[Federal Register Volume 59, Number 235 (Thursday, December 8, 1994)] [Unknown Section] [Page 0] From the Federal Register Online via the Government Publishing Office [www.gpo.gov] [FR Doc No: 94-30139] [[Page Unknown]] [Federal Register: December 8, 1994] ======================================================================= ----------------------------------------------------------------------- DEPARTMENT OF HEALTH AND HUMAN SERVICES Administration for Children and Families [Program Announcement No. OCS-95-01] Office of Community Services; Request for Applications Under the Office of Community Services' Fiscal Year 1995 National Youth Sports Program Agency: Office of Community Services, Administration for Children and Families, Department of Health and Human Services. ACTION: Request for applications under the Office of Community Services' National Youth Sports Program. ----------------------------------------------------------------------- SUMMARY: The Office of Community Services (OCS) announces that competing applications will be accepted for new grants pursuant to the Secretary's discretionary authority under Section 682 of the Community Services Block Grant Act of 1981, as amended. This Program Announcement contains forms and instructions for submitting an application. CLOSING DATE: The closing date for submission of applications is February 6, 1995. FOR FURTHER INFORMATION CONTACT: Joseph D. Reid, Director, Division of Community Discretionary Programs, Office of Community Services, Administration for Children and Families, 370 L'Enfant Promenade, S.W., Washington, D.C. 20447, (202) 401-9345. This announcement is accessible on the OCS Electronic Bulletin Board for downloading through your computer modem by calling 1-800-627- 8886. For assistance in accessing the Bulletin Board, a Guide to Accessing and Downloading is available from Ms. Minnie Landry at (202) 401-5309. Table of Contents Part A--Preamble 1. Legislative authority 2. Definitions of Terms Part B--Application Prerequisites 1. Eligible applicants 2. Number of grants, grant amount and matching requirements 3. Project period and budget period 4. Administrative costs 5. Program beneficiaries 6. Multiple submittals Part C--Purpose and Project Requirements 1. Purpose 2. Project Requirements Part D--Review Criteria Criteria for review and evaluation of applications submitted under this Program Announcement. Part E--Contents of Application and Receipt Process 1. Contents of Application 2. Acknowledgement of Receipt Part F--Instructions for Completing Application Package 1. SF-424--``Application for Federal Assistance'' 2. SF-424A--``Budget Information--Non-Construction Programs'' 3. SF-424B--``Assurances--Non-Construction'' 4. Restrictions on Lobbying Activities 5. Disclosure of Lobbying Activities--SF-LLL 6. Project Narrative Part G--Application Procedures 1. Availability of Forms 2. Application Submission 3. Intergovernmental Review 4. Application Consideration 5. Criteria for screening applications a. Initial screening b. Pre-rating review c. Evaluation criteria Part H--Post Award Information and Reporting Requirements Part A--Preamble 1. Legislative Authority Section 682 of the Community Services Block Grant Act, as amended, authorizes the Secretary of Health and Human Services to make a grant to an eligible service provider to administer national or regional programs designed to provide instructional activities for low-income youth. 2. Definitions of Terms For purposes of this Program Announcement the following definitions apply: --Low-income youth: a youth between the ages of 10 through 16 whose family income does not exceed the DHHS Poverty Income Guidelines. --Eligible Provider: A national private nonprofit organization, a coalition of such organizations, or a private nonprofit organization applying jointly with a business concern that has demonstrated experience in operating a program providing instructions to low-income youth. --Budget period: The interval of time into which a grant period of assistance is divided for budgetary and funding purposes. --Project period: The total time for which a project is approved for support, including any approved extensions. Part B--Application Prerequisites 1. Eligible Applicants OCS will only consider those applications received from entities which are eligible applicants as specified in Part A 2. of this announcement. Non-profit organizations must submit proof of their non- profit status in their applications at the time of submission. Failure to do so will result in rejection of their applications. The non-profit agency can accomplish this by providing a copy of the applicant's listing in the Internal Revenue Service's (IRS) 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, and by providing a copy of the articles of incorporation bearing the seal of the State in which the corporation or association is domiciled. 2. Number of Grants, Grant Amount, and Matching Requirements a. Number of Grants One grant will be made under this program. b. Grant Amounts Twelve million dollars ($12,000,000) has been appropriated for this program. c. Matching Requirements The grants require a match of either cash or third party in-kind of one dollar for each dollar awarded. For any application requesting Federal funds in excess of $9,400,000, the applicant must provide cash or in-kind of one dollar for each Federal dollar requested up to $9,400,000 and a cash match of 29% of the Federal funds requested in excess of $9,400,000. 3. Project Period and Budget Period The project and budget periods must not exceed 12 months, with significant amount of program activities to be undertaken in the period covering July and August 1995. 4. Administrative Costs/Indirect Costs No funds from a grant made under this program may be used for administrative expenses. To the extent that indirect costs are not administrative in nature, such costs may be allowed provided the grantee has negotiated an approved Indirect Cost Rate Agreement which excludes administrative expenses. However, it should be understood that indirect costs are part of, and not in addition to, the amount of funds awarded in the subject grant. 5. Program Beneficiaries Projects proposed for funding under this announcement must result in direct benefits targeted toward 10-16 year olds from low-income families. Attachment A to this announcement is an excerpt from the most recently published Poverty Income guidelines. Annual revisions of these Guidelines are normally published in the Federal Register in February or early March of each year and are applicable to projects being implemented at the time of publication. Grantees will be required to apply the most recent Guidelines throughout the project period. The Federal Register may be obtained from public libraries, Congressional offices, or by writing the Superintendent of Documents, U.S. Government Printing Office, Washington, D.C. 20402. In addition, it may be obtained by downloading from the OCS Electronic Bulletin Board. (See instructions under ``Contact'' at the beginning of this document.) No other government agency or privately defined poverty guidelines are applicable to the determination of low-income eligibility for this OCS program. 