 et seq.).
14. Will comply with P.L. 93-348 regarding the protection of
human subjects involved in research, development, and related
activities supported by this award of assistance.
15. Will comply with the Laboratory Animal Welfare Act of 1966
(P.L. 89-544, as amended, 7 U.S.C. 2131 et seq.) pertaining to the
care, handling, and treatment of warm blooded animals held for
research, teaching, or other activities supported by this award of
assistance.
16. Will comply with the Lead-Based Paint Poisoning Prevention
Act (42 U.S.C. Secs. 4801 et seq.) which prohibits the use of lead
based paint in construction or rehabilitation of residence
structures.
17 Will cause to be performed the required financial and
compliance audits in accordance with the Single Audit Act of 1984.
18. Will comply with all applicable requirements of all other
Federal laws, executive orders, regulations and policies governing
this program.
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Signature of Authorized Certifying Official
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Title
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Applicant Organization
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Date Submitted
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TN07JY94.004
BILLING CODE 4184-01-C
Appendix C
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 Tier Participants)
By signing and submitting this lower tier proposal, the
prospective lower tier participant, as defined in 45 CFR Part 76,
certifies to the best of its knowledge and belief that it and its
principals:
(a) are not presently debarred, suspended, proposed for
debarment, declared ineligible, or voluntarily excluded from
participation in this transaction by any federal department or
agency.
(b) where the prospective lower tier participant is unable to
certify to any of the above, such prospective participant shall
attach an explanation to this proposal.
The prospective lower tier participant further agrees by
submitting this proposal that it will include this clause entitled
``Certification Regarding Debarment, Suspension, Ineligibility, and
Voluntary Exclusion--Lower Tier Covered Transactions. ``without
modification in all lower tier covered transactions and in all
solicitations for lower tier covered transactions.
Appendix D
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 completer 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 of 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 require 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
TN07JY94.005
[FR Doc. 94-16315 Filed 7-6-94; 8:45 am]
BILLING CODE 4184-01-C