[Federal Register Volume 61, Number 53 (Monday, March 18, 1996)]
[Notices]
[Pages 11011-11033]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 96-6259]



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DEPARTMENT OF HEALTH AND HUMAN SERVICES
[Program Announcement No. OCS 96-06]


Fiscal Year 1996 Family Violence Prevention and Services 
Discretionary Funds Program; Availability of Funds and Request for 
Applications

AGENCY: Office of Community Services, ACF, DHHS.

ACTION: Announcement of the availability of funds and request for 
applications under the Office of Community Services Family Violence 
Prevention and Services Discretionary Funds Program.

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SUMMARY: The Office of Community Services (OCS) announces its Family 
Violence Prevention and Services discretionary funds program for fiscal 
year (FY) 1996. Funding for grants under this announcement is 
authorized by the Family Violence Prevention and Services Act, Public 
Law 102-295, as amended, governing discretionary programs for family 
violence prevention and services. Applicants should note that the award 
of grants and cooperative agreements under this program announcement is 
subject to the availability of funds. This announcement contains all 
forms and instructions for submitting an application.

DATES: The closing date for submission of applications is May 17, 1996. 
Applications postmarked after the closing date will be classified as 
late.

ADDRESSES: Applications may be mailed to Department of Health and Human 
Services, Administration for Children and Families/Division of 
Discretionary Grants, (OCS-96-06), 370 L'Enfant Promenade, S.W., Mail 
Stop 6C-462, Washington, D.C. 20447
    Hand delivered applications are accepted during the normal working 
hours of 8:00 a.m. to 4:30 p.m., Monday through Friday, on or prior to 
the established closing date at:

    U.S. Department of Health and Human Services, Administration for 
Children and Families, Division of Discretionary Grants ACF 
Mailroom, 2nd Floor Loading Dock, Aerospace Center 901 D Street, 
S.W., Washington, DC 20447, between Monday and Friday (excluding 
Federal holidays). (Applicants are cautioned that express/overnight 
mail services do not always deliver as agreed.)

FOR FURTHER INFORMATION CONTACT: Administration for Children and 
Families, Office of Community Services, Division of State Assistance, 
370 L'Enfant Promenade SW., Washington, D.C. 20447. Telephone Trudy 
Hairston, (202) 401-5319, Al Britt, (202) 401-5453, or William Riley 
(202) 401-5529.


[[Page 11012]]

SUPPLEMENTARY INFORMATION: The Office of Community Services, 
Administration for Children and Families, announces that applications 
are being accepted for funding for FY 1996 projects on Public 
Information/Community Awareness for the Prevention of Domestic 
Violence; Historically Black Colleges and Universities (HBCUs) 
Institutional Outreach Activities in Support of Comprehensive Family 
Violence Prevention Activities(Outreach and Prevention); and Domestic 
Violence/Child Protective Services Collaboration.
    This program announcement consists of four parts. Part I provides 
information on the family violence program and the statutory funding 
authority applicable to this announcement.
    Part II describes the priority areas under which applications for 
FY 1996 family violence funding are being requested.
    Part III describes the review process.
    Part IV provides information and instructions for the development 
and submission of applications.
    The forms to be used for submitting an application follow Part IV. 
Please copy and use these forms in submitting an application under this 
announcement. No additional application materials are available or 
needed to submit an application.
    Applicants should note that grants to be awarded under this program 
announcement are subject to the availability of funds.

Part I. Introduction

    Title III of the Child Abuse Amendments of 1984, (Pub. L. 98-457, 
42 U.S.C. 10401, et seq.) is entitled the Family Violence Prevention 
and Services Act (the Act). The Act was first implemented in FY 1986, 
was reauthorized and amended in 1992 by Pub. L. 102-295, and was 
amended and reauthorized for fiscal years 1996 through 2000 by Pub. L. 
103-322, the Violent Crime Control and Law Enforcement Act of 1994 (the 
Crime Bill), signed into law on September 13, 1994.
    The purpose of this legislation is to assist States in supporting 
the establishment, maintenance, and expansion of programs and projects 
to prevent incidents of family violence and provide immediate shelter 
and related assistance for victims of family violence and their 
dependents. Through the family violence prevention discretionary 
program, OCS has continued to support the National Resource Center for 
Domestic Violence (NRC) and three Special Issue Resource Centers 
(SIRCs). The SIRCs are the Battered Women's Justice Project; the 
Resource Center on Child Custody and Protection; and the Health 
Resource Center on Domestic Violence. The purpose of the NRC and the 
SIRCs is to provide resource information, training, and technical 
assistance to Federal, State, and Native American agencies, local 
domestic violence prevention programs, and other individuals in the 
field of family violence.
    During FY 1995, OCS awarded several family violence prevention 
discretionary grants for public information/community awareness 
activities; discretionary grant awards were also made to Historically 
Black Colleges and Universities (Hampton University, Hampton, Virginia; 
Tennessee State University, Nashville, Tennessee; University of the 
District of Columbia-Cooperative Extension Service; and Southern 
University, Baton Rouge, Louisiana) to assist in the development of 
family-focused interventions; and five awards were made for domestic 
violence and child protective services collaboration.
    Grants for enhancing the collaboration between domestic violence 
advocates and child protective services were made to the Maine 
Department of Human Services, Augusta, Maine; Women's Center and 
Shelter of Greater Pittsburgh, Pittsburgh, Pennsylvania; Massachusetts 
Coalition of Battered Women Service Groups, Boston, Massachusetts; The 
Family Place, Dallas, Texas; Domestic Abuse Project of Delaware County, 
Media, Pennsylvania; and the Artemis Center for Alternatives to 
Domestic Violence, Dayton, Ohio.
    Because of the responsiveness to and the interest displayed for the 
priority areas for family violence prevention during previous years, 
OCS will again make available discretionary grants awards in the areas 
of Public Information/Community Awareness; Institutional Outreach 
Activities in Support of Comprehensive Family Violence Prevention 
Activities; and Domestic Violence/Child Protective Services 
Collaboration.
    To encourage increased collaboration and coordination among 
existing programs and related initiatives, OCS will give additional 
consideration to applications from organizations and/ or agencies that 
are documented participants in Empowerment Zone and/or Enterprise 
Community plans and applications. Applicants citing participation with 
Empowerment Zones and/or Enterprise Communities should document that 
they were involved in the preparation and planned implementation of the 
plan and how their proposed project supports the goal of the 
Empowerment or Enterprise plans (0-5 points).
    Moreover, to encourage the continuation of the previously funded 
efforts of the Historically Black Colleges and Universities in the 
prevention of family violence, and to maintain the momentum of the 
collaborative projects between domestic violence and the Child 
Protective Services, OCS also will provide additional consideration to 
projects that were funded in these areas under the FY 1995 family 
violence discretionary program (0-5 points).

Part II. Fiscal Year 1996 Family Violence Projects

1. Priority Area Number FV-01-96: Public Information/Community 
Awareness Campaign Projects for the Prevention of Family Violence

    Purpose: To assist in the continual development of public 
information and community awareness campaign projects and activities 
that provide information for the prevention of family violence. These 
projects should provide information on resources, facilities, and 
service alternatives available to family violence victims and their 
dependents, community organizations, local school districts, and other 
individuals seeking assistance.
    Eligible Applicants: State and local public agencies, Territories, 
and Native American Tribes and Tribal Organizations who are, or have 
been, recipients of Family Violence Prevention and Services Act grants; 
State and local private non-profit agencies experienced in the field of 
family violence prevention; and public and private non-profit 
educational institutions, community organizations and community-based 
coalitions, and other entities that have designed and implemented 
family violence prevention information activities or community 
awareness strategies.
    Background: Based on the encouraging response to the announcement 
for public information and community awareness grants for family 
violence prevention in previous Federal fiscal years, ACF will again 
make these grants available in FY 1996.
    The public information/community awareness grant awards have 
spawned very effective informational activities at the local levels. 
These grants have assisted community organizations to focus on and 
emphasize prevention, helped to make available public service 
announcements and descriptive program brochures in several different 
languages, including Russian and Vietnamese, and have assisted in the 
implementation of conflict resolution

[[Page 11013]]
activities in elementary, middle and high school curricula.
    The goal of this priority area is to provide support for the 
distribution of credible and persuasive information by community 
organizations to help break the so-called ``cycle of family violence.'' 
The continuation of these efforts will help assure that individuals, 
particularly within minority communities, are aware of available 
resources and alternative responses for the intervention and the 
prevention of violence.
    This priority area requires the development and implementation of 
an effective public information campaign that may be used, for example, 
by public and private agencies, schools, churches, boys and girls 
clubs, community organizations, and individuals. The continuation of 
OCS support for the increase of information on services and other 
alternatives for the prevention of family violence underscores the 
notion that violent behavior is unacceptable.
    Accurate information is critical to any community awareness 
strategy and activity. How information is communicated must be modified 
where communication barriers may exist because of perceived or real 
language differences and cultural insensitivities. OCS seeks to 
continue providing victims, their dependents, and perpetrators, with 
knowledge of the remedial and service options for their particular 
situations.
    Minimum Requirements for Project Design: In order to successfully 
compete under the priority area, the applicant should:
     Present a plan for community awareness and public 
information activities that clearly reflects how the applicant will 
target the populations at risk, including pregnant women; coordinate 
its implementation efforts with public agencies and other community 
organizations; and communicate with institutions active in the field of 
family violence prevention.
     Describe the proposed approach to the development of a 
public information campaign and identify the specific audience(s), 
community(s), and groups that will be educated in the prevention of 
family violence, including communities and groups with the highest 
prevalence of domestic violence.
     Include, as critical elements in the plan:
     A set of achievable objectives and a description of the 
population groups, relevant geographic area, and the indicators to be 
used to measure progress and the overall effectiveness of the campaign;
     The intended strategies for test marketing the development 
plans and give assurances that effectiveness criteria will be 
implemented prior to the completion of the final plan;
     The development and use of non-traditional sources as 
information providers (applicants should present specific plans for the 
use of local organizations, businesses and individuals in the 
distribution of information and materials);
     The identification of the media to be used in the campaign 
and the geographic limits of the campaign;
     How the applicant would be responsive to and demonstrate 
its sensitivity towards minority communities and their cultural 
perspectives; and
     A description of the kind, volume, distribution, and 
timing of the proposed information with assurances that the public 
information campaign activities will not supplant or lower the current 
frequency of public service announcements.
    Project Duration: The length of the project should not exceed 12 
months.
    Federal Share of the Project: The maximum Federal share of the 
project is not to exceed $35,000 for the 1-year project period. 
Applications for lesser amounts also will be considered under this 
priority area.
    Matching Requirement: SUCCESSFUL GRANTEES MUST PROVIDE AT LEAST 25 
PERCENT OF THE TOTAL COST OF THE PROJECT. THE APPROVED TOTAL COST OF 
THE PROJECT IS THE SUM OF THE ACF SHARE AND THE NON-FEDERAL SHARE. The 
non-Federal share may be met by cash or in-kind contributions, although 
applicants are encouraged to meet their match requirements through cash 
contributions. Therefore, a project requesting $35,000 in Federal funds 
must include a match of at least $11,666 (25% of total project cost). 
If approved for funding, grantees will be held accountable for 
commitments of non-Federal resources and failure to provide the 
required amount will result in a disallowance of unmatched Federal 
funds. Anticipated Number of Projects to be Funded: 1It is anticipated, 
subject to the availability of funds, that three projects will be 
funded at the maximum level; more than three projects may be funded 
depending on the number of acceptable applications for lesser amounts 
which are received.
    CFDA: 93.671 Family Violence Prevention and Services: Family 
Violence Prevention and Services Act, as amended.

