[Federal Register Volume 60, Number 45 (Wednesday, March 8, 1995)]
[Notices]
[Pages 12828-12858]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 95-5512]




[[Page 12827]]

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Part II





Department of Health and Human Services





_______________________________________________________________________



Administration for Children and Families



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Office of Community Services Fiscal Year 1995 Job Opportunities for 
Low-Income Individuals Program (Demonstration Projects); Request for 
Applications; Notice

  Federal Register / Vol. 60, No. 45 / Wednesday, March 8, 1995 / 
Notices   
[[Page 12828]] 

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Administration for Children and Families
[Program Announcement No. OCS-95-08]


Request for Applications Under the Office of Community Services 
Fiscal Year 1995 Job Opportunities for Low-Income Individuals Program 
(Demonstration Projects)

AGENCY: Administration for Children and Families (ACF), DHHS.

ACTION: Announcement of availability of funds and request for 
applications under the Office of Community Services' FY 1995 Job 
Opportunities for Low-Income Individual Program (Demonstration 
Projects).

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SUMMARY: The Administration for Children and Families (ACF), Office of 
Community Services (OCS), announces that competing applications will be 
accepted for new grants pursuant to the Secretary's discretionary 
authority under section 505 of the Family Support Act of 1988, as 
amended.

CLOSING DATES: The closing date for submission of applications is April 
24, 1995.

FOR FURTHER INFORMATION CONTACT: Office of Community Services, 
Administration for Children and Families, 370 L'Enfant Promenade SW., 
Washington, DC 20447, Telephone (202) 401-5282, Contact: Nolan Lewis.
    This Announcement is accessible on the OCS Electronic Bulletin 
Board for downloading through your computer modem by calling 1-800-627-
8886. For assistance in accessing the Bulletin Board, A Guide to 
Accessing and Downloading is available from Ms. Minnie Landry at (202) 
401-5309.

Table of Contents

Part I--Preamble

A. Legislative Authority
B. Eligible Applicants
C. Definition of Terms
D. Purpose

Part II--Program Priority Area

A. General Projects 1.0
B. Community Development Corporations Set-aside 2.0

Part III--Application Requirements

A. Background Information
    1. Project and Budget Periods
    2. Availability of Funds and Grant Amounts
    3. Mobilization of Resources
    4. Program Participants/Beneficiaries
    5. Cooperative Partnership Agreement with State IV-A Agency 
(JOBS Program)
    6. Prohibition and Restrictions on the Use of Funds
    7. Multiple Submittals
    8. Continuation and Refunding
    9. Third-Party Project Evaluation
    10. Economic Development Strategy
    11. Maintenance of Effort

Part IV--Application Review Process

A. Criteria for Review and Assessment of Applications in Priority 
Areas 1.0 and 2.0

Part V--Application Procedures and Selection Process

A. Availability of Forms
B. Application Submission
C. Intergovernmental Review
D. Application Consideration
E. Criteria for Screening Applications

Part VI--Instructions for Completing the SF-424

A. SF-424--Application for Federal Assistance
B. SF-424A--Budget Information--Non-Construction Programs
C. SF-424B--Assurances--Non-Construction

Part VII--Contents of Application and Receipt Process

A. Contents and Order of Application
B. Acknowledgement of Receipt
Part VIII--Post Award Information and Reporting Requirements

Part I--Preamble

A. Legislative Authority

    The Senate Committee on Appropriations, in its recommendations, 
provides $5,500,000 for job creation demonstration activities 
authorized under section 505 of the Family Support Act of 1988, Pub. L. 
100-485, as amended. Senate Report No. 103-318, 103d Cong., 2nd Session 
(1994), to accompany H.R. 4606. Section 505 of the Family Support Act 
of 1988 authorizes the Secretary to enter into agreements with not less 
than 5 nor more than 10 non-profit organizations (including community 
development corporations) for the purpose of conducting demonstration 
projects to create employment and business opportunities for certain 
low-income individuals. The Social Security Act Amendments of 1994, 
Public Law 103-432, reauthorize Section 505 of the Family Support Act 
of 1988 through Fiscal Year 1996, and amends subsection (e) and changes 
the project period from three to six years. The six year project period 
applies only to grant awards beginning in Fiscal Year 1995.

B. Eligible Applicants

    Organizations eligible to apply for funding under this program are 
any non-profit organizations (including community development 
corporations) that are exempt from taxation under Section 501(a) of the 
Internal Revenue Code of 1986 by reason of paragraph (3) or (4) of 
section 501(c) of such Code. Applicants must provide documentation of 
their tax exempt status. The applicant can accomplish this by providing 
a copy of the applicant's listing in the Internal Revenue Service's 
(IRS) most recent list of tax-exempt organizations described in section 
501(c)(3) of the IRS code or by providing a copy of the currently valid 
IRS tax exemption certificate, and by providing a copy of its Articles 
of Incorporation bearing the seal of the State in which the corporation 
or association is domiciled. Failure to provide evidence of non-profit 
status will result in rejection of the application.

C. Definition of Terms

    For purposes of this Program Announcement the following definitions 
apply:

--Budget Period: The interval of time into which a multi-year period of 
assistance (project period) is divided for budgetary and funding 
purposes.
--Community-Level Data: Key information to be collected by each grantee 
that will allow for a national-level analysis of common features of 
JOLI projects. This includes data on the population of the target area, 
including the percentage on AFDC and other public assistance, and the 
percentage whose incomes fall below the poverty line; the unemployment 
rate; the number of new business starts and business closings; and a 
description of the major employers and average wage rates and 
employment opportunities with those employers.
--Community Development Corporation: A private, locally initiated, 
nonprofit entity, governed by a board consisting of residents of the 
community and business, civic leaders, and/or public officials which 
has a record of implementing economic development projects or whose 
Articles of Incorporation and/or By-Laws indicate that it has a focus 
in the area of economic development.
--Hypothesis: An assumption made in order to test its validity. It 
should assert a cause-and-effect relationship between a program 
intervention and its expected result. Both the intervention and result 
must be measured in order to confirm the hypothesis. For example, the 
following is a hypothesis: ``Eighty hours of classroom training in 
small business planning will be sufficient for participants to prepare 
a successful loan application.'' In this example, data would be 
obtained on the number of hours of training actually received by 
participants (the [[Page 12829]] intervention), and the quality of loan 
applications (the result), to determine the validity of the hypothesis 
(are eighty hours of training sufficient to produce the result?).
--Intervention: Any planned activity within a project that is intended 
to produce changes in the target population and/or the environment and 
that can be formally evaluated. For example, assistance in the 
preparation of a business plan and loan package are planned 
interventions.
--Job Creation: To bring about, by activities and services funded under 
this program, new jobs, that is, jobs that were not in existence before 
the start of the project. These activities can include self-employment/
micro-enterprise training, the development of new business ventures or 
the expansion of existing businesses.
--Non-profit Organization: Any organization (including a community 
development corporation) exempt from taxation under section 501(a) of 
the Internal Revenue Code of 1986 by reason of paragraph (3) or (4) of 
section 501(c) of such code.
--Outcome Evaluation: An assessment of project results as measured by 
collected data which define the net effects of the interventions 
applied in the project. An outcome evaluation will produce and 
interpret findings related to whether the interventions produced 
desirable changes and their potential for replicability. It should 
answer the question, Did this program work?
--Private employers: Third-party private non-profit organizations or 
third-party for-profit businesses operating or proposing to operate in 
the same community as the applicant and which are proposed or potential 
employers of project participants.
--Process Evaluation: The ongoing examination of the implementation of 
a program. It focuses on the effectiveness and efficiency of the 
program's activities and interventions (for example, methods of 
recruiting participants, quality of training activities, or usefulness 
of follow-up procedures). It should answer questions such as: Who is 
receiving what services?, and are the services being delivered as 
planned? It is also known as formative evaluation because it gathers 
information that can be used as a management tool to improve the way a 
program operates while the program is in progress. It should also 
identify problems that occurred and how they were dealt with and 
recommend improved means of future implementation. It should answer the 
question: ``How was the program carried out?'' In concert with the 
outcome evaluation, it should also help explain, ``Why did this program 
work/not work?''
--Program Participant/Beneficiary: Any individual eligible to receive 
Aid to Families with Dependent Children under Part A of Title IV of the 
Social Security Act and any other individual whose income level does 
not exceed 100 percent of the official poverty line as found in the 
most recent Annual Revision of Poverty Income Guidelines published by 
the Department of Health and Human Services. (See Attachment A.)
--Project Period: The total time a project is approved for support, 
including any extensions.
--Self-Sufficiency: A condition where an individual or family, by 
reason of employment, does not need and is not eligible for public 
assistance.

D. Purpose

    The purpose of this program is to demonstrate and evaluate ways of 
creating new employment and business opportunities for certain low-
income individuals through the provision of technical and financial 
assistance to private employers in the community, self-employment/
micro-enterprise programs and/or new business development programs. A 
low-income individual eligible to participate in a project conducted 
under this program is any individual eligible to receive Aid to 
Families with Dependent Children (AFDC) under Part A of Title IV of the 
Social Security Act and any other individual whose income level does 
not exceed 100 percent of the official poverty line. (See Attachment 
A.) Within these categories, emphasis should be on individuals who are 
unemployed, those residing in public housing or receiving housing 
assistance, and those who are homeless.

Part II--Program Priority Areas

A. General Projects 1.0

    The Congressional Conference Report on the FY 1992 appropriations 
for the Department of Labor, Health and Human Services, and Education 
and related agencies directed the ACF to require economic development 
strategies as part of the application process to ensure that highly 
qualified organizations participate in the demonstration [H.R. Conf. 
Rep. No. 282, 102d Cong., 1st Sess. 39 (1991)]. These strategies should 
include descriptions of how projects financed and jobs created under 
this program will be integrated into a larger effort to promote job and 
business opportunities for eligible program participants. Applicants 
should demonstrate how their proposed projects will impact the overall 
community/communities served by the applicant. OCS will only fund 
projects that create new employment and/or business opportunities for 
eligible program participants. Projects funded under this program must 
demonstrate how the proposed project will enhance the participants' 
abilities and skills in their progress toward self-sufficiency. 
Therefore, proposed projects must show promise toward progress of 
achieving self-sufficiency among the target population. OCS expects 
that the jobs and/or business/self employment opportunities to be 
created under this program will contribute to the goal of self-
sufficiency. The employment opportunities should provide hourly wages 
that exceed the minimum wage and also provide benefits such as health 
insurance, transportation, child care, and career development 
opportunities.
    Applicants must show that the proposed project will create a 
significant number of new full-time permanent jobs through the 
expansion of a pre-identified business or new business development, by 
providing opportunities for self-employment to eligible participants, 
or by creating new non-traditional employment opportunities for women 
and minorities in highway construction and maintenance or in the 
machine tool industry as described below.
    While projected employment in future years may be included in the 
application, it is essential that the focus of employment opportunities 
concentrate on new full-time, permanent jobs to be created during the 
duration of the grant project period and/or on the creation of new 
business development opportunities for low-income individuals. OCS is 
particularly interested in receiving proposals in three areas:
    1. Local Initiative. In the spirit of ``local initiative'' OCS 
looks forward to innovative proposals that grow out of the experience 
of applicants and the needs of their clientele and communities, and 
will make the fruits of local creativity available broadly to others 
seeking solutions to similar problems.
    2. Highway Construction and Maintenance. At the same time, OCS is 
particularly interested in receiving a number of applications which 
seek to create non-traditional employment opportunities for women and 
minorities in highway construction and maintenance.
[[Page 12830]]

