[Federal Register Volume 60, Number 132 (Tuesday, July 11, 1995)]
[Notices]
[Pages 35802-35808]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 95-16956]
Federal Register / Vol. 60, No. 132 / Tuesday, July 11, 1995 /
Notices
[[Page 35802]]
NATIONAL INSTITUTE FOR LITERACY
[CFDA No. 84.257I]
Grants and Cooperative Agreements; Availability, etc.: Literacy
Leader Fellowship Program
AGENCY: The National Institute for Literacy.
ACTION: Notice Inviting Applications for the Literacy Leader Fellowship
Program.
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PURPOSE: To establish the Literacy Leader Fellows Program to provide
Federal financial assistance to individuals pursuing careers in adult
education or literacy in the areas of instruction, management,
research, or innovation and adult new learners. Under the program,
career literacy workers and adult learners are applicants for
fellowships.
Deadline for Transmittal of Applications: Applications must be
submitted by August 14, 1995.
Available Funds: $120,000.
Estimated Range of Awards: $20,000-$30,000.
Estimated Average Size of Awards: $24,000.
Estimated Number of Awards: 5.
Note: The National Institute for Literacy is not bound by any
estimates in this Notice.
Project Period: Projects will be no less than three nor more than
12 months of full-time activity or the equivalent in less than full-
time participation.
Applicable Regulations: Interim final regulations governing the
National Institute for Literacy's Literacy Leader Fellows Program are
published elsewhere in this issue of the Federal Register. Applications
for Fiscal Year 1995 are being accepted on the basis of these
regulations as published.
Interested persons are invited to submit comments and
recommendations regarding these interim final regulations. The Director
will take all comments into consideration and will make those changes
to the regulations that the Director deems appropriate. The final
regulations will govern applications for fellowships beginning in
Fiscal Year 1996.
While the Institute is associated with the U.S. Departments of
Education, Labor, and Health and Human Services, the specific policies
and procedures of these agencies regarding rulemaking and
administration of grants are not adopted by the Institute except as
expressly stated in this Notice.
Transmittal of Applications: Five (5) copies of applications for
award must be mailed or hand-delivered on or before the deadline date
of August 14, 1995.
Applications delivered by mail. Applications sent by mail must be
addressed to: National Institute for Literacy, 800 Connecticut Avenue
NW., Suite 200, Washington, DC 20006, Attention: (CFDA #84.257I).
An applicant must show proof of mailing consisting of one of the
following:
(1) A legibly dated U.S. Postal Service postmark.
(2) A legible mail receipt with the date of mailing stamped by the
U.S. Postal Service.
(3) A dated shipping label, invoice, or receipt from a commercial
carrier.
If an application is mailed through the U.S. Postal Service, the
Institute does not accept either of the following as proof of mailing:
(1) A private metered postmark, or (2) a mail receipt that is not dated
by the U.S. Postal Service.
An applicant should note that the U.S. Postal Service does not
uniformly provide a dated postmark. Before relying on this method, an
applicant should check with the local post office.
An applicant is encouraged to use registered or certified mail or
at least first-class mail.
Each late applicant will be notified that its application will not
be considered.
Applications delivered by hand. Applications that are hand-
delivered must be taken to the National Institute for Literacy, 800
Connecticut Avenue, NW., Suite 200, Washington, DC.
The Institute will accept hand-delivered applications between 8:30
a.m. and 4:30 p.m. (Washington, DC time) daily, except Saturdays,
Sundays, and Federal holidays. Applications that are hand-delivered
will not be accepted by the Institute after 4:30 p.m. on the due date.
The Institute will mail an Applicant Receipt Acknowledgment to each
applicant within 15 days from the due date. If an applicant fails to
receive the application acknowledgment, call the National Institute for
Literacy at (202) 632-1525.
The applicant must indicate on the outside of the envelope the CFDA
number of the competition under which the application is being
submitted.
Application Forms: The National Institute for Literacy has no
application forms or prescribed format for the Literacy Leader
Fellowship Program. Applicants must submit a detailed budget,
curriculum vitae or resume, and sufficient information to allow the
Institute to determine the merits of the proposed activities and rate
the application according to the criteria and any applicable
priorities. Applicants are also required to submit the following
assurances and certifications:
(a) Assurances--Non-Construction Programs (Standard Form 424B).
