[Federal Register Volume 60, Number 43 (Monday, March 6, 1995)]
[Notices]
[Pages 12302-12325]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 95-5330]
[[Page 12301]]
_______________________________________________________________________
Part IV
Department of Health and Human Services
_______________________________________________________________________
Office of Community Services
_______________________________________________________________________
Request for Applications Under the Office of Community Services' FY
1995 Family Support Center and Gateway Demonstration Programs; Notice
Federal Register / Vol. 60, No. 43 / Monday, March 6, 1995 / Notices
[[Page 12302]]
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Office of Community Services
[Program Announcement No. OCS-95-07]
Request for Applications Under the Office of Community Services'
FY 1995 Family Support Center and Gateway Demonstration Programs
AGENCY: Administration for Children and Families (ACF) DHHS.
ACTION: Announcement of availability of funds and request for
applications under the Office of Community Services' FY 1995 Family
Support Center and Gateway Demonstration Programs.
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SUMMARY: The Office of Community Services (OCS) announces that
competing applications will be accepted for Family Support Center and
Gateway Demonstration projects authorized by the Stewart B. McKinney
Homeless Assistance Act, as amended (P.L. 103-382). (See 42 U.S.C.
11481-11489.)
CLOSING DATE: The closing date for submission of applications is April
20, 1995.
FOR FURTHER INFORMATION CONTACT:
Sheldon Shalit, Program Officer, Administration for Children and
Families, Office of Community Services, 370 L'Enfant Promenade SW.,
Washington, DC 20447, (202) 401-4807.
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.
SUPPLEMENTARY INFORMATION: Under the Family Support Center Program, the
Office of Community Services will make grants to eligible entities to
pay for the cost of demonstration programs designed to prevent family
homelessness through the provision of intensive and comprehensive
supportive services to previously homeless individuals and families
residing in subsidized public housing or those at risk of homelessness.
Services to infants, children and youths shall be designed to enhance
their physical, social and educational development and include an array
of appropriate services that address the causes and deleterious effects
of homelessness. Services to parents and other family members shall be
designed to contribute to their child(ren)'s healthy development and to
the acquisition of skills and resources that can prevent homelessness
and move the family toward self-sufficiency. All services provided
shall be coordinated through the auspices of an organized case
management program and include necessary and appropriate services that
address the economic and housing needs of the ``low-income and very
low-income'' client families.
Under the Gateway Demonstration Program, grants will be provided to
local education agencies to provide on-site education, training and
necessary support services to economically disadvantaged residents of
public housing. Applicants, in consultation with the local public
housing authorities and private industry councils, will design such
demonstration programs to increase literacy levels and basic employment
skills among residents of public housing developments.
Eligible applicant entities for the Family Support Center
Demonstration Program are limited to State and local government
agencies, Head Start agencies and any community-based organization of
demonstrated effectiveness such as a Community Action Agency designated
under section 210 of the Economic Opportunity Act of 1984 (42 U.S.C.
2790), public housing agencies as defined in section 3(b)(6) of the
United States Housing Act of 1937 (42 U.S.C. 1437a(6)), State Housing
Finance Agencies, local education agencies, an institution of higher
education, a public hospital, a community development corporation, a
private industry council as defined under section 102(a) of the Job
Training Partnership Act (JTPA)(29 U.S.C. 1512(a)), a community health
center, and any other public or private nonprofit organizations
specializing in the provision of social services.
Eligible applicant entities for the Gateway Demonstration Program
are limited to local education agencies in consultation with public
housing authorities and private industry councils. Such programs will
provide required services as outlined in Part III, Section B.
Availability of Funds and Grant Amounts
1. OCS is statutorily limited to funding no more than 25 Family
Support Center Demonstration grants for a period not to exceed three
years. Approximately $7 million is available to support grant awards
under this program announcement.
Under the Family Support Center Demonstration Program legislation,
grants must be for a minimum amount of $200,000 per year for a total of
at least $600,000 for the maximum project period of three years, and
the maximum grant support allowable for a three-year project period is
$2,000,000.
Pursuant to this Announcement, OCS plans to make up to
approximately $4.3 available to fund up to 14 new grants with three
year project periods and budget periods of 17-months for not less than
$283,000 each and averaging approximately $310,000 per grantee.
Applications for continuation grants funded under these awards beyond
the 17-month 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 this would be in the best interest of
the government.
OCS expects to make $2,000,000 available to fund 10 competitive 12-
month renewal grants. Current grantees completing their second year of
Family Support Center Demonstration Programs are eligible to compete
for renewal grants for a maximum of twelve additional months of
support. This will allow these projects to complete a full three year
program as a demonstration project.
2. OCS plans to fund 5 three-year Gateway Demonstration projects
for a first-year budget period of up to $125,000 each.
Part I: General Information--Family Support Center Demonstrations
A. Program Purpose
The Family Support Center Demonstration Program is an integral part
of an HHS/HUD, White House and Interagency Council for the Homeless
initiative to encourage and test integrated services delivery
approaches to reducing homelessness among families with children. The
purpose of this demonstration is to develop and operate Family Support
Centers which can intervene to prevent family homelessness. The program
supports the Family Support Center's efforts to coordinate and
integrate its activities with State and local public and private
agencies in providing improved assistance to this at-risk population.
Using a coordinated case management approach, Family Support Centers
should provide a comprehensive array of family oriented services to
prevent initial occurrences of homelessness and to combat the effects
of previous homelessness and to prevent its recurrence.
Family Support Centers, through the provision of a comprehensive
array of supportive social services using [[Page 12303]] coordinated
case management, should strive to enhance the physical, social, and
educational development of low- and very low-income families, thereby
increasing their chances of becoming self-sufficient. The intended
beneficiaries of these services are families who are living in
government-subsidized housing who were homeless or who are at risk of
becoming homeless. (Families at risk of homelessness include those
living in precarious housing situations, e.g., doubled up with another
family; in unstable or inadequate housing; or those facing eviction or
loss of housing.)
B. Program Services
The project awards will primarily allow for the development and
establishment of a family support center that can arrange for and/or
provide an array of comprehensive and intensive case-managed social
services to those individuals and families who are living in government
subsidized housing who were previously homeless or who are at risk of
homelessness. Services to infants, children and youths shall be
designed to enhance their physical, social and educational development
and include an array of appropriate services that address the causes
and deleterious effects of homelessness. Services to parents and other
family members shall be designed to contribute to their child(ren)'s
healthy development and to the achievement of skills and objectives
that move the family toward self-sufficiency. All services provided
shall be coordinated through the auspices of a family case management
program and include necessary and appropriate services that address the
economic and housing needs of the ``low-income and very low-income''
client families.
In the case of services provided to infants, children and youth,
such services shall include, where appropriate, the following:
-- Nutritional services
-- Screening and referral services
-- Child care services
-- Early childhood development programs
-- Early intervention services for children with, or at risk of
developmental delays
-- Dropout prevention services
-- After school activities
-- Job readiness and job training services
-- Education (including basic skills and literacy services)
-- Emergency services including special outreach services targeted to
homeless and runaway youth
-- Crisis intervention and counseling services
-- Other services as necessary and appropriate
In the case of services provided to parents and other family
members, services shall be designed to better enable parents and other
family members to contribute to their child's healthy development and
to the acquisition of skills and resources that can prevent
homelessness and move the family toward self-sufficiency and shall
include, where appropriate, the following:
--Substance abuse education
--Counseling
--Referral for treatment
--Crisis intervention
--Employment counseling and training
--Life-skills training, including personal financial counseling
--Education, including basic skills and literacy services
--Parenting classes
--Consumer homemaking
--Other services as necessary and appropriate
Family case management shall include the following:
--Needs assessment
--Support in accessing and maintaining appropriate public assistance
and social services
--Referral and followup for substance abuse counseling and treatment
--Counseling and crisis intervention
--Family advocacy services
--Housing assistance activities
--Housing counseling
--Eviction or foreclosure prevention assistance
--Referral to sources of emergency rental or mortgage assistance
payment
--Support in accessing home energy assistance
--Other services as appropriate
Centers may be part of an existing family oriented program for low
and very low income, at risk families or a center organized
specifically to provide services targeted at serving the previously
homeless and/or at risk families in an identified community. Approaches
are sought that emphasize a coordinated effort by a range of community-
oriented entities that consolidate resources to the targeted population
and which seek to replace a goal of maintenance with a goal of
progression and transformation.