    Approximately $20 billion a year goes to States for highway 
construction and repair, creating over 270,000 jobs with State Highway 
Agencies and 500,000+ jobs with contractors. The Federal Highway 
Administration (FHWA), in conjunction with the Department of Labor and 
the Women's Bureau, has been seeking ways to increase minority and 
women participation. State Highway Agencies now have the option to use 
up to \1/2\ per cent of their Federal highway funds for On-the Job 
Training (OJT) and supportive services to expand employment 
opportunities for minorities and women, similar to programs such as 
Youth Build. In addition, the FHWA has developed and presented a 
training course, Women in Highway Construction, nationally to over 700 
Federal and State Highway Agency personnel and highway contractors on 
strategies to increase participation of women on highway construction 
projects.
    Because of the aging worker population, there is a serious shortage 
of qualified workers in highway construction and maintenance in many 
parts of the country. The shortages will become more critical as the 
population ages further. Consequently, unions are now taking advantage 
of opportunities to recruit women and minorities into non-traditional 
highway construction and maintenance jobs.
    Applicants seeking further information about the efforts being 
undertaken by the FHWA, such as its training efforts and the OJT 
supportive services program, should contact the appropriate FHWA 
Regional Civil Rights Director. (See Attachment K.)
    3. Machine Tool Industry. Another area from which OCS would welcome 
applications for creation of non-traditional employment opportunities 
is the machine tool industry. This industry is one into which it has 
traditionally been difficult for minority, women and low-income workers 
to gain entry. One possibility might be a strategy of small, high 
quality ``micro-enterprise'' machine shops organized in cooperative 
sub-contracting arrangements with existing industries or businesses.
    The requirement for creation of new, full-time permanent jobs 
applies to all applications. OCS has determined that creation of non-
traditional job opportunities for women and minorities in highway 
construction and maintenance and in the machine tool industry, which 
previously have been closed to these populations, meets the employment 
opportunity creation requirements of the JOLI legislation. OCS 
continues to require JOLI applications to propose the creation of jobs 
through the expansion of existing businesses, the development of new 
businesses, or the creation of employment opportunities through self-
employment/microenterprise development. All applications for JOLI 
grantees must submit a signed written agreement with the State IV-A 
agency which administers the JOBS program and the appropriate local 
partners participating in the project. (See Part IV, Criterion VI).
    The agreements should describe the cooperative partnerships and 
include the specific activities to be performed by each partner over 
the course of the grant period. For example, the agreement should 
include a description of the training to be provided the eligible 
participants and local hiring practices, apprenticeships arrangements, 
and relationship with local unions where applicable.
    In the case of proposals for creating self-employment micro-
business opportunities for eligible participants, the applicant must 
detail how it will provide training and support services to potential 
entrepreneurs. The assistance to be provided to potential entrepreneurs 
must include, at a minimum, technical assistance in basic business 
planning and management concepts, and assistance in preparing a 
business plan (See Part IV, Criterion III for requirements) and loan 
application.
    Any funds that are used for training participants who are AFDC 
recipients and therefore eligible for JOBS support must be limited to 
providing specific job-related training to such eligible participants 
who have been selected for employment (expansion of an existing 
business, new business venture or non-traditional employment) and/or 
self-employment business opportunities. Where participants are not 
receiving AFDC and are therefore not eligible for JOBS support, project 
funds may be used to provide basic skills training and other support 
services.
    In the review process, favorable consideration will be given to 
applicants with a demonstrated record of achievement in promoting job 
and enterprise opportunities for low-income people. Favorable 
consideration also will be given to those applicants who show the 
lowest cost-per-job created for low-income individuals. For this 
program, OCS views $15,000 in OCS funds as the maximum amount for the 
creation of a job and, unless there are extenuating circumstances, will 
not fund projects where the cost-per-job in OCS funds exceeds this 
amount. Only those jobs created and filled by low-income people will be 
counted in the cost-per-job formula. (See Part IV, Criterion IV.)
    Technical assistance should be specifically addressed to the needs 
of the private employer in creating new jobs to be filled by eligible 
individuals and/or to the individuals themselves such as skills 
training, job preparation, self-esteem building, etc. Financial 
assistance may be provided to the private employer as well as the 
individual.
    If the technical and/or financial assistance is to be provided to 
pre-identified businesses that will be expanded or franchised, written 
commitments from the businesses to create the planned jobs must be 
included with the application.
    The creation of a revolving loan fund with funds received under 
this program is an allowable activity. However, OCS encourages the use 
of funds from other sources for this purpose. Points will be awarded in 
the review process to those applicants who leverage funds from other 
sources. (See Part IV, Criterion VI.) Loans made to eligible 
beneficiaries for business development activities must be at or below 
market rate.

    Note: Interest accrued on revolving loan funds may be used to 
continue or expand the activities of the approved project.

    Grant funds received under this program may not be used for 
construction.
    A formal, cooperative relationship between the applicant and the 
agency responsible for administering the Job Opportunities and Basic 
Skills Training (JOBS) program (as provided for under title IV-A of the 
Social Security Act) in the area served by the project is a requirement 
for funding. The application must include a signed, written agreement 
between the applicant and the local State IV-A (public welfare) agency 
administering the JOBS program, or a letter of commitment to such an 
agreement within 6 months of a grant award (contingent only on receipt 
of OCS funds). The agreement must describe the cooperative 
relationship, including specific activities and/or actions each of 
these entities propose to carry out over the course of the grant period 
in support of the project.
    The agreement, at a minimum, must cover activities that will be 
provided to the target population and which are related to one or more 
of the mandatory or optional components offered by the appropriate 
State's JOBS program. The mandatory activities offered by the States' 
JOBS programs consist of the following components and services: Basic 
educational activities (below [[Page 12831]] secondary level i.e. H.S., 
GED, ESL; job skills training; job readiness activities; job 
development and job placement; childcare; and other supportive services 
(45 CFR 250.44 and 255.0). The optional services offered by the States' 
JOBS programs must include two (2) of the following components of group 
and individual job search assistance: on-the-job-training experience; 
work supplementation; or community work experience (45 CFR 250.45). 
(See Attachment I for a list of the State IV-A agencies.)
    Projects also must include an independent, methodologically sound 
evaluation of the effectiveness of the activities carried out with the 
grant funds in creating new jobs and/or business opportunities. (See 
Part I, C Definition of Terms, and Part IV, Criterion V).
    Applications should include a plan for disseminating the results of 
the project after expiration of the grant period. Applicants may budget 
up to $2,000 for dissemination purposes.
    Priority will be given to applications proposing to serve those 
areas containing the highest percentage of individuals receiving Aid to 
Families with Dependent Children (AFDC) under Title IV-A of the Social 
Security Act. (See Part IV, Criterion II.)

B. Community Development Corporations Set-Aside 2.0

    For Fiscal Year 1995, a set-aside fund of $1 million will be 
included for Community Development Corporations. (For definition of 
Community Development Corporation, see Part I, C.)
    Such projects must conform to the purposes, requirements, and 
prohibitions applicable to those submitted under Part II, General 
Projects 1.0.
    Applications for these set-aside funds which are not funded due to 
the limited amount of funds available will also be considered 
competitively within the larger pool of eligible applicants.

Part III--Application Requirements

A. Background Information

1. Project and Budget Periods
    The Social Security Act Amendment of 1994 which reauthorized the 
JOLI program also lengthened the project duration from a 3-year period 
to a 6-year period. In our effort to implement this change, OCS will 
approve FY 1995 grants for a project period of six years and an initial 
budget period of 36 months, or three years. This initial 36-month 
budget period will be considered the Operational Phase of the project, 
during which the Work Plan described in this announcement is to be 
carried out. The second 36 months, or three years, of the Project 
Period is to be considered a period of tracking workers in the newly 
created jobs, of providing them, as needed, with modest support and 
assistance, and of continuing Project Evaluation. Applications for 
continuation grants funded under these awards beyond the 36-month 
budget period but within the six (6) year project period will be 
entertained in subsequent years on a non-competitive basis, in a modest 
amount commensurate with the reduced level of effort, and subject to 
the availability of funds, satisfactory progress of the grantee, and 
determination that this would be in the best interest of the 
government.
2. Availability of Funds and Grant Amounts
    The Office of Community Services expects to award approximately 
$5,000,000 by September 30, 1995 for new grants under this program ($1 
million of which will be awarded pursuant to the Joint OCS/EPA 
Announcement/NOFA described above).
    A maximum of $500,000 for the first 36-month budget period will be 
awarded to selected organizations under this program in FY 1995. OCS 
will award no less than 5 and no more than 10 grants under this 
program.
    For Fiscal Year 1995 up to $1 million in JOLI funds is being made 
available, along with up to $500,000 of Community Services Block Grant 
(CSBG) Discretionary Economic Development grant funds, as part of a 
Joint Program Announcement/Notice of Funds Availability (NOFA) issued 
by the Office of Community Services (OCS) and the U.S. Environmental 
Protection Agency (EPA) to fund up to three projects addressing 
Community-Based Lead Abatement Training and Career Development and Lead 
Poisoning Prevention Education. EPA will be providing up to $1.5 
million to public agencies, which together with the OCS funding to 
private non-profit agencies, will make possible the funding of three $1 
million projects with the public and non-profit grantee agencies in 
partnership, each Federal agency contributing $500,000 to each of the 
three projects. These will be projects of job creation in community 
based lead abatement within the requirements of JOLI and CSBG 
Discretionary Programs; and the EPA funds will be available for worker 
and community training and education. Prospective applicants for these 
projects should obtain copies of the Joint OCS-EPA Announcement/NOFA 
which will contain all necessary information, instructions and forms. 
Copies of the Joint Announcement will be published in the Federal 
Register and will be available for downloading from the OCS Electronic 
Bulletin Board 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.
3. Mobilization of Resources
    OCS will give favorable consideration in the review process to 
applicants who mobilize cash and/or third-party in-kind contributions 
for direct use in the project. (See Part IV, Criterion VI.)
4. Program Participants/Beneficiaries
    Projects proposed for funding under this announcement must result 
in direct benefits to low-income people as defined in the most recent 
Annual Revision of Poverty Income Guidelines published by DHHS and 
individuals eligible to receive AFDC under Part A of Title IV of the 
Social Security Act.
    Attachment A to this announcement is an excerpt from the guidelines 
currently in effect. Annual revisions of these guidelines are normally 
published in the Federal Register in February or early March of each 
year. Grantees will be required to apply the most recent guidelines 
throughout the project period. These revised guidelines also may be 
obtained at public libraries, Congressional offices, or by writing the 
Superintendent of Documents, U.S. Government Printing Office, 
Washington, DC 20402. They also are accessible on the OCS Electronic 
Bulletin Board for reading and/or downloading. (See For Further 
Information at beginning of this announcement.)
    No other government agency or privately-defined poverty guidelines 
are applicable for the determination of low-income eligibility for this 
program.
5. Cooperative Partnership Agreement With State IV-A Agency (JOBS 
Program)
    A signed written agreement, or letter of commitment to sign such an 
agreement within six months of a grant award, between the applicant and 
the local State IV-A agency must be submitted with the application in 
order to be reviewed and evaluated competitively. The agreement/letter 
must describe the cooperative relationship and include specific 
activities and/or actions that each of the entities proposes to carry 
out over the course of the grant period in support of the project. 
(Please review PART II, General Projects 1.0 for additional specific 
information related to this agreement.) [[Page 12832]] 
6. Prohibition and Restrictions on the Use of Funds
    The use of funds for new construction or the purchase of real 
property is prohibited. Costs incurred for rearrangement and alteration 
of facilities required specifically for the grant program are allowable 
when specifically approved by ACF in writing.
    If the applicant is proposing a project which will affect a 
property listed in, or eligible for inclusion in the National Register 
of Historic Places, it must identify this property in the narrative and 
explain how it has complied with the provisions of section 106 of the 
National Historic Preservation Act of 1966 as amended. If there is any 
question as to whether the property is listed in or eligible for 
inclusion in the National Register of Historic Places, the applicant 
should consult with the State Historic Preservation Officer. (See 
Attachment D: SF-424B, Item 13 for additional guidelines.) The 
applicant should contact OCS early in the development of its 
application for instructions regarding compliance with the Act and data 
required to be submitted to the Department of Health and Human 
Services. Failure to comply with the cited Act will result in the 
application being ineligible for funding consideration.
7. Multiple Submittals
    Due to the limited number of grants that will be made under this 
program, only one proposal from an eligible applicant will be funded by 
OCS from FY 1995 JOLI funds, be it pursuant to this announcement 
(Program areas 1.0 and 2.0) or the aforementioned Joint Announcement/
NOFA with EPA.
8. Continuation and Refunding
    OCS will not provide continuation funding or refunding to a 
previously funded grantee to conduct the same demonstration in the same 
target area.
9. Third-Party Project Evaluation
    Proposals must include provision for an independent, 
methodologically sound evaluation of the effectiveness of the 
activities carried out with the grant and their efficacy in creating 
new jobs and business opportunities. There must be a well defined 
Process Evaluation, and an Outcome Evaluation whose design will permit 
tracking of project participants throughout the second 36 months of the 
project. The evaluation must be conducted by an independent evaluator, 
i.e., a person with recognized evaluation skills who is 
organizationally distinct from, and not under the control of, the 
applicant. It is important that each successful applicant have a third-
party evaluator selected, and performing at the very latest by the time 
the work program of the project is begun, and if possible before that 
time so that he or she can participate in the final design of the 
program, in order to assure that data necessary for the evaluation will 
be collected and available.
10. Economic Development Strategy
    In accordance with the legislative reference cited in Part II, 
Section A, applicants must include in their proposal an explanation of 
how the proposed project is integrated with and supports a larger 
economic development strategy within the target community. Where 
appropriate, applicants should document how they were involved in the 
preparation and planned implementation of a comprehensive community-
based strategic plan, such as that required for applying for 
Empowerment Zones/Enterprise Community (EZ/EC) status, to achieve both 
economic and human development in an integrated manner, and how the 
proposed project supports the goals of that plan. (See Review Criterion 
II (ii) in Part IV A below.)
11. Maintenance of Effort
    The application must include an assurance that activities funded 
under this program announcement are in addition to, and not in 
substitution for, activities previously carried out without Federal 
assistance.

Part IV--Application Review Process

    Applications which pass the pre-rating review will be assessed and 
scored by reviewers. Each reviewer will give a numerical score for each 
application reviewed. These numerical scores will be supported by 
explanatory statements on a formal rating form describing major 
strengths and weaknesses under each applicable criterion published in 
the announcement.
    The in-depth assessment and review process will use the following 
criteria coupled with the specific requirements described in Part III. 
Scoring will be based on a total of 100 points.

    Note: The following review criteria reiterate the collection of 
information requirements contained in Part VI of this announcement. 
These requirements are approved under OMB Control Number 0970-0062, 
expiration 09-30-95.

A. Criteria for Review and Assessment of Applications in Priority Areas 
1.0 and 2.0

Criterion I: Organizational Experience in Program Area and Staff 
Responsibilities (Maximum: 20 points)
    (i) Agency's commitment and experience in program area. The 
application includes documentation which briefly summarizes two similar 
projects undertaken by the applicant agency and the extent to which the 
stated and achieved performance targets, including permanent benefits 
to low-income populations, have been achieved. Application notes and 
justifies the priority that this project will have within the agency 
including the facilities and resources that it has available to carry 
out the project. (0-10 points)

    Note: The maximum number of points will be given only to those 
organizations with a demonstrated record of achievement in promoting 
job creation and enterprise opportunities for low-income people.