(b) Certification Regarding Lobbying; Debarment, Suspension, and
other Responsibility Matters; and Drug-Free Workplace Requirements (ED
90-0013).
(c) Disclosure of Lobbying Activities (Standard Form LLL) (if
applicable) and instructions.
The assurances, and certifications must each have an original
signature. No award can be made unless these forms are submitted.
Priorities: (a) The Director invites applications for Literacy
Leader Fellowships that meet the following priorities for 1995.
(b) The priorities for 1995 are major areas of concern in the
literacy field that are currently being addressed in the Institute's
work.
(c) An application may be awarded up to 5 bonus points for
addressing a priority or priorities, depending on how well the
application meets the priority or priorities.
(d) The publication of these priorities does not bind the Institute
to fund only applications addressing priorities. The Director is
especially interested in fellowship applications that address one or
more of the priorities, but not to the exclusion of other significant
issues that may be proposed by applicants.
(e) The priorities selected from the regulations for 1995 are as
follows:
(1) Work force and Workplace literacy. Millions of American adults
need educational services either to enter to work force or to upgrade
their work-related skills. Increasingly literacy programs are offered
in the context of the workplace. Workforce education and development is
a top national priority and a critical focus in the literacy field.
(2) Family Literacy. Educational research and practice continue to
demonstrate the fundamental importance of the family in creating both
the motivation and conditions for a child's readiness for school and
continued learning throughout life. This intergenerational literacy
connection is having an increasingly significant effect on the funding,
design, and operation of Federal, State, and local programs for
children as well as adults.
(3) English as a Second Language/Immigration and Literacy. Recent
studies confirm that adults with limited English proficiency (LEP)
experience a variety of social and economic disadvantages: lower wages,
limited employment opportunities, limited access to public services,
and barriers to becoming active members of their communities and
neighborhoods. ESL instruction is currently the largest and fastest
growing component of the Adult
[[Page 35803]]
Education Act, and the demand continues to increase dramatically. About
two-thirds of all recent immigrants to America are LEP, and about 76%
of the 12 to 14 million LEP adults in America are immigrants. Issues
related to the education of immigrants and ESL services are of
increasing importance to the literacy and adult education field.
(4) Assessing Progress toward National Educational Goal 6. Goal 6,
the adult literacy and lifelong learning goal, states that: ``By the
year 2000, every adult American will be literate and will possess the
knowledge and skills necessary to compete in a global economy and
exercise the rights and responsibilities of citizenship.'' Gauging
progress toward this goal is a primary concern of the Institute and a
complex undertaking that challenges all sectors of the literacy field.
As a result, there is growing interest in the development of
innovative approaches for measuring and documenting this progress in a
variety of service settings.
(5) The Role of Adult Learners in Literacy and Adult Education
Programs. As the primary consumers of literacy and adult education
services, adult learners have the greatest personal stake in the
quality of these services, and unique contributions to make in setting
policy for, planning, and implementating programs. The Institute is
interested in learning more about how current and former adult learners
can play meaningful roles at every level of the literacy field
nationwide.
SUPPLEMENTARY INFORMATION: National Institute for Literacy: National
Educational Goal 6, which is now included in the Goals 2000 Educate
America Act, puts forward an ambitious agenda for adult literacy and
lifelong learning in America. To further this goal, the Congress passed
Public Law 102-73, the National Literacy Act of 1991, which is the
first piece of national legislation to focus exclusively on literacy.
The overall intent of the Act, as stated, is:
To enhance the literacy and basic skills of adults, to ensure
that all adults in the United States acquire the basic skills
necessary to function effectively and achieve the greatest possible
opportunity in their work and in their lives and to strengthen and
coordinate adult literacy programs.
In designing the Act, among the primary concerns shared by the
Congress and literacy stakeholders was the fragmentation and lack of
coordination among the many efforts in the field. To address these
concerns, the Act created the National Institute for Literacy to:
(A) Provide a national focal point for research, technical
assistance and research dissemination, policy analysis and program
evaluation in the area of literacy; and
(B) Facilitate a pooling of ideas and expertise across fragmented
programs and research efforts.