6. Multiple Submittals An applicant organization should not submit more than one application under this Program Announcement. Part C--Purpose and Project Requirements 1. Purpose The Department of Health and Human Services is committed to improving the health and physical fitness of young people, particularly those that are members of low-income families and residents of economically disadvantaged areas of the United States. The Department seeks to improve the lives of these young people through sports skill instruction, counseling in good health practices, and counseling related to anti-drug and anti-alcohol abuse. 2. Project Requirements Any instructional activity carried out by an eligible service provider receiving a grant under this program announcement shall be carried out on the campus of an institution of higher education (as defined in section 1201(a) of the Higher Education Act) and shall include-- a. Access to the facilities and resources of such institution; b. An initial medical examination and follow-up referral or treatment, without charge, for youth during their participation in such activity; c. At least one nutritious meal daily, without charge, for participating youth during each day of participation; d. High quality instruction in a variety of sports (that shall include swimming and that may include dance and any other high quality recreational activity) provided by coaches and teachers from institutions of higher education and from elementary and secondary schools (as defined in sections 1471(8) and 1471(21) of the Elementary and Secondary Education Act of 1965); and e. Enrichment instruction and information on matters relating to the well-being of youth, to include educational opportunities and study practices, education for the prevention of drug and alcohol abuse, health and nutrition, career opportunities, and family and job responsibilities. Part D--Review Criteria Applications which pass the initial screening and pre-rating review described in Part G 5. will be assessed and scored by reviewers. These numerical scores will be supported by explanatory statements on a formal rating form describing major strengths and weaknesses under each applicable criterion published in this announcement. The in-depth evaluation and review process will use the criteria set forth below coupled with the specific requirements described in Part G. Applicants should write their project narrative according to the review criteria using the same sequential order. Criteria for Review and Evaluation of Applications Submitted Under This Program Announcement 1. Criterion I: Location and number of institutions of Higher Education (Maximum: 20 points) a. Applicant must describe and document the number and location of Institutions of Higher Education committed to participation in this program, with special attention to documenting the accessibility of the schools to economically disadvantaged communities (0-12 points). b. Applicant must describe in the aggregate the facilities which will be available on the campuses of the institutions to be used in the program (swimming pools, medical facilities, food preparation facilities, etc.) (0-8 points). 2. Criterion II: Adequacy of Work Program (Maximum: 20 Points) a. Applicant must set forth realistic weekly time targets (for the summer program) and quarterly time targets (for any extended-year program activities). The time targets should specify the tasks to be accomplished in the given timeframes. (0-8 points). b. Applicant must address the legislatively-mandated activities found in Part C.2., to include: (1) Project priorities and rationale for selecting them; (2) project goals and objectives; and (3) project activities. (0-12 points). 3. Criterion III: Significant and Beneficial Impact (Maximum: 20 points) a. Applicant proposes to improve nutritional services to the participating youths (0-5 points). b. Project incorporates medical examinations along with follow-up referral or treatment (0-5 points). c. Project includes counseling, related to anti-drug and anti- alcohol abuse, by counselors with experience in those areas as a major element (0-5 points). d. Project makes use of an existing outreach activity of a community action agency or some other community-based organization (0-5 points). 4. Criterion IV: Organizational Experience in Program Area and Staff Responsibilities (Maximum: 30 points) a. Organizational experience in program area (0-10 points). Documentation provided indicates that projects previously undertaken have been relevant and effective and have provided significant benefits to low-income youth. Information provided should also address the achievements and competence of the participating institutions. b. Management history (0-10 points). Applicants must fully detail their ability to implement sound and effective management practices and if they have been recipients of other Federal or other governmental grants, they must also detail that they have consistently complied with financial and program progress reporting and audit requirements. Applicants should submit any available documentation on their management practices and progress reporting procedures. Applicant should also submit a statement by a Certified or Licensed Public Accountant as to the sufficiency of the applicant's financial management system to protect any Federal funds which may be awarded under this program. c. Staffing skills, resources and responsibilities (0-10 points). Applicant must briefly describe the experience and skills of the proposed project director showing that the individual is not only well qualified but that his/her professional capabilities are relevant to the successful implementation of the project. If the key staff person has not been identified, the application should contain a comprehensive position description which indicates that the responsibilities assigned to the project director are relevant to the successful implementation of the project. The application must indicate that the applicant and the subgrantees or delegate institutions have adequate facilities and resources (i.e. space and equipment) to successfully carry out the work plan. The application must clearly show that sufficient time of the project director and other senior staff will be budgeted to assure timely implementation and oversight of the project and that the assigned responsibilities of the staff are appropriate to the tasks identified for the project. 5. Criterion V: Adequacy of Budget (Maximum: 10 points) Budget is adequate and funds requested are commensurate with the level of effort necessary to accomplish the goals and objectives of the program. The estimated cost of the project to the government is reasonable in relation to the anticipated results. Part E--Contents of Application and Receipt Process 1. Contents of Application Each application package should include one signed original and two additional copies of the following: a. A signed Application for Federal Assistance (SF-424); b. Budget Information--Non-Construction Programs (SF-424A); c. A signed--Assurances--Non-construction Programs (SF-424B); d. A Project Narrative consisting of the following elements preceded by a consecutively numbered Table of Contents that describes the project in the following order: (i) Eligibility confirmation. (ii) Number and location of Institutions of Higher Education committed to the program and their accessibility to youth from economically disadvantaged areas. (iii) Organization experience and staff responsibilities. (iv) Work program (including Executive Summary) (v) Appendices, including Bylaws; Articles of Incorporation; proof of non-profit status; resume of project director; statement by a Certified or Licensed Public Accountant as to the sufficiency of the applicant's financial management system to protect Federal funds; Single Point of Contact comments, if available; certifications regarding Lobbying, Debarment and Drug Free Workplace activities. The total number of pages for the entire application package should not exceed 50 pages. Applications should be two holed punched at the top and fastened separately with a compressor slide paper fastener or a binder clip. The submission of bound applications, or applications enclosed in binder, is especially discouraged. Applications must be uniform in composition since OCS may find it necessary to duplicate them for review purposes. Therefore, applications must be submitted on white 8\1/2\ x 11 inch paper only. They should not include colored, oversized or folded materials. Do not include organizational brochures or other promotional materials, slides, films, clips, etc. in the proposal. They may be discarded, if included. 