    (ii) Staff skills, resources and responsibilities. The application 
must profile the two or three individuals who will have the most 
responsibility for shaping the project, connecting it to customers, and 
achieving performance targets. The focus should be on the 
qualifications, experience, capacity and commitment to the program of 
the Executive Officials of the organization and the key staff persons 
who will administer and implement the project. The person identified as 
Project Director should have supervisory experience, experience in 
finance and business, and experience with the target population. 
Because this is a demonstration project within an already-established 
agency, OCS expects that the key staff person(s) would be identified, 
if not hired.
    The application must also include a resume of the third party 
evaluator, if identified or hired; or the minimum qualifications and a 
position description for the third-party evaluator, who must be a 
person with recognized evaluation skills who is organizationally 
distinct from, and not under the control of, the applicant. It is 
important that each successful applicant have a third-party evaluator 
selected and performing at the very latest by the time the work program 
of the project is begun, and if possible before that time so that he or 
she can participate in the final design of the program, in order to 
assure that data necessary for the evaluation will be collected and 
available. Plans for selecting an evaluator should be included in the 
application narrative. A third-party evaluator must have 
[[Page 12833]] knowledge about and have experience in conducting 
process and outcome evaluations, evaluating issues in the job creation 
field, expansion of businesses and the creation of self-employment and 
small business opportunities for low-income neighborhoods and a 
thorough understanding of the range and complexity of the problems 
faced by the target population. The competitive procurement regulations 
(45 CFR Part 74, Appendix H) apply to service contracts such as those 
for evaluators when the costs of such service will exceed $25,000. (0-
10 points)
Criterion II: Analysis of Need (Maximum: 15 points)
    (i) Target area and population description. The application 
includes a brief description of the geographic area and population to 
be served, indicating what the unemployment rates are and (to the 
extent practicable) how the proposed businesses and subsequent jobs 
will impact on the nature and extent of the problem. It should also 
include (with an identification of the source of the information) the 
number and percentage of individuals receiving AFDC and the total 
number of individuals which make up the population in the area where 
the project will operate. (0-5 points)
    (ii) Nature and extent of problems to be addressed. Application 
includes an analysis of the identified personal barriers to employment 
and greater self-sufficiency faced by the population to be targeted by 
the project. (These might include such problems as illiteracy, 
substance abuse, family violence, lack of skills training, health or 
medical problems, need for childcare, or poor self-image.) Application 
also includes an analysis of the identified community systemic barriers 
which the project will seek to overcome. These might include lack of 
jobs; lack of transportation; lack of suitable clothing or equipment; 
lack of markets; unavailability of financing, insurance or bonding; 
inadequate municipal services (water, sewage treatment, street 
lighting, trash collection, electricity, traffic control); high 
incidence of crime; inadequate health care; or environmental hazards 
(such as toxic dumpsites or leaking underground tanks). If the jobs to 
be created by the proposed project are themselves designed to fill one 
or more of the needs so identified, this fact should be included in the 
discussion. (0-5 points)
    (iii) Community empowerment consideration. Special consideration 
will be given to applicants who are located in areas which are 
characterized by poverty and other indicators of socio-economic 
distress such as a poverty rate of at least 20%, designation as an EZ/
EC, high levels of unemployment, and high levels of incidences of 
violence, gang activity, crime, or drug use. Applicants should document 
that they were involved in the preparation and planned implementation 
of a comprehensive community-based strategic plan to achieve both 
economic and human development in an integrated manner and how the 
proposed project supports the goal(s) of that plan. (0-5 points)
Criterion III: Work Program (Maximum: 20 points)
    The work plan and business plan(s), where appropriate, must be both 
sound and feasible. If the applicant is proposing to use project funds 
to provide technical and/or financial assistance for the establishment 
of an identified business, or to a third-party private employer to 
develop or expand a pre-identified business, the application must 
include a complete business plan (see ii, below). An application that 
does not include a business plan where one is appropriate may be 
disqualified and returned to the applicant.
    The project must be responsive to the needs and problems identified 
in the Analysis of Need and Problems to be Addressed.
    (i) Work plan. The work plan must describe the proposed project 
activities, or interventions, and explain how they are expected to 
result in outcomes which will meet the needs of the program 
participants and assist them to overcome the identified personal and 
systemic barriers to employment and self-sufficiency. In other words, 
what will the project staff do with the resources provided to the 
project and how will what they do (interventions) assist in the 
creation of employment and business opportunities for program 
participants in the face of the needs and problems that have been 
identified. The application should include a hypothesis or hypotheses 
that is (are) significant and include(s) the key interventions, and 
which permit(s) measurement of the extent to which the target 
population can achieve greater self-sufficiency as a result of its 
involvement in the project. The key interventions should include the 
types and sources of technical and financial assistance to be provided 
the participants, as well as any education, training, and support 
services and the problems or barriers they are designed to overcome. If 
the technical and/or financial assistance is to be provided to pre-
identified businesses that will be expanded or franchised, written 
commitments from the businesses specifying their undertakings and 
levels of participation must be included with the application. The work 
program must set forth realistic quarterly time targets by which the 
various work tasks will be completed.
    The application identifies and defines critical issues or potential 
problems that might impact negatively on the project and explains how 
they can be overcome and the project objectives reasonably attained 
despite such potential problems.
    (ii) Business plan (where required). As noted above, a business 
plan is required whenever the applicant is proposing to establish a 
new, specific and identified business, or will be providing assistance 
to a private third-party private employer for the development or 
expansion of a pre-identified business. In these cases the business 
plan is one of the major components that will be evaluated by OCS to 
determine the feasibility of a jobs creation project.
    Because the following guidelines were written to cover a variety of 
possibilities, rigid adherence to them is not possible nor even 
desirable for all projects. For example, a plan for a service business 
would not require a discussion of manufacturing nor product design.
    With this understanding, the business plan should be prepared in 
accordance with the following guidelines:
    1. The business and its industry. This section should describe the 
nature and history of the business and provide some background on its 
industry.
    a. The Business: as a legal entity; the general business category;
    b. Description and Discussion of Industry: Current status and 
prospects for the industry;
    2. Products and Services: This section deals with the following:
    a. Description: Describe in detail the products or services to be 
sold;
    b. Proprietary Position: Describe proprietary features, if any, of 
the product, e.g. patents, trade secrets;
    c. Potential: Features of the product or service that may give it 
an advantage over the competition;
    3. Market Research and Evaluation: This section should present 
sufficient information to show that the product or service has a 
substantial market and can achieve sales in the face of competition;
    a. Customers: Describe the actual and potential purchasers for the 
product or service by market segment.
    b. Market Size and Trends: State the size of the current total 
market for the product or service offered; [[Page 12834]] 
    c. Competition: An assessment of the strengths and weaknesses of 
competitive products and services;
    d. Estimated Market Share and Sales: Describe the characteristics 
of the product or service that will make it competitive in the current 
market;
    4. Marketing Plan: The marketing plan should detail the product, 
pricing, distribution, and promotion strategies that will be used to 
achieve the estimated market share and sales projections. The marketing 
plan must describe what is to be done, how it will be done and who will 
do it. The plan should address the following topics--Overall Marketing 
Strategy, Packaging, Service and Warranty, Pricing, Distribution and 
Promotion.
    5. Design and Development Plans: If the product, process or service 
of the proposed venture requires any design and development before it 
is ready to be placed on the market, the nature and extent and cost of 
this work should be fully discussed. The section should cover items 
such as Development Status and Tasks, Difficulties and Risks, Product 
Improvement and New Products, and Costs.
    6. Manufacturing and Operations Plan: A manufacturing and 
operations plan should describe the kind of facilities, plant location, 
space, capital equipment and labor force (part and/or full time and 
wage structure) that are required to provide the company's product or 
service.
    7. Management Team: The management team is the key in starting and 
operating a successful business. The management team should be 
committed with a proper balance of technical, managerial and business 
skills, and experience in doing what is proposed. This section must 
include a description of: the key management personnel and their 
primary duties; compensation and/or ownership; the organizational 
structure; Board of Directors; management assistance and training 
needs; and supporting professional services.
    8. Overall Schedule: A schedule that shows the timing and 
interrelationships of the major events necessary to launch the venture 
and realize its objectives. Prepare, as part of this section, a month-
by-month schedule that shows the timing of such activities as product 
development, market planning, sales programs, and production and 
operations. Sufficient detail should be included to show the timing of 
the primary tasks required to accomplish each activity.
    9. Critical Risks and Assumptions: The development of a business 
has risks and problems and the Business Plan should contain some 
explicit assumptions about them. Accordingly, identify and discuss the 
critical assumptions in the Business Plan and the major problems that 
will have to be solved to develop the venture. This should include a 
description of the risks and critical assumptions relating to the 
industry, the venture, its personnel, the product's market appeal, and 
the timing and financing of the venture.
    10. Community Benefits: The proposed project must contribute to 
economic, community and human development within the project's target 
area.
    11. The Financial Plan: The Financial Plan is basic to the 
development of a Business Plan. Its purpose is to indicate the 
project's potential and the timetable for financial self-sufficiency. 
In developing the Financial Plan, the following exhibits must be 
prepared for the first three years of the business' operation:
    a. Profit and Loss Forecasts-quarterly for each year;
    b. Cash Flow Projections-quarterly for each year;
    c. Pro forma balance sheets-quarterly for each year;
    d. Initial sources of project funds;
    e. Initial uses of project funds; and
    f. Any future capital requirements and sources.
    (iii) Facilities. If the rearrangement or alteration of facilities 
will be required in implementing the project, the applicant has 
described and justified such changes.
Criterion IV: Significant and Beneficial Impact (Maximum: 20 points)
    (i) Quality of JOBS/business opportunities. The proposed project is 
expected to produce permanent and measurable results that will reduce 
the incidence of poverty in the community. Expected results are 
quantifiable in terms of the creation of permanent, full-time jobs or 
business opportunities developed (or the creation of non-traditional 
employment opportunities in highway construction and maintenance or the 
machine tool industry). In developing business opportunities and self-
employment for AFDC recipients and low-income individuals the applicant 
proposes, at a minimum, to provide basic business planning and 
management concepts, and assistance in preparing a business plan and 
loan package.
    The application documents that:

--The business opportunities to be developed for eligible participants 
will contribute significantly to their progress toward self-
sufficiency; and/or
--Jobs to be created for eligible participants will contribute 
significantly to their progress toward self-sufficiency; they provide, 
for example, wages that exceed the minimum wage, plus benefits such as 
health insurance, transportation, child care and career development 
opportunities. (0-15 points)

    (ii) Cost-per-job. During the project period the proposed project 
will create new, permanent jobs through business opportunities or non-
traditional employment opportunities for low-income residents at a 
cost-per-job below $15,000 in OCS funds, (e.g. cost per job is 
calculated by dividing the total amount of grant funds requested 
($420,000) by the number of jobs to be created (60) which equals the 
cost-per-job ($7,000)). If any other calculations are used, please 
include your methodology in this section. [Note: Except in those 
instances where independent reviewers identify extenuating 
circumstances related to business development activities, the maximum 
number of points will be given only to those applicants proposing cost-
per-job created estimates of $5,000 or less of OCS requested funds. 
Higher cost-per-job estimates will receive correspondingly fewer 
points.] (0-5 points)
Criterion V: Third-Party Evaluation (Maximum: 10 points)
    A plan for a methodologically sound third-party (i.e. independent) 
evaluation of the demonstration project must be included in the 
application. Application indicates how the applicant will verify the 
extent to which the performance targets are achieved in this project.

The Evaluation Plan

--Includes a specific working definition of ``self-sufficiency'' 
(consistent with the broad definition contained in Part I) that permits 
the measurement of incremental progress of eligible individuals and 
their families from dependency toward self-sufficiency;
--Clearly defines the changes or benefits (outcomes) to be produced, 
the activities (interventions) that will produce the changes, and the 
measures of client progress toward self-sufficiency for which 
information will be collected (for example: increases in income, 
decreases in public assistance payments);
--Provides for the annual compilation of community-level data on the 
characteristics of the population in the project area, including 
percentage on public assistance, percentage below the poverty line, 
[[Page 12835]] unemployment rate, business starts and failures, and 
major employers;
--Provides for the conduct of a continuing process evaluation. This 
should include the periodic assessment of the following: client 
characteristics, pertinent policies and procedures; staffing; 
cooperative partnerships with state and local agencies; use of other 
community resources; client outreach and recruitment; client service 
delivery; cost of services; and, level of technical and financial 
assistance to employers. The types of data and information, measures 
and indicators to be used for the process evaluation, as well as the 
methods and timeframe for collecting and analyzing the required data 
should be indicated;
--Provides for the completion of two interim evaluation reports and a 
final report comprising both process and outcome evaluation. The final 
evaluation report will describe the program design and any changes from 
the original workplan, outreach and recruitment results, interventions, 
and accomplishments. The measurement instruments, data collection 
procedures, and analysis techniques should be discussed, and the report 
should yield conclusions as to how well the program works and why. It 
should also discuss the program's potential for replication in other 
communities; and
--Includes a realistic plan for disseminating the project findings to 
other interested organizations and public agencies.
Criterion VI: Public-Private Partnerships (Maximum: 10 points)
--The cooperative partnership arrangements are fully described and 
clearly relate to the objectives of the proposed project, and the 
activities include one or more of the mandatory or optional components 
of the State's JOBS program as described in Part II, Section A.
--In the case of projects involved in the creation of non-traditional 
employment opportunities in highway construction and maintenance or the 
machine tool industry, agreements with the appropriate partners (for 
example: highway departments, contractors, unions or businesses) should 
clearly identify the undertakings of each partner in terms of training, 
support, apprenticeships, career opportunities, and the like.
--The application documents that the applicant will mobilize from 
public and/or private sources cash and/or third-party in-kind 
contributions. Applications that document that the value of such 
contributions will be at least equal to the OCS funds requested, and 
demonstrate that the cooperative partnership arrangements clearly 
relate to the objectives of the proposed project, will receive the 
maximum number of points for this criterion. Lesser contributions will 
be given consideration based upon the value documented.
--Applicants should note that partnership relationships are not created 
via service delivery contracts; partners should be responsible for 
substantive project components or elements.
--The above requirements are also applicable to applications submitted 
in the area of non-traditional employment opportunities. (See Part II, 
A for minimum requirement to be included in the cooperative partnership 
agreement.)
Criterion VII: Budget Appropriateness and Reasonableness (Maximum: 5 
points)
    Funds requested are commensurate with the level of effort necessary 
to accomplish the goals and objectives of the project.
    The application includes a detailed budget break-down for each of 
the budget categories in the SF-424A. The applicant presents a 
reasonable administrative cost if an indirect cost rate has not been 
negotiated with the cognizant Federal agency (See Part VI, Section B, 
Line 6j).
    The estimated cost to the government of the project also is 
reasonable in relation to the anticipated results.