C. Program Beneficiaries
Projects proposed for funding under this announcement must directly
benefit low-income and very low-income families with children residing
in governmentally subsidized housing who were previously homeless or
who are at-risk of becoming homeless. The term ``low-income'' when
applied to families means one whose income does not exceed 80% of the
median income for a family in the area, as determined by the Secretary
of Housing and Urban Development, subject to his discretion to
establish different ceilings based on area variations. The term ``very
low-income'' when applied to families means one whose income does not
exceed 50% of the median income for a family in the area, as determined
by the Secretary of Housing and Urban Development, subject to his
discretion to establish different ceilings based on area variations.
(See Attachment A.)
D. Eligible Applicants
Eligible entities are State and local government agencies, Head
Start agencies and any community-based organization of demonstrated
effectiveness such as a Community Action Agency designated under
section 210 of the Economic Opportunity Act of 1984 (42 U.S.C. 2790),
public housing agencies as defined in section 3(b)(6) of the United
States Housing Act of 1937 (42 U.S.C. 1437a(6)), State Housing Finance
Agencies, local education agencies, an institution of higher education,
a public hospital, a community development corporation, a private
industry council as defined under section 102(a) of the Job Training
Partnership Act (JTPA)(29 U.S.C. 1512(a)), a community health center,
and any other public or private nonprofit organizations specializing in
the provision of social services.
More than one eligible entity in a State may apply, but separate
applications must be submitted.
Any non-profit organization submitting an application must submit
proof of its non-profit status in its application at the time of
submission. The non-profit agency can accomplish this by providing a
copy of the currently valid IRS tax exemption certificate or by
providing a copy of the applicant's Articles of Incorporation bearing
the seal of the State in which the corporation or association is
domiciled.
E. Project Period
This announcement is soliciting applications for project periods of
up to three years. Awards, on a competitive basis, will be for an
initial seventeen (17) month budget period, although project periods
may be for three years. Applications for continuation grants funded
under these awards beyond the initial 17-month 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 [[Page 12304]] progress of the grantee and determination
that continued funding would be in the best interest of the government.
Part II: Guidelines for Family Support Center Demonstration Project
Plans and Applications
A. Grant Objectives
The objectives of the grants funded under the Family Support Center
Demonstration Program are: the enhancement of the living conditions of
low and very low income families; the improvement of the physical,
social and educational development of low and very low income children
and families served by the program; the achievement of progress towards
increased potential for independence and self-sufficiency among
families served; the reduction in the rate of repeated incidences of
homelessness among center clientele; and a decrease in the incidence of
first time homelessness among community participants.
B. Project Design
The Family Support Center Demonstration Program is intended to
prevent the occurrence or recurrence of family homelessness by
providing an intensive and comprehensive array of supportive and other
services. This announcement prescribes no single model, however, for
designing, staffing, or delivering the services of such a program. Its
purpose is to stimulate eligible entities to demonstrate the
effectiveness of innovative models or approaches which will offer value
to both the client population selected and the social services
providers in the community. It invites applicants to propose structures
and mechanisms for delivering services that are unique to the community
and the clientele that they serve, and to propose a program and an
approach that replace the goal of client maintenance with one of
transformation of families to a position of self-sufficiency.
The center should create a centralized point for the provision of
these services and facilitate access to various service providers in
the community. The center should provide active family case management
and assist clients in maintaining a stable household and assist them in
achieving self-sufficiency. Further, the center should assist in
joining the case management functions offered by other service
providers to render coordinated family case management. The center
should tie together service providers in the community and organize a
means to reduce duplication of effort in response to their potentially
or previously homeless clientele; and, to reduce the administrative and
programmatic burdens that often are placed upon the client population.
To accomplish these goals, applicants are expected to have, in
addition to the ability to provide a core of essential services, the
capacity to coordinate, link and otherwise organize a cadre of existing
providers and to propose a program and an approach that replace the
goal of client maintenance with one of transformation to self-
sufficiency. A Family Support Center Demonstration program should also
include coordination and linkage with existing Federal, State and
locally sponsored social services and housing programs such as the
Community Services Block Grant (CSBG), AFDC/JOBS program and the varied
programs of the Departments of Housing and Urban Development, Labor,
and Education.
Each Family Support Center Demonstration Program applicant is
required to exhibit the following:
--the capacity to administer a comprehensive support services program
directed toward an identified target population;
--the geographic proximity of the facility to the families to be served
or the ability to provide mobile or offsite services;
--the ability to coordinate and integrate its activities with State and
local public agencies (such as agencies responsible for education,
employment and training, health and mental health services, substance
abuse services, social services, child care, nutrition, income
assistance, housing and energy assistance, and other relevant
services), with public or private non-profit agencies and organizations
that have a demonstrated record of effectiveness in providing
assistance to homeless and at risk families, and with appropriate non-
profit private organizations involved in the delivery of eligible
support services;
--the fiscal and administrative capacities to conduct a complex,
comprehensive and intensive service delivery program;
--the involvement of project participants and community representatives
in the planning and operation of the program;
--the utilization and proximity of available comparable Community
Action Agency services, unless the applicant is the CAA and intends to
expand its existing services;
--the provision of coordinated family case management services which
direct all respective case management activities through a team
approach;
--use of not more than 7 percent of their grant award to improve the
retention and effectiveness of staff and volunteers;
--the participation in an ongoing evaluation mechanism to address
process and outcome issues as they relate to the efficacy and
efficiency of the demonstration program; and
--the establishment and provision of necessary staff to support an
advisory body representing the community, providers and target
population. The advisory council must include a participant of the
program as an active member.
The operating and organizational structure of the program should
include a range of agreements with community services providers that
responds to the assessed needs of the client populations. These
agreements are essential to the success of the project. The program
seeks to attract prospective grantees with written agreements either in
place at the time of application or able to be in place within 60 days
of the grant award. This is to assure an accelerated provision of
services to the clients. In those cases where additional services are
to be added to existing service patterns, the grantee will provide
timetables for the inclusion of these added services. Prospective
grantees will have a combination of existing and potential agreements
and affiliations for services. It is recommended that the program
include affiliations with entities that support and enlarge its service
providing role. This may include affiliations with the academic
community, such as schools of social work, that may provide a source of
staff resources, student/intern placements and a site for scholastic
investigation, evaluation and research.
Most importantly, applicants must be closely identified with and
located within circumscribed geographical boundaries that coincide with
the location and residences of the target population. This catchment
area concept should be reflected in the physical location of the
project which should be readily accessible to the target population.
This in no way limits the possible configurations for project locus.
Instead, it permits a range of possibilities that is consistent with
the residential pattern of the target population. While the project is
most likely to be physically located in or near the place(s) where its
target population lives, it is conceivable that its administrative
functions may be off-site or co-located with parent agencies.
[[Page 12305]]
The activities funded under this program announcement must be in
addition to, and not in substitution for, activities previously carried
on without Federal assistance. Also, funds or other resources currently
devoted to activities designed to meet the needs of the poor within a
community, area, or State must not be reduced.
A percentage of non-Federal share, either in cash and/or in-kind
contributions, secured from non-Federal sources is not required. The
lack of a requirement is not intended in any way to discourage the use
of applicant or third party financial and resource support. Although
there is not a specific non-Federal percentage requirement for grants
awarded under this announcement, the amount pledged will be given
additional weight during the evaluation process. Therefore, the
applicant should ensure any amount proposed as match prior to inclusion
in its budget. If approved for funding, grantees will be held
accountable for commitments of non-Federal resources and failure to
provide the required amount will result in a disallowance of unmatched
Federal Funds. Further, it should be noted that as the project matures
over the project life, there is an implicit encouragement of the
assumption of costs of the project by the applicant and the constituent
community participants.