2. Priority Area Number FV-02-96: Historically Black Colleges and 
Universities (HBCUs) Institutional Outreach in Support of Comprehensive 
Family Violence Prevention Activities (Outreach and Prevention).

    Purpose: To assist in the development of public information 
materials, educational strategies, and community activities for 
families as a part of a comprehensive approach to improve and enable 
family-focused interventions. It is expected that these interventions 
which are directed towards families will increase the awareness of 
violence and decrease its incidence and impact in minority communities. 
In these efforts the responding institutions should enlist the energy 
and cooperation of significant community institutions, community 
organizations, and individuals to serve as models and to provide 
information on resources, services, facilities, and alternatives to 
violence in the family.
    Eligible Applicants: The Office of Community Services, 
Administration for Children and Families invites Historically Black 
Colleges and Universities to submit applications for projects that will 
provide for the development, implementation and operation of 
comprehensive family violence prevention strategies and for the 
dissemination of informational and resource materials for the 
prevention of family violence in minority communities. Previous 
applicants for this priority area who have received grant awards are 
not precluded from applying for funding under this announcement.
    Background: The goal of this priority area is to provide support 
for the inclusion of ``family violence prevention'' in a comprehensive 
approach which considers environmental and cultural factors in plans 
for intervention and violence prevention strategies in minority 
communities. Historically Black Colleges and Universities, because of 
their relationships with minority communities and their residents, 
offer an opportunity for the exchange and development of innovative 
ideas and approaches to the prevention of violence in general. This 
effort will make it possible to capture, consider, and utilize the 
ideas for violence prevention that exist in the minority communities, 
particularly in response to problems of racism and poverty and 
resultant violence. The utilization of HBCUs in this effort will make 
available the considerable expertise, experience,

[[Page 11014]]
and resources to be found in these institutions.
    Family violence prevention activities encompass a range of efforts 
that include the teaching of conflict resolution skills, the 
implementation of intervention strategies, and the development of 
informational materials on available resources and services. Family 
violence prevention may be viewed as the sum of activities which are 
guides to acceptable behavior. Activities that may be a part of the 
family violence prevention equation provide, for example, parenting 
skills and techniques, emphasize self-esteem for our youth, stress the 
importance of higher education as a conduit to a better lifestyle, and 
identify the means of avoiding negative health consequences such as 
AIDS and other sexually transmitted diseases.
    Family violence prevention needs to be considered as a part of an 
overall violence prevention strategy. With this particular perspective 
ACF is interested in applications that address:
    Overall strategies for violence prevention activities that focus on 
educational and training efforts, outreach activities and supportive 
services, and the role and impact of community institutions;
    Cooperative networks and collaborative approaches within the 
minority communities for the prevention of anti-social and violent 
behavior and that facilitate the implementation of family violence 
preventive efforts;
    Intervention approaches concerned with the ``minority family 
structure;'' Institutional intervention strategies utilizing resources 
such as alumni, fraternities and sororities, the African American 
religious community, and volunteers from the community in general; and
    The identification of data gathering, and informational and 
research activities that are needed to identify, support, and implement 
the long-term strategic interventions to reduce ``Black on Black'' 
crime in general and family violence in the African American community 
in particular.

Minimum Requirements for Project Design

    In order to successfully compete under this priority area, the 
applicant should:
     Prepare and submit an application that clearly reflects 
how the applicant will target the populations at risk, including 
pregnant women; coordinate with other community organizations, 
agencies, institutions, and individuals active in the field of family 
violence prevention;
     Describe, as a major element in the application, the 
significant prevention efforts that are a part of the educational and 
training, outreach, and supportive service strategies;
     Describe, as an element of the plan, the proposed approach 
to a public information/community awareness strategy and identify the 
specific audiences, groups with the highest prevalence of domestic 
violence, community(s), and target group(s) on which the efforts will 
be focused; and
     Include as critical elements in the plan:

--The development and use of non-traditional sources as information 
providers and in outreach efforts;
--The intended strategies for test marketing development plans and give 
assurances that effectiveness criteria will be included prior to 
finalizing the plan;
--The specific interventions to be modeled and their responsiveness and 
sensitivity to the general violence in the African American community;
--A set of achievable objectives and the evaluation components that are 
to be used to measure the degree of success in achieving the objectives 
as well as the assessment of the program's impact.

    Project Duration: The length of the project should not exceed 12 
months.
    Federal Share of the Project: The maximum Federal share of the 
project is not to exceed $40,000 for the 12-month project period. 
Applications for lesser amounts also will be considered under this 
priority area.
    Matching Requirement: SUCCESSFUL GRANTEES MUST PROVIDE AT LEAST 25 
PERCENT OF THE TOTAL COST OF THE PROJECT. THE TOTAL COST OF THE PROJECT 
IS THE SUM OF THE ACF SHARE AND THE NON-FEDERAL SHARE. The non-Federal 
share may be met by cash or in-kind contributions, although applicants 
are encouraged to meet their match requirements through cash 
contributions. Therefore, a project requesting $40,000 in Federal funds 
(based on an award of $40,000 per budget period) must include a match 
of at least $13,333 (25% of total project cost). If approved for 
funding, grantees will be held accountable for commitments of non-
Federal resources and failure to provide the required amount will 
result in a disallowance of unmatched Federal funds.
    Anticipated Number of Projects to be Funded: It is anticipated, 
subject to the availability of funds, that three projects may be funded 
at the maximum level; more than three projects may be funded depending 
on the number of acceptable applications for lesser amounts which are 
received.
    CFDA: 93.671 Family Violence Prevention and Services: Family 
Violence Prevention and Services Act, as amended.

3. Priority Area Number FV-03-96: Domestic Violence/Child Protective 
Services Collaboration

    Eligible Applicants: State and local public agencies, Territories, 
and Native American Tribes and Tribal Organizations who are recipients, 
or have been recipients, of Family Violence Prevention and Services Act 
grants; State and local child protection agencies; private nonprofit 
child welfare agencies; domestic violence advocacy organizations; and 
domestic violence State coalitions. Applicants must submit a signed 
Letter of Agreement between the public agency representing the child 
welfare/child protection responsibilities and the organization or 
coalition representing domestic violence advocacy organizations and 
their concerns. Either signatory to the Agreement may be the principal 
grantee. Previously successful applicants in this priority area are not 
precluded from participating in this announcement.
    The Agreement to be submitted will specifically indicate the role 
each participant organization has in the implementation of the proposed 
project. Because the successful implementation of a proposed project 
would have implications for systemic/procedural change in the child 
welfare and/or the domestic violence community, the Letter of Agreement 
is mandatory.
    Purpose: To develop effective strategies for domestic violence 
services integration into child protection systems and strategies. To 
offer the applicant organizations an opportunity to design, develop, 
and collaborate on one of several issues or areas of concern between 
the child protection system and the domestic violence community. 
Efforts are to be focused on the development of curricula and materials 
and the implementation of training to be available. The training of 
child protection representatives and domestic violence advocates will 
be to enable the most efficient and effective response when 
encountering partner abuse in the course of child abuse and neglect 
investigations. Protocols for effective strategies of intervention need 
to be designed, developed and put in place to allow the child 
protection system to assist and utilize the non-offending parent to 
protect his/her children.

[[Page 11015]]

    Applicants may propose to do one or more of the following: plan and 
implement the training of child protection service workers, supervisors 
and social services providers on the relationship of domestic violence 
and child abuse and neglect; develop and implement domestic violence 
responsive policies to be adopted by the Statewide child protection 
services system; develop and implement through the child protection 
system a domestic violence specific curriculum which will become part 
of a mandatory training program; develop and implement Memoranda of 
Understanding between the child protection system and the domestic 
violence statewide system; and gather and submit data correlating 
spouse abuse and child abuse and neglect.
    Background: Based on a recent review of the literature, it has 
become evident that the correlation of spouse abuse and child abuse and 
neglect is no longer anecdotal but an established fact. Domestic 
violence is surfacing as one of the highest risks to children. Domestic 
violence represents physical endangerment to the child as well as the 
possibility for developmental delay.
    In 1985, there were an estimated 795,000 abused children between 
the ages of 3 and 17 living in two-parent households (Gelles, Strauss, 
1987). According to these studies, men are the main perpetrators of 
domestic violence and commit 95 percent of all assaults on spouses. In 
70 percent of households in which women are abused, the men also commit 
child abuse (Schecter, 1982). Also, in 70 percent of child abuse cases 
treated at Boston Children's Hospital in 1991, the mother was abused as 
well.
    In an attempt to establish the actual relationship between child 
abuse and battering in families, 116 mothers of children ``darted'' or 
flagged in a single year for abuse or neglect at a metropolitan 
hospital were studied by Stark and Flitcraft (1984). These examinations 
revealed that 45 percent of the abused children had mothers who 
themselves were being physically abused and another 5 percent had 
mothers whose relationships were ``full of conflict,'' although abuse 
was not verified. Bowker, Arbitell and McFerron (1988) reported that 
children whose mothers had been battered were more likely to be 
physically abused and less likely to be ``neglected'' than children 
whose mothers had not been battered. Hilberman and Munson's (1987) 
research found evidence of physical and/or sexual abuse of children in 
20 of the 60 cases studied. They concluded: ``There seems to be two 
styles of abuse: the husband beats the wife who beats the children, 
and/or the husband beats both his wife and children.''
    Project Duration: The length of the project should not exceed 17 
months.
    Federal Share of the Project: The maximum Federal share of the 
project is not to exceed $50,000 for the 17 month project period. 
Applications for lesser amounts also will be considered for this 
project.
    Matching Requirement: SUCCESSFUL GRANTEES MUST PROVIDE AT LEAST 25 
PERCENT OF THE TOTAL COST OF THE PROJECT. THE TOTAL COST OF THE PROJECT 
IS THE SUM OF THE ACF SHARE AND THE NON-FEDERAL SHARE. The non-Federal 
share may be met by cash or in-kind contributions, although applicants 
are encouraged to meet their match requirements through cash 
contributions. Therefore, a project requesting $50,000 in Federal funds 
(based on an award of $50,000 per budget period) must include a match 
of at least $16,666 (25% of total project cost). If approved for 
funding, grantees will be held accountable for commitments of non-
Federal resources and failure to provide the required amount will 
result in a disallowance of unmatched Federal funds.
    Anticipated Number of Projects to be Funded: It is anticipated, 
subject to the availability of funds, that three projects may be funded 
at the maximum level; more than three projects may be funded depending 
on the number of acceptable applications for lesser amounts which are 
received.
    CFDA: 93.671 Family Violence Prevention and Services: Family 
Violence Prevention and Services Act, as amended.

