[Federal Register Volume 61, Number 156 (Monday, August 12, 1996)]
[Notices]
[Pages 41896-41922]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 96-20365]


      

[[Page 41895]]


_______________________________________________________________________

Part III





Department of Health and Human Services





_______________________________________________________________________



Administration for Children and Families



_______________________________________________________________________



Developmental Disabilities: Availability of Financial Assistance for 
Projects of National Significance for Fiscal Year 1996; Notice

  Federal Register / Vol. 61, No. 156 / Monday, August 12, 1996 / 
Notices  

[[Page 41896]]



DEPARTMENT OF HEALTH AND HUMAN SERVICES

Administration for Children and Families
[Program Announcement No. 93631-96-03]


Developmental Disabilities: Availability of Financial Assistance 
for Projects of National Significance for Fiscal Year 1996

AGENCY: Administration on Developmental Disabilities (ADD), 
Administration for Children and Families (ACF).

ACTION: Announcement of availability of financial assistance for 
Projects of National Significance for fiscal year 1996.

-----------------------------------------------------------------------

SUMMARY: The Administration on Developmental Disabilities, 
Administration for Children and Families, announces that applications 
are being accepted for funding of Fiscal Year 1996 Projects of National 
Significance.
    This program announcement consists of five parts. Part I, the 
Introduction, discusses the goals and objectives of ACF and ADD. Part 
II provides the necessary background information on ADD for applicants. 
Part III describes the review process. Part IV describes the priority 
under which ADD solicits applications for Fiscal Year 1996 funding of 
projects. Part V describes in detail how to prepare and submit an 
application. All of the forms and instructions necessary to submit an 
application are published as part of this announcement following Part 
V.
    No separate application kit is either necessary or available for 
submitting an application. If you have a copy of this announcement, you 
have all the information and forms required to submit an application.
    Grants will be awarded under this program announcement subject to 
the availability of funds for support of these activities.

DATE: The closing date for submittal of applications under this 
announcement is September 11, 1996.

ADDRESSES: Applications should be mailed to: Department of Health and 
Human Services, ACF/Division of Discretionary Grants, Sixth Floor, 370 
L'Enfant Promenade SW, Washington, DC 20447, Attn: 93.631 ADD--Projects 
of National Significance.
    Applications handcarried by applicants, applicant couriers, or by 
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 weekends and Federal holidays). Any 
applications received after 4:30 p.m. on the deadline date will not be 
considered for competition. Applicants using express/overnight services 
should allow two working days prior to the deadline date for receipt of 
applications. (Applicants are cautioned that express/overnight mail 
services do not always deliver as agreed.)

FOR FURTHER INFORMATION CONTACT: Adele Gorelick, Program Development 
Division, Administration on Developmental Disabilities, (202) 690-5982.

SUPPLEMENTARY INFORMATION:

Part I. General Information

A. Goals of the Administration on Developmental Disabilities

    The Administration on Developmental Disabilities (ADD) is located 
within the Administration for Children and Families (ACF), Department 
of Health and Human Services (DHHS). Although different from the other 
ACF program administrations in the specific populations it serves, ADD 
shares a common set of goals that promote the economic and social well-
being of families, children, individuals and communities. Through 
national leadership, ACF and ADD envision:
     Families and individuals empowered to increase their own 
economic independence and productivity;
     Strong, healthy, supportive communities having a positive 
impact on the quality of life and the development of children;
     Partnerships with individuals, front-line service 
providers, communities, States and Congress that enable solutions which 
transcend traditional agency boundaries;
     Services planned and integrated to improve client access;
     A strong commitment to working with Native Americans, 
persons with developmental disabilities, refugees and migrants to 
address their needs, strengths and abilities; and
     A community-based approach that recognizes and expands on 
the resources and benefits of diversity.
    Emphasis on these goals and progress toward them will help more 
individuals, including people with developmental disabilities, to live 
productive and independent lives integrated into their communities. The 
Projects of National Significance Program is one means through which 
ADD promotes the achievement of these goals.