Part V--Application Procedures and Selection Process

A. Availability of Forms

    Attachment B contains all of the standard forms necessary for the 
application for awards under this OCS program. This attachment and 
Parts VI and VII of this announcement contain all of the instructions 
required for submittal of applications. These forms may be photocopied 
for the application.
    Copies of the Federal Register containing this announcement are 
available at most local libraries and Congressional District Offices 
for reproduction or accessible on the OCS Electronic Bulletin Board for 
downloading through your computer modem by calling 1-800-627-8886. If 
copies are not available at these sources, they may be obtained by 
writing or telephoning the office listed under the section entitled FOR 
FURTHER INFORMATION at the beginning of this announcement.
    The applicant must be aware that in signing and submitting the 
application for this award, it is certifying that it will comply with 
the Federal requirements concerning the drug-free workplace and 
debarment regulations set forth in Attachments C and D.
    Part VII, Section A contains instructions for the project 
narrative.

B. Application Submission

    The closing date for submission of applications is noted under 
``CLOSING DATE'' at the beginning of this Announcement.
    1. Deadlines. Applications shall be considered as meeting the 
deadline if they are either:
    a. Received on or before the deadline date at the Department of 
Health and Human Services, Administration for Children and Families, 
Division of Discretionary Grants, 370 L'Enfant Promenade, SW., 6th 
Floor, (OCS-95-08) Washington, DC 20447, Attention: Maiso Bryant, or
    b. Sent on or before the deadline date and received by the granting 
agency in time for them to be considered during the competitive review 
and evaluation process under Chapter 1-62 of the Health and Human 
Services Grants Administration Manual. (Applicants are cautioned to 
request a legibly dated U.S. Postal Service postmark or to obtain a 
legibly dated receipt from a commercial carrier or the U.S. Postal 
Service. Private metered postmarks are not acceptable as proof of 
timely mailing.)
    2. Applications submitted by other means. Applications which are 
not submitted in accordance with the above criteria shall be considered 
as meeting the deadline only if they are physically received before the 
close of business on or before the deadline date. Hand delivered 
applications will be accepted at the Department of Health and Human 
Services, Administration for Children and Families, Division of 
Discretionary Grants, 901 D Street SW., 6th Floor, ACF Guard Station, 
Washington, DC 20447 during the normal working hours of 8 a.m. to 4:30 
p.m., Monday through Friday.
    3. Late Applications. Applications which do not meet one of these 
criteria are considered late applications. The ACF Division of 
Discretionary Grants will notify each late applicant that its 
application will not be considered in this competition.
    4. Extension of Deadline. The ACF may extend the deadline for all 
applicants because of acts of God such as floods, hurricanes, etc. or 
when there is a disruption of the mails. However, if the granting 
agency does not extend the deadline for all applicants, it may not 
[[Page 12836]] waive or extend the deadline for any applicant.
    Applications once submitted are considered final and no additional 
materials will be accepted. One signed original application and four 
copies should be submitted.

C. Intergovernmental Review

    This program is covered under Executive Order 12372, 
``Intergovernmental Review of Federal Programs,'' and 45 CFR part 100, 
``Intergovernmental Review of Department of Health and Human Services 
Program and Activities.'' Under the Order, States may design their own 
processes for reviewing and commenting on proposed Federal assistance 
under covered programs.
    All States and Territories except Alabama, Alaska, 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. Otherwise, applicants should contact their 
SPOCs as soon as possible to alert them of the prospective applications 
and receive any necessary instructions. Applicants must submit any 
required material to the SPOCs as soon as possible so that the program 
office can obtain and review SPOC comments as part of the award 
process. It is imperative that the applicant submit all required 
materials, if any, to the SPOC and indicate the date of this submittal 
(or the date of contact if no submittal is required) on the Standard 
Form 424, item 16a.
    Under 45 CFR 100.8(a)(2), a SPOC has sixty (60) days from the 
application deadline to comment on proposed new or competing 
continuation awards.
    SPOCS are encouraged to eliminate the submission of routine 
endorsements as official recommendations.
    Additionally, SPOCs are requested to clearly differentiate between 
mere advisory comments and those official State process recommendations 
which may trigger the ``accommodate or explain'' rule.
    When comments are submitted directly to ACF, they should be 
addressed to: Department of Health and Human Services, Administration 
for Children and Families, Division of Discretionary Grants, 370 
L'Enfant Promenade, SW., 6th Floor, Washington, DC 20447.
    A list of the Single Points of Contact for each State and Territory 
is included as Attachment E of this announcement.

D. Application Consideration

    Applications which meet the screening requirements in Part V, item 
E below will be reviewed competitively. Such applications will be 
referred to reviewers for a numerical score and explanatory comments 
based solely on responsiveness to the guidelines and evaluation 
criteria published in this announcement.
    Applications will be reviewed by persons outside of the OCS unit 
which will be directly responsible for programmatic management of the 
grant. The results of these reviews will assist the Director and OCS 
program staff in considering competing applications. Reviewers' scores 
will weigh heavily in funding decisions but will not be the only 
factors considered. Applications generally will be considered in order 
of the average scores assigned by reviewers. However, highly ranked 
applications are not guaranteed funding since other factors are taken 
into consideration, including, but not limited to, the timely and 
proper completion of projects funded with OCS funds granted in the last 
five (5) years; comments of reviewers and government officials; staff 
evaluation and input; geographic distribution; previous program 
performance of applicants; compliance with grant terms under previous 
DHHS grants; audit reports; investigative reports; and applicant's 
progress in resolving any final audit disallowances on previous OCS or 
other Federal agency grants.
    OCS reserves the right to discuss applications with other Federal 
or non-Federal funding sources to ascertain the applicant's performance 
record.

E. Criteria for Screening Applicants

1. Initial Screening
    The receipt of applications that meet the published deadline for 
submission will be acknowledged in writing with an assigned 
identification number. This number, must be referenced in all 
subsequent communications concerning the application. If an 
acknowledgement is not received within three weeks after the deadline 
date, please notify ACF by telephone at (202) 401-9365.
    All applications that meet the published deadline for submission 
will be screened to determine completeness and conformity to the 
requirements of this announcement. Only those applications meeting the 
following requirements will be reviewed and evaluated competitively. 
Others will be returned to the applicants with a notation that they 
were unacceptable.
    a. The application must contain a Standard Form 424 Application for 
Federal Assistance (SF-424), a budget (SF-424A), and signed Assurances 
(SF-424B) completed according to instructions published in Part VI and 
Attachment B of this Program Announcement.
    b. A project narrative must also accompany the standard forms. OCS 
requires that the narrative portion of the application be limited to 50 
pages, typewritten on one side of the paper only with one-inch margins 
and type face no smaller than 10 characters per inch (cpi) or 
equivalent. Charts, exhibits, letters of support and cooperative 
agreements are not counted against this page limit. It is strongly 
recommended that you follow the format for the narrative in Part VII, 
A, 10.
    c. The SF-424 and the SF-424B must be signed by an official of the 
organization applying for the grant who has authority to obligate the 
organization legally.
    d. Application must contain documentation of the applicant's tax 
exempt status as required under Part I, Section B.
2. Pre-Rating Review
    Applications which pass the initial screening will be forwarded to 
reviewers and/or OCS staff prior to the programmatic review to verify 
that the applications comply with this Program Announcement in the 
following areas:
    a. Eligibility: Applicant meets the eligibility requirements 
described in Part I, Section B. Proof of non-profit status must be 
included in the Appendices to the Project Narrative (See Part VII, 
Section A, 11).
    Applicants must also be aware that the applicant's legal name as 
required on the SF-424 (Item 5) must match that listed as corresponding 
to the Employer Identification Number (Item 6).
    b. Target Populations: The application clearly targets the specific 
outcomes and benefits of the project to those types of low-income 
participants and beneficiaries described in Part III, Section A, 
Program Participants/Beneficiaries.
    c. Grant Amount: The amount of funds requested does not exceed the 
limits indicated in Part III, Section A, item 2.
    d. Cooperative Partnership Agreement. The application contains a 
written agreement or letter of [[Page 12837]] commitment that includes, 
at a minimum, the activities cited in Part II, Section A. The agreement 
must be signed by an official of the State IV-A agency responsible for 
administering the JOBS program in the area to be served.
    e. Third-Party Project Evaluation. A third-party project evaluation 
plan is included.
    f. Business Plan. If a third-party private employer is part of the 
proposed project, a complete business plan is included in the 
application.
    An application will be disqualified from the competition and 
returned if it does not conform to all of the above requirements.

Part VI--Instructions for Completing the SF-424

(Approved by the Office of Management and Budget under Control Number 
0970-0062.)

    The standard forms attached to this announcement shall be used to 
apply for funds under this program announcement.
    It is suggested that you reproduce single-sided copies of the SF-
424 and SF-424A, and type your application on the copies. Please 
prepare your application in accordance with instructions provided on 
the forms as well as with the OCS specific instructions set forth 
below:

A. SF-424--Application for Federal Assistance

    Top of Page. Please enter the single priority area number under 
which the application is being submitted. An application should be 
submitted under only one priority area.
    Item 1. For the purposes of this announcement, all projects are 
considered Applications; there are no Pre-Applications.
    Prepare your application in accordance with the standard 
instructions given in Attachments B and C corresponding to the forms, 
as well as the OCS specific instructions set forth below:
    Item 2. Date Submitted and Applicant Identifier--Date application 
is submitted to ACF and applicant's own internal control number, if 
applicable.
    Item 3. Date Received by State--N/A
    Item 4. Date Received by Federal Agency--Leave blank.
    Items 5 and 6. The legal name of the applicant must match that 
listed as corresponding to the Employer Identification Number. Where 
the applicant is a previous Department of Health and Human Services 
grantee, enter the Central Registry System Employee Identification 
Number (CRS/EIN) and the Payment Identifying Number, if one has been 
assigned, in the Block entitled Federal Identifier located at the top 
right hand corner of the form.
    Item 7. If the applicant is a non-profit corporation, enter N  in 
the box and specify non-profit corporation in the space marked Other. 
Proof of non-profit status, such as IRS determination, Articles of 
Incorporation, or By-laws, must be included as an appendix to the 
project narrative.
    Item 8. Type of Application--Please indicate the type of 
application.
    Item 9. Name of Federal Agency--Enter DHHS-ACF/OCS.
    Item 10. The Catalog of Federal Domestic Assistance number for OCS 
programs covered under this announcement is 93.647. The title is Social 
Services Research Demonstration.
    Item 11. In addition to a brief descriptive title of the project, 
indicate the priority area for which funds are being requested. Use the 
following letter designations:

    JO--General Project
    JS--Community Development Corporation Set-Aside

    Item 12. Areas Affected by Project--List only the largest unit or 
units affected, such as State, county or city.
    Item 13. Proposed Project--The ending date should be calculated 
based on a 72-month project period.
    Item 14. Congressional District of Applicant/Project--Enter the 
number of the Congressional District where the applicant's principal 
office is located and the number of the Congressional district(s) where 
the project will be located.
    Item 15a. This amount should be no greater than the amount 
specified under Part III, Availability of Funds and Grant Amounts.
    Item 15b-e. These items should reflect both cash and third-party, 
in-kind contributions for the budget period requested.
    Item 15f. N/A.
    Item 15g. Enter the sum of Items 15a-15e.

B. SF-424A--Budget Information--Non-Construction Programs

    See Instructions accompanying this form as well as the instructions 
set forth below:
    In completing these sections, the Federal Funds budget entries will 
relate to the requested OCS funds only, and Non-Federal will include 
mobilized funds from all other sources--applicant, state, local, and 
other. Federal funds other than requested OCS funding should be 
included in Non-Federal entries.
    Sections A, B, C and D of SF-424A should reflect budget estimates 
for the first budget period of the project.

Section A--Budget Summary

Lines 1-4
    Col. (a):
    Line 1--Enter Social Services Research and Demonstration.
    Col. (b):
    Line 1--Catalog of Federal Domestic Assistance number is 93.647
    Col. (c) and (d):
    Columns (c) and (d) are not relevant to this program and should not 
be completed.
    Column (e)-(g):
    For line 1, enter in columns (e), (f) and (g) the appropriate 
amounts needed to support the project. (Maximum $500,000)
    Line 5--Enter the figures from Line 1 for all columns completed 
(e), (f), and (g).