Part III--The Review Process

A. Eligible Applicants

    Before applications are reviewed, each application will be screened 
to determine that the applicant organization is an eligible applicant 
as specified under the selected priority area. Applications from 
organizations which do not meet the eligibility requirements for the 
priority area will not be considered or reviewed in the competition, 
and the applicant will be so informed.
    Each priority area description contains information about the types 
of agencies and organizations which are eligible to apply under that 
priority area. Since eligibility varies among priority areas, it is 
critical that the ``Eligible Applicants'' section under each specific 
priority area be read carefully.
    Only agencies and organizations, not individuals, are eligible to 
apply under any of the priority areas. On all applications developed 
jointly by more than one agency or organization, the applications must 
identify only one organization as the lead organization and official 
applicant. The other participating agencies and organizations can be 
included as co-participants, subgrantees or subcontractors.
    Any non-profit agency submitting an application must submit proof 
of non-profit status with its grant application. The non-profit agency 
can accomplish this by providing a copy of the applicant's listing in 
the Internal Revenue Service's (IRS) most recent list of tax-exempt 
organizations described in Section 501(c)(3) of the IRS Code or by 
providing a copy of the currently valid IRS tax exemption certificate, 
or by providing a copy of the articles of incorporation bearing the 
seal of the State in which the corporation or association is domiciled. 
ACF cannot fund a non-profit applicant without acceptable proof of its 
non-profit status.

B. Review Process and Funding Decisions

    Applications that are postmarked by the deadline date and are from 
eligible applicants will be reviewed and scored competitively. Experts 
in the field, generally persons from outside of the Federal government, 
will use the appropriate evaluation criteria listed later in this Part 
to review and score the applications. The results of this review are a 
primary factor in making funding decisions.
    ACF reserves the option of discussing applications with, or 
referring them to, other Federal or non-Federal funding sources when 
this is determined to be in the best interest of the Federal government 
or the applicant. It may also solicit comments from ACF Regional Office 
staff, other Federal agencies, interested foundations, national 
organizations, specialists, experts, States and the general public. 
These comments, along with those of the expert reviewers, will be 
considered by OCS in making funding decisions.
    In making decisions on awards, OCS may give preference to 
applications which focus on or feature: minority populations; a 
substantially innovative strategy with the potential to improve theory 
or practice in the field of human services; a model practice or set of 
procedures that holds the potential for replication by organizations 
involved in the administration or delivery of human services; 
substantial involvement of volunteers; substantial involvement (either 
financial or programmatic) of the private sector; a favorable balance 
between Federal and non-Federal funds

[[Page 11016]]
available for the proposed project; the potential for high benefit for 
low Federal investment; a programmatic focus on those most in need; 
and/or substantial involvement in the proposed project by national or 
community foundations.
    To the extent possible, efforts will be made to ensure that funding 
decisions reflect an equitable distribution of assistance among the 
States and geographical regions of the country, rural and urban areas, 
and ethnic populations. In making these decisions, ACF may also take 
into account the need to avoid unnecessary duplication of effort.

C. Evaluation Criteria

    Using the appropriate evaluation criteria below, a panel of at 
least three reviewers (primarily experts from outside the Federal 
government) will review each application. Applicants should ensure that 
they address each minimum requirement in the priority area description 
under the appropriate section of the Program Narrative Statement.
    Reviewers will determine the strengths and weaknesses of each 
application in terms of the appropriate evaluation criteria listed 
below, provide comments and assign numerical scores. The point value 
following each criterion heading indicates the maximum numerical weight 
that each section may be given in the review process.
Review Criteria for All Priority Areas
    Applications under all priority areas will be evaluated against the 
following criteria.
1. Need for the Project (10 Points)
    The extent to which the need for the project and the problems it 
will address have national and local significance; the applicability of 
the project to coordination efforts by national, State and local 
governmental and non-profit agencies, and its ultimate impact on 
domestic violence prevention services and intervention efforts, 
policies and practice; the relevance of other documentation as it 
relates to the applicants knowledge of the need for the project; and 
the identification of the specific topic or program area to be served 
by the project. Maps and other graphic aids may be attached.
2. Goals and Objectives (10 Points)
    The extent to which the specific goals and objectives have national 
or local significance, the clarity of the goals and objectives as they 
relate to the identified need for and the overall purpose of the 
project, and their applicability to policy and practice. The provision 
of a detailed discussion of the objectives and the extent to which the 
objectives reflect or impact the state-of-the-art relative to the 
problem or needs for the project.
3. Approach (30 Points)
    The extent to which the application outlines a sound and workable 
plan of action pertaining to the scope of the project, and details how 
the proposed work will be accomplished; relates each task to the 
objectives and identifies the key staff member who will be the lead 
person; provides a chart indicating the timetable for completing each 
task, the lead person, and the time committed; cites factors which 
might accelerate or decelerate the work, giving acceptable reasons for 
taking this approach as opposed to others; describes and supports any 
unusual features of the project, such as design or technological 
innovations, reductions in cost or time, or extraordinary social and 
community involvements; and provides for projections of the 
accomplishments to be achieved.
    The extent to which, when applicable, the application describes the 
evaluation methodology that will be used to determine if the needs 
identified and discussed are being met and if the results and benefits 
identified are being achieved. Projects under Priority Areas FV 01-96 
and FV 02-96 must include an evaluation component.
4. Results and Benefits (20 Points)
    The extent to which the application identifies the results and 
benefits to be derived, the extent to which they are consistent with 
the objectives of the application, the extent to which the application 
indicates the anticipated contributions to policy, practice, and 
theory, and the extent to which the proposed project costs are 
reasonable in view of the expected results. Identify, in specific 
terms, the results and benefits, for target groups and human service 
providers, to be derived from implementing the proposed project. 
Describe how the expected results and benefits will relate to previous 
demonstration efforts.
5. Level of Effort: (30 Points)
    Staffing pattern--Describe the staffing pattern for the proposed 
project, clearly linking responsibilities to project tasks and 
specifying the contributions to be made by key staff.
    Competence of staff--Describe the qualifications of the project 
team including any experiences working on similar projects. Also, 
describe the variety of skills to be used, relevant educational 
background and the demonstrated ability to produce final results that 
are comprehensible and usable. One or two pertinent paragraphs on each 
key member are preferred to resumes. However, resumes may be included 
in the ten pages allowed for attachments/appendices.
    Adequacy of resources--Specify the adequacy of the available 
facilities, resources and organizational experience with regard to the 
tasks of the proposed project. List the financial, physical and other 
resources to be provided by other profit and nonprofit organizations. 
Explain how these organizations will participate in the day to day 
operations of the project.
    Budget--Relate the proposed budget to the level of effort required 
to obtain project objectives and provide a cost/benefit analysis. 
Demonstrate that the project's costs are reasonable in view of the 
anticipated results.
    Collaborative efforts--Discuss in detail and provide documentation 
for any collaborative or coordinated efforts with other agencies or 
organizations. Identify these agencies or organizations and explain how 
their participation will enhance the project. Letters from these 
agencies and organizations discussing the specifics of their commitment 
must be included in the application.
    Authorship--The authors of the application must be clearly 
identified together with their current relationship to the applicant 
organization and any future project role they may have if the project 
is funded.
    Applicants should note that non-responsiveness to the section 
``Minimum Requirements for Project Design'' will result in a low 
evaluation score by the panel of expert reviewers (Priority area FV 03-
96 is excepted from this requirement). Applicants must clearly identify 
the specific priority area under which they wish to have their 
applications considered, and tailor their applications accordingly. 
Previous experience has shown that an application which is broader and 
more general in concept than outlined in the priority area description 
is less likely to score as well as one which is more clearly focused on 
and directly responsive to the concerns of that specific priority area.

D. Available Funds

    ACF intends to award grants resulting from this announcement during 
the fourth quarter of FY 1996. The size of the actual awards will vary. 
Each priority area description includes information on the maximum 
Federal share of the project costs and the anticipated number of 
projects to be funded.

[[Page 11017]]

    The term ``budget period'' refers to the interval of time (usually 
12 or 17 months) into which a multi-year period of assistance (project 
period) is divided for budgetary and funding purposes. The term 
``project period'' refers to the total time a project is approved for 
support, including any extensions.
    Where appropriate, applicants may propose project periods which are 
shorter than the maximums specified in the various priority areas. Non-
Federal share contributions may exceed the minimums specified in the 
various priority areas when the applicant is able to do so.

E. Grantee Share of Project Costs

    Federal funds will be provided to cover up to 75% of the total 
allowable project costs. Therefore, the non-Federal share must amount 
to at least 25% of the total (Federal plus non-Federal) project cost. 
This means that, for every $3 in Federal funds received, up to the 
maximum amount allowable under each priority area, applicants must 
contribute at least $1.
    For example, the cost breakout for a project with a total cost of 
$56,666 to implement would be:

------------------------------------------------------------------------
                                                Non-Federal             
                Federal request                    share      Total cost
------------------------------------------------------------------------
$50,000.......................................      $16,666      $66,666
75%...........................................          25%         100%
------------------------------------------------------------------------

Part IV--Instructions for the Development and Submission of 
Applications

    This Part contains information and instructions for submitting 
applications in response to this announcement. Application forms are 
provided as part of this publication along with a checklist for 
assembling an application package. Please copy and use these forms in 
submitting an application.
    Potential applicants should read this section carefully in 
conjunction with the information contained within the specific priority 
area under which the application is to be submitted. The priority area 
descriptions are in Part II.