B. Purpose of the Administration on Developmental Disabilities

    The Administration on Developmental Disabilities (ADD) is the lead 
agency within ACF and DHHS responsible for planning and administering 
programs which promote the self-sufficiency and protect the rights of 
persons with developmental disabilities.
    The Developmental Disabilities Assistance and Bill of Rights Act 
(42 U.S.C. 6000, et seq.) (the Act) supports and provides assistance to 
States and public and private nonprofit agencies and organizations to 
assure that individuals with developmental disabilities and their 
families participate in the design of and have access to culturally 
competent services, supports, and other assistance and opportunities 
that promote independence, productivity, integration and inclusion into 
the community.
    In the Act, Congress expressly found that:
     Disability is a natural part of the human experience that 
does not diminish the right of individuals with developmental 
disabilities to enjoy the opportunity for independence, productivity, 
integration and inclusion into the community;
     Individuals whose disabilities occur during their 
developmental period frequently have severe disabilities that are 
likely to continue indefinitely;
     Individuals with developmental disabilities often require 
lifelong specialized services and assistance, provided in a coordinated 
and culturally competent manner by many agencies, professionals, 
advocates, community representatives, and others to eliminate barriers 
and to meet the needs of such individuals and their families;
    The Act further established as the policy of the United States:
     Individuals with developmental disabilities, including 
those with the most severe developmental disabilities, are capable of 
achieving independence, productivity, integration and inclusion into 
the community, and often require the provision of services, supports 
and other assistance to achieve such;
     Individuals with developmental disabilities have 
competencies, capabilities and personal goals that

[[Page 41897]]

should be recognized, supported, and encouraged, and any assistance to 
such individuals should be provided in an individualized manner, 
consistent with the unique strengths, resources, priorities, concerns, 
abilities, and capabilities of the individual;
     Individuals with developmental disabilities and their 
families are the primary decision makers regarding the services and 
supports such individuals and their families receive; and play decision 
making roles in policies and programs that affect the lives of such 
individuals and their families; and
     It is in the nation's interest for people with 
developmental disabilities to be employed, and to live conventional and 
independent lives as a part of families and communities.
    Toward these ends, ADD seeks to enhance the capabilities of 
families in assisting people with developmental disabilities to achieve 
their maximum potential to support the increasing ability of people 
with developmental disabilities to exercise greater choice and self-
determination; to engage in leadership activities in their communities; 
as well as to ensure the protection of their legal and human rights.
    The four programs funded under the Act are:
     Federal assistance to State developmental disabilities 
councils;
     State system for the protection and advocacy of individual 
rights;
     Grants to University Affiliated Programs for 
interdisciplinary training, exemplary services, technical assistance, 
and information dissemination; and
     Grants for Projects of National Significance.

C. Statutory Authorities Covered Under This Announcement

    The Developmental Disabilities Assistance and Bill of Rights Act of 
1994, 42 U.S.C. 6000, et seq. The Projects of National Significance is 
Part E of the Developmental Disabilities Assistance and Bill of Rights 
Act of 1994, 42 U.S.C. 6081, et seq.

Part II. Background Information For Applicants

A. Description of Projects of National Significance

    Under Part E of the Act, grants and contracts are awarded for 
projects of national significance that support the development of 
national and State policy to enhance the independence, productivity, 
and integration and inclusion of individuals with developmental 
disabilities through:
     Data collection and analysis;
     Technical assistance to enhance the quality of State 
developmental disabilities councils, protection and advocacy systems, 
and university affiliated programs; and
     Other projects of sufficient size and scope that hold 
promise to expand or improve opportunities for people with 
developmental disabilities, including:
    --Technical assistance for the development of information and 
referral systems;
    --Educating policy makers;
    --Federal interagency initiatives;
    --The enhancement of participation of minority and ethnic groups in 
public and private sector initiatives in developmental disabilities;
    --Transition of youth with developmental disabilities from school 
to adult life; and
    --Special pilots and evaluation studies to explore the expansion of 
programs under part B (State developmental disabilities councils) to 
individuals with severe disabilities other than developmental 
disabilities.