C. Grantee Assurances
The applicant is required by statute to provide within its
application the following:
1. Assurances that grant funds will be used to create new services
only to the extent that no other funds can be obtained to fulfill the
purpose, as required by 42 U.S.C. 11482(e)(2)(F);
2. A description of the program's relationship to various State and
local agencies, as required by 42 U.S.C.
11482(e)(2)(G);
3. An explanation of the methods which the grantee will employ to
ensure that no more than 7% of the grant funds awarded will be used to
improve the retention and effectiveness of staff and volunteers, as
required by 42 U.S.C. 11482(e)(2)(I);
4. Assurances that the grantee will establish an advisory council
group of not more than 15 members to provide policy and programming
guidance which will meet the representational requirements of 42 U.S.C.
11482(e)(2)(J). Representation includes the following:
--participants in the programs, including parents;
--representatives of local private industry;
--individuals with expertise in the services the program intends to
offer;
--representatives of the community in which the program will be
located;
--representatives of local government social service providers;
--representatives of local law enforcement agencies;
--representatives of the local public housing agency, where
appropriate; and
--representatives of local education providers.
5. Assurances that any fees assessed by the grantee for program
services will be nominal in relation to the financial situation of the
recipient of such services, as required by 42 U.S.C. 11482(e)(2)(M);
and
6. Assurance that grant funds will not be used to supplant Federal,
State and local funds currently expended to provide program services,
as required by 42 U.S.C. 11482(e)(2)(N).
D. Project Evaluation
The Department expects to contract for an independent evaluation of
the programs and entities that receive assistance under this
announcement. The anticipated evaluation shall examine, at a minimum,
the fulfillment of program objectives. Additionally, for children and
families served, the project evaluation will also include the
following:
1. The enhancement of the living conditions of low and very low
income families in housing and in neighborhoods;
2. The improvement of physical, social and educational development;
3. The achievement of progress towards increased potential for
independence and self-sufficiency; and,
4. The degree to which the provision of services is affected by
caseload size.
Grantees are expected to cooperate with Federal evaluation
contractor(s) that will be funded by the Department. Evaluation
contractors will conduct assessments of program and service delivery
models. Such cooperation will involve initially, reaching agreement
with the contractors on the collection and retention of data which will
be needed for the evaluation, and thereafter periodically furnishing
needed process and outcome oriented data as required and allowing them
access to information that has not otherwise been provided by the
grantee.
Grantees are expected to maintain sufficient resources to fulfill
required data obligations and to respond to demands for information
that is to be compiled for national evaluation and reporting purposes.
E. Grant Applications
Applicants should develop their applications so as to address the
following factors and elements:
Responsiveness to Community Need
Applicants should identify the population to be served by the
project and should describe how previously homeless and at-risk
families within this community will be chosen for enrollment. They
should provide demographic data to show that there are sufficient
numbers of eligible low- and very low-income families residing in the
designated area. The application should include a credible plan for
enrolling a sufficient number of these families in the project to
warrant project investment. Applicants should also demonstrate that the
services they intend to provide are responsive both to the assessed
needs of the population to be served and the purposes of this
announcement.
Project Strategy
Applicants should persuasively explain their project strategy--how
it will achieve the homelessness prevention goals of this program with
the community to be served. The distinctive features of the service
approach to be demonstrated should be emphasized, rather than an
exhaustive description of all the individual service activities to be
undertaken. As an integral part of this discussion, they should define
the meaning of success for their project and describe the conditions
that they expect to see exist at the conclusion of the project period.
Applicants should also identify and briefly describe the kinds of
results they will be seeking and the key measures of performance and
accomplishment that management will be using to monitor and manage the
initiative to a successful conclusion, using time-based graphics if
appropriate.
Project Services and Delivery Arrangements
Applicants should identify the different services they will offer
to achieve project goals and should describe where and how they will be
provided. They should also describe the role and contribution of
project partners, such as referral sources and agencies with which
services will be coordinated. Both on-budget and no-cost partners
should be identified and explained; the applicant should differentiate
between those services to be provided with Federal funds and those [to
be] committed to the project from other funding sources. Partnering
applicants should furnish relevant [[Page 12306]] agreements, letters
of commitment, and information about prior experience with these
partners with their applications, indicating which services will be
affected and the levels of service (availability and cost) that will be
provided to project participants from these provider organizations.
Applicant Capabilities and Management Qualifications
Applicants should present, through relevant information about their
personnel and their experience, their qualifications for undertaking a
demonstration program of the type proposed. They should identify
proposed project leadership, submit the resumes of relevant education
and experience, and describe the previous success of the team or of its
key members with strengthening families and their housing arrangements
through the delivery and coordination of quality family support
services. They should also address the experience of project
leadership--especially the individual accountable for effective service
delivery to the selected clientele--in coordinating other agencies and
project participants over whom he/she has influence but not control.
The roles and commitments of the key people in the project should be
defined.
Project Plans (Budgets) and Schedules
Applicants should detail the implementation plan and schedule for
the project, using time-based displays as appropriate. The early months
of the schedule should detail service-building and/or service
redirecting activities, with major project milestones such as training
capacities established, cooperative services open for use, and
apprenticeship relationships created. Later entries should indicate
when various kinds of project outcomes will begin to be realized in the
lives of the community being served. The budget for the project should
be correlated with this timeline, showing approximately when budget
resources (including non-Federal) will be available and how they will
be used to conduct project activity.
Project Reporting
Provide in descriptive terms, the manner in which required reports
are to be assembled along with the identification of data sources. The
application should identify and describe the mechanisms that will be
instituted and the commitment of specific resources that will address
the requisite evaluation activities, including commitment to meet
information requirements. This would necessarily include the reliance
on a useful information management system that is capable of producing
program outcome data and responding to needs of a national evaluation
study.
Renewal applications should, with regard to future program
operations, include the basic information required above. In addition,
renewal applications should also include a description of the program's
previous 12 months of operation in sufficient detail that it can be
reviewed against the project evaluation criteria found in Part IV of
this document.
Part III: Description of the Gateway Demonstration Program
A. Program Purpose
This demonstration program will provide grant funds to local
education agencies, in consultation with the local public housing
authority and private industry council, to provide on-site education,
training and necessary support services to economically disadvantaged
residents of public housing who have encountered barriers to employment
because of basic skills deficiencies.
B. Program Services and Requirements
The project awards will primarily allow for the development,
establishment and operation of an education, training and support
services program, at a minimum, consisting of the following mandatory
services:
--Outreach and information services designed to make eligible
individuals aware of available services;
--Literacy and bilingual education services, where appropriate and
necessary;
--Remedial education and basic skills training;
--Employment training and personal management skill development or
referrals for such services; and
--Child care or dependent care for dependents of eligible individuals
during those times, including afternoons and evenings, when training
services are being provided. (To the extent practicable, child care
services shall be designed to employ public housing residents after
appropriate training.)
Program may provide the following optional services:
--Pre-employment skills training;
--Employment counseling and application assistance;
--Job development services;
--Federal employment-related activity services;
--Completion of high school or GED program services;
--Transitional assistance, including child care for up to 6 months to
enable such individual to successfully secure unsubsidized employment;
--Substance abuse prevention and education; and,
--Other appropriate support services.
C. Program Beneficiaries
Projects proposed for funding under this portion of the
announcement must directly target training and services to individuals
who reside in public housing; are economically disadvantaged; and have
encountered barriers to employment because of basic skills deficiency
including not having a high school diploma, GED, or the equivalent. The
grantee shall give priority to single heads of households with young
dependent children.
D. Evaluation
The Department expects to contract for an independent evaluation of
the programs and entities that receive assistance under this program.
The anticipated evaluation shall examine, at a minimum, with respect to
the fulfillment of program objectives for families with children
residing in public housing, the ability of the Gateway Program to
promote increases in literacy levels and basic employment skills and
the securing of jobs.