2. Acknowledgement of Receipt All applicants will receive an acknowledgement postcard with an assigned identification number. Applicants are requested to supply a self-addressed mailing label with their application which can be attached to this acknowledgement postcard. The assigned identification number must be referred to in all subsequent communications with ACF concerning the application. If an acknowledgement is not received within three weeks after the deadline date, please notify ACF by telephone (202) 401-9230. Part F--Instructions for Completing Application Package It is suggested that the applicant reproduce the SF-424 and SF- 424A, and type your application on the copies. If an item on the SF-424 cannot be answered or does not appear to be related or relevant to the assistance requested write NA for ``Not Applicable''. Prepare your application in accordance with the standard instructions given in Attachments B and C corresponding to the forms, as well as specific instructions set forth below: 1. SF-424 ``Application for Federal Assistance'' Item Numbers 1. For the purposes of this announcement, all projects are considered ``Applications''; there are no ``Pre-applications''. All projects are non-construction projects. Check the appropriate box under ``Application''. 5 and 6. The legal name of the applicant must match that listed as corresponding to the Employer Identification Number. Where the applicant is a previous Department of Health and Human Services grantee, enter the Central Registry System Employee Identification Number (EIN) and the Payment Identifying Number (PIN), if one has been assigned, in the Block entitled ``Federal Identifier'' located at the top right hand corner of the form. 7. If the applicant is a non-profit corporation, enter ``N'' in the box and specify ``non-profit corporation'' in the space marked ``Other.'' Proof of non-profit status must be included in the application at the time of submission. This can be accomplished by providing a copy of the applicant's listing in the Internal Revenue Services' (IRS) most recent list of tax-exempt organizations in section 501(c)(3) of the IRS code or by providing a copy of the articles of incorporation bearing the seal of the State in which the corporation or association is domiciled. 8. For the purposes of this announcement, all applications are ``New''. 9. Enter DHHS-ACF/OCS. 10. The Catalog of Federal Domestic Assistance number for OCS programs covered under this announcement is 93.570. The title is ``CSBG Discretionary Awards.'' 2. SF-424A--``Budget Information--Non-Construction Programs'' See instructions accompanying this form as well as the instructions set forth below: In completing these sections, the ``Federal Funds'' budget entries will relate to the requested OCS discretionary funds only, and ``Non- Federal'' will include mobilized funds from all other sources-- applicant, state, local, and other. Federal funds other than requested OCS discretionary funding should be included in ``Non-Federal'' entries. The budget forms in SF-424A are only to be used to present grant costs and major budget categories. Other internal project cost data must be separate and should appear as part of other project implementation data. Applicants are reminded that grant funds may not be utilized for administrative expenses. Sections A and D of SF-424A must contain entries for both Federal (OCS) and Non-Federal (mobilized) funds. Section B contains entries for Federal (OCS) funds only. Clearly identified continuation sheets in SF- 424A format should be used as necessary. Section A--Budget Summary Lines 1-4, Col. (a): Line 1 Enter ``CSBG Discretionary''; Col. (b): Line 1 Enter ``93.570''; Col. (c): and (d); Applicants should leave columns (c) and (d) blank. Col. (e)-(g): For line 1, enter in columns (e), (f) and (g) the appropriate amounts needed to support the project for the budget period. Line 5, Enter the figures from Line 1 for all columns completed as required, (c), (d), (e), (f), and (g). Section B--Budget Categories Allowability of costs are governed by applicable cost principles set forth in 45 CFR part 74. Columns (1) and (5): In OCS applications, it is only necessary to complete Columns (1) and (5). Column 1: Enter the total requirements for OCS Federal funds by the Object Class Categories of this section: Personnel-Line 6A: Enter the total costs of salaries and wages of applicant/grantee staff only. Do not include costs of consultants or personnel costs of delegate agencies or of specific project(s) or businesses to be financed by the applicant. Fringe Benefits-Line 6b: Enter the total costs of fringe benefits unless treated as part of an approved indirect cost rate which is entered on line 6j. Provide a breakdown of amounts and percentages that comprise fringe benefit costs. Travel-Line 6c: Enter total costs of all travel by employees of the project. Do not enter costs for consultant's travel. Provide justification for requested travel costs. Equipment-Line 6d: Enter the total costs of all non-expendable personal property to be acquired by the project. ``Non-expendable personal property'' means tangible property having a useful life of more than one year and an acquisition cost of $5,000 or more per unit. An applicant may use its own definition of non-expendable personal property, provided that such a definition would at least include all tangible personal property as defined in the preceding sentence. (See Line 21 for additional requirements). Supplies-Line 6e: Enter the total costs of all tangible personal property (supplies) other than that included on line 6d. 