A. Required Notification of the State Single Point of Contact

    This program is covered under Executive Order 12372, (E.O.) 
``Intergovernmental Review of Federal Programs,'' and 45 CFR Part 100, 
``Intergovernmental Review of Department of Health and Human Services 
Program and Activities.'' Under the E.O., States may design their own 
processes for reviewing and commenting on proposed Federal assistance 
under covered programs.
    All States and territories, except Alaska, Colorado, Connecticut, 
Hawaii, Idaho, Kansas, Louisiana, Massachusetts, Minnesota, Montana, 
Nebraska, Oklahoma, Oregon, Pennsylvania, South Dakota, Tennessee, 
Virginia, Washington, American Samoa and Palau, have elected to 
participate in the E.O. process and have established a Single Point of 
Contact (SPOCs). Applicants from these twenty 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 
OCS can obtain and review SPOC comments as part of the award process. 
It is imperative that the applicant submit all required materials, if 
any, to the SPOC and indicate the date of this submittal (or the date 
of contact if no submittal is required) on the Standard Form 424, item 
16a.
    Under 45 CFR 100.8(a)(2), a SPOC has 60 days from 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 differentiate clearly 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, (OCS-96-
06) 370 L'Enfant Promenade, S.W., 6th Floor East, Washington, D.C. 
20447.
    A list of the Single Point of Contact for each State and Territory 
is included at the end of this announcement.

B. Paperwork Reduction Act of 1980

    Under the Paperwork Reduction Act of 1980, Public Law 96-511, the 
Department is required to submit to the Office of Management and Budget 
(OMB) for review and approval any reporting and recordkeeping 
requirements in regulations, including program announcements. This 
program announcement does not contain information requirements beyond 
those approved for ACF grant applications under OMB Control Number 
0970-0062.

C. Deadline for Submittal of Applications

    The closing date for submittal of applications under this program 
announcement is found at the beginning of this program announcement 
under DATES.
    Mailed applications shall be considered as meeting an announced 
deadline if they are either received on or before the deadline date or 
sent on or before the deadline date and received in ACF in time for the 
independent review to: U.S. Department of Health and Human Services, 
Administration for Children and Families, Division of Discretionary 
Grants, 370 L'Enfant Promenade, S.W., Mail Stop 6C-462, Washington, 
D.C., 20447, Attention: Family Violence Prevention and Services 
Program.
    Applicants are cautioned to request a legibly dated U.S. Postal 
Service postmark or to obtain a legibly dated receipt from a commercial 
carrier or U.S. Postal Service. Private metered postmarks shall not be 
acceptable proof of timely mailing.
    Applications handcarried by applicants, applicant couriers, or 
overnight/express mail couriers shall be considered as meeting an 
announced deadline if they are received on or before the deadline date, 
between the hours of 8:00 a.m. and 4:30 p.m., at the U.S. Department of 
Health and Human Services, Administration for Children and Families, 
Division of Discretionary Grants, ACF Mailroom, 2nd Floor Loading Dock, 
Aerospace Center, 901 D Street, S.W., Washington, D.C. 20024, between 
Monday and Friday, (excluding Federal holidays). (Applicants are 
cautioned that express/overnight mail services do not always deliver as 
agreed.)
    ACF cannot accommodate transmission of applications by fax or 
through other electronic media. Therefore, applications transmitted to 
ACF electronically will not be accepted regardless of the date or time 
of submission and time of receipt.
    Late applications: Applications which do not meet the criteria 
above are considered late applications. The ACF shall notify each late 
applicant that its application will not be considered in the current 
competition.
    Extension of deadlines: The ACF may extend the deadline for all 
applicants due to acts of God, such as floods, hurricanes or 
earthquakes; widespread disruption of the mails; or if ACF determines a 
deadline extension to be in the best interest of the Government. 
However, if ACF does not extend the deadline for all applicants, it may 
not

[[Page 11018]]
waive or extend the deadline for any applicant.

D. Instructions for Preparing the Application and Completing 
Application Forms

    The SF 424, Page 2; and certifications have been reprinted for your 
convenience in preparing the application. You should reproduce single-
sided copies of these forms from the reprinted forms in the 
announcement, typing your information onto the copies. Please do not 
use forms directly from the Federal Register announcement, as they are 
printed on both sides of the page.
    In order to assist applicants in correctly completing the SF 424 
and SF 424A, instructions for these forms have been included at the end 
of Part IV of this announcement.
    Where specific information is not required under this program, NA 
(not applicable) has been preprinted on the form.
    Please prepare your application in accordance with the following 
instructions:
1. SF 424 Page 1, Application Cover Sheet
    Please read the following instructions before completing the 
application cover sheet. An explanation of each item is included. 
Complete only the items specified.
    Top of Page. Enter the single priority area number under which the 
application is being submitted. An application should be submitted 
under only one priority area.
    Item 1. ``Type of Submission''--Preprinted on the form.
    Item 2. ``Date Submitted'' and ``Applicant Identifier''--Date 
application is submitted to ACF and applicant's own internal control 
number, if applicable.
    Item 3. ``Date Received By State''--State use only (if applicable).
    Item 4. ``Date Received by Federal Agency''--Leave blank.
    Item 5. ``Applicant Information'' ``Legal Name''--Enter the legal 
name of applicant organization. For applications developed jointly, 
enter the name of the lead organization only. There must be a single 
applicant for each application.
    ``Organizational Unit''--Enter the name of the primary unit within 
the applicant organization which will actually carry out the project 
activity. Do not use the name of an individual as the applicant. If 
this is the same as the applicant organization, leave the 
organizational unit blank.
    ``Address''--Enter the complete address that the organization 
actually uses to receive mail, since this is the address to which all 
correspondence will be sent. Do not include both street address and 
P.O. box number unless both must be used in mailing.
    ``Name and telephone number of the person to be contacted on 
matters involving this application (give area code)''--Enter the full 
name (including academic degree, if applicable) and telephone number of 
a person who can respond to questions about the application. This 
person should be accessible at the address given here and will receive 
all correspondence regarding the application.
    Item 6. ``Employer Identification Number (EIN)''--Enter the 
employer identification number of the applicant organization, as 
assigned by the Internal Revenue Service, including, if known, the 
Central Registry System suffix.
    Item 7. ``Type of Applicant''--Self-explanatory.
    Item 8. ``Type of Application''--Preprinted on the form.
    Item 9. ``Name of Federal Agency''--Preprinted on the form.
    Item 10. ``Catalog of Federal Domestic Assistance Number and 
Title''--Enter the Catalog of Federal Domestic Assistance (CFDA) number 
assigned to the program under which assistance is requested and its 
title, as indicated in the relevant priority area description.
    Item 11. ``Descriptive Title of Applicant's Project''--Enter the 
project title. The title is generally short and is descriptive of the 
project, not the priority area title.
    Item 12. ``Areas Affected by Project''--Enter the governmental unit 
where significant and meaningful impact could be observed. List only 
the largest unit or units affected, such as State, county, or city. If 
an entire unit is affected, list it rather than subunits.
    Item 13. ``Proposed Project''--Enter the desired start date for the 
project and projected completion date.
    Item 14. ``Congressional District of Applicant/Project''--Enter the 
number of the Congressional district where the applicant's principal 
office is located and the number of the Congressional district(s) where 
the project will be located. If statewide, a multi-State effort, or 
nationwide, enter ``00.''
    Items 15. ``Estimated Funding Levels''-- In completing 15a through 
15f, the dollar amounts entered should reflect, for a 17 month or less 
project period, the total amount requested.
    Item 15a. Enter the amount of Federal funds requested in accordance 
with the preceding paragraph. This amount should be no greater than the 
maximum amount specified in the priority area description.
    Items 15b-e Enter the amount(s) of funds from non-Federal sources 
that will be contributed to the proposed project. Items b-e are 
considered cost-sharing or ``matching funds.'' The value of third party 
in-kind contributions should be included on appropriate lines as 
applicable. For more information regarding funding as well as 
exceptions to these rules, see Part III, Sections E and F, and the 
specific priority area description.
    Item 15f. Enter the estimated amount of income, if any, expected to 
be generated from the proposed project. Do not add to or subtract this 
amount from the total project amount entered under item 15g. Describe 
the nature, source and anticipated use of this income in the Project 
Narrative Statement.
    Item 15g. Enter the sum of items 15a-15e.
    Item 16a. ``Is Application Subject to Review By State Executive 
Order 12372 Process? Yes.''--Enter the date the applicant contacted the 
SPOC regarding this application. Select the appropriate SPOC from the 
listing provided at the end of Part IV. The review of the application 
is at the discretion of the SPOC. The SPOC will verify the date noted 
on the application. If there is a discrepancy in dates, the SPOC may 
request that the Federal agency delay any proposed funding until 
September 30, 1996.
    Item 16b. ``Is Application Subject to Review By State Executive 
Order 12372 Process? No.''--Check the appropriate box if the 
application is not covered by E.O. 12372 or if the program has not been 
selected by the State for review.
    Item 17. ``Is the Applicant Delinquent on any Federal Debt?''--
Check the appropriate box. This question applies to the applicant 
organization, not the person who signs as the authorized 
representative. Categories of debt include audit disallowances, loans 
and taxes.
    Item 18. ``To the best of my knowledge and belief, all data in this 
application/preapplication are true and correct. The document has been 
duly authorized by the governing body of the applicant and the 
applicant will comply with the attached assurances if the assistance is 
awarded.''--To be signed by the authorized representative of the 
applicant. A copy of the governing body's authorization for signature 
of this application by this individual as the official representative 
must be on file in the applicant's office, and may be requested from 
the applicant.
    Item 18a-c. ``Typed Name of Authorized Representative, Title, 
Telephone Number''--Enter the name, title and telephone number of the