B. Comments on FY 1996 Proposed Priority Areas

    The notice soliciting comments on the FY 1996 proposed priority 
areas was published in the Federal Register on April 12, 1996 (60 FR 
2760). A 60-day period was required to allow the public to comment on 
the proposed areas. After review and analysis of these comments, ADD is 
publishing its final priority in this announcement.
    The public comment notice requested specific comments and 
suggestions on the proposed funding priority and recommendations for 
additional priority areas to help bring about the increased 
independence, productivity, and integration into the community of 
people with developmental disabilities.
    ADD received 105 letters by the closing date in response to the 
public comment notice. Commentary was from the following sources:
     Advocacy agencies, including national organizations and 
associations, national advocacy groups and State/local advocacy groups;
     Service organizations, including agencies that provide 
services for individuals with developmental disabilities as well as 
providing advocacy services on behalf of a particular disability, 
including developmental disabilities councils;
     Educational systems, including schools, colleges, and 
universities, programs located within a university setting and 
University Affiliated Programs;
     Private agencies, including national, State, and local 
nonprofit organizations;
     Government agencies, including Federal, State, county, and 
local government agencies;
     Private individuals; and
     Foundations.
    Comments ranged from requests for copies of the final application 
solicitation, to general support, to substantive, insightful responses 
for this year's proposed funding priority and recommendations for other 
priority areas. The vast majority supported and expanded upon what we 
proposed in the announcement, in addition to relating specifically to 
the program goals and priorities of the particular agencies submitting 
the comments.
    The comments helped highlight the concerns of the developmental 
disabilities field and have been used in refining the final priority 
area.
    Comment: Twenty-two letters recommended additional funding 
priorities for FY 1996. Suggestions included projects addressing: the 
need for best practices in service delivery as related to direct care/
supports and the development of curriculum; inclusion activities in the 
adult population that empower adults and family members; information on 
the impact of creative arts experiences on children and adults with 
developmental disabilities; effective models of community-based support 
or community building; data collection and analysis on the employment 
and economic status of adults with mental retardation who participate 
in sheltered workshop programs; providing on-going support services to 
individuals who don't need intensive services; the use of personal 
futures planning with youths with developmental disabilities in 
juvenile institutions; exploring inclusion within generic community 
development; support to the rehabilitation, training, and service 
delivery networks which serve children at-risk and with special needs; 
exploring the applicability of the Baldridge principles to 
Developmental Disabilities Councils; developing a system to identify 
clinical guidelines/pathways/protocols appropriate to the long-term 
health needs of persons with disabilities who receive medicaid managed 
care services; collecting consumer input on major topics through 
electronic town meetings; interdisciplinary training and coordination 
of medical and educational professionals to promote early and accurate 
diagnosis and treatment of individuals with learning disabilities; 
consumers and families having access to information on services and 
programs at

[[Page 41898]]