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 and specific project(s) to be financed by the applicant. Other-Line 6h: Enter the total of all other costs. Such costs, where applicable, may include but are not limited to insurance, food, medical and dental costs (non-contractual), fees and travel paid directly to individual consultants, space and equipment rentals, printing and publication, computer use, training costs, including tuition and stipends, training services costs including wage payments to individuals and supportive services payments, and staff development costs. Total Direct Charges-Line 6i: Show the total of Lines 6a through 6h. Indirect Charges-Lines 6j: Enter the total amount of indirect costs. This line should be used only when the applicant currently has an indirect cost rate approved by the Department of Health and Human Services or another Federal agency or is awaiting such approval. Applicants should enclose a copy of the current rate agreement. If the applicant organization is in the process of initially developing or renegotiating a rate, it should immediately, upon notification that an award will be made, develop a tentative indirect cost rate proposal based on its most recently completed fiscal year in accordance with the principles set forth in the pertinent DHHS Guide for Establishing Indirect Cost Rates, and submit it to the appropriate DHHS Regional Office. It should be noted that when an indirect cost rate is requested, those costs included in the indirect cost pool should not be also charged as direct costs to the grant. Totals-Line 6k: Enter the total amounts of Lines 6i and 6j. The total amount should be shown in Section B, Column 1: Carry totals from Column 1 to Column 5 for all line items. Section C--Non-Federal Resources This section is to record the amounts of ``non-Federal'' resources that will be used to support the project. ``Non-Federal'' resources mean other than OCS funds for which the applicant is applying. Therefore, mobilized funds from other Federal programs, such as the Job Training Partnership Act Program, should be entered on these lines. Provide a brief listing of the non-Federal resources on a separate sheet and describe whether it is a grantee-incurred cost or a third- party in-kind contribution. Line 8: Column (a): Enter the project title. Column (b): Enter the amount of contributions to be made by the applicant to the project. Column (d): Enter the amount of cash and in-kind contributions to be made from all other sources. Column (e): Enter the total of columns (b), (c), and (d). Line 9, 10, and 11 should be left blank. Line 12: Carry the total of each column of lines 8, (b) through (e). The amount in Column (e) should be equal to the amount on Section A, Line 5, column (f). Section F--Other Budget Information Line 21: Use this space and continuation sheets as necessary to fully explain and justify the major items included in the budget categories shown in Section B. Include sufficient detail to facilitate determination of allowability, relevance to the project, and cost benefits. Particular attention must be given to the explanation of any requested direct cost budget item which requires explicit approval by the Federal agency. Budget items which require identification and justification shall include, but not be limited to, the following: 1. Salary amounts and percentage of time worked for those key individuals who are identified in the project narrative; 2. Any foreign travel; 3. A list of all equipment and estimated cost of each item to be purchased wholly or in part with grant funds and which meet the definition of nonexpendable personal property provided on Line 6d, Section B. Need for equipment must be supported in the program narrative. 4. Contractual: Major items or groups of smaller items; and 5. Other: Group into major categories all costs for consultants, local transportation, space, rental, training allowances, staff training, computer equipment, etc. Provide a complete breakdown of all costs that make up this category. Line 22: Enter the type of HHS or other Federal agency approved indirect cost rate (provisional, predetermined, final or fixed that will be in effect during the funding period, the estimated amount of the base to which the rate is applied and the total indirect expense. Also, enter the date the rate was approved, where applicable. Attach a copy of the rate agreement if it was negotiated with a Federal agency other than the Department of Health and Human Services. Line 23: Provide any other explanations and continuation sheets required or deemed necessary to justify or explain the budget information. 3. SF-424B ``Assurances--Non-Construction'' Applicants requesting financial assistance for a non-construction project must file the Standard Form 424B, ``Assurances: Non- Construction Programs.'' Applicants must sign and return the Standard Form 424B (Attachment D) with their applications. 4. Restrictions on Lobbying Activities Certification for Contracts, Grants, Loans, and Cooperative Agreements: Fill out, sign and date form found at Attachment H. 5. Disclosure of Lobbying Activities, SF-LLL Fill out, sign and date form found at Attachment H, if applicable. 6. Project Narrative The project narrative must address the specific concerns and requirements mentioned under Parts C and D of this announcement. After confirmation of eligibility (as required by Part B), the narrative should follow the order and respond to the content of the criteria detailed under Part D. Part G--Application Procedures 1. Availability of Forms Application for awards under this OCS program must be submitted on Standard Forms (SF) 424, 424A, and 424B. Part F and Attachments B, C, and D to this Program Announcement contain all the instructions and forms required for submitting of applications. The forms may be reproduced for use in submittal applications. Copies of the Federal Register containing this Announcement are available at most local libraries and Congressional District Offices for reproduction. If copies are not available at these sources they may be obtained by writing or telephoning the office listed in the section entitled ``Contact'' at the beginning of this Announcement. 2. Application Submission The date by which applications must be received is indicated under ``Closing Date'' at the beginning of this Announcement. a. Applications may be mailed to: Department of Health and Human Services, Administration For Children and Families, Division of Discretionary Grants, 6th Floor, 370 L'Enfant Promenade, S.W. Washington, D.C. 20447, ATTN: Maiso Bryant, (Program Announcement No. OCS-95-01) b. Hand delivered applications are accepted during the normal working hours of 8:00 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, ACF Guard Station, 901 D. Street, S. W., Washington, D. C. 20447. An application shall be considered as meeting an announced deadline if it is either: a. Received on or before the deadline date at a place specified in the program announcement, or b. 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 in paragraphs a and b above are considered late applications. ACF 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 because of acts of God such as floods, hurricanes, etc., or when there is a widespread disruption of the mails. However, if ACF does not extend the deadline for all applicants, it may not waive or extend the deadline for any applicants. 3. Intergovernmental Review This program is covered under Executive Order 12372, ``Intergovernmental Review of Federal Programs,'' and 45 CFR part 100, ``Intergovernmental Review of Department of Health and Human Services Programs and Activities.'' Under the Order, States may design their own processes for reviewing and commenting on proposed Federal assistance under covered programs. All States and Territories except Alabama, Alaska, Colorado, 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 Single Points of Contacts (SPOCs). Applicants from these nineteen jurisdictions need take no action regarding E.O. 12372. Applicants for projects to be administered by Federally-recognized Indian Tribes are also exempt from the requirements of E.O. 12372. Otherwise, applicants should contact their SPOCs as soon as possible to alert them of the prospective applications and receive any necessary instructions. Applicants must submit any required material to the SPOCs as soon as possible so that the program office can obtain and review SPOC comments as part of the award process. It is imperative that the applicant submit all required materials, if any, to the SPOC and indicate the date of this submittal (or the date of contact if no submittal is required) on the Standard Form 424, item 16a. Under 45 CFR 100.8(1)(2), a SPOC has 60 days from the application deadline date to comment on proposed new or competing continuation awards. SPOCs are encouraged to eliminate the submission of routine endorsements as official recommendations. Additionally, SPOCs are requested to clearly differentiate between mere advisory comments and those official State process recommendations which may trigger the ``accommodate or explain'' rule. When comments are submitted directly to ACF, they should be addressed to: Department of Health and Human Services, Administration for Children and Families, Division of Discretionary Grants, 6th Floor, 370 L'Enfant Promenade, S. W., Washington, D. C. 20447. A list of the Single Points of Contact for each State and Territory is included as appendix G of this announcement. 