Among the Institute's authorized activities is the awarding of
fellowships to outstanding individuals who are pursuing careers in
adult education or literacy in the areas of instruction, management,
research, or innovation. These fellowships are to be awarded for
activities that advance the field of adult education and literacy.
FOR FURTHER INFORMATION CONTACT: Susan Green, National Institute for
Literacy, 800 Connecticut Avenue NW., Suite 200, Washington, DC 20006.
Telephone: 202/632-1509, FAX: 202/632-1512.
Instructions for Estimated Public Reporting Burden: Under terms of
the Paperwork Reduction Act of 1980, as amended, and the regulations
implementing the Act, the National Institute for Literacy invites
comment on the public reporting burden in this collection of
information. Public reporting burden for this collection of information
is estimated to average 40 hours per response, including the time for
reviewing instructions, searching existing data sources, gathering and
disseminating the data needed, and completing and reviewing the
collection of information. You may send comments regarding this burden
estimate or any other aspect of this collection of information,
including suggestions for reducing this burden to the National
Institute for Literacy, and the Office of Management and Budget,
Paperwork Reduction Project, Washington, DC 20503. (Information
collection approved under OMB control number 3200-0030, Expiration
date: June 30, 1998.)
Program Authority: (20 U.S.C. 1213c).
Dated: July 6, 1995.
Carolyn Stately,
Deputy Director, National Institute for Literacy.
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Instructions for the SF 424
This is a standard form used by applicants as a required
facesheet for preapplications and applications submitted for Federal
assistance. It will be used by Federal agencies to obtain applicant
certification that States which have established a review and
comment procedure in response to Executive Order 12372 and have
selected the program to be included in their process, have been
given an opportunity to review the applicant's submission.
Item and Entry
1. Self-explanatory.
2. Date application submitted to Federal agency (or State if
applicable) & applicant's control number (if applicable).
3. State use only (if applicable).
4. If this application is to continue or revise an existing
award, enter present Federal identifier number. If for a new
project, leave blank.
5. Legal name of applicant, name of primary organizational unit
which will undertake the assistance activity, complete address of
the applicant, and name and telephone number of the person to
contact on matters related to this application.
6. Enter Employer Identification Number (EIN) as assigned by the
Internal Revenue Service.
7. Enter the appropriate letter in the space provided.
8. Check appropriate box and enter appropriate letter(s) in the
space(s) provided:
--``New''means a new assistance award.
--``Continuation'' means an extension for an additional funding/
budget period for a project with a projected completion date.
--``Revision'' means any change in the Federal Government's
financial obligation or contingent liability from an existing
obligation.
9. Names of Federal agency from which assistance is being
requested with this application.
10. Use the Catalog of Federal Domestic Assistance number and
title of the program under which assistance is requested.
11. Enter a brief descriptive title of the project. If more than
one program is involved, you should append an explanation on a
separate sheet. If appropriate (e.g., construction or real property
projects), attach a map showing project location. For
preapplications, use a separate sheet to provide a summary
description of this project.
12. List only the largest political entities affected (e.g.,
State, counties, cities).
13. Self-explanatory.
14. List the applicant's Congressional District and any
District(s) affected by the program or project.
15. Amount requested or to be contributed during the first
funding/budget period by each contributor. Value of in-kind
contributions should be included on appropriate lines as applicable.
If the action will result in a dollar change to an existing award,
indicate only the amount of the change. For decreases, enclose the
amounts in parentheses. If both basic and supplemental amounts are
included, show breakdown on an attached sheet. For multiple program
funding, use totals and show breakdown using same categories as item
15.
16. Applicants should contact the State Single Point of Contract
(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, but 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.)
Assurances--Non-Construction Programs
Note: Certain of these assurances may not be applicable to your
project or program. If you have questions, please contact the
awarding agency. Further, certain Federal awarding agencies may
require applicants to certify to additional assurances. If such is
the case, you will be notified.
As the duly authorized representative of the applicant I certify
that the applicant:
1. Has the legal authority to apply for Federal assistance, and
the institutional, managerial and financial capability (including
funds sufficient to pay the non-Federal share of project costs) to
ensure proper planning, management and completion of the project
described in this application.