[[Page 11019]]
authorized representative of the applicant organization.
    Item 18d. ``Signature of Authorized Representative''--Signature of 
the authorized representative named in Item 18a. At least one copy of 
the application must have an original signature. Use colored ink (not 
black) so that the original signature is easily identified.
    Item 18e. ``Date Signed''--Enter the date the application was 
signed by the authorized representative.
2. SF 424A--Budget Information--Non-Construction Programs
    This is a form used by many Federal agencies. For this application, 
Sections A, B, C, E and F are to be completed. Section D does not need 
to be completed.
    Sections A and B should include the Federal as well as the non-
Federal funding for the proposed project covering (1) the total project 
period of 17 months or less or (2) the first year budget period, if the 
proposed project period exceeds 17 months.
    Section A--Budget Summary. This section includes a summary of the 
budget. On line 5, enter total Federal costs in column (e) and total 
non-Federal costs, including third party in-kind contributions, but not 
program income, in column (f). Enter the total of (e) and (f) in column 
(g).
    Section B--Budget Categories. This budget, which includes the 
Federal as well as non-Federal funding for the proposed project, covers 
the total project period of 17 months or less. It should relate to item 
15g, total funding, on the SF 424. Under column (5), enter the total 
requirements for funds (Federal and non-Federal) by object class 
category.
    A separate budget justification should be included to explain fully 
and justify major items, as indicated below. The types of information 
to be included in the justification are indicated under each category. 
For multiple year projects, it is desirable to provide this information 
for each year of the project. The budget justification should 
immediately follow the second page of the SF 424A.
    Personnel--Line 6a. Enter the total costs of salaries and wages of 
applicant/grantee staff. Do not include the costs of consultants, which 
should be included on line 6h, ``Other.''
    Justification: Identify the project director, if known. Specify by 
title or name the percentage of time allocated to the project, the 
individual annual salaries, and the cost to the project (both Federal 
and non-Federal) of the organization's staff who will be working on the 
project.
    Fringe Benefits--Line 6b. Enter the total costs of fringe benefits, 
unless treated as part of an approved indirect cost rate.
    Justification: Provide a break-down of amounts and percentages that 
comprise fringe benefit costs, such as health insurance, FICA, 
retirement insurance, etc.
    Travel--6c. Enter total costs of out-of-town travel (travel 
requiring per diem) for staff of the project. Do not enter costs for 
consultant's travel or local transportation, which should be included 
on Line 6h, ``Other.''
    Justification: Include the name(s) of traveler(s), total number of 
trips, destinations, length of stay, transportation costs and 
subsistence allowances.
    Equipment--Line 6d. Enter the total costs of all equipment to be 
acquired by the project. For State and local governments, including 
Federally recognized Indian Tribes, ``equipment'' is non-expendable 
tangible personal property having a useful life of more than two years 
and an acquisition cost of $5,000 or more per unit. For all other 
applicants, the threshold for equipment is $500 or more per unit. The 
higher threshold for State and local governments became effective 
October 1, 1988, through the implementation of 45 CFR Part 92, 
``Uniform Administrative Requirements for Grants and Cooperative 
Agreements to State and Local Governments.''
    Justification: Equipment to be purchased with Federal funds must be 
justified. The equipment must be required to conduct the project, and 
the applicant organization or its subgrantees must not have the 
equipment or a reasonable facsimile available to the project. The 
justification also must contain plans for future use or disposal of the 
equipment after the project ends.
    Supplies--Line 6e. Enter the total costs of all tangible expendable 
personal property (supplies) other than those included on Line 6d.
    Justification: Specify general categories of supplies and their 
costs.
    Contractual--Line 6f. Enter the total costs of all contracts, 
including procurement contracts (except those which belong on other 
lines such as equipment, supplies, etc.) and contracts with secondary 
recipient organizations. Also include any contracts with organizations 
for the provision of technical assistance. Do not include payments to 
individuals on this line.
    Justification: Attach a list of contractors, indicating the names 
of the organizations, the purposes of the contracts, and the estimated 
dollar amounts of the awards as part of the budget justification. 
Whenever the applicant/grantee intends to delegate part or all of the 
program to another agency, the applicant/grantee must complete this 
section (Section B, Budget Categories) for each delegate agency by 
agency title, along with the supporting information. The total cost of 
all such agencies will be part of the amount shown on Line 6f. Provide 
backup documentation identifying the name of contractor, purpose of 
contract, and major cost elements.
    Construction--Line 6g. Not applicable. New construction is not 
allowable.
    Other--Line 6h. Enter the total of all other costs. Where 
applicable, such costs may include, but are not limited to: insurance; 
medical and dental costs; noncontractual fees and travel paid directly 
to individual consultants; local transportation (all travel which does 
not require per diem is considered local travel); space and equipment 
rentals; printing and publication; computer use; training costs, 
including tuition and stipends; training service costs, including wage 
payments to individuals and supportive service payments; and staff 
development costs. Note that costs identified as ``miscellaneous'' and 
``honoraria'' are not allowable.
    Justification: Specify the costs included.
    Total Direct Charges--Line 6i. Enter the total of Lines 6a through 
6h.
    Indirect Charges--6j. Enter the total amount of indirect charges 
(costs). If no indirect costs are requested, enter ``none.'' Generally, 
this line should be used when the applicant (except local governments) 
has a current indirect cost rate agreement approved by the Department 
of Health and Human Services or another Federal agency.
    Local and State governments should enter the amount of indirect 
costs determined in accordance with HHS requirements. When an indirect 
cost rate is requested, these costs are included in the indirect cost 
pool and should not be charged again as direct costs to the grant. In 
the case of training grants to other than State or local governments 
(as defined in title 45, Code of Federal Regulations, part 74), the 
Federal reimbursement of indirect costs will be limited to the lesser 
of the negotiated (or actual) indirect cost rate or 8 percent of the 
amount allowed for direct costs, exclusive of any equipment charges, 
rental of space, tuition and fees, post-doctoral training allowances, 
contractual items, and alterations and renovations.
    For training grant applications, the entry under line 6j should be 
the total indirect costs being charged to the

[[Page 11020]]
project. The Federal share of indirect costs is calculated as shown 
above. The applicant's share is calculated as follows:
    (a) Calculate total project indirect costs (a*) by applying the 
applicant's approved indirect cost rate to the total project (Federal 
and non-Federal) direct costs.
    (b) Calculate the Federal share of indirect costs (b*) at 8 percent 
of the amount allowed for total project (Federal and non-Federal) 
direct costs exclusive of any equipment charges, rental of space, 
tuition and fees, post-doctoral training allowances, contractual items, 
and alterations and renovations.
    (c) Subtract (b*) from (a*). The remainder is what the applicant 
can claim as part of its matching cost contribution.
    Justification: Enclose a copy of the indirect cost rate agreement 
if it was negotiated with a Federal agency other than DHHS. Applicants 
subject to the limitation on the Federal reimbursement of indirect 
costs for training grants should specify this.
    Total--Line 6k. Enter the total amounts of lines 6i and 6j.
    Program Income--Line 7. Enter the estimated amount of income, if 
any, expected to be generated from this project. Do not add or subtract 
this amount from the total project amount.
    Justification: Describe the nature, source, and anticipated use of 
program income in the Program Narrative Statement.
    Section C--Non-Federal Resources. This section summarizes the 
amounts of non-Federal resources that will be applied to the grant. 
Enter this information on line 12 entitled ``Totals.'' In-kind 
contributions are defined in title 45 of the Code of Federal 
Regulations, Part 74.2, as the value of non-cash contributions provided 
by non-Federal third parties. Third party in-kind contributions may be 
in the form of real property, equipment, supplies, and other expendable 
property, and the value of goods and services directly benefiting and 
specifically identifiable to the project or program.
    Justification: Describe third party in-kind contributions, if 
included.
    Section D--Forecasted Cash Needs. Not applicable.
    Section E--Budget Estimate of Federal Funds Needed For Balance of 
the Project. Not applicable.
    Totals--Line 20. For projects that will have more than one budget 
period, enter the estimated required Federal funds for the second 
budget period (months 13 through 24) under column ``(b) First.'' If a 
third budget period will be necessary, enter the Federal funds needed 
for months 25 through 36 under ``(c) Second.'' Columns (d) and (e) are 
not applicable in most instances, since ACF funding is almost always 
limited to a three-year maximum project period. They should remain 
blank.
    Section F--Other Budget Information.
    Direct Charges--Line 21. Not applicable.
    Indirect Charges--Line 22. Enter the type of indirect rate 
(provisional, predetermined, final or fixed) that will be in effect 
during the funding period, the estimated amount of the base to which 
the rate is applied, and the total indirect expense.
    Remarks--Line 23. If the total project period exceeds 17 months, 
you must enter your proposed non-Federal share of the project budget 
for each of the remaining years of the project.
3. Project Summary Description
    Clearly mark this separate page with the applicant name as shown in 
item 5 of the SF 424, and the title of the project as shown in item 11 
of the SF 424. The summary description should not exceed 300 words. 
These 300 words become part of the computer database on each project.
    Care should be taken to produce a summary description which 
accurately and concisely reflects the application. It should describe 
the objectives of the project, the approaches to be used and the 
outcomes expected. The description should also include a list of major 
products that will result from the proposed project, such as software 
packages, materials, management procedures, data collection 
instruments, training packages, or videos (please note that 
audiovisuals should be closed captioned). The project summary 
description, together with the information on the SF 424, will 
constitute the project ``abstract.'' It is the major source of 
information about the proposed project and is usually the first part of 
the application that the reviewers read in evaluating the application.
4. Program Narrative Statement
    The Program Narrative Statement is a very important part of an 
application. It should be clear, concise, and address the specific 
requirements mentioned under the priority area description in Part II. 
The narrative should also provide information concerning how the 
application meets the evaluation criteria using the following headings:
    (a) Need for the Project;
    (b) Goals and Objectives;
    (c) Approach;
    (d) Results and Benefits; and
    (e) Level of Effort.
    The specific information to be included under each of these 
headings is described in Section C of Part III, Evaluation Criteria.
    The narrative should be typed double-spaced on a single-side of an 
8\1/2\''  x  11'' plain white paper, with 1'' margins on all sides. All 
pages of the narrative (including charts, references/footnotes, tables, 
maps, exhibits, etc.) must be sequentially numbered, beginning with 
``Objectives and Need for the Project'' as page number one. Applicants 
should not submit reproductions of larger size paper, reduced to meet 
the size requirement.
    The length of the application, including the application forms and 
all attachments, should not exceed 60 pages. A page is a single side of 
an 8\1/2\  x  11'' sheet of paper. Applicants are requested not to send 
pamphlets, brochures or other printed material along with their 
application as these pose photocopy difficulties. These materials, if 
submitted, will not be included in the review process if they exceed 
the 60-page limit. Each page of the application will be counted to 
determine the total length.
5. Organizational Capability Statement
    The Organizational Capability Statement should consist of a brief 
(two to three pages) background description of how the applicant 
organization (or the unit within the organization that will have 
responsibility for the project) is organized, the types and quantity of 
services it provides, and/or the research and management capabilities 
it possesses. This description should cover capabilities not included 
in the Program Narrative Statement. It may include descriptions of any 
current or previous relevant experience, or describe the competence of 
the project team and its demonstrated ability to produce a final 
product that is readily comprehensible and usable. An organization 
chart showing the relationship of the project to the current 
organization should be included.
6. Assurances/Certifications
    Applicants are required to file an SF 424B, Assurances--Non-
Construction Programs, and the Certification Regarding Lobbying. Both 
must be signed and returned with the application. In addition, 
applicants must certify their compliance with: (1) Drug-Free Workplace 
Requirements; and (2) Debarment and Other Responsibilities; and (3) 
Certification Regarding Environmental Tobacco Smoke. These 
certifications are self-explanatory. Copies of these assurances/

[[Page 11021]]
certifications are reprinted at the end of this announcement and should 
be reproduced, as necessary. A duly authorized representative of the 
applicant organization must certify that the applicant is in compliance 
with these assurances/certifications. A signature on the SF 424 
indicates compliance with the Drug Free Workplace Requirements, and 
Debarment and Other Responsibilities, and Environmental Tobacco Smoke 
certifications.