Grantees are expected to cooperate with Federal evaluation
contractor(s) that will be funded by the Department. Evaluation
contractors will conduct assessments of program and service delivery
models. Such cooperation will involve periodically furnishing needed
process and outcome oriented data as required by the contractors and
allowing them access to information that has not otherwise been
provided by the grantee.
Grantees are expected to maintain sufficient resources to fulfill
required data obligations and to respond to requests for information
that is to be compiled for national evaluation and reporting.
E. Eligible Applicants
Eligible entities are local education agencies.
F. Project Period
This announcement is soliciting applications for project periods up
to three years. Awards, on a competitive basis, will be for a seventeen
(17) month budget period, although project periods may be for three
years. Applications for continuation grants funded under these awards
beyond the 17-month 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 [[Page 12307]] grantee and determination that this would be in the
best interest of the government.
G. Requirements
The applicant shall demonstrate that training and ancillary support
services will be accessed through existing program providers to the
extent that they are located in the immediate vicinity of the public
housing development, or they will contract with such providers for on-
site service delivery. The applicant shall warrant that funds provided
under this program will be utilized to purchase such services only to
the extent that no other funds can be obtained to fulfill the purpose
of this demonstration.
The local public housing agency shall agree to make available
suitable facilities in the public housing development for the provision
of education, training and support services.
The applicant shall detail the process by which the recipients of
services will be recruited with the assistance of the public housing
authority and how they will be determined to be eligible individuals.
The applicant shall demonstrate the ability to coordinate the
services provided with other services provided, with the public housing
development and private industry council as well as with other public
and private agencies and organizations of demonstrated effectiveness
providing similar and ancillary services to the target population.
The applicant, to the fullest extent practicable, shall set forth
the manner in which it will attempt to employ residents of the public
housing development whenever qualified residents are available.
Part IV: Criteria for Review and Evaluation of Applications for New
Family Support Center and Gateway Demonstration Programs
Applications for both programs will be reviewed and evaluated to
assess the applicant's ability to carry out the projects described
under Part II and III of this announcement, using the following
criteria and weights:
A. Understanding of Program Purposes and Community Needs (10 points)
1. Understanding of Program Purposes (0-5 points)
The extent to which the application reflects a good understanding
of the purpose(s) of the program, including the problems, barriers and
impediments that prevent the efficient and effective delivery of an
array of intensive and comprehensive services. For the Family Support
Center Program, the purpose is to stabilize previously homeless and at-
risk families and prevent them experiencing initial or recurring
episodes of homelessness. For the Gateway Program, the purpose is to
provide education, training and necessary support services to
economically disadvantaged residents of public housing who have
encountered barriers to employment because of basic skills
deficiencies.
2. Understanding of Client, Community, and Service System Needs (0-5
points)
The degree to which the application presents the appropriate and
pertinent demographic, social and personal data describing the needs of
the client populations to be served. Specifically, the Family Support
Center application should identify the extent of family homelessness
and the numbers of families in the project's community who are at risk
of becoming homeless. For both programs, community data should reflect
the resources and the lack of services or programs to address the
target population needs. Service system needs should reveal the extent
to which there is potential for short to intermediate range solutions
to organizational and systemic problems that affect the target
populations.
B. Quality of Project Plan (40 points)
1. Degree of Innovativeness (0-10 points)
Application should articulate creative and otherwise original
approaches and ways to achieve project objectives; application
describes unique features of the project, such as design or
technological innovations, reductions in cost or time, or extraordinary
client and community involvements. The application uses original and
enterprising means to identify, target, reach and serve children and
families using creative and innovative configurations of mainstream and
other programs in the community.
2. Soundness and Clarity of Project Approach/Strategy (0-15 points)
The soundness and feasibility of the project approach to achieve
specified goals and objectives and response to client, community and
system needs. The extent to which the application outlines a sound and
workable plan of action and details how the proposed work will be
accomplished and gives acceptable reasons for taking one approach as
opposed to others. The inclusion of plans and actions to accomplish
service coordination and delivery.
3. Appropriateness and Specificity of Project Goals (0-5 points)
The enumeration of clearly articulated goals and corresponding
objectives addressing the problems. These should be listed in a
sequential and integrated fashion tied to program purposes and client
needs. For the Family Support Center, this must include the reduction
of family homelessness through prevention measures. For Gateway, this
must include education and training to prepare participants for
employment.
4. Appropriateness of Performance and Impact Measures Selected (0-5
points)
Application lists the activities along with anticipated steps to be
carried out in a programmatic and chronological order. Application
includes a feasible schedule of target dates and accomplishments, in
sufficient detail, for the first seventeen months and more generally
for the remaining project period up to 36 months.
Application identifies measurable expected results for
participating children and families.
5. Cost Effectiveness (0-5 points)
The extent to which the project's financial costs are reasonable in
view of the activities to be carried out and their forecasted outcomes.
Applications should address cost expenditures vis a vis anticipated
project related benefits.
C. Capacity (20 points)
1. Staff Background and Experience (0-10 points)
The extent to which the resumes of the program director and key
project staff (including names, addresses, training, background and
other qualifying experience) demonstrate the ability to effectively and
efficiently administer and/or operate within a project of this size,
complexity and scope. Staff background and experience should also
exhibit clearly the ability of proposed staff to use and coordinate
activities with other agencies for the delivery of intensive and
comprehensive support services. In the event that new hires or
positions are involved, application should include position
descriptions and demonstrate the ability to bring available human
resources quickly on line with the project.
2. Organization (0-10 points)
Organizational resources that can be utilized within this project,
including applicant facilities and physical resources such as existing
office and [[Page 12308]] client services space. The resources capacity
of the organization may also include the attributes of the applicant
entity to attract cooperating community and other agency resources such
as outside means, properties and assets to participate in the program.
Application also includes information confirming the organization's
administrative and management capabilities and its appropriate location
within the organizational structure to support the successful operation
of this project.
D. Coordination (15 points)
1. Consortia or Project Partnerships (0-5 points)
Application demonstrates breadth and depth in the strength of the
consortia involved in the project. Application describes project
coordination and linkages with organizations, agencies, and key groups
as well as the activities and nature of their effort or contribution.
Partnerships established with various private (e.g. foundations,
volunteer efforts) and key public programs are included.
2. Committed Resources (0-5 points)
Application identifies current and/or anticipated commitments
indicating kinds of service along with specific level of efforts from
cooperating service-providing organizations or agencies.
3. Linkages (0-5 points)
Confirmation of linkages established with other local systems-
oriented or integration initiatives.
E. Monitoring and Evaluation (15 points)
1. Reports and Monitoring (0-5 points)
Application should include information reflecting the entity's
ability to conform to required schedule of program and administrative
reports and to maintain controls through an organized monitoring
effort.
2. Evaluation Activities (0-10 points)
Application should contain information outlining the entity's
ability and willingness to participate in ongoing evaluation mechanisms
and the capacity to provide required process and outcome oriented data.
For the Family Support Center program, these data requirements will
support identification and evaluation of grantee objectives, namely,
the enhancement of the living conditions of low and very low income
families; the improvement of the physical, social and educational
development of low and very low income children and families served by
the program; the achievement of progress towards increased potential
for independence and self-sufficiency among families served; the
reduction in the rate of repeated incidences of homelessness among
center clientele and a decrease in the incidence of first time
homelessness among community participants.
For Gateway programs, these data requirements will support
identification and evaluation of grantee objectives, namely, the
removal of barriers to employment because of basic skills deficiencies
and the preparation for employment and securing of jobs.
Part V: Criteria for Review and Evaluation of Applications for Family
Support Center Demonstration Renewal Projects--Only
Applications for renewals will be reviewed and evaluated to assess
the applicant's ability to carry out the projects described under Part
II of this announcement, using the following criteria and weights:
A. Understanding of Program Purposes and Community Needs (0-25 points)
The application has briefly restated the key elements of the
initial grant's approved work plan, including the problems, barriers
and impediments that have prevented the effective delivery of intensive
and comprehensive services to homeless and at risk families. In
describing the initial plan the applicant has included pertinent
demographic, social and personal data describing the needs of the
client population to be served, and the ability of the community to
respond to such needs.