2. Will give the awarding agency, the Comptroller General of the
United States, and if appropriate, the State, through any authorized
representative, access to and the right to examine all records,
books, papers, or documents related to the award; and will establish
a proper accounting system in accordance with generally accepted
accounting standards or agency directives.
3. Will establish safeguards to prohibit employees from using
their positions for a purpose that constitutes or presents the
appearance of personal or organizational conflict of interest, or
personal gain.
4. Will initiate and complete the work within the applicable
time frame after receipt of approval of the awarding agency.
5. Will comply with the Intergovernmental Personnel Act of 1970
(42 U.S.C. Secs. 4728-4763) relating to prescribed standards for
merit systems for programs funded under one of the nineteen statutes
or regulations specified in Appendix A of OPM's Standards for a
Merit System of Personnel Administration (5 CFR 900, Subpart F).
6. Will comply with all Federal statutes relating to
nondiscrimination. These include but are not limited to: (a) Title
VI of the Civil Rights Act of 1964 (P.L. 88-352) which prohibits
discrimination on the basis of race, color or national origin; (b)
Title IX of the Education Amendments of 1972, as amended (20 U.S.C.
Secs. 1681-1683, and 1685-1686), which prohibits discrimination on
the basis of sex; (c) Section 504 of the Rehabilitation Act of 1973,
as amended (29 U.S.C. Sec. 794), which prohibits discrimination on
the basis of handicaps; (d) the Age Discrimination Act of 1975, as
amended (42 U.S.C. Secs. 6101-6107), which prohibits discrimination
on the basis of age; (e) the Drug Abuse Office and Treatment Act of
1972 (P.L. 92-255), as amended, relating to nondiscrimination on the
basis of drug abuse; (f) the Comprehensive Alcohol Abuse and
Alcoholism Prevention, Treatment and Rehabilitation Act of 1970
(P.L. 91-616), as amended, relating to nondiscrimination on the
basis of alcohol abuse or alcoholism; (g) Secs. 523 and 527 of the
Public Health Service Act of 1912 (42 U.S.C. 290dd-3 and 290ee-3),
as amended, relating to confidentiality of alcohol and drug abuse
patient records; (h) Title VIII of the Civil Rights Act of 1968 (42
U.S.C. Sec. 3601 et seq.), as amended, relating to nondiscrimination
in the sale, rental or financing of housing; (i) any other
nondiscrimination provisions in the specific statute(s) under which
application for Federal assistance is being made; and (j) the
requirements of any other nondiscrimination statute(s) which may
apply to the application.
7. Will comply, or has already complied, with the requirements
of Titles II and III of the Uniform Relocation Assistance and Real
Property Acquisition Policies Act of 1970 (P.L. 91-646) which
provide for fair and equitable treatment of persons displaced or
whose property is acquired as a result of Federal or federally
assisted programs. These requirements apply to all interests in real
property acquired for project purposes regardless of Federal
participation in purchases.
8. Will comply with the provisions of the Hatch Act (5 U.S.C.
Secs. 1501-1508 and 7324-7328) which limit the political activities
of employees whose principal employment activities are funded in
whole or in part with Federal funds.
9. Will comply, as applicable, with the provisions of the Davis-
Bacon Act (40 U.S.C. Secs. 276a to 276a-7), the Copeland Act (40
U.S.C. Sec. 276c and 18 U.S.C. Sec. 874), and the Contract Work
Hours and Safety Standards Act (40 U.S.C. Secs. 327-333), regarding
labor standards for federally assisted construction subagreements.
10. Will comply, if applicable, with flood insurance purchase
requirements of Section 102(a) of the Flood Disaster Protection Act
of 1973 (P.L. 93-234) which requires recipients in a special flood
hazard area to participate in the program and to purchase flood
insurance if the total cost of insurable construction and
acquisition is $10,000 or more.