E. Checklist for a Complete Application

    The checklist below is for your use to ensure that your application 
package has been properly prepared.

____ One original, signed and dated application, plus two copies. 
Applications for different priority areas are packaged separately;
____ Application is from an organization which is eligible under the 
eligibility requirements defined in the priority area description 
(screening requirement);
____ Application length does not exceed 60 pages, unless otherwise 
specified in the priority area description.
____ A complete application consists of the following items in this 
order:
____ Application for Federal Assistance (SF 424, REV 4-88);
____ A completed SPOC certification with the date of SPOC contact 
entered in line 16, page 1 of the SF 424 if applicable.
____ Budget Information--Non-Construction Programs (SF 424A, REV 4-88);
____ Budget justification for Section B--Budget Categories;
____ Table of Contents;
____ Letter from the Internal Revenue Service to prove non-profit 
status, if necessary;
____ Copy of the applicant's approved indirect cost rate agreement, if 
appropriate;
____ Project summary description and listing of key words;
____ Program Narrative Statement (See Part III, Section C);
____ Organizational capability statement, including an organization 
chart;
____ Any appendices/attachments;
____ Assurances--Non-Construction Programs (Standard Form 424B, REV 4-
88); and
____ Certification Regarding Lobbying.

F. The Application Package

    Each application package must include an original and two copies of 
the complete application. Each copy should be stapled securely (front 
and back if necessary) in the upper left-hand corner. All pages of the 
narrative (including charts, tables, maps, exhibits, etc.) must be 
sequentially numbered, beginning with page one. In order to facilitate 
handling, please do not use covers, binders or tabs. Do not include 
extraneous materials as attachments, such as agency promotion 
brochures, slides, tapes, film clips, minutes of meetings, survey 
instruments or articles of incorporation.
    Applicant should include a self-addressed, stamped acknowledgment 
card. All applicants will be notified automatically about the receipt 
of their application. If acknowledgment of receipt of your application 
is not received within eight weeks after the deadline date, please 
notify ACF by telephone at (202) 401-5529.

G. Post-Award Information and Reporting Requirements

    Following approval of the applications selected for funding, notice 
of project approval and authority to draw down project funds will be 
made in writing. The official award document is the Financial 
Assistance Award which provides the amount of Federal funds approved 
for use in the project, the project and budget periods for which 
support is provided, the terms and conditions of the award, the total 
project period for which support is contemplated, and the total 
required financial grantee participation.
    General Conditions and Special Conditions (where the latter are 
warranted) which will be applicable to grants, grantees will be subject 
to the provisions of 45 CFR Part 74 or 92.
    Grantees will be required to submit quarterly progress and 
financial reports (SF 269) throughout the project period, as well as a 
final progress and financial report within 90 days of the termination 
of the project.
    Grantees are subject to the audit requirements in 45 CFR Parts 74 
(non-governmental), 92 (governmental), OMB Circular A-133 and OMB 
Circular A-128. If an applicant does not request indirect costs, it 
should anticipate in its budget request the cost of having an audit 
performed at the end of the grant period.
    Section 319 of Public Law 101-121, signed into law on October 23, 
1989, imposes prohibitions and requirements for disclosure and 
certification related to lobbying on recipients of Federal contracts, 
grants, cooperative agreements, and loans. It provides exemptions for 
Indian tribes and tribal organizations. Current and prospective 
recipients (and their subtier contractors and/or grantees) are 
prohibited from using Federal funds, other than profits from a Federal 
contract, 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 disclose the name, 
address, payment details, and purpose of any agreements with lobbyists 
whom recipients or their subtier contractors or subgrantees will pay 
with profits or nonappropriated funds on or after December 22, 1989 and 
(3) to file quarterly up-dates about the use of lobbyists if material 
changes occur in their use. The law establishes civil penalties for 
noncompliance.

(Catalog of Federal Domestic Assistance number 93.671, Family 
Violence Prevention and Services)

    Dated: March 7, 1996.
Donald Sykes,
Director, Office of Community Services.

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BILLING CODE 4184-01-C

[[Page 11023]]


Instructions for the SF 424

    This is a standard form used by applicants as a required 
facesheet for preapplications and applications submitted for Federal 
assistance. It will be used by Federal agencies to obtain applicant 
certification that States which have established a review and 
comment procedure in response to Executive Order 12372 and have 
selected the program to be included in their process, have been 
given an opportunity to review the applicant's submission.

Item and Entry

    1. Self-explanatory.
    2. Date application submitted to Federal agency (or State if 
applicable) & applicant's control number (if applicable).
    3. State use only (if applicable).
    4. If this application is to continue or revise an existing 
award, enter present Federal identifier number. If for a new 
project, leave blank.
    5. Legal name of applicant, name of primary organizational unit 
which will undertake the assistance activity, complete address of 
the applicant, and name and telephone number of the person to 
contact on matters related to this application.
    6. Enter Employer Identification Number (EIN) as assigned by the 
Internal Revenue Service.
    7. Enter the appropriate letter in the space provided.
    8. Check appropriate box and enter appropriate letter(s) in the 
space(s) provided:

-- ``New'' means a new assistance award.
-- ``Continuation'' means an extension for an additional funding/
budget period for a project with a projected completion date.
-- ``Revision'' means any change in the Federal Government's 
financial obligation or contingent liability from an existing 
obligation.

    9. Name of Federal agency from which assistance is being 
requested with this application.
    10. Use the Catalog of Federal Domestic Assistance number and 
title of the program under which assistance is requested.
    11. Enter a brief descriptive title of the project. If more than 
one program is involved, you should append an explanation on a 
separate sheet. If appropriate (e.g., construction or real property 
projects), attach a map showing project location. For 
preapplications, use a separate sheet to provide a summary 
description of this project.
    12. List only the largest political entities affected (e.g., 
State, counties, cities).
    13. Self-explanatory.
    14. List the applicant's Congressional District and any 
District(s) affected by the program or project.
    15. Amount requested or to be contributed during the first 
funding/budget period by each contributor. Value of in-kind 
contributions should be included on appropriate lines as applicable. 
If the action will result in a dollar change to an existing award, 
indicate only the amount of the change. For decreases, enclose the 
amounts in parentheses. If both basic and supplemental amounts are 
included, show breakdown on an attached sheet. For multiple program 
funding, use totals and show breakdown using same categories as item 
15.
    16. Applicants should contact the State Single Point of Contact 
(SPOC) for Federal Executive Order 12372 to determine whether the 
application is subject to the State intergovernmental review 
process.
    17. This question applies to the applicant organization, not the 
person who signs as the authorized representative. Categories of 
debt include delinquent audit disallowances, loans and taxes.
    18. To be signed by the authorized representative of the 
applicant. A copy of the governing body's authorization for you to 
sign this application as official representative must be on file in 
the applicant's office. (Certain Federal agencies may require that 
this authorization be submitted as part of this application.)

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BILLING CODE 4184-01-C

[[Page 11026]]


Instructions for the SF-424A

General Instructions

    This form is designed so that application can be made for funds 
from one or more grant programs. In preparing the budget, adhere to 
any existing Federal grantor agency guidelines which prescribe how 
and whether budgeted amounts should be separately shown for 
different functions or activities within the program. For some 
programs, grantor agencies may require budgets to be separately 
shown by function or activity. For other programs, grantor agencies 
may require a breakdown by function or activity. Sections A, B, C, 
and D should include budget estimates for the whole project except 
when applying for assistance which requires Federal authorization in 
annual or other funding period increments. In the latter case, 
Sections A, B, C, and D should provide the budget for the first 
budget period (usually a year) and Section E should present the need 
for Federal assistance in the subsequent budget periods. All 
applications should contain a breakdown by the object class 
categories shown in Lines a-k of Section B.

Section A. Budget Summary

Lines 1-4, Columns (a) and (b)

    For applications pertaining to a single Federal grant program 
(Federal Domestic Assistance Catalog number) and not requiring a 
functional or activity breakdown, enter on Line 1 under Column (a) 
the catalog program title and the catalog number in Column (b).
    For applications pertaining to a single program requiring budget 
amounts by multiple functions or activities, enter the name of each 
activity or function on each line in Column (a), and enter the 
catalog number in Column (b). For applications pertaining to 
multiple programs where none of the programs require a breakdown by 
function or activity, enter the catalog program title on each line 
in Column (a) and the respective catalog number on each line in 
Column (b).
    For applications pertaining to multiple programs where one or 
more programs require a breakdown by function or activity, prepare a 
separate sheet for each program requiring the breakdown. Additional 
sheets should be used when one form does not provide adequate space 
for all breakdown of data required. However, when more than one 
sheet is used, the first page should provide the summary totals by 
programs.

Lines 1-4, Columns (c) through (g.)

    For new applications, leave Columns (c) and (d) blank. For each 
line entry in Columns (a) and (b), enter in Columns (e), (f), and 
(g) the appropriate amounts of funds needed to support the project 
for the first funding period (usually a year).
    For continuing grant program applications, submit these forms 
before the end of each funding period as required by the grantor 
agency. Enter in Columns (c) and (d) the estimated amounts of funds 
which will remain unobligated at the end of the grant funding period 
only if the Federal grantor agency instructions provide for this. 
Otherwise, leave these columns blank. Enter in columns (e) and (f) 
the amounts of funds needed for the upcoming period. The amount(s) 
in Column (g) should be the sum of amounts in Columns (e) and (f).
    For supplemental grants and changes to existing grants, do not 
use Columns (c) and (d). Enter in Column (e) the amount of the 
increase or decrease of Federal funds and enter in Column (f) the 
amount of the increase or decrease of non-Federal funds. In Column 
(g) enter the new total budgeted amount (Federal and non-Federal) 
which includes the total previous authorized budgeted amounts plus 
or minus, as appropriate, the amounts shown in Columns (e) and (f). 
The amount(s) in Column (g) should not equal the sum of amounts in 
Columns (e) and (f).