B. Quality of Project Plan (0-40 points)
The application provides sufficient evidence of positive outcomes
demonstrating that initial project design, approach and implementation
strategies are effective in responding to client and community homeless
prevention needs. The information is sufficient to identify and
evaluate grantee accomplishments, namely, the enhancement of the living
conditions of low and very low income families; the improvement of the
physical, social and educational development of low and very low income
children and families served by the program; the achievement of
progress towards increased potential for independence and self-
sufficiency among families served; the degree to which the provision of
services is affected by caseload size; the reduction in the rate of
repeated incidences of homelessness among center clientele; and a
decrease in the incidences of first time homelessness among community
participants.
C. Institutional and Community Coordination (0-15 points)
The applicant shows that there has been a continuing involvement
among the community service partners and an increased coordination in
service delivery programs as a result of its initial grant.
Partnerships established with various private (e.g. foundations,
volunteer efforts) and key public programs are included.
The application reflects how the initial period of the grant has
had a positive impact toward strengthening the community socio-economic
infrastructure, and toward achieving greater access to community
resources and/or greater integration of available social service
delivery systems while preventing family homelessness.
D. Cost Effectiveness (0-10 points)
The extent to which the project's financial costs are reasonable in
view of accomplishments and forecasted outcomes. Application should
address cost expenditures vis a vis project benefits to date and
anticipate project related benefits.
E. Evaluation Significance (0-10 points)
--The applicant has demonstrated that a longer project operational
period is needed to assure program results that will have greater
significance.
--The applicant has documented that the renewal of its project will
result in more substantial progress toward self-sufficiency of the
targeted client population.
--The applicant has demonstrated that a renewal of the grant will
result in a more valid and useful project including what the
anticipated contributions to policy, practice, and program evaluation
will be.
Part VI: Application Procedures
A. Availability of Forms
This announcement with attachments contains standard forms
necessary to apply for awards under this program. The forms may be
reproduced for use in submitting 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 ``For
Further Information'' at the beginning of this Announcement or through
the OCS Electronic Bulletin Board. [[Page 12309]]
Agencies and organizations interested in applying for demonstration
grant funds should submit an application on the Standard Form 424, 424A
and 424B included in this announcement.
Each Form 424 must be signed by an individual authorized to act on
behalf of the applicant agency and to assume responsibility for the
obligations imposed by the terms and conditions of the grant award.
Applications must be prepared in accordance with the guidance provided
in this announcement and the instructions in the attached applications
package.
The applicant must be aware that in signing and submitting the
application for this award, it is certifying that it will comply with
the Federal requirements concerning the drug-free workplace and
debarment regulations set forth in Attachments E and F.
B. Application Submission
1. Deadlines. Applications shall be considered as meeting the
deadline if they are either:
a. Received on or before the deadline date at the Department of
Health and Human Services, Administration for Children and Families,
Division of Discretionary Grants, 370 L'Enfant Promenade, S.W., 6th
Floor, Washington, D.C. 20447, 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 the U.S. Postal Service. Private
metered postmarks are not accepted as proof of timely mailing.)
2. Applications submitted by other means. Applications which are
submitted in accordance with the above criteria shall be considered as
meeting the deadline only if they are physically received before the
close of business on or before the deadline date. Hand delivered
applications 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: The Administration for Children and Families, Division
of Discretionary Grants, 6th Floor, ACF Guard Station, 901 D Street,
S.W., Washington, D.C. 20447.
3. Late Applications. Applications which do not meet one of these
criteria are considered late applications. The ACF Division of
Discretionary Grants will notify each late applicant that its
application will not be considered in this competition.
4. Extension of Deadline. The ACF may extend the deadline for all
applicants because of acts of God such as floods, hurricanes, etc. or
when there is a disruption of the mails. However, if the granting
agency does not extend the deadline for all applicants, it may not
waive or extend the deadline for any applicant. Applications once
submitted are considered final and no additional materials will be
accepted.
One signed original application and two copies are required.
Note: Applicants should note that the U.S. Postal Service does
not uniformly provide a dated post mark. Before relying on this
method, applicants should check with their local post office. In
some instances packages presented for mailing after a pre-determined
time are postmarked with the next day's date. In other cases,
postmarks are not routinely placed on packages. Applicants are
cautioned to verify that there is a date on the package, and that it
is the correct date of mailing, before accepting a receipt. Private
metered postmarks are not acceptable as proof of timely mailing.
Applications which have a postmark later than the closing date,
or which are hand-delivered after the closing date, will be returned
to the sender without consideration in the competition.
C. Application Consideration
All applications that meet the published deadline for submission
will be screened to determine completeness and conformity to the
requirements of this announcement. Applications meeting the above
screening requirements will be reviewed competitively and scored
against the criteria outlined in Part IV or Part V of this
announcement. The review will be conducted in Washington, D.C. Such
applications will be referred to reviewers knowledgeable about programs
dealing with housing, homelessness, education, community action and
supportive services. Reviewers will provide a numerical score and
explanatory comments based solely on responsiveness to the specific
criteria published in this announcement. Reviewers' scores will weigh
heavily in funding decisions but may not be the only factor considered.
Applications generally will be considered in order of the average
scores assigned by reviewers. However, highly ranked applications are
not guaranteed funding as other factors are considered, including:
comments of reviewers and government officials; staff evaluation and
input; geographic distribution; previous program performance of
applicants; compliance with grant terms under previous DHHS grants;
audit reports; investigative reports; and applicant's progress in
resolving any final audit disallowances on previous OCS or other
Federal agency grants.
OCS reserves the right to discuss applications with other Federal
or non-Federal funding sources to ascertain the applicant's performance
record.
The results of the competitive review will assist the Director of
the Office of Community Services, in considering competing
applications. Consideration will be given to ensuring that a variety of
geographic areas are served, that projects with different auspices are
selected and that various project designs and models are represented.
D. 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 Contact
(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. 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(a)(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 they intend to
trigger the ``accommodate or explain'' rule.
When comments are submitted directly to ACF, they should be
addressed to: Department of Health and [[Page 12310]] Human Services,
Administration for Children and Families, Division of Discretionary
Grants, 370 L'Enfant Promenade, S.W., 6th Floor, Washington, D.C.
20447.
A list of the Single Points of Contact for each State and Territory
is included as Attachment G of this announcement.
Part VII: Instructions for Completing Applications
(Approved by the Office of Management and Budget under Control Number
0970-0062)
The standard forms attached to this announcement shall be used when
submitting applications for all funds under this announcement. It is
suggested that you reproduce single-sided copies of 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''. If your
submission on an item needs further explanation or is not directly
responsive to the item requested, please explain or provide commentary
in Item Number 23. This item may be extended by use of an additional
sheet of paper, appropriately identified.
Prepare your application in accordance with instructions provided
on the forms as well as with the OCS specific instructions set forth
below:
A. SF-424--``Application for Federal Assistance'' (see Attachment B)
Item 1. For the purposes of this announcement, all projects are
considered ``Applications''; there are no ``Pre-Applications'' and no
Construction projects. Accordingly, check the ``Non-Construction'' box.
Item 2. ``Date Submitted'' and ``Applicant Identifier''--Date
application is submitted to ACF and applicant's own internal control
number, if applicable.
Item 3. ``Date received by State''--N/A.
Item 4. ``Date received by Federal Agency''--Leave blank.
Item 5 and 6. The legal name of the applicant must match that
listed as corresponding to the Employer Identification Number. Where
the applicant is a previous Department of Health and Human Services
grantee, enter the Central Registry System Employee Identification
Number (CRS/EIN) and the Payment Identifying Number, if one has been
assigned, in the Block entitled ``Federal Identifier'' located at the
top right hand corner of the form.
Item 7. Mark the appropriate box. If the applicant is a non-profit
corporation, enter ``N'' in the box and specify ``non-profit
corporation'' in the space marked ``other''. Proof of non-profit
status, such as IRS determination or Articles of Incorporation, must be
included as an appendix to the project narrative.