Section B--Budget Categories

    Please Note: This information supersedes the instructions provided 
following SF-424A.
    Columns (1)-(5):
    Column 1: Enter the first budget period of 12 months.
    Column 2: Enter the second budget period of 12 months.
    Column 3: Enter the third budget period of 12 months.
    Column 4: Leave blank.
    Column 5: Enter the total requirements for Federal funds by the 
Object Class Categories of this section.
    Allocability of costs are governed by the cost principles set forth 
in OMB Circular A-122 and 45 CFR Part 74.
    Budget estimates for national administrative costs must be 
supported by adequate detail for the grants officer to perform a cost 
analysis and review. Adequately detailed calculations for each budget 
object class are those which reflect estimation methods, quantities, 
unit costs, salaries, and other similar quantitative detail sufficient 
for the calculation to be duplicated. For any additional object class 
categories included under the object class other identify the 
additional object class(es) and provide supporting calculations.
    Supporting narratives and justifications are required for each 
budget category, with emphasis on unique/special initiatives, large 
dollar amounts; local, regional, or other travels, new positions, major 
equipment purchases and training programs.
    A detailed itemized budget with a separate budget justification for 
each major item should be included as indicated below: [[Page 12838]] 
    Personnel-Line 6a. Enter the total costs of salaries and wages.
    Justification: Identify the principal investigator or project 
director, if known. Specify by title or name the percentage of time 
allocated the project, the individual annual salaries, and the cost to 
the project of the organization's staff who will be working on the 
project. Do not include costs of consultants or personnel costs of 
delegate agencies or of specific project(s) or businesses to be 
financed by the applicant.
    Fringe Benefits--Line 6b. Enter the total costs of fringe benefits 
unless treated as part of an approved indirect cost rate which is 
entered on line 6j.
    Justification: Provide a breakdown of amounts and percentages that 
comprise fringe benefit costs, such as health insurance, FICA, 
retirement insurance, taxes, etc.
    Travel--Line 6c. Enter total costs of all travel by employees of 
the project. Do not enter costs for consultant's travel.
    Justification: Include the total number of traveler(s), total 
number of trips, destinations, number of days, transportation costs and 
subsistence allowances. Travel costs to attend two national workshops 
in Washington, D.C. by the project director and the third-party 
evaluator should be included.
    Equipment--Line 6d. Enter the total costs of all non-expendable 
personal property to be acquired by the project. Non-expendable 
personal property means tangible personal property having a unit cost 
of $5000 or more and having a useful life of one year.
    Justification: Only equipment required to conduct the project may 
be purchased with Federal funds. The applicant organization or its 
subgrantees must not have such equipment, or a reasonable facsimile, 
available for use in the project. The justification also must contain 
plans for future use or disposal of the equipment after the project 
ends. An applicant may use its own definition of non-expendable 
personal property, provided that such a definition would at least 
include all tangible personal property as defined above. (See Line 21 
for additional requirements).
    Supplies--Line 6e. Enter the total costs of all tangible personal 
property (supplies) other than that included on line 6d.
    Justification: Specify general categories of supplies and their 
costs.
    Contractual--Line 6f. Enter the total costs of all contracts, 
including (1) the estimated cost of the third-party evaluation 
contract; travel costs for the chief evaluator to attend two national 
workshops in Washington, D.C. should be included; (2) procurement 
contracts (except those which belong on other lines such as equipment, 
supplies, etc.) and (3) contracts with secondary recipient 
organizations including delegate agencies and specific project(s) or 
businesses to be financed by the applicant.
    Justification: Attach a list of contractors, indicating the names 
of the organizations, the purposes of the contracts, the estimated 
dollar amounts, and selection process of the awards as part of the 
budget justification. Also provide back-up documentation identifying 
the name of contractor, purpose of contract, and major cost elements.

    Note: Whenever the applicant/grantee intends to delegate part of 
the program to another agency, the applicant/grantee must submit 
Sections A and B of this Form SF-424A, completed for each delegate 
agency by agency title, along with the required supporting 
information referenced in the applicable instructions.

    The total costs of all such agencies will be part of the amount 
shown on Line 6f. Provide draft Request for Proposal in accordance with 
45 CFR Part 74, Appendix H. Free and open competition is encouraged for 
any procurement activities planned using ACF grant funds. Prior 
approval is required when applicants anticipate evaluation procurements 
that will exceed $25,000 and 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. Not applicable.
    Other--Line 6h. Enter the total of all other costs. Such costs, 
where applicable, may include but are not limited to insurance, food, 
medical and dental costs (noncontractual), fees and travel paid 
directly to individual consultants, space and equipment rentals, 
printing and publication, computer use, training costs, including 
tuition and stipends, training service costs including wage payments to 
individuals and supportive service payments, and staff development 
costs.
    Total Direct Charges--Line 6i. Show the total of Lines 6a through 
6h.
    Indirect Charges--Line 6j. Enter the total amount of indirect 
costs. This line should be used only when the applicant currently has 
an indirect cost rate approved by the Department of Health and Human 
Services or another cognizant Federal agency. With the exception of 
local governments, applicants should enclose a copy of the current rate 
agreement if it was negotiated with a cognizant Federal agency other 
than the Department of Health and Human Services. If the applicant 
organization is in the process of initially developing or renegotiating 
a rate, it should immediately upon notification that an award will be 
made, develop a tentative indirect cost rate proposal based on its most 
recently completed fiscal year in accordance with the principles set 
forth in the pertinent DHHS Guide for Establishing Indirect Cost Rates, 
and submit it to the appropriate DHHS Regional Office. Applicants 
awaiting approval of their indirect cost proposals may also request 
indirect costs.
    It should be noted that when an indirect cost rate is requested, 
those costs included in the indirect cost pool should not be also 
charged as direct costs to the grant.
    Totals--Line 6k. Enter the total amounts of Lines 6i and 6j.
    Program Income--Line 7. Enter the estimated amount of income, if 
any, expected to be generated from this project. Separately show 
expected program income generated from OCS support and income generated 
from other mobilized funds. Do not add or subtract this amount from the 
budget total. Show the nature and source of income in the program 
narrative statement.
    Justification: Describe the nature, source and anticipated use of 
program income in the Program Narrative Statement.
    Column 5: Carry totals from Column 1 to Column 5 for all line 
items.

Section C--Non-Federal Resources

    This section is to record the amounts of non-Federal resources that 
will be used to support the project. Non-Federal resources mean those 
other than OCS funds. Therefore, mobilized funds from other Federal 
programs should be entered on these lines. Provide a brief listing of 
the non-Federal resources on a separate sheet and describe whether it 
is a grantee-incurred cost or a third-party in-kind contribution. The 
firm commitment of these resources must be documented and submitted 
with the application in order to be given credit in the Public-Private 
Partnerships criterion.
    Except in unusual situations, this documentation must be in the 
form of letters of commitment from the organization(s)/individuals from 
which funds will be received. [[Page 12839]] 
    Justification: Describe third-party, in-kind contributions, if 
included.
Grant Program--Line 8
    Column (a): Enter the project title.
    Column (b): Enter the amount of contributions to be made by the 
applicant to the project.
    Column (c): Enter the State contribution. If the applicant is a 
State agency, enter the non-Federal funds to be contributed by the 
State other than the applicant.
    Column (d): Enter the amount of cash and third-party in-kind 
contributions to be made from all other sources.
    Column (e): Enter the total of columns (b), (c), and (d).
    Grant Program--Lines 9, 10, and 11 should be left blank.
    Grant Program--Line 12.
    Carry the total of each column of Line 8, (b) through (e). The 
amount in Column (e) should be equal to the amount on Section A, Line 
5, column (f).

Section D--Forecasted Cash Needs

    Federal--Line 13. Enter the amount of Federal (OCS) cash needed for 
this grant, by quarter, during the first 12 month budget period.
    Non Federal--Line 14. Enter the amount of cash from all other 
sources needed by quarter during the first 12-month budget period.
    Totals--Line 15. Enter the total of Lines 13 and 14.

Section E--Budget Estimates of Federal Funds Needed for Balance of 
Project(s)

    For new applications, enter in the proper columns amounts of 
Federal funds which will be needed to complete the program or project 
over the succeeding funding periods (usually in years).

Section F--Other Budget Information

    Direct Charges--Line 21. Use this space and continuation sheets as 
necessary to fully explain and justify the major items included in the 
budget categories shown in Section B. Include sufficient detail to 
facilitate determination of allowability, relevance to the project, and 
cost benefits. Particular attention must be given to the explanation of 
any requested direct cost budget item which requires explicit approval 
by the Federal agency. Budget items which require identification and 
justification shall include, but not be limited to, the following:
    A. Salary amounts and percentage of time worked for those key 
individuals who are identified in the project narrative;
    B. Any foreign travel;
    C. A list of all equipment and estimated cost of each item to be 
purchased wholly or in part with grant funds which meet the definition 
of nonexpendable personal property provided on Line 6d, Section B. Need 
for equipment must be supported in program narrative;
    D. Contractual: major items or groups of smaller items; and
    E. Other: group into major categories all costs for consultants, 
local transportation, space, rental, training allowances, staff 
training, computer equipment, etc. Provide a complete breakdown of all 
costs that make up this category.
    Indirect Charges--Line 22. Enter the type of HHS or other cognizant 
Federal agency approved indirect cost rate (provisional, predetermined, 
final or fixed) that will be in effect during the funding period, the 
estimated amount of the base to which the rate is applied and the total 
indirect expense. Also, enter the date the rate was approved and attach 
a copy of the rate agreement.
    Remarks--Line 23. Provide any other explanations and continuation 
sheets required or deemed necessary to justify or explain the budget 
information.

C. SF-424B  Assurances--Non-Construction

    All applicants must fill out, sign, date and return the Assurances 
with the application.

Part VII--Contents of Application and Receipt Process

A. Contents and Order of Application

    Each application submission should include a signed original and 
four additional copies of the application. Each application should 
include the following in the order presented:
    1. Table of Contents;
    2. Completed Standard Form 424 which has been signed by an Official 
of the organization applying for the grant who has authority to 
obligate the organization legally. (Note: The original SF-424 must bear 
the original signature of the authorizing representative of the 
applicant organization.)
    3. Budget Information--Non-Construction Programs (SF-424A);
    4. A narrative budget justification for each object class category 
required under Section B, SF-424A;
    5. Filled out, signed, and dated Assurances--Non-Construction 
Programs (SF-424B);
    6. By signing and submitting this application, the applicant is 
certifying that it will comply with the Federal requirements concerning 
debarment regulations set forth in attachments E and F.
    7. Restrictions on Lobbying, Certification for Contracts, Grants, 
Loans, and Cooperative Agreements: fill out, sign and date form found 
at Attachment H.
    8. Disclosure of Lobbying Activities, SF-LLL: Filled out, signed, 
and dated form found at Attachment H, if appropriate.
    9. Certification Regarding Environmental Tobacco Smoke--Signature 
on the application attests to the applicants intent to comply with the 
requirements of the Pro-Children Act of 1994. A signed form does not 
have to be returned with application.
    10. An Executive Summary--not to exceed 300 words;
    11. A Project Narrative consisting of the following elements 
preceded by a consecutively numbered Table of Contents that will 
describe the project in the following order:
    (i) Eligibility Confirmation
    (ii) Organizational Experience and Staff Responsibilities
    (iii) Analysis of Need
    (iv) Project Design/Work Program
    (v) Business Plan (If appropriate)
    (vi) Third-Party Evaluation
    (vii) Cooperative Partnership Agreement
    (viii) Budget Appropriateness and Reasonableness
    12. Appendices--proof of non-profit status as outlined in Part I, 
Section B; proof that the organization is a community development 
corporation, if applying under the CDC Set-aside; commitments from 
officials of businesses that will be expanded or from franchises, where 
applicable; partnership agreement with State IV-A (JOBS Program) 
agency; Single Point of Contact comments, if applicable; Maintenance of 
Effort Certification and resumes.
    The total number of pages for the narrative portion of the 
application package must not exceed 50 pages, excluding Appendices. 
Pages should be numbered sequentially throughout, excluding Appendices, 
beginning with the SF-424 as Page 1. The application may also contain 
letters that show collaboration or substantive commitments to the 
project by organizations other than the JOBS agency. Such letters are 
not part of the narrative and should be included in the Appendices. 
These letters are, therefore, not counted against the fifty page limit.
    Applications must be uniform in composition since OCS may find it 
necessary to duplicate them for review purposes. Therefore, 
applications must be submitted on white 8\1/2\ x 11 inch paper only. 
They must not include colored, oversized or folded materials. 
[[Page 12840]] Do not include organizational brochures or other 
promotional materials, slides, films, clips, etc. in the proposal. They 
will be discarded if included. The applications should be two-hole 
punched at the top center and fastened separately with a compressor 
slide paper fastener, or a binder clip. The submission of bound 
applications, or applications enclosed in binders, is specifically 
discouraged.
    Attachment J provides a checklist to applicants in preparing a 
complete application package.

B. Acknowledgement of Receipt

    Applicants who meet the initial screening criteria outlined in Part 
V, Section E, 1, will receive an acknowledgement postcard with an 
assigned identification number. Applicants are requested to supply a 
self-addressed mailing label with their application which can be 
attached to this acknowledgement postcard. This number and the program 
letter code, i.e., JO or JS, 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) 401-9234.