4. Application Consideration Applications which meet the screening requirements in Section 5 below will be reviewed competitively. Such applications will be referred to reviewers for a numerical score and explanatory comments based solely on responsiveness to program guidelines and evaluation criteria published in this announcement. Applications will be reviewed by persons outside of the OCS unit which would be directly responsible for programmatic management of the grant. The results of these reviews will assist the Director and OCS program staff in considering competing applications. Reviewers' scores will weigh heavily in funding decisions but will not be the only factors considered. Applications will generally be considered in order of the average scores assigned by reviewers. However, highly ranked applications are not guaranteed funding since the Director may also consider other factors deemed relevant including, but not limited to, the timely and proper completion of projects funded with OCS funds granted in the last five (5) years; comments of reviewers and government officials; staff evaluation and input; geographic distribution; previous program performance of applicants; compliance with grant terms under previous DHHS grants; audit reports; investigative reports; and applicant's progress in resolving any final audit disallowances on OCS or other Federal agency grants. OCS reserves the right to discuss applications with other Federal or non-Federal funding sources to ascertain the applicant's performance record. 5. Criteria for Screening Applications All applications that meet the published deadline for submission will be screened to determine completeness and conformity to the requirements of this Announcement. Only those applications meeting the following requirements will be reviewed and evaluated competitively. Others will be returned to the applicants with a notation that they were unacceptable. a. Initial Screening (1) The application must contain a completed Standard Form SF-424 signed by an official of the entity applying for the grant who has authority to obligate the organization legally; (2) a budget (SF-424A); and (3) ``Assurances'' (SF-424B) signed by the appropriate official. b. Pre-Rating Review Applications which pass the initial screening will be forwarded to reviewers for analytical comment and scoring based on the criteria detailed in the Section below and the specific requirements contained in Part C of this Announcement. Prior to the programmatic review, these reviewers and/or OCS staff will verify that the applications comply with this Program Announcement in the following areas: (1) Eligibility: Applicant meets the eligibility requirements found in Part A2. (2) Target Populations: The application clearly targets the specific outcomes and benefits of the project to low-income participants as defined in the DHHS Poverty Income Guidelines (Attachment A). (3) Grant Amount: The amount of funds requested does not exceed $12 million. (4) Program Focus: The application addresses the geographic scope and project requirements described in Part C of this announcement. c. Evaluation Criteria Applications which pass the initial screening and pre-rating review will be assessed and scored by reviewers. Each reviewer will give a numerical score for each application reviewed. These numerical scores will be supported by explanatory statements on a formal rating form describing major strengths and major weaknesses under each applicable criterion published in this announcement. Part H--Post Award Information and Reporting Requirements Following approval of the applications selected for funding, notice of project approval and authority to draw down project funds will be made in writing. The official award document is the Financial Assistance Award which provides the amount of Federal funds approved for use in the project, the budget period for which support is provided, and the terms and conditions of the award. In addition to the General Conditions and Special Conditions (where the latter are warranted) which will be applicable to grant, the grantee will be subject to the provisions of 45 CFR part 74 along with OMB Circulars 122, A-133, and, for institutions of higher education, A- 21. Grantee will be required to submit progress and financial reports (SF-269). Grantee is subject to the audit requirements in 45 CFR part 74. Applicants requesting financial assistance for a non-construction project must file the Standard Form 424B, ``Assurances: Non- Construction Programs.'' Applicants must sign and return the Standard Form 424B with their applications. Applicants must provide a certification concerning Lobbying. Prior to receiving an award in excess of $100,000, applicants shall furnish an executed copy of the lobbying certification. Applicants must sign and return the certification with their applications. Applicants must make the appropriate certification of their compliance with the Drug-Free Workplace Act of 1988. By signing and submitting the applications, applicants are providing the certification and need not mail back the certification with the applications. Applicants must make the appropriate certification that they are not presently debarred, suspended or otherwise ineligible for award. By signing and submitting the applications, applicants are providing the certification and need not mail back the certification with the applications. Copies of the certifications and assurances are located at the end of this announcement. Section 319 of Public Law 101-121, signed into law on October 23, 1989, imposes new prohibitions and requirements for disclosure and certification related to lobbying when an applicant has engaged in lobbying activities or is expected to lobby in trying to obtain the grant. It provides limited exemptions for Indian tribes and tribal organizations. Current and prospective recipients (and their subtier contractors and/or grantees) are prohibited from using appropriated funds for lobbying Congress or any Federal agency in connection with the award of a contract, grant cooperative agreement or loan. In addition, for each award action in excess of $100,000 (or $150,000 for loans) the law requires recipients and their subtier contractors and/or subgrantees (1) to certify that they have neither used nor will use any appropriated funds for payment to lobbyists, (2) to submit a declaration setting forth whether payments to lobbyists have been or will be made out of nonappropriated funds and, if so, the name, address, payment details, and purpose of