11. Will comply with environmental standards which may be
prescribed pursuant to the following: (a) institution of
environmental quality control measures under the National
Environmental Policy Act of 1969 (P.L. 91-190) and Executive Order
(EO) 11514; (b) notification of violating facilities pursuant to EO
11738; (c) protection of wetlands pursuant to EO 11990; (d)
evaluation of flood hazards in floodplains in accordance with EO
11988; (e) assurance of project consistency with the approved State
management program developed under the Coastal Zone Management Act
of 1972 (16
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U.S.C. Secs. 1451 et seq.); (f) conformity of Federal actions to State
(Clear Air) Implementation Plans under Section 176(c) of the Clear
Air Act of 1955, as amended (42 U.S.C. Sec. 7401 et seq.); (g)
protection of underground sources of drinking water under the Safe
Drinking Water Act of 1974, as amended, (P.L. 93-523); and (h)
protection of endangered species under the Endangered Species Act of
1973, as amended, (P.L. 93-205).
12. Will comply with the Wild and Scenic Rivers Act of 1968 (16
U.S.C. Secs. 1271 et seq.) related to protecting components or
potential components of the national wild and scenic rivers system.
13. Will assist the awarding agency in assuring compliance with
Section 106 of the National Historic Preservation Act of 1966, as
amended (16 U.S.C. 470), EO 11593 (identification and protection of
historic properties), and the Archaeological and Historic
Preservation Act of 1974 (16 U.S.C. 469a-1 et seq.).
14. Will comply with the P.L. 93-348 regarding the protection of
human subjects involved in research, development, and related
activities supported by this award of assistance.
15. Will comply with the Laboratory Animal Welfare Act of 1966
(P.L. 89-544, as amended, 7 U.S.C. 2131 et seq.) pertaining to the
care, handling, and treatment of warm blooded animals held for
research, teaching, or other activities supported by this award of
assistance.
16. Will comply with the Lead-Based Paint Poisoning Prevention
Act (42 U.S.C. Secs. 4801 et seq.) which prohibits the use of lead
based paint in construction or rehabilitation of residence
structures.
17. Will cause to be performed the required financial and
compliance audits in accordance with the Single Audit Act of 1984.
18. Will comply with all applicable requirements of all other
Federal laws, executive orders, regulations and policies governing
this program.
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Signature of Authorized Certifying Official
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Title
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Applicant Organization
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Date Submitted
Certifications Regarding Lobbying; Debarment, Suspension and Other
Responsibility Matters; and Drug-Free Workplace Requirements
Applicants should refer to the regulations cited below to
determine the certification to which they are required to attest.
Applicants should also review the instructions for certification
included in the regulations before completing this form. Signature
of this form provides for compliance with certification requirements
under 34 CFR Part 82, ``New Restrictions on Lobbying,'' and 34 CFR
Part 85, ``Government-wide Debarment and Suspension (Nonprocurement)
and Government-wide Requirements for Drug-Free Workplace (Grants).''
The certifications shall be treated as a material representation of
fact upon which reliance will be placed when the Department of
Education determines to award the transaction, grant, or cooperative
agreement.
1. Lobbying
As required by Section 1352, Title 31 of the U.S. Code, and
implemented at 34 CFR Part 82, for persons entering into a grant or
cooperative agreement over $100,000, as defined at 34 CFR Part 82,
Sections 82.105 and 82.110, the application certifies that:
(a) 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 making of
any Federal grant, the entering into of any cooperative agreement,
and the extension, continuation, renewal, amendment, or modification
of any Federal grant or cooperative agreement;
(b) If any funds other that 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 any employee of a
Member of Congress in connection with this Federal grant or
cooperative agreement, the undersigned shall complete and submit
Standard Form--LLL, ``Disclosure Form to Report Lobbying,'' in
accordance with its instructions;
(c) The undersigned shall require that the language of this
certification be included in the award documents for all subawards
at all tiers (including subgrants, contracts under grants and
cooperative agreements, and subcontracts) and that all subrecipients
shall certify and disclose accordingly.