Item 8. ``Type of Application''--Please indicate the type of
application (New or New-Renewal).
Item 9. ``Name of Federal Agency''--Enter DHHS-ACF/OCS.
Item 10. The Catalog of Federal Domestic Assistance Number for OCS
programs covered under this announcement is 93.578. The title is
``Family Support Center and Gateway Demonstration Program''.
Item 11. ``Descriptive Title of Applicant's Project''--Enter the
project title (a brief descriptive title) and the following letter
designations must be used:
ZC--Family Support Center
ZR--Family Support Center Renewals
ZG--Gateway Demonstration
Item 12. ``Areas Affected by Project''--List only the largest unit
or units affected, such as State, county or city.
Item 13. ``Proposed Project''--Enter the desirable starting date
for the project and the proposed completion date. Projects may not
exceed the maximum duration specified.
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(s) of the Congressional
district(s) where the project will be located.
Item 15a. This amount should be no greater than the amount
specified under the Section on Availability of Funds and Grant Amounts.
B. SF-424A--``Budget Information-Non-Construction Programs''
(See Attachment C)
See Instructions accompanying this form as well as the instructions
set forth below:
Sections A, B, C, and D should reflect budget estimates for the
first year of the project. Section E should present the estimates for
Federal assistance for the second year of the project. Grant awardees
will be required to submit a ``continuation application'' for the
second year of the project.
In completing these sections, the ``Federal Funds'' budget entries
should separately identify all Federal funds involved in the project,
``Non-Federal'' will include mobilized funds from all other sources--
applicant, State, and other.
Section A--Budget Summary
Line 1: Column (a): Enter ``Family Support Center/Gateway
Demonstration Program''; Column (b): Enter 93.578 Columns (c) and (d):
Not Applicable for new applications. Columns (e), (f) and (g): enter
the appropriate amounts needed to support the project for the first
budget period.
Lines 2-4: Enter same information as above for any other Federal
funds proposed to be used in the project. (Please explain status of
funds; e.g., approved or requested, etc.)
Section B--Budget Categories
Allocability of costs are governed by applicable cost principles
set forth in OMB Circular A-122 and 45 CFR Part 74 (non-governmental)
and OMB Circular A-7 and 45 CFR Part 92 (governmental). Budget
estimates for all costs must be supported by adequate detail for the
grants officer to perform a cost analysis and review. Adequately
detailed calculations for each budget object class are those which
reflect estimation methods, quantities, unit costs, salaries, and other
similar quantitative detail sufficient for the calculations to be
duplicated. For any additional object class categories included under
the object class ``other'' identify the additional object class(es) and
provide supporting calculations.
Supporting narratives and justifications are required for each
budget category, with emphasis on unique/special initiatives; large
dollar amounts; local, regional, or other travels; new positions; major
equipment purchases and training programs.
A detailed itemized budget with a separate budget justification for
each major item should be included, as indicated below.
Personnel-Line 6a. Enter the estimated total costs of salaries and
wages.
Justification: Identify the principal investigator or project
director, if known. Specify by title or name the percentage of time
allocated the project, the individual annual salaries, and the cost to
the project of the organization's staff who will be working on the
project. Do not include costs of consultants or personnel costs of
delegate agencies or of specific project(s) or businesses to be
financed by the applicant.
Fringe Benefits-Line 6b: Enter the estimated total costs of fringe
benefits unless treated as part of an approved indirect cost rate which
is entered on line 6j. [[Page 12311]]
Justification: Provide a breakdown of amounts and percentages that
comprise fringe benefit costs, such as health insurance, FICA,
retirement insurance, taxes, etc.
Travel-Line 6c: Enter total costs of all travel by employees of the
project. Do not enter costs for consultant's travel.
Justification: Include the total number of traveler(s), total
number of trips, destinations, number of days, transportation costs and
subsistence allowances. Except for Family Support Center renewal
applications, travel costs to attend one national workshop in
Washington, D.C. by the project director should be included.
Equipment-Line 6d: Enter the estimated total costs of all tangible,
non-expendable personal property to be acquired by the project.
Tangible, non-expendable personal property is that which has a useful
life of more than one year and an acquisition cost of $5,000 or more
per unit.
Justification: Only equipment required to conduct the project may
be purchased with Federal funds. The applicant organization or its
subgrantees must not have such equipment, or a reasonable facsimile,
available for use in the project. The justification also must contain
plans for future use or disposal of the equipment after the project
ends. An applicant may use its own definition of non-expendable
personal property, provided that such a definition would at least
include all tangible personal property as defined above. (See Line 21
for additional requirements).
Supplies-Line 6e: Enter the total costs of all tangible personal
property (supplies) other than that included on line 6d.
Justification: Specify general categories of supplies and their
costs.
Contractual-Line 6f: Enter the total costs of all contracts: (1)
procurement contracts (except those which belong on other lemires such
as equipment, supplies, etc.) and (2) contracts with secondary
recipient organizations including delegate agencies and specific
project(s) or businesses to be financed by the applicant.
Justification: If available at the time of application, attach a
list of contractors, indicating the names of the organizations, the
purposes of the contracts, the estimated dollar amounts, and selection
process of the awards as part of the budget justification. Also provide
back-up documentation identifying the name of contractor, purpose of
contract, and major cost elements.
Note: Whenever the applicant/grantee intends to delegate part of
the program to another agency, thus entering into an interagency
agreement, the applicant/grantee must submit Sections A and B of
this Form SF-24A, completed for each delegate agency by agency
title, along with the required supporting information referenced in
the applicable instructions. The total costs of all such agencies
will be part of the amount shown on Line 6f. Free and open
competition is encouraged for any procurement activities planned
using ACF grant funds. Prior approval is required when applicants
anticipate procurements that will exceed $25,000 are requesting an
award without competition.
The applicant's procurement procedures should outline the type of
advertisement appropriate to the nature and anticipated value of the
contract to be awarded. Advertisements are typically made in city,
regional and local newspapers; trade journals; and/or through
announcements by professional associations.
Construction-Line 6g: New construction costs are not permitted
under this program. This line may be used for renovation costs.
Other-Line 6h: Enter the estimated total of all other costs. Such
costs, where applicable, may include, but are not limited to,
insurance, food, medical and dental costs (noncontractual), space and
equipment rentals, printing and publication, computer use, training
costs including tuition, training service costs including wage payments
to individuals and supportive service payments, and staff development
costs.
Indirect Charges-Line 6j: Enter the total amount of indirect costs.
This line generally should be used only when the applicant currently
has an indirect cost rate approved by the Department of Health and
Human Services or other Federal agency. With the exception of local
governments, applicants should enclose a copy of a current rate
agreement negotiated with a Federal agency other than the Department of
Health and Human Services. If the applicant organization is
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.
Total-Line 6k: Enter total amounts of lines 6i and 6j.
Program Income-Line 7: Enter the estimated amount of income, if
any, expected to be generated from this project. Separately show
expected program income generated from OCS support and income generated
from other mobilized funds. Do not add or subtract this amount from the
budget total. Show the nature and source of income in the program
narrative statement.
Justification: Describe the nature, source and anticipated use of
program income in the Program Narrative Statement.
Section C--Non-Federal Resources
This section is to record the amounts of ``non-Federal'' resources
that will be used to support the project. Provide a brief explanation,
on a separate sheet, showing the type of contribution, broken out by
Object Class Category, and whether it is cash or third-party in-kind.
The firm commitment of these funds should be documented and submitted
with the application in order to be given full credit in the review
criteria.
Justification: Describe all non-Federal resources including third-
party, cash and/or in-kind contributions. Except in unusual situations,
this documentation should be in the form of letters of commitment from
the organization(s)/ individuals from which funds will be received.
Grant Program-Line 8. Grant Program.
Column (a): Enter the project title.
Column (b): Enter the amount of cash or donations to be made by the
applicant.
Column (c): Enter the other contribution.
Column (d): Enter the amount of cash and third-party, in kind
contributions to be made from all other sources.