the local, state, and federal levels; studying the characteristics of 
successful systems change activities; studies on rare disorders and 
orphan diseases; and pilot testing and further development of outcome 
measures model for ADD's component programs.
    Response: Inclusion and integration of individuals with 
developmental disabilities is a key element in the mission and purpose 
of ADD. ADD funding priorities have always required projects to be 
implemented in an inclusive manner and inclusiveness is a thread that 
runs through all facets of ADD.
    The comments on the need for continued efforts to promote and 
achieve inclusiveness whether in building bridges with generic 
community resources, assisting those to return to their communities 
after incarceration, or exploring total quality management principles 
to improve our programs and services represent the gauges/measures that 
indicate directions for change. Our commitment to inclusiveness is 
reflected in ADD's existing PNS projects in child care, criminal 
justice, first jobs and others.
    Managed care is an emerging trend that is rapidly becoming the 
major means to secure health care services for low-income, publicly 
assisted individuals. ADD is very much aware of the issues and problems 
encountered by people with developmental disabilities and their 
families. We share the concerns of many people in the field of 
developmental disabilities and will explore ways for ADD to play a role 
in assisting States and others to ensure that managed care plans are 
equitable and appropriate for all.
    There were a few inquiries about the technical assistance projects 
for the three developmental disabilities programs not being included in 
this announcement. These contracts are not expiring this year; thus 
they do not need to be competed.
    ADD appreciates the suggestions for additional priority areas. It 
is a valuable process that allows ADD to gain insight into the 
strengths and weaknesses of programs and services at the community 
level, and identify avenues to explore for improvement. These comments 
are a reminder that the goals of independence, integration, 
productivity, and integration of individuals with developmental 
disabilities have not been fulfilled and that we must be vigilant in 
their pursuit. We hope that the next fiscal year will allow us to offer 
an array of project possibilities and at that time your suggestions for 
new priority areas will be most helpful.
    Comment: ADD received 83 comments on the Proposed Priority Area, 
Ongoing Data Collection and Information Dissemination. There was strong 
support for the data collection projects; especially the National Study 
of Public Spending. Many letters cited the usefulness of the data in 
comparing progress with other States; as a benchmark for measuring 
effectiveness; in preparing legislative budget requests; and in 
analyzing trends and project future needs and service costs. One 
commenter noted, ``The current projects funded under this priority area 
are essential to policy makers, state planning agencies, advocates, 
educational institutions and service providers.'' Others stated that 
the information isn't available from any other source, no one State or 
organization has the capability to collect and assess such data, and 
it's vital for developing of both State and national policy. A common 
concern expressed by many was that the current effort to curtail 
spending makes it more critical to keep track of where money is going 
and how it's being used. Another reported that the ``Data is 
particularly important as we try to address cultural competence and 
service equity within our state.''
    The need to develop employment models involving trends and analyses 
that accurately predict employment outcomes of persons with 
developmental disabilities was a suggested addition to the employment 
data study. Systemic factors that both impede and motivate 
organizations and agencies to restructure in order to provide 
integrated employment should be studied.
    Dissemination is a critical piece of these data collection projects 
and the importance of making this information available and accessible 
to a broader community via the internet or by some other means was 
suggested as a focus for these projects. New data bases were suggested; 
one that would study the use by young families of generic community 
resources versus the existing special delivery system; another on the 
outcomes experienced by individuals with disabilities who receive 
publicly funded residential services; and a third that would examine 
the impact of managed care and changes in Federal-State partnerships. 
The comprehensiveness and comparability of the data bases to capture 
such information as the environments where people receive services and 
how much is spent per person served and how one State compares with 
other States was expressed as a needed change.
    Response: ADD was very pleased to receive such positive comments 
about its three data collection projects. At this time when we are 
moving toward outcome measurements that indicate impact and quality we 
can look toward the work of these projects as examples. Yet we know we 
must continue striving to improve the lives of persons with 
developmental disabilities and their families; your suggestions have 
given ADD ideas for doing so.
    Because the Internet has enormous potential for accessing and 
sharing information, we would expect these projects, along with newly 
funded PNS initiatives, to explore this and other forms of effective, 
accessible, and affordable communication and technical assistance to 
those who may have an interest.

Part III. The Review Process

A. Eligible Applicants

    Before applications are reviewed, each will be screened to 
determine that the applicant is eligible for funding 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.
    Only public or non-profit private entities, not individuals, are 
eligible to apply under any of the priority areas. All applications 
developed jointly by more than one agency or organization 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.
    Nonprofit organizations must submit proof of nonprofit status in 
their applications at the time of submission. One means of 
accomplishing this is by providing a copy of the applicant's listing in 
the Internal Revenue Service's 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.
    ADD cannot fund a nonprofit applicant without acceptable proof of 
its nonprofit status.

B. Review Process and Funding Decisions

    Timely applications from eligible applicants received by the 
deadline date

[[Page 41899]]

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.
    ADD 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 ADD 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 ADD in making funding decisions.
    In making decisions on awards, ADD will consider whether 
applications focus on or feature: services to culturally diverse or 
ethnic populations among others; 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 administering or delivering 
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 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 greatest 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, ADD may 
also take into account the need to avoid unnecessary duplication of 
effort.