Line 5--Show the totals for all columns used.

Section B Budget Categories

    In the column headings (1) through (4), enter the titles of the 
same programs, functions, and activities shown on Lines 1-4, Column 
(a), Section A. When additional sheets are prepared for Section A, 
provide similar column headings on each sheet. For each program, 
function or activity, fill in the total requirements for funds (both 
Federal and non-Federal) by object class categories.
    Lines 6a-1--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 Enter the contribution to be made by the 
applicant.
    Column (c)--Enter the amount of the State's cash and in-kind 
contribution if the applicant is not a State or State agency. 
Applicants which are a State or State agencies should leave this 
column blank.
    Column (d)--Enter the amount of cash and in-kind contributions 
to be made from all other sources.
    Column (e)--Enter totals of Columns (b), (c), and (d).
    Line 12--Enter the total for each of Columns (b)-(e). the amount 
in Column (e) should be equal to the amount on Line 5, Column (f), 
Section A.

Section D. Forecasted Cash Needs

    Line 13--Enter the amount of cash needed by quarter from the 
grantor agency during the first year.
    Line 14--Enter the amount of cash from all other sources needed 
by quarter during the first year.
    Line 15--Enter the totals of amounts on Lines 13 and 14.

Section E. Budget Estimates of Federal Funds Needed for Balance of 
the Project

    Lines 16-19--Enter in Column (a) the same grant program titles 
shown in Column (a), Section A. A breakdown by function or activity 
is not necessary. For new applications and continuation grant 
applications, enter in the proper columns amounts of Federal funds 
which will be needed to complete the program or project over the 
succeeding funding periods (usually in years). This section need not 
be completed for revision (amendments, changes, or supplements) to 
funds for the current year of existing grants.
    If more than four lines are needed to list the program titles, 
submit additional schedules as necessary.
    Line 20--Enter the total for each of the Columns (b)-(e). When 
additional schedules are prepared for this Section, annotate 
accordingly and show the overall totals on this line.

Section F. Other Budget Information

    Line 21--Use this space to explain amounts for individual direct 
object-class cost categories that may appear to be out of the 
ordinary or to explain the details as required by the Federal 
grantor agency.
    Line 22--Enter the type of indirect rate (provisional, 
predetermined, final or fixed) that will be in effect during the 
funding period, the estimated amount of the base to which the rate 
is applied, and the total indirect expense.
    Line 23--Provide any other explanations or comments deemed 
necessary.

ASSURANCES--NON-CONSTRUCTION PROGRAMS

    Note: Certain of these assurances may not be applicable to your 
project or program. If you have questions, please contact the 
awarding agency. Further, certain Federal awarding agencies may 
require applicants to certify to additional assurances. If such is 
the case, you will be notified.
    As the duly authorized representative of the applicant I certify 
that the applicant:
    1. Has the legal authority to apply for Federal assistance, and 
the institutional, managerial and financial capability (including 
funds sufficient to pay the non-Federal share of project costs) to 
ensure proper planning, management and completion of the project 
described in this application.
    2. Will give the awarding agency, the Comptroller General of the 
United States, and if appropriate, the State, through any authorized 
representative, access to and the right to examine all records, 
books, papers, or documents related to the award; and will

[[Page 11027]]
establish a proper accounting system in accordance with generally 
accepted accounting standards or agency directives.
    3. Will establish safeguards to prohibit employees from using 
their positions for a purpose that constitutes or presents the 
appearance of personal or organizational conflict of interest, or 
personal gain.
    4. Will initiate and complete the work within the applicable 
time frame after receipt of approval of the awarding agency.
    5. Will comply with the Intergovernmental Personnel Act of 1970 
(42 U.S.C. Secs. 4728-4763) relating to prescribed standards for 
merit systems for programs funded under one of the nineteen statutes 
or regulations specified in Appendix A of OPM's Standards for a 
Merit System of Personnel Administration (5 CFR 900, Subpart F).
    6. Will comply with all Federal Statutes relating to 
nondiscrimination. These include but are not limited to: (a) Title 
VI of the Civil Rights Act of 1964 (P.L. 88-352) which prohibits 
discrimination on the basis of race, color or national origin; (b) 
Title IX of the Education Amendments of 1972, as amended (20 U.S.C. 
Secs. 1681-1683, and 1685-1686), which prohibits discrimination on 
the basis of sex; (c) Section 504 of the Rehabilitation Act of 1973, 
as amended (29 U.S.C. Sec. 794), which prohibits discrimination on 
the basis of handicaps; (d) the Age Discrimination Act of 1975, as 
amended (42 U.S.C. Secs. 6101-6107), which prohibits discrimination 
on the basis of age;
    (e) The Drug Abuse Office and Treatment Act of 1972 (P.L. 92-
255), as amended, relating to nondiscrimination on the basis of drug 
abuse; (f) the Comprehensive Alcohol Abuse and Alcoholism 
Prevention, Treatment and Rehabilitation Act of 1970 (P.L. 91-616), 
as amended, relating to nondiscrimination on the basis of alcohol 
abuse or alcoholism; (g) Secs. 523 and 527 of the Public Health 
Service Act of 1912 (42 U.S.C. 290 dd-3 and 290 ee-3), as amended, 
relating to confidentiality of alcohol and drug abuse patient 
records; (h) Title VIII of the Civil Rights Act of 1968 (42 U.S.C. 
Sec. 3601 et seq.), as amended, relating to nondiscrimination in the 
sale, rental or financing of housing; (i) any other 
nondiscrimination provisions in the specific statue(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 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-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 the environmental standards which may be 
prescribed pursuant to the following: (a) institution of 
environmental quality control measures under the National 
Environmental Policy Act of 1969 (P.L. 91-190) and Executive Order 
(EO) 11514; (b) notification of violating facilities pursuant to EO 
11738; (c) protection of wetlands pursuant to EO 11990; (d) 
evaluation of flood hazards in floodplains in accordance with EO 
11988; (e) assurance of project consistency with the approved State 
management program developed under the Coastal Zone Management Act 
of 1972 (16 U.S.C. Secs. 1451 et seq.); (f) conformity of Federal 
actions to State (Clear Air) Implementation Plans under Section 
176(c) of the Clear Air Act of 1955, as amended (42 U.S.C. Sec. 7401 
et seq.); (g) protection of underground sources of drinking water 
under the Safe Drinking Water Act of 1974, as amended, (P.L. 93-
523); and (h) protection of endangered species under the Endangered 
Species Act of 1973, as amended, (P.L. 93-205).
    12. Will comply with the Wild and Scenic Rivers Act of 1968 (16 
U.S.C. Secs. 1271 et seq.) related to protecting components or 
potential components of the national wild and scenic rivers system.
    13. Will assist the awarding agency in assuring compliance with 
Section 106 of the National Historic Preservation Act of 1966, as 
amended (16 U.S.C. 470), EO 11593 (identification and protection of 
historic properties), and the Archaeological and Historic 
Preservation Act of 1974 (16 U.S.C. 469a-1 et seq.).
    14. Will comply with P.L. 93-348 regarding the protection of 
human subjects involved in research, development, and related 
activities supported by this award of assistance.
    15. Will comply with the Laboratory Animal Welfare Act of 1966 
(P.L. 89-544, as amended, 7 U.S.C. 2131 et seq.) pertaining to the 
care, handling, and treatment of warm blooded animals held for 
research, teaching, or other activities supported by this award of 
assistance.
    16. Will comply with the Lead-based Paint Poison Prevention Act 
(42 U.S.C. Secs. 4801 et seq.) which prohibits the use of lead based 
paint in construction or rehabilitation of residence structures.
    17. Will cause to be performed the required financial and 
compliance audits in accordance with the Single Audit Act of 1984.
    18. Will comply with all applicable requirements of all other 
Federal laws, executive orders, regulations and policies governing 
this program.


Signature of Authorized Certifying Official

----------------------------------------------------------------------
Title

----------------------------------------------------------------------
Applicant Organization

----------------------------------------------------------------------
Date Submitted

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[[Page 11029]]
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BILLING CODE 4184-01-C

[[Page 11030]]


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 belief 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 
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 indicated or otherwise criminally or civilly 
charged by a governmental entity (Federal, State or local) with 
commission of any of the offenses enumerated in paragraph (1)(b) of 
this certification; and
    (d) have not within a 3-year period preceding this application/
proposal had one or more public transactions (Federal, State or local) 
terminated for cause or default.
    The inability of a person to provide the certification required 
above will not necessarily result in denial of participation in this 
covered transaction. If necessary, the prospective participate shall 
submit an explanation of why it cannot provide the clarification. The 
certification or explanation will be considered in connection with the 
Department of Health and Human Services' (HHS) determination whether to 
enter into this transaction. However, failure of the prospective 
primary participant to furnish a certification or an explanation shall 
disqualify such person from participation in this transaction.
    The prospective primary participant agrees that by submitting this 
proposal, it will include the clause entitled ``Certification Regarding 
Debarment, Suspension, Ineligibility, and Voluntary Exclusion--Lower 
Tier Covered Transactions'' 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.

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, Member of Congress, an 
officer or employee of Congress, or an employee of a Member of Congress 
in connection with this Federal contract, grant, loan or cooperative 
agreement, the undersigned shall complete and submit Standard Form-LLL, 
``Disclosure Form to Report Lobbying,'' in accordance with its 
instructions.
    (3) The undersigned shall require that the language of this 
certification be included in the award documents for all subawards at 
all tiers (including subcontracts, subgrants, and contracts under 
grants, loans, and cooperative agreements) and that all subrecipients 
shall certify and disclose accordingly.
    This certification is a material representation of fact upon which 
reliance was placed when this transaction was made or entered into. 
Submission of this certification is a prerequisite for making or 
entering into this transaction imposed by section 1352, title 31, U.S. 
Code. Any person who fails to file the required certification shall be 
subject to a civil penalty of not less than $10,000 and not more than 
$100,000 for each such failure.