Column (e): Enter the total of columns (b), (c), and (d).
Grant Program-Lines 9, 10, and 11 should be left blank.
Grant Program-Line 12. Carry the total of each column of Line 8,
(b) through (e). The amount in Column (e) should be equal to the amount
on Section A, Line 5, column (f).
Section D--Forecasted Cash Needs
Federal-Line 13. Enter the amount of Federal (OCS) cash needed for
this grant, by quarter, during the first 17-month budget period for
Family Support Center Demonstration applications. For Gateway
Demonstration grants, enter the amount of Federal (OCS) cash needed for
this grant, by quarter, during the first 12-month budget period.
Non-Federal-Line 14. Enter the amount of cash from all other
sources needed by quarter during the first year. [[Page 12312]]
Total-Line 15. Enter the total of Lines 13 and 14.
Section E--Budget Estimates of Federal Funds Needed for Balance of
Project
Applicants for two year projects will complete line 16, (a), (b)
and (c).
Column (a) refers respectively to the second year of the project.
Section F-- Other Budget Information
Direct Charges-Line 21. Use this space and continuation sheets as
necessary to fully explain and justify the major items included in the
budget categories shown in Section B. Include sufficient detail to
facilitate determination of allowability, relevance to the project, and
cost benefits. Particular attention must be given to the explanation of
any requested direct cost budget item which requires explicit approval
by the Federal agency. Budget items which require identification and
justification shall include, but not be limited to, the following:
A. Salary amounts and percentage of time worked for those key
individuals who are identified in the project narrative;
B. Any foreign travel;
C. A list of all equipment and estimated cost of each item to be
purchased wholly or in part with grant funds which meet the definition
of nonexpendable personal property provided on Line 6d, Section B. Need
for equipment must be supported in program narrative;
D. Contractual: major items or groups of smaller items; and
E. Other: group into major categories all costs for consultants,
local transportation, space, rental, training allowances, staff
training, computer equipment, etc. Provide a complete breakdown of all
costs that make up this category.
Indirect Charges-Line 22. Enter the type of HHS or other Federal
agency approved indirect cost rate (provisional, predetermined, final
or fixed) that will be in effect during the funding period, the
estimated amount of the base to which the rate is applied and the total
indirect expense. Also, enter the date the rate was approved and attach
a copy of the rate agreement.
Remarks-Line 23. Provide any other explanations and continuation
sheets required or deemed necessary to justify or explain the budget
information.
C. SF-24B--``Assurances-Non-Construction''
All applicants must fill out, sign, date and return the
``Assurances'' (see Attachment D) with the application.
Part VIII: Contents of Application and Receipt Process
A. Contents of Application
Each application submission should include a signed original and
two additional copies of the application. Each application should
include the following in the order presented:
1. Table of Contents;
2. Completed Standard Form 424 which has been signed by an Official
of the organization applying for the grant who has authority to
obligate the organization legally.
[Note: The original SF-24 must bear the original signature of
the authorizing representative of the applicant organization]
3. ``Budget Information-Non-Construction Programs'' (SF-424A);
4. A narrative budget justification for each object class category
required under Section B, SF-424A;
5. Filled out, signed, and dated ``Assurances-Non-Construction
Programs'' (SF-424B);
6. The applicant should sign Attachment E. In so doing, the
applicant is certifying that it will comply with the Federal
requirements concerning the drug-free workplace and debarment
regulations set forth in Attachments E and F.
7. Restrictions on Lobbying, Certification for Contracts, Grants,
Loans, and Cooperative Agreements: fill out, sign and date form found
at Attachment H.
8. A project abstract (a paragraph which succinctly describes the
project in 200 characters or less).
9. An Executive Summary--not to exceed one page;
10. Appendices, including (where applicable) proof of non-profit
status; proof that the organization is a community development
corporation, commitments from service providing organizations, where
applicable; Single Point of Contact comments, if applicable;
Maintenance of Effort Certification and resumes.
11. A self-addressed mailing label which can be affixed to a notice
to acknowledge receipt of application.
The total number of pages for the entire application package,
excluding Appendices, should not exceed 50 pages. Pages should be
numbered sequentially throughout, excluding Appendices, beginning with
the SF-424 as Page #1.
Applications must be uniform in composition since OCS may find it
necessary to duplicate them for review purposes. Therefore,
applications must be submitted on white 8\1/2\ x 11 inch paper only.
They must not include colored, oversized or folded materials. Do not
include organizational brochures or other promotional materials,
slides, films, clips, etc. in the application. They will be discarded
if included. The applications should be two-holed punched at the top
center and fastened separately with a compressor slide paper fastener,
such as an ACCO clip, or a binder clip. The submission of bound
applications, or applications enclosed in binders, is specifically
discouraged.
B. Acknowledgement of Receipt
All applicants who meet the initial screening criteria outlines in
Part V, Section C will receive an acknowledgement notice with an
assigned identification number. Applicants are requested to supply a
self-addressed mailing label with their application which can be
attached to this acknowledgement postcard. This number and the program
priority area letter code must be referred to in all subsequent
communications with OCS concerning the application. If an
acknowledgement is not received within three weeks after the deadline
date, please notify ACF by telephone (202) 401-9365.
Part IX: Post-Award Information and Reporting Requirements
Following approval of the applications selected for funding, notice
of project approval and authority to draw down project funds will be
made in writing. The official award document is the Financial
Assistance Award which provides the amount of Federal funds approved
for use in the project, the project and budget periods for which
support is provided, the terms and conditions of the award, and the
total project period for which support is contemplated.
In addition to the General Conditions and Special Conditions (where
the latter are warranted) which will be applicable to grants, grantees
will be subject to the provisions of 45 CFR parts 74 (non-governmental)
and 92 (governmental).
Grantees will be required to submit quarterly progress and
financial reports (SF 269) throughout the project period, as well as a
final progress and financial report within 90 days of the termination
of the project. These reports will be submitted in accordance with
instructions to be provided by OCS, and will be the basis for any
dissemination effort conducted by the Office of Community Services.
Grantees are subject to the audit requirements in 45 CFR Parts 74
and 92 and OMB Circular A-133 and OMB Circular A-128, Audits of States
and Local Governments. [[Page 12313]]
Attachment I indicates the regulations which apply to all
applicants/grantees under the Family Support Center and Gateway
Demonstration Programs.
Dated: February 23, 1995.
Donald Sykes,
Director, Office of Community Services.
Attachment A
FY 1995 Median Family Income as Determined by the Secretary of
Housing and Urban Development
HUD Field Offices with assisted housing program functions are
responsible for maintaining records of income limits established for
areas within their jurisdiction. Field Offices are prepared to make
income limits available to the public upon request.
Requests from the public for individual area limits, sets of
national or regional income limits may be secured by calling 1-800-245-
2691 (301-251-5154 in the Washington, DC area).
The Office of Community Services, Division of Community
Demonstration Programs maintains a current set of income information.
You may contact Mr. Sheldon Shalit at 202-401-4807 if you are not able
to access the appropriate information from the toll free number listed
above.
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BILLING CODE 4184-01-C
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Instructions for the SF 424
This is a standard form used by applicants as a required
facesheet for preapplications and applications submitted for Federal
assistance. It will be used by Federal agencies to obtain applicant
certification that States which have established a review and
comment procedure in response to Executive Order 12372 and have
selected the program to be included in their process, have been
given an opportunity to review the applicant's submission.
Item and entry
1. Self-explanatory.
2. 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 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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BILLING CODE 4184-01-C
[[Page 12318]]
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
Line 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 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
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
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.
Attachment D
[OMB Approval No. 0348-0040]
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 [[Page 12319]] purpose that constitutes or
presents the appearance of personal or organizational conflict of
interest, or personal gain.
4. Will initiate and complete the work within the applicable
time frame after receipt of approval of the awarding agency.
5. Will comply with the Intergovernmental Personnel Act of 1970
(42 U.S.C. 4728-4763) relating to prescribed standards for merit
systems for programs funded under one of the nineteen statutes or
regulations specified in Appendix A of OPM's Standards for a Merit
System of Personnel Administration (5 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.