any agreements with such lobbyists whom recipients or their subtier contractors or subgrantees will pay with the nonappropriated funds and (3) to file quarterly up- dates about the use of lobbyists if an event occurs that materially affects the accuracy of the information submitted by way of declaration and certification. The law establishes civil penalties for noncompliance and is effective with respect to contracts, grants, cooperative agreements and loans entered into or made on or after December 23, 1989. See Attachment H for certification and disclosure forms to be submitted with the applications for this program. Attachment I indicates the regulations which apply to all applicants/grantees under the Discretionary Grants Program. Donald Sykes, Director, Office of Community Services. Attachment A--1994 Poverty Income Guidelines for All States Except Alaska and Hawaii and the District of Columbia ------------------------------------------------------------------------ Poverty Size of family unit guideline ------------------------------------------------------------------------ 1............................................................ $7,360 2............................................................ 9,840 3............................................................ 12,320 4............................................................ 14,800 5............................................................ 17,280 6............................................................ 19,760 7............................................................ 22,240 8............................................................ 24,720 For family units with more than 8 members, add $2,480 for each additional member. Poverty Income Guidelines for Alaska 1............................................................ $9,200 2............................................................ 12,300 3............................................................ 15,400 4............................................................ 18,500 5............................................................ 21,600 6............................................................ 24,700 7............................................................ 27,800 8............................................................ 30,900 For family units with more than 8 members, add $3,100 for each additional member. Poverty Income Guidelines for Hawaii 1............................................................ $8,470 2............................................................ 11,320 3............................................................ 14,170 4............................................................ 17,020 5............................................................ 19,870 6............................................................ 22,720 7............................................................ 25,570 8............................................................ 28,420 For family units with more than 8 members, add $2,850 for each additional member. (The same increment applies to smaller family sizes also, as can be seen in the figures above.) ------------------------------------------------------------------------ BILLING CODE 4184-01-P![]()
TN08DE94.000 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. 1. Self-explanatory. 2. Date application submitted to Federal agency (or State if applicable) & applicant's control number (if applicable). 3. State use only (if applicable). 4. If this application is to continue or revise an existing award, enter present Federal identifier number. If for a new project, leave blank. 5. Legal name of applicant, name of primary organizational unit which will undertake the assistance activity, complete address of the applicant, and name and telephone number of the person to contact on matters related to this application. 6. Enter Employer Identification Number (EIN) as assigned by the Internal Revenue Service. 7. Enter the appropriate letter in the space provided. 8. Check appropriate box and enter appropriate letter(s) in the space(s) provided: ``New'' means a new assistance award. ``Continuation'' means an extension for an additional funding/ budget period for a project with a projected completion date. ``Revision'' means any change in the Federal Government's financial obligation or contingent liability from an existing obligation. 9. Name of Federal agency from which assistance is being requested with the 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). 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 Attachement C ![]()
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TN08DE94.002 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. Line 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. Line 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 Lines 8-11 Enter amounts of non-Federal resources that will be used on the grant. If in-kind contributions are included, provide a brief explanation on a separate sheet. Column (a)--Enter the program titles identical to Column (a), Section A. A breakdown by function or activity is not necessary. Column (b)--Enter the contribution to be made by the applicant. Column (c)--Enter the amount of the State's cash and in-kind contribution if the applicant is not a State or State agency. Applicants which are a State or State agencies should leave this column blank. Column (d)--Enter the amount of cash and in-kind contributions to be made from all other sources. Column (e)--Enter totals of Columns (b), (c), and (d). Line 12 Enter the total for each of Columns (b)-(e). The amount in Column (e) should be equal to the amount on Line 5, Column (f), Section A. Section D. Forecasted Cash Needs Line 13 Enter the amount of cash needed by quarter from the grantor agency during the first year. Line 14 Enter the amount of cash from all other sources needed by quarter during the first year. Line 15 Enter the totals of amounts on Lines 13 and 14. Section E. Budget Estimates of Federal Funds Needed for Balance of the Project Lines 16-19 Enter in Column (a) the same grant program titles shown in Column (a), Section A. A breakdown by function or activity is not necessary. For new applications and continuation grant applications, enter in the proper columns amounts of Federal funds which will be needed to complete the program or project over the succeeding funding periods (usually in years). This section need not be completed for revisions (amendments, changes, or supplements) to funds for the current year of existing grants. If more than four lines are needed to list the program titles, submit additional schedules as necessary. Line 20 Enter the total for each of the Columns (b)-(e). When additional schedules are prepared for this Section, annotate accordingly and show the overall totals on this line. Section F. Other Budget Information Line 21 Use this space to explain amounts for individual direct object- class cost categories that may appear to be out of the ordinary or to explain the details as required by the Federal grantor agency. Line 22 Enter the type of indirect rate (provisional, predetermined, final or fixed) that will be in effect during the funding period, the estimated amount of the base to which the rate is applied, and the total indirect expense. Line 23 Provide any other explanations or comments deemed necessary. Attachment D ASSURANCES--NON-CONSTRUCTION PROGRAMS Note: Certain of these assurances may not be applicable to your project or program. If you have questions, please contact the awarding agency. Further, certain Federal awarding agencies may require applicants to certify to additional assurances. If such is the case, you will be notified. As the duly authorized representative of the applicant I certify that the applicant: 1. Has the legal authority to apply for Federal assistance, and the institutional, managerial and financial capability (including funds sufficient to pay the non-Federal share of project costs) to ensure proper planning, management and completion of the project described in this application. 