Part VIII--Post Award Information and Reporting Requirements

    Following approval of the applications selected for funding, notice 
of project approval and authority to draw down project funds will be 
made in writing. The official award document is the Financial 
Assistance Award which provides the amount of Federal funds approved 
for use in the project, the project and budget period for which support 
is provided, the terms and conditions of the award, and the total 
project period for which support is contemplated.
    Project directors and chief evaluators will be required to attend 
two national evaluation workshops in Washington, D.C. A program 
development and evaluation workshop will be scheduled shortly after the 
effective date of the grant. They also will be required to attend, as 
presenters, the final evaluation workshop on utilization and 
dissemination to be held at the end of the project period.
    Grantees will be required to submit semi-annual progress and 
financial reports (SF-269) as well as a final progress and financial 
report within 90 days of the expiration of the grant. Interim 
evaluation reports, along with a written policies and procedures manual 
based on the findings of the process evaluation, will be due 30 days 
after the first twelve months, and the second interim evaluation 30 
days after the second twelve months, and a final evaluation report will 
be due 90 days after the expiration of the grant. This final report 
will cover 36 months of activities related to project participants. 
Reporting requirements for the remaining 36 months of the project 
period will be provided during the solicitation of applications.
    Grantees are subject to the audit requirements in 45 CFR Parts 74 
(non-profit organization) and OMB Circular A-133.
    Section 319 of Public Law 101-121, signed into law on October 23, 
1989, imposes new prohibitions and requirements for disclosure and 
certification related to lobbying on recipients of Federal contracts, 
grants, cooperative agreements, and loans. It provides limited 
exemptions for Indian tribes and tribal organizations. Current and 
prospective recipients (and their subtier contractors and/or grantees) 
are prohibited from using appropriated funds for lobbying Congress or 
any Federal agency in connection with the award of a contract, grant, 
cooperative agreement or loan. In addition, for each award action in 
excess of $100,000 (or $150,000 for loans) the law requires recipients 
and their subtier contractors and/or subgrantees (1) to certify that 
they have neither used nor will use any appropriated funds for payment 
to lobbyists, (2) to submit a declaration setting forth whether 
payments to lobbyists have been or will be made out of non-appropriated 
funds and, if so, the name, address, payment details, and purpose of 
any agreements with such lobbyists whom recipients or their subtier 
contractors or subgrantees will pay with the non-appropriated funds and 
(3) to file quarterly up-dates about the use of lobbyists if an event 
occurs that materially affects the accuracy of the information 
submitted by way of declaration and certification. The law establishes 
civil penalties for noncompliance and is effective with respect to 
contracts, grants, cooperative agreements and loans entered into or 
made on or after December 23, 1989. See Attachment F for certification 
and disclosure forms to be submitted with the applications for this 
program.
    Attachment G indicates the regulations which apply to all 
applicants/grantees under the Job Opportunities for Low-Income 
Individuals Program.

    Dated: February 24, 1995.
Donald Sykes,
Director, Office of Community Services.

  Attachment A.--1995 Poverty Income Guidelines for all States (Except  
             Alaska and Hawaii) and the District of Columbia            
------------------------------------------------------------------------
                                                              Poverty   
                   Size of family unit                       guideline  
------------------------------------------------------------------------
1.......................................................          $7,470
2.......................................................          10,030
3.......................................................          12,590
4.......................................................          15,150
5.......................................................          17,710
6.......................................................          20,270
7.......................................................          22,830
8.......................................................          25,390
------------------------------------------------------------------------
For family units with more than 8 members, add $2,560 for each          
  additional member. (The same increment applies to smaller family sizes
  also, as can be seen in the figures above.)                           



                                                                        
[[Page 12841]]                                                          
                  Poverty Income Guidelines for Alaska                  
------------------------------------------------------------------------
                                                              Poverty   
                   Size of family unit                       guideline  
------------------------------------------------------------------------
1.......................................................          $9,340
2.......................................................          12,540
3.......................................................          15,740
4.......................................................          18,940
5.......................................................          22,140
6.......................................................          25,340
7.......................................................          28,540
8.......................................................          31,740
------------------------------------------------------------------------
For family units with more than 8 members, add $3,200 for each          
  additional member. (The same increment applies to smaller family sizes
  also, as can be seen in the figures above.)                           



                      Poverty Guidelines for Hawaii                     
------------------------------------------------------------------------
                                                              Poverty   
                   Size of family unit                       guideline  
------------------------------------------------------------------------
1.......................................................          $8,610
2.......................................................          11,550
3.......................................................          14,490
4.......................................................          17,430
5.......................................................          20,370
6.......................................................          23,310
7.......................................................          26,250
8.......................................................          29,190
------------------------------------------------------------------------
For family units with more than 8 members, add $2,940 for each          
  additional member. (The same increment applies to smaller family sizes
  also, as can be seen in the figures above.)                           


                                                 BILLING CODE 4184-01-P
[[Page 12842]]

[GRAPHIC][TIFF OMITTED]TN08MR95.007



BILLING CODE 4184-01-C [[Page 12843]] 

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 required.
    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-M
[[Page 12844]]

[GRAPHIC][TIFF OMITTED]TN08MR95.008


[[Page 12845]]

[GRAPHIC][TIFF OMITTED]TN08MR95.009



BILLING CODE 4184-01-C
[[Page 12846]]

Instructions for the SF-424A

General Instructions
    This form is designed so that application can be made for funds 
from one or more grant programs. In preparing the budget, adhere to any 
existing Federal grantor agency guidelines which prescribe how and 
whether budgeted amounts should be separately shown for different 
functions or activities within the program. For some programs, grantor 
agencies may require budgets to be separately shown by function or 
activity. For other programs, grantor agencies may require a breakdown 
by function or activity. Sections A, B, C, and D should include budget 
estimates for the whole project except when applying for assistance 
which requires Federal authorization in annual or other funding period 
increments. In the latter case, Sections A, B, C, and D should provide 
the budget for the first budget period (usually a year) and Section E 
should present the need for Federal assistance in the subsequent budget 
periods. All applications should contain a breakdown by the object 
class categories shown in Lines a-k of Section B.
Section A. Budget Summary Lines 1-4, Columns (a) and (b)
    For applications pertaining to a single Federal grant program 
(Federal Domestic Assistance Catalog number) and not requiring a 
functional or activity breakdown, enter on Line 1 under Column (a) the 
catalog program title and the catalog number in Column (b).
    For applications pertaining to a single program requiring budget 
amounts by multiple functions or activities, enter the name of each 
activity or function on each line in Column (a), and enter the catalog 
number in Column (b). For applications pertaining to multiple programs 
where none of the programs require a breakdown by function or activity, 
enter the catalog program title on each line in Column (a) and the 
respective catalog number on each line in Column (b).
    For applications pertaining to multiple programs where one or more 
programs require a breakdown by function or activity, prepare a 
separate sheet for each program requiring the breakdown. Additional 
sheets should be used when one form does not provide adequate space for 
all breakdown of data required. However, when more than one sheet is 
used, the first page should provide the summary totals by programs.
Lines 1-4, Columns (c) through (g.)
    For new applications, leave Columns (c) and (d) blank. For each 
line entry in Columns (a) and (b), enter in Column (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 provided 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 Column (b), (c), and (d).
    Line 12--Enter the total for each of Columns (b)-(e). The amount in 
Column (e) should be equal to the amount on Line 5, Column (f), Section 
A.
Section D. Forecasted Cash Needs
    Line 13--Enter the amount of cash needed by quarter from the 
grantor agency during the first year.
    Line 14--Enter the amount of cash from all other sources needed by 
quarter during the first year.
    Line 15--Enter the totals of amounts on Lines 13 and 14.
Section E. Budget Estimates of Federal Funds Needed for Balance of the 
Project
    Lines 16-19--Enter in Column (a) the same grant program titles 
shown in Column (a), Section A. A breakdown by function or activity is 
not necessary. For new applications and continuation grant 
applications, enter in the proper columns amounts of Federal funds 
which will be needed to compete 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. [[Page 12847]] 
    If more than four lines are needed to list the program titles, 
submit additional schedules as necessary.
    Line 20--Enter the total for each of the Columns (b)-(e). When 
additional schedules are prepared for this Section, annotate 
accordingly and show the overall totals on this line.
Section F. Other Budget Information
    Line 21--Use this space to explain amounts for individual direct 
object-class cost categories that may appear to be out of the ordinary 
or to explain the details as required by the Federal grantor agency.
    Line 22--Enter the type of indirect rate (provisional, 
predetermined, final or fixed) that will be in effect during the 
funding period, the estimated amount of the base to which the rate is 
applied, and the total indirect expense.
    Line 23--Provide any other explanations or comments deemed 
necessary.

Assurances--Non-Construction Programs

    Note: Certain of these assurances may not be applicable to your 
project or program. If you have questions, please contact the 
awarding agency. Further, certain Federal awarding agencies may 
require applicants to certify to additional assurances. If such is 
the case, you will be notified.

    As the duly authorized representative of the applicant I certify 
that the applicant:
    1. Has the legal authority to apply for Federal assistance, and the 
institutional, managerial and financial capability (including funds 
sufficient to pay the non-Federal share of project costs) to ensure 
proper planning, management and completion of the project described in 
this application.
    2. Will give the awarding agency, the Comptroller General of the 
United States, and if appropriate, the State, through any authorized 
representative, access to and the right to examine all records, books, 
papers, or documents related to the award; and will establish a proper 
accounting system in accordance with generally accepted accounting 
standards or agency directives.
    3. Will establish safeguards to prohibit employees from using their 
positions for a purpose that constitutes or presents the appearance of 
personal or organizational conflict of interest, or personal gain.
    4. Will initiate and complete the work within the applicable time 
frame after receipt of approval of the awarding agency.
    5. Will comply with the Intergovernmental Personnel Act of 1970 (42 
U.S.C. Secs. 4728-4763) relating to prescribed standards for merit 
systems for programs funded under one of the nineteen statutes or 
regulations specified in Appendix A of OPM's Standards for a Merit 
System of Personnel Administration (5 C.F.R. 900, Subpart F).
    6. Will comply with all Federal statutes relating to 
nondiscrimination. These include but are not limited to: (a) Title VI 
of the Civil Rights Act of 1964 (P.L. 88-352) which prohibits 
discrimination on the basis of race, color or national origin; (b) 
Title IX of the Education Amendments of 1972, as amended (20 U.S.C. 
Secs. 1681-1683, and 1685-1686), which prohibits discrimination on the 
basis of sex; (c) Section 504 of the Rehabilitation Act of 1973, as 
amended (29 U.S.C. Sec. 794), which prohibits discrimination on the 
basis of handicaps; (d) the Age Discrimination Act of 1975, as amended 
(42 U.S.C. Secs. 6101-6107), which prohibits discrimination on the 
basis of age;
    (e) the Drug Abuse Office and Treatment Act of 1972 (P.L. 92-255), 
as amended, relating to nondiscrimination on the basis of drug abuse; 
(f) the Comprehensive Alcohol Abuse and Alcoholism Prevention, 
Treatment and Rehabilitation Act of 1970 (P.L. 91-616), as amended, 
relating to nondiscrimination on the basis of alcohol abuse or 
alcoholism; (g) Secs. 523 and 527 of the Public Health Service Act of 
1912 (42 U.S.C. 290 dd-3 and 290 ee-3), as amended, relating to 
confidentiality of alcohol and drug abuse patient records; (h) Title 
VIII of the Civil Rights Act of 1968 (42 U.S.C. Sec. 3601 et seq.), as 
amended, relating to non-discrimination in the sale, rental or 
financing of housing; (i) any other nondiscrimination provisions in the 
specific statute(s) under which application for Federal assistance is 
being made; and (j) the requirements of any other nondiscrimination 
statute(s) which may apply to the application.
    7. Will comply, or has already complied, with the requirements of 
Titles II and III of the Uniform Relocation Assistance and Real 
Property Acquisition Policies Act of 1970 (P.L. 91-646) which provide 
for fair and equitable treatment of persons displaced or whose property 
is acquired as a result of Federal or federally assisted programs. 
These requirements apply to all interests in real property acquired for 
project purposes regardless of Federal participation in purchases.
    8. Will comply with the provisions of the Hatch Act (5 U.S.C. 
Secs. 1501-1508 and 7324-7328) which limit the political activities of 
employees whose principal employment activities are funded in whole or 
in part with Federal funds.
    9. Will comply, as applicable, with the provisions of the Davis-
Bacon Act (40 U.S.C. Secs. 276a to 276a-7), the Copeland Act (40 U.S.C. 
Sec. 276c and 18 U.S.C. Secs. 874), and the Contract Work Hours and 
Safety Standards Act (40 U.S.C. Secs. 327-333), regarding labor 
standards for federally assisted construction subagreements.
    10. Will comply, if applicable, with flood insurance purchase 
requirements of Section 102(a) of the Flood Disaster Protection Act of 
1973 (P.L. 93-234) which requires recipients in a special flood hazard 
area to participate in the program and to purchase flood insurance if 
the total cost of insurable construction and acquisition is $10,000 or 
more.
    11. Will comply with environmental standards which may be 
prescribed pursuant to the following: (a) institution of environmental 
quality control measures under the National Environmental Policy Act of 
1969 (P.L. 91-190) and Executive Order (EO) 11514; (b) notification of 
violating facilities pursuant to EO 11738; (c) protection of wetlands 
pursuant to EO 11990; (d) evaluation of flood hazards in floodplains in 
accordance with EO 11988; (e) assurance of project consistency with the 
approved State management program developed under the Coastal Zone 
Management Act of 1972 (16 U.S.C. Secs. 1451 et seq.); (f) conformity 
of Federal actions to State (Clear Air) Implementation Plans under 
Section 176(c) of the Clear Air Act of 1955, as amended (42 U.S.C. 
Sec. 7401 et seq.); (g) protection of underground sources of drinking 
water under the Safe Drinking Water Act of 1974, as amended, (P.L. 93-
523); and (h) protection of endangered species under the Endangered 
Species Act of 1973, as amended, (P.L. 93-205).
    12. Will comply with the Wild and Scenic Rivers Act of 1968 (16 
U.S.C. Secs. 1271 et seq.) related to protecting components or 
potential components of the national wild and scenic rivers system.
    13. Will assist the awarding agency in assuring compliance with 
Section 106 of the National Historic Preservation Act of 1966, as 
amended (16 U.S.C. 470), EO 11593 (identification and protection of 
historic properties), and the Archaeological and Historic Preservation 
Act of 1974 (16 U.S.C. 469a-l et seq.).
    14. Will comply with P.L. 93-348 regarding the protection of human 
subjects involved in research, [[Page 12848]] development, and related 
activities supported by this award of assistance.
    15. Will comply with the Laboratory Animal Welfare Act of 1966 
(P.L. 89-544, as amended, 7 U.S.C. 2131 et seq.) pertaining to the 
care, handling, and treatment of warm blooded animals held for 
research, teaching, or other activities supported by this award of 
assistance.
    16. Will comply with the Lead-Based Paint Poisoning Prevention Act 
(42 U.S.C. Secs. 4801 et seq.) which prohibits the use of lead based 
paint in construction or rehabilitation of residence structures.
    17. Will cause to be performed the required financial and 
compliance audits in accordance with the Single Audit Act of 1984.
    18. Will comply with all applicable requirements of all other 
Federal laws, executive orders, regulations and policies governing this 
program.