C. Evaluation Criteria

    Using the evaluation criteria below, a panel of at least three 
reviewers (primarily experts from outside the Federal government) will 
review the applications. To facilitate this review, 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 evaluation criteria, 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.
    All applications will be evaluated against the following criteria:
1. Objectives and Need for Assistance (20 points)
    The extent to which the application pinpoints any relevant 
physical, economic, social, financial, institutional or other problems 
requiring a solution; demonstrates the need for the assistance; states 
the principal and subordinate objectives of the project; provides 
supporting documentation or other testimonies from concerned interests 
other than the applicant; and includes and/or footnotes relevant data 
based on the results of planning studies. The application must identify 
the precise location of the project and area to be served by the 
proposed project. Maps and other graphic aids should be attached.
2. Results or Benefits Expected (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, and the extent to which the 
application indicates the anticipated contributions to policy, 
practice, theory and/or research. The extent to which the proposed 
project costs are reasonable in view of the expected results.
3. Approach (35 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; 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. Activities to be carried out should be listed in 
chronological order, showing a reasonable schedule of accomplishments 
and target dates.
    The extent to which, when applicable, the application identifies 
the kinds of data to be collected and maintained, and discusses the 
criteria to be used to evaluate the results and successes of the 
project. The extent to which 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. The application also lists each organization, agency, 
consultant, or other key individuals or groups who will work on the 
project, along with a description of the activities and nature of their 
effort or contribution.
4. Staff Background and Organization's Experience (25 points)
    The application identifies the background of the project director/
principal investigator and key project staff (including name, address, 
training, educational background and other qualifying experience) and 
the experience of the organization to demonstrate the applicant's 
ability to effectively and efficiently administer this project. The 
application describes the relationship between this project and other 
work planned, anticipated or under way by the applicant which is being 
supported by Federal assistance.

D. Structure of Priority Area Descriptions

    The priority area description is composed of the following 
sections:
     Eligible Applicants: This section specifies the type of 
organization which is eligible to apply under the particular priority 
area. Specific restrictions are also noted, where applicable.
     Purpose: This section presents the basic focus and/or 
broad goal(s) of the priority area.
     Background Information: This section briefly discusses the 
legislative background as well as the current state-of-the-art and/or 
current state-of-practice that supports the need for the particular 
priority area activity. Relevant information on projects previously 
funded by ACF and/or other State models are noted, where applicable.
     Minimum Requirements for Project Design: This section 
presents the basic set of issues that must be addressed in the 
application. Typically, they relate to project design, evaluation, and 
community involvement. This section also asks for specific information 
on the proposed project. Inclusion and discussion of these items is 
important since they will be used by the reviewers to evaluate the 
applications against the evaluation criteria. Project products, 
continuation of the project after Federal support ceases, and 
dissemination/utilization activities, if appropriate, are also 
addressed.

[[Page 41900]]

     Project Duration: This section specifies the maximum 
allowable length of the project period; it refers to the amount of time 
for which Federal funding is available.
     Federal Share of Project Costs: This section specifies the 
maximum amount of Federal support for the project.
     Matching Requirement: This section specifies the minimum 
non-Federal contribution, either cash or in-kind match, required.
     Anticipated Number of Projects To Be Funded: This section 
specifies the number of projects ADD anticipates funding under the 
priority area.
     CFDA: This section identifies the Catalog of Federal 
Domestic Assistance (CFDA) number and title of the program under which 
applications in this priority area will be funded. This information is 
needed to complete item 10 on the SF 424.
    Please note that applications that do not comply with the specific 
priority area requirements in the section on ``Eligible Applicants'' 
will not be reviewed.
    Applicants must clearly identify the specific priority area under 
which they wish to have their applications considered, and tailor their 
applications accordingly. 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 an 
application more clearly focused on, and directly responsive to, the 
concerns of that specific priority area.

E. Available Funds

    ADD intends to award new grants resulting from this announcement 
during the fourth quarter of fiscal year 1996, subject to the 
availability of funding. The size of the 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.
    The term ``budget period'' refers to the interval of time (usually 
12 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 shorter project periods 
than the maximums specified in the various priority areas. Non-Federal 
share contributions may exceed the minimums specified in the various 
priority areas.
    For multi-year projects, continued Federal funding beyond the first 
budget period, but within the approved project period, is subject to 
the availability of funds, satisfactory progress of the grantee and a 
determination that continued funding would be in the best interest of 
the Government.