2. Will give the awarding agency, the Comptroller General of the United States, and if appropriate, the State, through any authorized representative, access to and the right to examine all records, books, papers, or documents related to the award; and will establish a proper accounting system in accordance with generally accepted accounting standards or agency directives. 3. Will establish safeguards to prohibit employees from using their positions for a purpose that constitutes or presents the appearance of personal or organizational conflict of interest, or personal gain. 4. Will initiate and complete the work within the applicable time frame after receipt of approval of the awarding agency. 5. Will comply with the Intergovernmental Personnel Act of 1970 (42 U.S.C. Secs. 4728-4763) relating to prescribed standards for merit systems for programs funded under one of the nineteen statutes or regulations specified in Appendix A of OPM's Standards for a Merit System of Personnel Administration (5 CFR 900, Subpart F). 6. Will comply with all Federal statutes relating to nondiscrimination. These include but are not limited to: (a) Title VI of the Civil Rights Act of 1964 (P.L. 88-352) which prohibits discrimination on the basis of race, color or national origin; (b) Title 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. Sec. 874), and the Contract Work Hours and Safety Standards Act (40 U.S.C. Secs. 327-333), regarding labor standards for federally assisted construction subagreements. 10. Will comply, if applicable, with flood insurance purchase requirements of Section 102(a) of the Flood Disaster Protection Act of 1973 (P.L. 93-234) which requires recipients in a special flood hazard area to participate in the program and to purchase flood insurance if the total cost of insurable construction and acquisition is $10,000 or more. 11. Will comply with environmental standards which may be prescribed pursuant to the following: (a) institution of environmental quality control measures under the National Environmental Policy Act of 1969 (P.L. 91-190) and Executive Order (EO) 11514; (b) notification of violating facilities pursuant to EO 11738; (c) protection of wetlands pursuant to EO 11990; (d) evaluation of flood hazards in floodplains in accordance with EO 11988; (e) assurance of project consistency with the approved State management program developed under the Coastal Zone Management Act of 1972 (16 U.S.C. Secs. 1451 et seq.); (f) conformity of Federal actions to State (Clear Air) Implementation Plans under Section 176(c) of the Clear Air Act of 1955, as amended (42 U.S.C. Sec. 7401 et seq.); (g) protection of underground sources of drinking water under the Safe Drinking Water Act of 1974, as amended, (P.L. 93- 523); and (h) protection of endangered species under the Endangered Species Act of 1973, as amended, (P.L. 93-205). 12. Will comply with the Wild and Scenic Rivers Act of 1968 (16 U.S.C. Secs. 1271 et seq.) related to protecting components or potential components of the national wild and scenic rivers system. 13. Will assist the awarding agency in assuring compliance with Section 106 of the National Historic Preservation Act of 1966, as amended (16 U.S.C. 470), EO 11593 (identification and protection of historic properties), and the Archaeological and Historic Preservation Act of 1974 (16 U.S.C. 469a-1 et seq.). 14. Will comply with P.L. 93-348 regarding the protection of human subjects involved in research, development, and related activities supported by this award of assistance. 15. Will comply with the Laboratory Animal Welfare Act of 1966 (P.L. 89-544, as amended, 7 U.S.C. 2131 et seq.) pertaining to the care, handling, and treatment of warm blooded animals held for research, teaching, or other activities supported by this award of assistance. 16. Will comply with the Lead-Based Paint Poisoning Prevention Act (42 U.S.C. Secs. 4801 et seq.) which prohibits the use of lead based paint in construction or rehabilitation of residence structures. 17. Will cause to be performed the required financial and compliance audits in accordance with the Single Audit Act of 1984. 18. Will comply with all applicable requirements of all other Federal laws, executive orders, regulations and policies governing this program. Signature of authorized certifying official: ________ Title: ________________ Applicant organization: __________ Date submitted: __________ BILLING CODE 4184-01-C Attachment E ![]()
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TN08DE94.004 BILLING CODE 4184-01-C Attachment F 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. Attachment G Executive Order 12372--State Single Points of Contact Arizona Mrs. Janice Dunn, ATTN: Arizona State Clearinghouse, 3800 N. Central Avenue, 14th Floor, Phoenix, Arizona 85012, Telephone (602) 280-1315 Arkansas Tracie L. Copeland, Manager, State Clearinghouse, Office of Intergovernmental Services, Department of Finance and Administration, P.O. Box 3278, Little Rock, Arkansas 72203, Telephone (501) 682-1074 California Glenn Stober, Grants Coordinator, Office of Planning and Research, 1400 Tenth Street, Sacramento, California 95814, Telephone (916) 323-7480 Delaware Ms. Francine Booth, State Single Point of Contact, Executive Department, Thomas Collins Building, Dover, Delaware 19903, Telephone (302) 736-3326 District of Columbia Rodney T. Hallman, State Single Point of Contact, Office of Grants Management and Development, 717 14th Street, N.W., Suite 500, Washington, D.C. 20005, Telephone (202) 727-6551 Florida Florida State Clearinghouse, Intergovernmental Affairs Policy Unit, Executive Office of the Governor, Office of Planning and Budgeting, The Capitol, Tallahassee, Florida 32399-0001, Telephone (904) 488-8441 Georgia Mr. Charles H. Badger, Administrator, Georgia State Clearinghouse, 254 Washington Street, S.W., Atlanta, Georgia 30334, Telephone (404) 656- 3855 Illinois Steve Klokkenga, State Single Point of Contact, Office of Governor, 107 Stratton Building, Springfield, Illinois 62706, Telephone (217) 782- 1671 Indiana Jean S. Blackwell, Budget Director, State Budget Agency, 212 State House, Indianapolis, Indiana 46204, Telephone (317) 232-5610 Iowa Mr. Steven R. McCann, Division of Community Progress, Iowa Department of Economic Development, 200 East Grand Avenue, Des Moines, Iowa 50309, Telephone (515) 281-3725 Kentucky Ronald W. Cook, Office of the Governor, Department of Local Government, 1024 Capitol Center Drive, Frankfort, Kentucky 40601, Telephone (502) 564-2382 Maine Ms. Joyce Benson, State Planning Office, State House Station #38, Augusta, Maine 04333, Telephone (207) 289-3261 Maryland Ms. Mary Abrams, Chief, Maryland State Clearinghouse, Department of State Planning, 301 West Preston Street, Baltimore, Maryland 21201- 2365, Telephone (301) 225-4490 Massachusetts Karen Arone, State Clearinghouse, Executive Office of Communities and Development, 100 Cambridge Street, Room 1803, Boston, Massachusetts 02202, Telephone (617) 727-7001 Michigan Richard S. Pastula, Director, Michigan Department of Commerce, Lansing, Michigan 48909, Telephone (517) 373-7356 Mississippi Ms. Cathy Mallette, Clearinghouse Officer, Office of Federal Grant Management and Reporting, 301 West Pearl Street, Jackson, Mississippi 39203, Telephone (601) 960-2174 Missouri Ms. Lois Pohl, Federal Assistance Clearinghouse, Office of Administration, P.O. Box 809, Room 430, Truman Building, Jefferson City, Missouri 65102, Telephone (314) 751-4834 Nevada Department of Administration, State Clearinghouse, Capitol Complex, Carson City, Nevada 89710, Telephone (702) 687-4065, Attention: Ron Sparks, Clearinghouse Coordinator New Hampshire Mr. Jeffrey H. Taylor, Director, New Hampshire Office of State Planning, Attn: Intergovernmental Review, Process/James E. Bieber, 2\1/ 2\ Beacon Street, Concord, New Hampshire 03301, Telephone (603) 271- 2155 New Jersey Gregory W. Adkins, Acting Director, Division of Community Resources, N.J. Department of Community Affairs, Trenton, New Jersey 08625-0803, Telephone (609) 292-6613. Please direct correspondence and questions to: Andrew J. Jaskolka, State Review Process, Division of Community Resources, CN 814, Room 609, Trenton, New Jersey 08625-0803, Telephone (609) 292-9025 New Mexico George Elliott, Deputy Director, State Budget Division, Room 190, Bataan Memorial Building, Santa Fe, New Mexico 87503, Telephone (505) 827-3640, FAX (505) 827-3006 New York New York State Clearinghouse, Division of the Budget, State Capitol, Albany, New York 12224, Telephone (518) 474-1605 North Carolina Mrs. Chrys Baggett, Director, Office of the Secretary of Admin., N.C. State Clearinghouse, 116 W. Jones Street, Raleigh, North Carolina 27603-8003, Telephone (919) 733-7232 North Dakota N.D. Single Point of Contact, Office of Intergovernmental Assistance, Office of Management and Budget, 600 East Boulevard Avenue, Bismarck, North Dakota 58505-0170, Telephone (701) 224-2094 Ohio Larry Weaver, State Single Point of Contact, State/Federal Funds Coordinator, State Clearinghouse, Office of Budget and Management, 30 East Broad Street, 34th Floor, Columbus, Ohio 43266-0411, Telephone (614) 466-0698 Rhode Island Mr. Daniel W. Varin, Associate Director, Statewide Planning Program, Department of Administration, Division of Planning, 265 Melrose Street, Providence, Rhode Island 02907, Telephone (401) 277-2656. Please direct correspondence and questions to: Review Coordinator, Office of Strategic Planning South Carolina Omeagia Burgess, State Single Point of Contact, Grant Services, Office of the Governor, 1205 Pendleton Street, Room 477, Columbia, South Carolina 29201, Telephone (803) 734-0494 Tennessee Mr. Charles Brown, State Single Point of Contact, State Planning Office, 500 Charlotte Avenue, 309 John Sevier Building, Nashville, Tennessee 37219, Telephone (615) 741-1676 Texas Mr. Thomas Adams, Governor's Office of Budget and Planning, P.O. Box 12428, Austin, Texas 78711, Telephone (512) 463-1778 Utah Utah State Clearinghouse, Office of Planning and Budget, ATTN; Carolyn Wright, Room 116 State Capitol, Salt Lake City, Utah 84114, Telephone (810) 538-1535 Vermont Mr. Bernard D. Johnson, Assistant Director, Office of Policy Research & Coordination, Pavilion Office Building, 109 State Street, Montpelier, Vermont 05602, Telephone (801) 828-3326 West Virginia Mr. Fred Cutlip, Director, Community Development Division, West Virginia Development Office, Building #6, Room 553, Charleston, West Virginia 25305, Telephone (304) 348-4010 Wisconsin Mr. William C. Carey, Federal/State Relations, Wisconsin Department of Administration, 101 South Webster Street, P.O. Box 7864, Madison, Wisconsin 53707, Telephone (608) 266-0267 Wyoming Sheryl Jeffries, State Single Point of Contact, Herschler Building, 4th Floor, East Wing, Cheyenne, Wyoming 82002, Telephone (307) 777-7574 Guam Mr. Michael J. Reidy, Director, Bureau of Budget and Management Research, Office of the Governor, P.O. Box 2950, Agana, Guam 96910, Telephone (671) 472-2285 Northern Mariana Islands State Single Point of Contact, Planning and Budget Office, Office of the Governor. Saipan, CM, Northern Mariana Islands 96950 Puerto Rico Norma Burgos/Jose H. Caro, Chairman/Director, Puerto Rico Planning Board, Minillas Government Center, P.O. Box 41119, San Juan, Puerto Rico 00940-9985, Telephone (809) 727-4444 Virgin Islands Jose L. George, Director, Office of Management and Budget, #41 Norregade Emancipation Garden Station, Second Floor, Saint Thomas, Virgin Islands, 00802, Please direct correspondence to: Linda Clarke, Telephone (809) 774-0750 Attachment H 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 then 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 a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan or cooperative agreement, the undersigned shall complete and submit 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 or 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 to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this commitment providing for the United States to insure or guarantee a loan, the undersigned shall complete and submit Standard Form-LLL, ``Disclosure Form to Report Lobbying,'' in accordance with its instructions. Submission of this statement is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required statement shall be subject to a civil penalty or not less than $10,000 and not more than $100,000 for each such failure. ---------------------------------------------------------------------- Signature ---------------------------------------------------------------------- Title ---------------------------------------------------------------------- Organization ---------------------------------------------------------------------- ---------------------------------------------------------------------- Date BILLING CODE 4184-01-P ![]()
TN08DE94.005 BILLING CODE 4184-01-C Attachment I The following DHHS regulations apply to all applicants/grantees under the National Youth Sports Program: Title 45 of the Code of Federal Regulations Part 16--Procedures of the Departmental Grant Appeals Board Part 74--Administration of Grants (non-governmental) Part 74--Administration of Grants (state and local governments and Indian Tribal affiliates): Sections 74.62(a) Non-Federal Audits 74.173 Hospitals 74.174(b) Other Nonprofit Organizations 74.304 Final Decisions in Disputes 74.710 Real Property, Equipment and Supplies 74.715 General Program Income Part 75--Informal Grant Appeal Procedures Part 76--Debarment and Suspension form Eligibility for Financial Assistance Subpart F--Drug Free Workplace Requirements Part 80--Non-discrimination Under Programs Receiving Federal Assistance through the Department of Health and Human Services--Effectuation of Title VI of the Civil Rights Act of 1964 Part 81--Practice and Procedures for hearings under Part 80 of this Title Part 84--Non-discrimination on the Basis of Handicap in Programs Part 86--Nondiscrimination on the basis of sex in the admission of individuals to training programs Part 91--Non-discrimination on the Basis of Age in Health and Human Services Programs or Activities Receiving Federal Financial Assistance Part 92--Uniform Administrative Requirements for Grants and Cooperative Agreements to States and Local Governments Federal Register, March 11, 1988) Part 93--New Restrictions on Lobbying Part 100--Intergovernmental Review of Department of Health and Human Services Programs and Activities [FR Doc. 94-30139 Filed 12-7-94; 8:45 am] BILLING CODE 4184-01-P