                                                 BILLING CODE 4184-01-M
[[Page 12849]]

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[[Page 12850]]

[GRAPHIC][TIFF OMITTED]TN08MR95.011



BILLING CODE 4184-01-C
[[Page 12851]]

Attachment D--Certification Regarding Debarment, Suspension, and Other 
Responsibility Matters--Primary Covered Transactions

    By signing and submitting this proposal, the applicant, defined as 
the primary participant in accordance with 45 CFR Part 76, certifies to 
the best of its knowledge and believe that it and its principals:
    (a) are not presently debarred, suspended, proposed for debarment, 
declared ineligible, or voluntarily excluded from covered transactions 
by any Federal Department or agency;
    (b) have not within a 3-year period preceding this proposal been 
convicted of or had a civil judgment rendered against them for 
commission of fraud or a criminal offense in connection with obtaining, 
attempting to obtain, or performing a public (Federal, State, or local) 
transaction or contract under a public transaction; violation of 
Federal or State antitrust statutes or commission of embezzlement, 
theft, forgery, bribery, falsification or destruction of records, 
making false statements, or receiving stolen property;
    (c) are not presently indicted or otherwise criminally or civilly 
charged by a governmental entity (Federal, State of 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 Service (HHS) determination whether to 
enter into this transaction. However, failure of the prospective 
primary participant to furnish a certification or an explanation shall 
disqualify such person from participation in this transaction.
    The prospective primary participant agrees that by submitting this 
proposal, it will include the clause entitled ``Certification Regarding 
Debarment, Suspension, Ineligibility, and Voluntary Exclusion--Lower 
Tier Covered Transaction.'' provided below without modification in all 
lower tier covered transactions and in all solicitations for lower tier 
covered transactions.

Certification Regarding Debarment, Suspension, Ineligibility and 
Voluntary Exclusion--Lower Tier Covered Transactions (To Be Supplied to 
Lower Tier Participants)

    By signing and submitting this lower tier proposal, the prospective 
lower tier participant, as defined in 45 CFR Part 76, certifies to the 
best of its knowledge and belief that it and its principals:
    (a) are not presently debarred, suspended, proposed for debarment, 
declared ineligible, or voluntarily excluded from participation in this 
transaction by any federal department or agency.
    (b) where the prospective lower tier participant is unable to 
certify to any of the above, such prospective participant shall attach 
an explanation to this proposal.
    The prospective lower tier participant further agrees by submitting 
this proposal that it will include this clause entitled ``certification 
Regarding Debarment, Suspension, Ineligibility, and Voluntary 
Exclusion--Lower Tier Covered Transactions.'' without modification in 
all lower tier covered transactions and in all solicitations for lower 
tier covered transactions.

Attachment E--Executive Order 12372--State Single Points of Contact

Arizona

Mrs. Janice Dunn, Attn: Arizona State Clearinghouse, 3800 N. Central 
Avenue, 14th Floor, Phoenix, Arizona 85012, Telephone (602) 280-1315

Arkansas

Tracie L. Copeland, Manager, State Clearinghouse, Office of 
Intergovernmental Services, Department of Finance and Administration, 
P.O. Box 3278, Little Rock, Arkansas 72203, Telephone (501) 682-1074

California

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 Stratton Building, Springfield, Illinois 62706, Telephone (217) 
782-1671

Indiana

Jean S. Blackwell, Budget Director, State Budget Agency, 212 State 
House, Indianapolis, Indiana 46204, Telephone (317) 232-5610

Iowa

Mr. Steven R. McCann, Division of Community Progress, Iowa Department 
of Economic Development, 200 East Grand Avenue, Des Moines, Iowa 50309, 
Telephone (515) 281-3725

Kentucky

Ronald W. Cook, Office of the Governor, Department of Local Government, 
1024 Capitol Center Drive, Frankfort, Kentucky 40601, Telephone (502) 
564-2382

Maine

Ms. Joyce Benson, State Planning Office, State House Station #38, 
Augusta, Maine 04333, Telephone (207) 289-3261

Maryland

Ms. Mary Abrams, Chief, Maryland State Clearinghouse, Department of 
State Planning, 301 West Preston Street, Baltimore, Maryland 21201-
2365, Telephone (301) 225-4490

Massachusetts

Karen Arone, State Clearinghouse, Executive Office of Communities and 
Development, 100 Cambridge Street, Room 1803, Boston, Massachusetts 
02202, Telephone (617) 727-7001

Michigan

Richard S. Pastula, Director, Michigan Department of Commerce, Lansing, 
Michigan 48909, Telephone (517) 373-7356 [[Page 12852]] 

Mississippi

Ms. Cathy Mallette, Clearinghouse Officer, Office of Federal Grant 
Management and Reporting, 301 West Pearl Street, Jackson, Mississippi 
39203, Telephone (601) 960-2174

Missouri

Ms. Lois Pohl, Federal Assistance Clearinghouse, Office of 
Administration, P.O. Box 809, Room 430, Truman Building, Jefferson 
City, Missouri 65102, Telephone (314) 751-4834

Nevada

Department of Administration, State Clearinghouse, Capitol Complex, 
Carson City, Nevada 89710, Telephone (702) 687-4065, Attention: Ron 
Sparks, Clearinghouse Coordinator

New Hampshire

Mr. Jeffrey H. Taylor, Director, New Hampshire Office of State 
Planning, Attn: Intergovernmental Review, Process/James E. Bieber, 2\1/
2\ Beacon Street, Concord, New Hampshire 03301, Telephone (603) 271-
2155

New Jersey

Gregory W. Adkins, Acting Director, Division of Community Resources, 
N.J. Department of Community Affairs, Trenton, New Jersey 08625-0803, 
Telephone (609) 292-6613

Please direct correspondence and questions to: Andrew J. Jaskolka, 
State Review Process, Division of Community Resources, CN 814, Room 
609, Trenton, New Jersey 08625-0803, Telephone (609) 292-9025

New Mexico

George Elliott, Deputy Director, State Budget Division, Room 190, 
Bataan Memorial Building, Santa Fe, New Mexico 87503, Telephone (505) 
827-3640, FAX (505) 827-3006

New York

New York State Clearinghouse, Division of the Budget, State Capitol, 
Albany, New York 12224, Telephone (518) 474-1605

North Carolina

Mrs. Chrys Baggett, Director, Office of the Secretary of Admin., N.C. 
State Clearinghouse, 116 W. Jones Street, Raleigh, North Carolina 
27603-8003, Telephone (919) 733-7232

North Dakota

N.D. Single Point of Contact, Office of Intergovernmental Assistance, 
Office of Management and Budget, 600 East Boulevard Avenue, Bismarck, 
North Dakota 58505-0170, Telephone (701) 224-2094

Ohio

Larry Weaver, State Single Point of Contact, State/Federal Funds 
Coordinator, State Clearinghouse, Office of Budget and Management, 30 
East Broad Street, 34th Floor, Columbus, Ohio 43266-0411, Telephone 
(614) 466-0698

Rhode Island

Mr. Daniel W. Varin, Associate Director, Statewide Planning Program, 
Department of Administration, Division of Planning, 265 Melrose Street, 
Providence, Rhode Island 02907, Telephone (401) 277-2656
Please direct correspondence and questions to: Review Coordinator, 
Office of Strategic Planning

South Carolina

Omeagia Burgess, State Single Point of Contact, Grant Services, Office 
of the Governor, 1205 Pendleton Street, Room 477, Columbia, South 
Carolina 29201, Telephone (803) 734-0494

Tennessee

Mr. Charles Brown, State Single Point of Contact, State Planning 
Office, 500 Charlotte Avenue, 309 John Sevier Building, Nashville, 
Tennessee 37219, Telephone (615) 741-1676

Texas

Mr. Thomas Adams, Governor's Office of Budget and Planning, P.O. Box 
12428, Austin, Texas 78711, Telephone (512) 463-1778

Utah

Utah State Clearinghouse, Office of Planning and Budget, ATTN: Carolyn 
Wright, Room 116 State Capitol, Salt Lake City, Utah 84114, Telephone 
(801) 538-1535

Vermont

Mr. Bernard D. Johnson, Assistant Director, Office of Policy Research & 
Coordination, Pavilion Office Building, 109 State Street, Montpelier, 
Vermont 05602, Telephone (802) 828-3326

West Virginia

Mr. Fred Cutlip, Director, Community Development Division, West 
Virginia Development Office, Building #6, Room 553, Charleston, West 
Virginia 25305, Telephone (304) 348-4010

Wisconsin

Mr. William C. Carey, Federal/State Relations, Wisconsin Department of 
Administration, 101 South Webster Street, P.O. Box 7864, Madison, 
Wisconsin 53707, Telephone (608) 266-0267

Wyoming

Sheryl Jeffries, State Single Point of Contact, Herschler Building, 4th 
Floor, East Wing, Cheyenne, Wyoming 82002, Telephone (307) 777-7574

Guam

Mr. Michael J. Reidy, Director, Bureau of Budget and Management 
Research, Office of the Governor, P.O. Box 2950, Agana, Guam 96910, 
Telephone (671) 472-2285

Northern Mariana Islands

State Single Point of Contact, Planning and Budget Office, Office of 
the Governor, Saipan, CM, Northern Mariana Islands 96950

Puerto Rico

Norma Burgos/Jose H. Caro, Chairman/Director, Puerto Rico Planning 
Board, Minillas Government Center, P.O. Box 41119, San Juan, Puerto 
Rico 00940-9985, Telephone (809) 727-4444

Virgin Islands

Jose L. George, Director, Office of Management and Budget, #41 
Norregade Emancipation Garden Station, Second Floor, Saint Thomas, 
Virgin Islands 00802, Please direct correspondence to: Linda Clarke, 
Telephone (809) 774-0750.

Attachment F--Certification Regarding Lobbying

Certification for Contracts, Grants, Loans, and Cooperative Agreements

    The undersigned certifies, to the best of his or her knowledge and 
belief, that:
    (1) No Federal appropriated funds have been paid or will be paid, 
by or on behalf of the undersigned, to any person for influencing or 
attempting to influence an officer or employee of any agency, a Member 
of Congress, an officer or employee of Congress, or an employee of a 
Member of Congress in connection with the awarding of any Federal 
contract, the making of any Federal grant, the making of any Federal 
loan, the entering into of any cooperative agreement, and the 
extension, continuation, renewal, amendment, or modification of any 
Federal contract, grant, loan, or cooperative agreement.
    (2) If any funds other than Federal appropriated funds have been 
paid or will be paid to any person for influencing or attempting to 
influence an officer or employee of any agency, a Member of Congress, 
an officer or employee of Congress, or an employee [[Page 12853]] 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 persons 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 require statement shall be 
subject to a civil penalty of not less than $10,000 and not more than 
$100,000 for each such failure.

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Organization

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                                                 BILLING CODE 4184-01-M
[[Page 12854]]

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BILLING CODE 4184-01-C
[[Page 12855]]

Attachment G--DHHS Regulations Applying to All Applicants/Grantees 
Under the Job Opportunities for Low-Income Individuals Program

    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 H--Certification Regarding Maintenance of Effort

    The undersigned certifies that:
    (1) activities funded under this program announcement are in 
addition to, and not in substitution for, activities previously carried 
on without Federal assistance.
    (2) funds or other resources currently devoted to activities 
designed to meet the needs of the poor within a community, area, or 
State have not been reduced in order to provide the required matching 
contributions.
    When legislation for a particular block grant permits the use of 
its funds as match, the applicant must show that it has received a real 
increase in its block grant allotment and must certify that other anti-
poverty programs will not be scaled back to provide the match required 
for this project.