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. 794), which prohibits discrimination on the basis
of handicaps; (d) the Age Discrimination Act of 1975, as amended (42
U.S.C. 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) 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. 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.
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. 276a to 276a-7), the Copeland Act (40 U.S.C.
276c and 18 U.S.C. 874), and the Contract Work Hours and Safety
Standards Act (40 U.S.C. 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. 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. 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. 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. 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
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[[Page 12321]]
[GRAPHIC][TIFF OMITTED]TN06MR95.004
BILLING CODE 4184-01-C
[[Page 12322]]
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 Tire Participants)
By signing and submitting this lower tier proposal, the
prospective lower tier participant, as defined in 45 CFR part 76,
certifies to the best of its knowledge and belief that it and its
principals:
(a) are not presently debarred, suspended, proposed for
debarment, declared ineligible, or voluntarily excluded from
participation in this transaction by any federal department or
agency.
(b) where the prospective lower tier participant is unable to
certify to any of the above, such prospective participant shall
attach an explanation to this proposal.
The prospective lower tier participant further agrees by
submitting this proposal that it will include this clause entitled
``Certification Regarding Debarment, Suspension, Ineligibility, and
Voluntary Exclusion--Lower Tier Covered Transactions.'' Without
modification in all lower tier covered transactions and in all
solicitations for lower tier covered transactions.
Attachment 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, NW., Suite 500,
Washington, DC 20005, Telephone (202) 727-6551
Florida
Florida State Clearinghouse, Intergovernmental Affairs Policy Unit,
Executive Office of the Governor, Office of Planning and Budgeting,
The Capitol, Tallahassee, Florida 32399-0001, Telephone (904) 488-
8441
Georgia
Mr. Charles H. Badger, Administrator, Georgia State Clearinghouse,
254 Washington Street, SW., Atlanta, Georgia 30334, Telephone (404)
656-3855
Illinois
Steve Klokkenga, State Single Point of Contact, Office of the
Governor, 107 Straton 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 [[Page 12323]]
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 (801) 538-1535
Vermont
Mr. Bernard D. Johnson, Assistant Director, Office of Policy
Research & Coordination, Pavilion Office Building, 109 State Street,
Montpelier, Vermont 05602, Telephone (802) 828-3326
West Virginia
Mr. Fred Cutlip, Director, Community Development Division, West
Virginia Development Office, Building #6, Room 553, Charleston, West
Virginia 25305, Telephone (304) 348-4010
Wisconsin
Mr. William C. Carey, Federal/State Relations, Wisconsin Department
of Administration, 101 South Webster Street, P.O. Box 7864, Madison,
Wisconsin 53707, Telephone (608) 266-0267
Wyoming
Sheryl Jeffries, State Single Point of Contact, Herschler Building,
4th Floor, East Wing, Cheyenne, Wyoming 82002, Telephone (307) 777-
7574
Guam
Mr. Michael J. Reidy, Director, Bureau of Budget and Management
Research, Office of the Governor, P.O. Box 2950, Agana, Guam 96910,
Telephone (671) 472-2285
Northern Mariana Islands
State Single Point of Contact, Planning and Budget Office, Office of
the Governor, Saipan, CM, Northern Mariana Islands 96950
Puerto Rico
Norma Burgos/Jose H. Caro, Chairman/Director, Puerto Rico Planning
Board, Minillas Government Center, P.O. Box 41119, San Juan, Puerto
Rico 00940-9985, Telephone (809) 727-4444
Virgin Islands
Jose L. George, Director, Office of Management and Budget, #41
Norregade Emancipation Garden Station, Second Floor, Saint Thomas,
Virgin Islands 00802. Please direct correspondence to: Linda Clarke,
Telephone (809) 774-0750
Attachment 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 than Federal appropriated funds have been
paid or will be paid to any person for influencing or attempting to
influence an officer or employee of any agency, a Member of
Congress, an officer or employee of Congress, or an employee of a
Member of Congress in connection with this Federal contract, grant,
loan or cooperative agreement, the undersigned shall complete and
submit Standard Form-LLL, ``Disclosure Form to Report Lobbying,'' in
accordance with its instructions.
(3) The undersigned shall require that the language of this
certification be included in the award documents for all subawards
at all tiers (including subcontracts, subgrants, and contracts under
grants, loans, and cooperative agreements) and that all
subrecipients shall certify and disclose accordingly.
This certification is a material representation of fact upon
which reliance was placed when this transaction was made or entered
into. Submission of this certification is a prerequisite for making
or entering into this transaction imposed by section 1352, title 31,
U.S. Code. Any person who fails to file the required certification
shall be subject to a civil penalty of not less than $10,000 and not
more than $100,000 for each such failure.
State for Loan Guarantee and Loan Insurance
The undersigned states, to the best of his or her knowledge and
belief, that:
If any funds have been paid or will be paid to any person for
influencing or attempting to influence an officer or employee of any
agency, a Member of Congress, an officer or employee of Congress, or
an employee of a Member of Congress in connection with this
commitment providing for the United States to insure or guarantee a
loan, the undersigned shall complete and submit Standard Form-LLL
``Disclosure Form to Report Lobbying,'' in accordance with its
instructions.
Submission of this statement is a prerequisite for making or
entering into this transaction imposed by section 1352, title 31,
U.S. Code. Any person who fails to file the required statement shall
be subject to a civil penalty of not less than $10,000 and not more
than $100,000 for each such failure.
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Attachment I--DHHS Regulations Applying to All Applicants/Grantees
Under the Family Support Center and Gateway Demonstration Programs
Title 45 of the Code of Federal Regulations:
Part 16--Department of Grant Appeals Process
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 from Eligibility for Financial
Assistance
Subpart F--Drug Free Workplace Requirements
Part 80--Non-Discrimination Under Programs Receiving Federal
Assistance through the Department of Health and Human Services
Effectuation of Title VI of the Civil Rights Act of 1964
Part 81--Practice and Procedures for Hearings Under Part 80 of this
Title
Part 83--Non-discrimination on the basis of sex in the admission of
individuals to training programs
Part 84--Non-discrimination on the Basis of Handicap in Programs
Part 91--Non-discrimination on the Basis of Age in Health and Human
Services Programs or Activities Receiving Federal Financial
Assistance
Part 92--Uniform 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
Attachment J
Certification Regarding Maintenance of Effort
The undersigned certifies that:
(1) activities funded under this program announcement are in
addition to, and not in substitution for, activities previously
carried on without Federal assistance.
(2) funds or other resources currently devoted to activities
designed to meet the needs of the poor within a community, area, or
State have not been reduced in order to provide the required
matching contributions.
When legislation for a particular block grant permits the use of
its funds as match, the applicant must show that it has received a
real increase in its block grant allotment and must certify that
other anti-poverty programs will not be scaled back to provide the
match required for this project.
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Attachment K
Certification Regarding Environmental Tobacco Smoke
Public Law 103-227, Part C--Environmental Tobacco Smoke, also
known as the Pro-Children Act of 1994 (Act), requires that smoking
not be permitted in any portion of any indoor routinely owned or
leased or contracted for by an entity and used routinely or
regularly for provision of health, day care, education, or library
services to children under the age of 18, if the services are funded
by Federal programs either directly or through State or local
governments, by Federal grant, contract, loan, or loan guarantee.
The law does not apply to children's services provided in private
residences, facilities funded solely by Medicare or Medicaid funds,
and portions of facilities used for inpatient drug or alcohol
treatment. Failure to comply with the provisions of the law may
result in the imposition of a civil monetary penalty of up to $1,000
per day and/or the imposition of an administrative compliance order
on the responsible entity.
By signing and submitting this application the applicant/grantee
certifies that it will comply with the requirements of the Act. The
applicant/grantee further agrees that it will require the language
of this certification be included in any subawards which contain
provisions for the children's services and that all subgrantees
shall certify accordingly.
[FR Doc. 95-5330 Filed 3-3-95; 8:45 am]
BILLING CODE 4184-01-P