2. Debarment, Suspension, and Other Responsibility Matters
As required by Executive Order 12549, Debarment and Suspension,
and implemented at 34 CFR Part 85, for prospective participants in
primary covered transactions, as defined at 34 CFR Part 85, Sections
85.105 and 85.110--
A. The applicant certifies 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 three-year period preceding this
application 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 for or otherwise criminally or
civilly charged by a governmental entity (Federal, State, or local)
with commission of any of the offenses enumerated in paragraph
(1)(b) of this certification; and
(d) Have not within a three-year period preceding this
application had one or more public transactions (Federal, State, or
local) terminated for cause or default; and
B. Where the applicant is unable to certify to any of the
statements in this certification, he or she shall attach an
explanation to this application.
3. Drug-Free Workplace (Grantees Other Than Individuals)
As required by the Drug-Free Workplace Act of 1988, and
implemented at 34 CFR Part 85, Subpart F, for grantees, as defined
at 34 CFR Part 85, Sections 85.605 and 85.610--
A. The applicant certifies that it will or will continue to
provide a drug-free workplace by:
(a) Publishing a statement notifying employees that the unlawful
manufacture, distribution, dispensing, possession, or use of a
controlled substance is prohibited in the grantee's workplace and
specifying the actions that will be taken against employees for
violation of such prohibition;
(b) Establishing an on-going drug-free awareness program to
inform employees about--
(1) The dangers of drug abuse in the workplace;
(2) The grantee's policy of maintaining a drug-free workplace;
(3) Any available drug counseling, rehabilitation, and employee
assistance programs; and
(4) The penalties that may be imposed upon employees for drug
abuse violations occurring in the workplace;
(c) Making it a requirement that each employee to be engaged in
the performance of the grant be given a copy of the statement
required by paragraph (a);
(d) Notifying the employee in the statement required by
paragraph (a) that, as a condition of employment under the grant,
the employee will--
(1) Abide by the terms of the statement; and
(2) Notify the employer in writing of his or her conviction for
a violation of a criminal drug statute occurring in the workplace no
later than five calendar days after such conviction;
(e) Notifying the agency, in writing, within 10 calendar days
after receiving notice under subparagraph (d)(2) from an employee or
otherwise receiving actual notice of such conviction. Employers of
convicted employees must provide notice, including position title,
to: Director, Grants and Contracts Service, U.S. Department of
Education, 400 Maryland Avenue, SW, (Room 3124, GSA Regional Office
Building No. 3), Washington, DC 20202-4571. Notice shall include the
identification number(s) of each affected grant;
(f) Taking one of the following actions, within 30 calendar days
of receiving notice under subparagraph (d)(2), with respect to any
employee who is so convicted--
(1) Taking appropriate personnel action against such an
employee, up to and including termination, consistent with the
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requirements of the Rehabilitation Act of 1973, as amended; or
(2) Requiring such employee to participate satisfactorily in a
drug abuse assistance or rehabilitation program approved for such
purposes by a Federal, State, or local health, law enforcement, or
other appropriate agency;
(g) Making a good faith effort to continue to maintain a drug-
free workplace through implementation of paragraphs (a), (b), (c),
(d), (e), and (f).
B. The grantee may insert in the space provided below the
site(s) for the performance of work done in connection with the
specific grant:
Place of Performance (Street address, city, county, state, zip code)
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Check {time} if there are workplaces on file that are not
identified here.
Drug-Free Workplace (Grantees Who Are Individuals)
As required by the Drug-Free Workplace Act of 1988, and
implemented at 34 CFR Part 85, Subpart F, for grantees, as defined
at 34 CFR Part 85, Sections 85.605 and 85.610--
A. As condition of the grant, I certify that I will not engage
in the unlawful manufacture, distribution, dispensing, possession,
or use of a controlled substance in conducting any activity with the
grant; and
B. If convicted of a criminal drug offense resulting from a
violation occurring during the conduct of any grant activity, I will
report the conviction, to: Director, Grants and Contract Services,
U.S. Department of Education, 400 Maryland Avenue, SW, (Room 3124,
GSA Regional Office Building No. 3), Washington, DC 20202-4571.
Notice shall include the identification number(s) of each affected
grant.
As the duly authorized representative of the applicant, I hereby
certify that the applicant will comply with the above
certifications.
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Name of Applicant
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PR/Award Number and or Project Name
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Printed Name and Title of Authorized Representative
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Signature
Date-------------------------------------------------------------------
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