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Organization

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Authorized Signature

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Title

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Date

Attachment I--Department of Health & Human Services Administration for 
Children and Families, Office of Family Assistance, Washington, DC 
20447

February 1994

Jobs Program Directory

Alabama

Claire Ealy, Director, Office of Work and Training Services, Public 
Assistance Division, S. Gordon Persons Building, 50 Ripley Street, 
Montgomery, Alabama 36130, (205) 242-1950

Alaska

Charles Knittel, Work Programs Coordinator, Division of Public 
Assistance, Department of Health and Social Service, P.O. Box 110640, 
Juneau, Alaska 99811-0640, (907) 465-3347

Arizona

Gretchen Evans, JOBS Program Director, Dept. of Economic Security, P.O. 
Box 6123, Site Code 8011, Phoenix, Arizona 85005, (602) 542-6310

Arkansas

Ken Whitlock, Deputy Director, Project SUCCESS, Department of Human 
Services, P.O. Box 1437, Little Rock, Arkansas 72203, (501) 682-8375

California

Bruce Wagstaff, Chief, Employment & Immigrations Programs Branch, 
Department of Social Services, 744 P Street M/S 6-700, Sacramento, 
California 95814, (916) 657-2367

Colorado

Bob Henson, Director, Work Programs, Department of Social Services, 
1575 Sherman Street, Denver, Colorado 80203, (303) 866-2643

Connecticut

Dawn Homer-Bouthiette, Planning Supervisor, Job Connection, Department 
of Social Services, 110 Bartholomew Avenue, Hartford, Connecticut 
06106, (203) 566-7125

Delaware

Rebecca Varella, Chief Administrator, Employment and Training, Division 
of Social Services, P.O. Box 906, New Castle, Delaware 19720, (302) 
577-4451

District of Columbia

Shari Curtis, Chief, Bureau of Training and Employment, Department of 
Human Services, 33 N Street NE., Washington, DC 20001, (202) 727-1293

Florida

Reggis Smith, Chief, Benefit Recovery and Special Programs, Department 
of Health and Rehabilitative Services, 1317 Winewood Boulevard, Bldg. 
6, Tallahassee, Florida 32399-0700, (904) 487-2966

Georgia

Sylvia Elam, Chief, Employment Services Unit, Division of Family and 
Children Services, Department of Human Resources, 2 Peachtree St., 14th 
Floor, Room 402, Atlanta, Georgia 30303, (404) 657-3737

Guam

Diana Calvo, Social Services Supervisor, Department of Public Health 
and Social Services, P.O. Box 2816, Agana, Guam 96910, (011-671) 734-
7286

Hawaii

Garry Kemp, Special Assistant to the Director, Department of Human 
Services, P.O. Box 339, Honolulu, Hawaii, 96809, (808) 586-7054

Idaho

Kathy James, Acting Bureau Chief, Bureau of Family Self Support, 
Department of Health and Welfare, 450 West State Street, Boise, Idaho 
83720, (208) 334-5704

Illinois

Karan Maxson, Administrator, Division of Planning and Community 
Services, Department of Public Aid, 100 S. Grand, 2nd Floor, 
Springfield, Illinois 62762, (217) 785-3300

Indiana

Thomas Reel, Program Manager, IMPACT, Department of Public Welfare, 402 
W. Washington, W. 363, Indianapolis, Indiana 46204, (317) 232-2002

Iowa

Doug Howard, Coordinator, Employment and Training Programs, 
[[Page 12856]] Department of Human Services, Fifth Floor, Hoover State 
Office Building, Des Moines, Iowa 50319, (515) 281-8629

Kansas

Phyllis Lewin, Director, Employment Preparation Services, Department of 
Social and Rehabilitation Services, 300 SW Oakley, West Hall, Topeka, 
Kansas 66606, (913) 296-4276

Kentucky

Sharon Perry, Assistant Director, Center for Program Development, 
Department of Social Insurance, Cabinet for Human Resources, 275 E. 
Main Street, Frankfurt, Kentucky 40621, (502) 564-3703

Louisiana

Howard Prejean, Assistant Secretary, Department of Social Services, 
Office of Eligibility Determination, P.O. Box 3776, Baton Rouge, 
Louisiana 70821, (504) 342-4953

Maine

Barbara Van Burgel, ASPIRE Coordinator, Bureau of Income Maintenance, 
Department of Human Services, Statehouse Station #11, 32 Winthrop St., 
Augusta, Maine 04333, (207) 289-3106

Maryland

Carlene Gallion, Acting Executive Director, Office of Project 
Independence Management, Department of Human Resources, Room 745, 311 
W. Saratoga Street, Baltimore, Maryland 21201, (410) 333-0837

Massachusetts

John Buonomo, Director, Massachusetts JOBS Program, Department of 
Public Welfare, 600 Washington St., Boston, Massachusetts 02111, (617) 
348-5931

Michigan

Alex D. Hawkins, Director, Job Skills Development Group, Michigan Jobs 
Commission, 201 North Washington Square, Third floor, Victor Centre, 
Lansing, Michigan 48913, (517) 373-7382

Minnesota

Bonnie Baker, Supervisor, Program Development, Department of Human 
Services, 444 Lafayette Road, St. Paul, Minnesota 55155, (612) 296-2499

Mississippi

Jean Temple, Director, JOBS Branch, Office of Children & Youth, 
Department of Human Services, 421 W. Pascagoula, Jackson, Mississippi 
29302, (601) 359-4855

Missouri

Richard Koon, FUTURES Program Director, Income Maintenance, Division of 
Family Services, 72728 Plaza Drive, P.O. Box 88, Jefferson City, 
Missouri 65103, (314) 751-3124

Montana

Marylis Filipovich, Bureau Chief, Program & Policy, Department of 
Social and Rehabilitation Services, P.O. Box 4210, Helena, Montana 
59604, (406) 444-4540

Nebraska

Margaret Hall, Public Assistance Administrator, Public Assistance 
Division, Department of Social Services, 301 Centennial Mall South, 
P.O. Box 95026, Lincoln, Nebraska 68509, (402) 471-3121

Nevada

John Alexander, Employment & Training Coordinator, Nevada State Welfare 
Division, Capitol Complex, 2527 North Carson Street, Carson City, 
Nevada 89710, (702) 687-4143

New Hampshire

Arthur Chicaderis, JOBS Administrator, Employment Support Services, 
Office of Economic Services, Division of Human Services, Department of 
Health and Human Services, 6 Hazen Drive, Concord, New Hampshire 03301-
6521, (603) 271-4249

New Jersey

Marion E. Reitz, Director, Division of Family Development, Department 
of Human Services, CN 716, Trenton, New Jersey 08625, (609) 588-2401

New Mexico

Bill Dunbar, Acting Director, Income Support Division, Department of 
Human Services, P.O. Box 2348, Santa Fe, New Mexico 87500, (505) 827-
7252

New York

Jack Ryan, Director, Bureau of Employment Programs, Department of 
Social Services, 40 North Pearl Street, Albany, New York 12243, (518) 
473-8744

North Carolina

Lucy Burgess, Chief, Employment Programs Section, Department of Human 
Resources, 325 North Salisbury Street, Raleigh, North Carolina 27611, 
(919) 733-2873

North Dakota

Gloria House, JOBS Coordinator, Director of Public Assistance, 
Department of Human Services, State Capitol, New Wing 3rd Floor, 
Bismark, North Dakota 58505, (701) 224-4001

Ohio

Mary L. Harris, Deputy Director, Family Support and JOBS, Department of 
Human Services, State Office Tower, 31st Floor, 30 East Broad Street, 
Columbus, Ohio 43266-0423, (614) 466-3196

Oklahoma

Raymond Haddock, Division Administrator, Family Services Division, 
Department of Human Services, P.O. Box 25352, Oklahoma City, Oklahoma 
73125, (405) 521-3076

Oregon

Debbi White, JOBS Program Manager, Adult and Family Services Division, 
Human Resource Bldg, 2nd Floor, Salem, Oregon 97310-1013, (503) 945-
6127

Pennsylvania

David Florey, Director, Bureau of Employment and Training Program, 
Department of Public Welfare, P.O. Box 2675, Harrisburg, Pennsylvania 
17105, (717) 787-8613

Puerto Rico

Migdalia Marrero, Special Asst. to Secretary, SOSEDF, Isla Grande, 
Building #10, P.O. Box 11398, Santurce, Puerto Rico 00910, (809) 722-
2863

Rhode Island

Sherry Campanelli, Associate Director, Community Services, Department 
of Human Services, 600 New London Avenue, Cranston, Rhode Island 02920, 
(401) 464-2423

South Carolina

Hiram Spain, Executive Assistant for Self-Sufficiency, Department of 
Social Services, P.O. Box 1520, Columbia, South Carolina 29202, (803) 
737-5937

South Dakota

Julie Osnes, Administrator, Office of Family Independence, Department 
of Social Services, Richard F. Kneip Building, Pierre, South Dakota 
57501, (605) 773-3493

Tennessee

Wanda Moore, Director of Program Services, Department of Human 
Services, 12th Floor, 400 Deadericks, Nashville, Tennessee 37219, (615) 
741-6953 [[Page 12857]] 

Texas

Irma Bermea, Deputy Commissioner, Department of Human Services, Mail 
Code 521E, P.O. Box 2960, Austin, Texas 78769, (512) 450-3011

Utah

Helen Thatcher, Assistant Director, Office of Family Support, 
Department of Human Services, 120 North 200 West, Salt Lake City, Utah 
84145-0500, (801) 538-8231

Vermont

Steve Gold, Director, REACH-UP Program, Department of Social Welfare, 
State Office Building, 103 South Main Street, Waterbury, Vermont 05676, 
(802) 241-2800

Virgin Islands

Ermin Boshulte, Director, Public Assistance Programs, Department of 
Human Services, Financial Programs Division, Knud Hansen Complex--
Building A, 1303 Hospital Ground, Charlotte Amalie, V.I. 00802, (809) 
774-4673

Virginia

David Olds, Program Manager, Employment Services, Department of Social 
Services, 730 E. Broad St, 2nd Floor, Richmond, Virginia 23219-1849, 
(804) 692-1229

Washington

Lee Todorovich, Acting Assistant Director, Division of Income 
Assistance, Department of Social and Health Services, P.O. Box 45400, 
Olympia, Washington 98504-5400, (206) 438-8350

West Virginia

Sharon Paterno, Director, Division of Work and Training, Department of 
Health and Human Services, Building 6, State Office Complex, 
Charleston, West Virginia 25305, (304) 558-3186

Wisconsin

Jean Rogers, Administrator, Division of Economic Support, Department of 
Health and Social Services, P.O. Box 7935, 1 West Wilson Street, 
Madison, Wisconsin 53707-7935, (608) 266-3035

Wyoming

Kirk McKinney, JOBS Coordinator, Self-Sufficiency Division, Department 
of Family Services, Hathaway Building, Rm 347, 2300 Capitol Avenue, 
Cheyenne, Wyoming 82002-0710, (307) 777-6849
Attachment J: Checklist for Use in Submitting OCS Grant Applications 
Job Opportunities for Low-Income Individuals (Optional)
    The application should contain:
    1. Table of Contents
    2. A completed, signed SF-424, Application for Federal Assistance. 
The letter code for the priority area (JO) should be in the lower 
right-hand corner of the page.
    3. A completed SF-424A, Budget Information--Non-Construction.
    4. A narrative budget justification for each object class category 
required under Section B, SF-424A;
    5. Filled out signed, and dated Assurances--Non-Construction 
Programs (SF-424B);
    6. The applicant should sign Attachments E and F. In so doing, the 
applicant is certifying that it will comply with the Federal 
requirements concerning the drug-free workplace and debarment 
regulations set forth in Attachments E.
    7. A signed copy of Certification Regarding Anti-Lobbying 
Activities.
    8. A completed Disclosure of Lobbying Activities, if applicable.
    9. An Executive Summary--not to exceed 300 words;
    10. A Project Narrative beginning with a Table of Contents that 
describes the project in the following order:
    (1) Eligibility Confirmation
    (ii) Organizational Experience and Staff Responsibilities
    (iii) Analysis of Need
    (iv) Project Design/Work Program
    (v) Business Plan (If appropriate)
    (vi) Third-Party Evaluation
    (vii) Cooperative Partnership Agreement
    (viii) Budget Appropriateness and Reasonableness
    11. Appendices, including proof of non-profit status; proof that 
the organization is a community development corporation, if applying 
under the CDC Set-aside; a signed copy of the Cooperative Partnership 
Agreement or letter of commitment with State IV-A agency (JOBS 
Program); commitments from officials of businesses that will be 
expanded or from franchises, where applicable; Single Point of Contact 
comments, if applicable; Maintenance of Effort Certification and 
resumes.
    12. A self-addressed mailing label which can be affixed to a 
postcard to acknowledge receipt of application.

Attachment K

Federal Highway Administration, Regional Civil Rights Directors

Region One--Includes CT, ME, MA, NH, NJ, NY, RI, VT, Puerto Rico, and 
the Virgin Islands
    Mr. Dennis Perrott
    Albany, NY
    (518) 431-4224, ext. 247
Region Three--Includes DE, DC, MD, PA, VA, WV
    Ms. Jo Blackstone
    Baltimore, MD
    (410) 962-4030
Region Four--Includes AL, FL, GA, KY, MS, NC, SC, TN
    Mr. Charles Stinson
    Atlanta, GA
    (404) 347-4791
Region Five--Includes IL, IN, MI, MN, OH, WI
    Mr. Joe Forst
    Olympia Fields, IL
    (708) 283-3924
Region Six--Includes AR, LA, NM, OK, TX
    Mr. Humberto Martinez
    Fort Worth, TX
    (817) 334-3671
Region Seven--Includes IA, KS, MO, NE
    Mr. Glen Smith
    Kansas City, MO
    (816) 276-2747
Region Eight--Includes CO, MT, ND, SD, UT, WY
    Ms. Teresa Banks
    Lakewood, CO
Region Nine--Includes AZ, CA, HI, NV, Guam, and American Samoa
    Mr. Harold Dorell
    San Francisco, CA
    (415) 744-3114
Region Ten--Includes AK, ID, OR, WA
    Mr. Willie Harris
    Portland, OR
    (503) 326-2067

Attachment L--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 residence, facilities 
funded solely by Medicare or Medicaid funds, and portions of facilities 
used for inpatient drug or alcohol treatment. [[Page 12858]] Failure to 
comply with the provisions of the law may result in the imposition of a 
civil monetary penalty of up to $1000 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. 95-5512 Filed 3-7-95; 8:45 am]
BILLING CODE 4184-01-P