State for Loan Guarantee and Loan Insurance

    The undersigned states, to the best of his or her knowledge and 
belief, that:
    If any funds have been paid or will be paid to any person for 
influencing or attempting to influence an officer or employee of any 
agency, a Member of Congress, an officer or employee of Congress, or an 
employee of a Member of Congress in connection with this commitment 
providing for the United States to insure or guarantee a loan, the 
undersigned shall complete and submit Standard Form-LLL ``Disclosure 
Form to Report Lobbying,'' in accordance with its instructions.
    Submission of this statement is a prerequisite for making or 
entering into this transaction imposed by section 1352, title 31, U.S. 
Code. Any person who fails to file the required statement shall be 
subject to a civil penalty of not less than $10,000 and not more than 
$100,000 for each such failure.

----------------------------------------------------------------------
Signature

----------------------------------------------------------------------
Title------------------------------------------------------------------

----------------------------------------------------------------------
Organization

----------------------------------------------------------------------
Date

BILLING CODE 4184-01-M

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BILLING CODE 4184-01-C

[[Page 11032]]


OMB State Single Point of Contact Listing*

Arizona

Joni Saad,
Arizona State Clearinghouse,
3800 N. Central Avenue,
Fourteenth Floor,
Phoenix, Arizona 85012,
Telephone (602) 280-1315,
FAX: (602) 280-1305

Arkansas

Mr. Tracy L. Copeland,
Manager, State Clearinghouse,
Office of Intergovernmental Services,
Department of Finance and Administration,
1515 W. 7th St., Room 412,
Little Rock, Arkansas 72203,
Telephone: (501) 682-1074,
FAX: (501) 682-5206

Alabama

Jon C. Strickland,
Alabama Department of,
Economic and Community Affairs,
Planning and Economic Development Division,
401 Adams Avenue,
Montgomery, AL 36103-5690,
Telephone: (205) 242-5483,
FAX: (205) 242-5515

California

Grants Coordinator,
Office of Planning & Research,
1400 Tenth Street, Room 121,
Secramento, California 95814,
Telephone (916) 323-7480,
FAX: (916) 323-3018

Delaware

Francine Booth,
State Single Point of Contact,
Executive Department,
Thomas Collins Building,
P.O. Box 1401,
Dover, Delaware 19903,
Telephone: (302) 739-3326,
FAX: (302) 739-5661

District of Columbia

Charles Nichols, State Single Point of Contact, Office of Grants 
Mgmt. & Dev., 717 14th Street, N.W.--Suite 500, Washington, D.C. 
20005, Telephone: (202) 727-6554, FAX: (202) 727-1617

Florida

Florida State Clearinghouse, Department of Community Affairs, 2740 
Centerview Drive, Tallahassee, Florida 32399-2100, Telephone: (904) 
922-5438, FAX: (904) 487-2899

Georgia

Tom L. Reid, III,
Administrator, Georgia State Clearinghouse, 254 Washington Street, 
S.W.--Room 401J, Atlanta, Georgia 30334, Telephone: (404) 656-3855 
or (404) 656-3829), FAX: (404) 656-7938

Illinois

Barbara Beard, State Single Point of Contact, Department of Commerce 
and Community Affairs, 620 East Adams, Springfield, Illinois 62701, 
Telephone: (217) 782-1671, FAX: (217) 534-1627

Indiana

Amy Brewer, State Budget Agency, 212 State House, Indianapolis, 
Indiana 46204, Telephone: (317) 232-5619, FAX: (317) 233-3323

Iowa

Steven R. McCann, Division for Community Assistance, Iowa Department 
of Economic Development, 200 East Grand Avenue, Des Moines, Iowa 
50309, Telephone: (515) 242-4719, FAX: (515) 242-4859

Kentucky

Ronald W. Cook, Office of the Governor, Department of Local 
Government, 1024 Capitol Center Drive, Frankfort, Kentucky 40601-
8204, Telephone: (502) 573-2382, FAX: (502) 573-2512

Maine

Joyce Benson, State Planning Office, State House Station #38, 
Augusta, Maine 04333, Telephone: (207) 287-3261, FAX: (207) 287-6489

Maryland

William G. Carroll, Manager, State Clearinghouse for 
Intergovernmental Assistance, Maryland Office of Planning, 301 W. 
Preston Street--Room 1104, Baltimore, Maryland 21201-2365, Staff 
Contact: Linda Janey, Telephone: (410) 225-4490, FAX: (410) 225-4480

Michigan

Richard Pfaff, Southeast Michigan Council of Governments, 1900 
Edison Plaza, 660 Plaza Drive, Detroit, Michigan 48226, Telephone: 
(313) 961-4266

Mississippi

Cathy Mallette, Clearinghouse Officer, Department of Finance and 
Administration, 455 North Lamar Street, Jackson, Mississippi 39202-
3087, Telephone: (601) 359-6762, FAX: (601) 359-6764

Missouri

Lois Pohl, Federal Assistance Clearinghouse, Office of 
Administration, P.O. Box 809, Room 760, Truman Building, Jefferson 
City, Missouri 65102, Telephone: (314) 751-4834, FAX: (314) 751-7819

Nevada

Department of Administration, State Clearinghouse, Capitol Complex, 
Carson City, Nevada 89710, Telephone: (702) 687-4065, FAX: (702) 
687-3983

New Hampshire

Jeffrey H. Taylor, Director, New Hampshire Office of State Planning, 
Attn: Intergovernmental Review Process, Mike Blake, 2\1/2\ Beacon 
Street, Concord, New Hampshire 03301, Telephone: (603) 271-2155, 
FAX: (603) 271-1728

New Jersey

Gregory W. Adkins, Assistant Commissioner, New Jersey Department of 
Community Affairs

    Please direct all correspondence and questions about 
intergovernmental review to: Andrew J. Jaskolka, State Review 
Process, Intergovernmental Review Unit CN 800, Room 813A, Trenton, 
New Jersey 08625-0800, Telephone: (609) 292-9025, FAX: (609) 633-
2132

New Mexico

Robert Peters, State Budget Division, Room 190 Bataan Memorial 
Building, Santa Fe, New Mexico 87503, Telephone: (505) 827-3640

New York

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

North Carolina

Chrys Baggett, Director, N.C. State Clearinghouse, Office of the 
Secretary of Admin., 116 West Jones Street, Raleigh, North Carolina 
27603-8003, Telephone: (919) 733-7232, FAX: (919) 733-9571

North Dakota

North Dakota Single Point of Contract, Office of Intergovernmental 
Assistance, 600 East Boulevard Avenue, Bismarck, North Dakota 58505-
0170, Telephone: (701) 224-2094, FAX: (701) 224-2308

Ohio

Larry Weaver, State Single Point of Contact, State Clearinghouse, 
Office of Budget and Management, 30 East Broad Street, 34th Floor, 
Columbus, Ohio 43266-0411

    Please direct correspondence and questions about 
intergovernmental review to: Linda Wise, Telephone: (614) 466-0698, 
FAX: (614) 466-5400.

Rhode Island

Daniel W. Varin, Associate Director, Department of Administration/
Division of Planning One Capitol Hill, 4th Floor, Providence, Rhode 
Island 02908-5870, Telephone: (401) 277-2656, FAX: (401) 277-2083

Please direct correspondence and questions to: Review Coordinator, 
Office of Strategic Planning

South Carolina

Omeagia Burgess, State Single Point of Contact, Grant Services, 
Office of the Governor, 1205 Pendleton Street--Room 477, Columbia, 
South Carolina 29201, Telephone: (803) 734-0494, FAX: (803) 734-0385

Texas

Tom Adams, Governor's Office, Director, Intergovernmental 
Coordination, P.O. Box 12428, Austin, Texas 78711, Telephone: (512) 
463-1771, FAX: (512) 463-1880

Utah

Carolyn Wright, Utah State Clearinghouse, Office of Planning and 
Budget, Room 116 State Capitol, Salt Lake City, Utah 84114, 
Telephone (801) 538-1535, FAX: (801) 538-1547

Vermont

Nancy McAvoy, State Single Point of Contact, Pavilion Office 
Building, 109 State Street, Montpelier, Vermont 05609, Telephone: 
(802) 828-3326 (FAX: (802) 828-3339

West Virginia

Fred Cutlip, Director, Community Development Division, W. Virginia

[[Page 11033]]
Development Office, Building #6, Room 553, Charleston, West Virginia 
25305, Telephone: (304) 558-4010, FAX: (304) 558-3248

Wisconsin

Martha Kerner, Section Chief, State/Federal Relations, Wisconsin 
Department of Administration, 101 East Wilson Street--6th Floor, 
P.O. Box 7868, Madison, Wisconsin 53707, Telephone: (608) 226-2125, 
FAX: (608) 267-6931

Wyoming

Sheryl Jeffries, State Single Point of Contact, Herschler Building, 
4th Floor, East Wing, Cheyenne, Wyoming 82002, Telephone: (307) 777-
7574, FAX: (307) 638-8967

Territories

Guam

Mr. Giovanni T. Sgambelluri, Director, Bureau of Budget and 
Management Research, Office of the Governor, P.O. Box 2950, Agana, 
Guam 96910, Telephone: 011-671-472-2285, FAX: 011-671-472-2825

Puerto Rico

Norma Burgos/Jose E. Caro, Chairwoman/Director, Puerto Rico Planning 
Board, Federal Proposals Review Office, Minillas Government Center, 
P.O. Box 41119, San Juan, Puerto Rico 00940-1119, Telephone: (809) 
727-4444, (809) 723-6190, (809) 724-3270, FAX: (809) 724-3103

North Mariana Islands

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

Virgin Islands

Jose George, Director, Office of Management and Budget, #41 
Norregade Emancipation Garden, Station, Second Floor, Saint Thomas, 
Virgin Islands 00802.

    Please direct all questions and correspondence about 
intergovernmental review to: Linda Clarke, Telephone: (809) 774-
0750, FAX: (809) 776-0069.

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 facility owned or leased or 
contracted for by an entity and used routinely or regularly for the 
provision of health, day care, education, or library services to 
children under the age of 18, if the services are funded by Federal 
programs either directly or through State or local governments, by 
Federal grant, contract, loan, or loan guarantee. The law does not 
apply to children's services provided in private residences, facilities 
funded solely by Medicare or Medicaid funds, and portions of facilities 
used for inpatient drug or alcohol treatment. Failure to comply with 
the provisions of the law may result in the imposition of a civil 
monetary penalty of up to $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 children's services and that all subgrantees shall 
certify accordingly.

[FR Doc. 96-6259 Filed 3-15-96; 8:45 am]
BILLING CODE 4184-01-P