F. Grantee Share of Project Costs

    Grantees must provide at least 25% of the total approved cost of 
the project. The total approved 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 $100,000 in Federal funds (based on an award of 
$100,000 per budget period) must include a match of at least $33,333 
(25% total project cost).
    Applications originating from American Samoa, Guam, the Virgin 
Islands, and the Commonwealth of the Northern Mariana Islands are 
exempted from the grantee cost-sharing requirements. Applications from 
these jurisdictions are covered under Section 501(d) of Public Law 95-
134, which requires that the Department waive ``any requirement for 
local matching funds for grants under $200,000.''
    The applicant contribution must generally be secured from non-
Federal sources. Except as provided by Federal statute, a cost-sharing 
or matching requirement may not be met by costs borne by another 
Federal grant. However, funds from some Federal programs benefitting 
Tribes and Native American organizations have been used to provide 
valid sources of matching funds. If this is the case for a Tribe or 
Native American organization submitting an application to ADD, that 
organization should identify the programs which will be providing the 
funds for the match in its application. If the application successfully 
competes for PNS grant funds, ADD will determine whether there is 
statutory authority for this use of the funds. The Administration for 
Native Americans and the DHHS Office of General Counsel will assist ADD 
in making this determination.

G. Cooperation in Evaluation Efforts

    Grantees funded by ADD may be requested to cooperate in evaluation 
efforts funded by ADD. The purpose of these evaluation activities is to 
learn from the combined experience of multiple projects funded under a 
particular priority area.

H. Closed Captioning for Audiovisual Efforts

    Applicants are encouraged to include ``closed captioning'' in the 
development of any audiovisual products.

Part IV. Fiscal Year 1996 Priority Area for Projects of National 
Significance--Description and Requirements

    The following section presents the final priority area for Fiscal 
Year 1996 Projects of National Significance (PNS) and solicits the 
appropriate applications.

Fiscal Year 1996 Priority Area: Ongoing Data Collection and 
Information Dissemination

     Eligible Applicants: State agencies, public or private 
nonprofit organizations, institutions or agencies.
     Purpose: Under this priority area, ADD will award grant 
funds through a cooperative agreement which will collect data on public 
expenditures, employment and economic status, residential services, and 
other factors as they impact the independence, productivity, 
integration and inclusion into the community of persons with 
developmental disabilities. ADD is particularly interested in the 
maximum use of existing data bases and in fostering the broadest 
dissemination to, and use of, the data by consumers, families and 
advocacy audiences. Examples of successful projects that ADD has funded 
include:
    University of Minnesota: National Recurring Data Set Project on 
Residential Services--Ongoing National and State-by-State Data 
Collection and Policy/Impact Analysis on Residential Services for 
Persons with Developmental Disabilities (Charles Lakin: 612/624-2097)
    University of Illinois at Chicago: Fourth National Study of Public 
Mental Retardation/Developmental Disabilities Spending (David Braddock: 
312/413-1647)
    Boston Children's Hospital: Ongoing National Collection on Data and 
Employment Services for Citizens with Developmental Disabilities (Bill 
Kiernan: 617/735-6506)
    Examples of projects include activities which would:
     Identify, collect and disseminate new data bases.
     Modify, expand and/or reformulate existing data bases.
     Connect, integrate or analyze available data bases.
     Project and model the cost-benefit impact of alternative 
future decisions based on the analysis of discrete programmatic options 
in the areas of residential services and employment.

[[Page 41901]]

     Allow for the comprehensiveness and comparability of data 
bases.
     Minimum Requirements for Project Design: Given its 
interest in promoting the increased independence, productivity, 
integration and inclusion of people with developmental disabilities in 
a cost-beneficial manner, ADD is open to applications that address 
additional quantitative and qualitative analysis in the following 
areas:
     Trends in the movement of people with developmental 
disabilities from institutional to community settings (especially 
domiciles of their own) and the outcomes experienced by individuals 
with disabilities who receive publicly funded residential services.
     The impact of managed care plans on the delivery and 
efficacy of residential and support services to individuals with 
developmental disabilities, and on the relationship between Federal and 
State governments.
     The efficacy of various approaches to the full inclusion 
of people with developmental disabilities in local community activities 
where the majority of participants do not have a disability.
     The employment status of people with developmental 
disabilities on a state and national basis.
     Employment models that accurately predict employment 
outcomes of persons with developmental disabilities, and the systemic 
factors that lead to integrated employment.
     The use of generic community resources versus the existing 
special delivery system by people with developmental disabilities and 
their families.
    Any sampling techniques used as part of this analysis should be 
broadly representative of persons with developmental disabilities of 
employment age on a national basis, including people with severe 
disabilities. Quantitative data should provide statistical information 
on current placement patterns and their cost as well as projections 
regarding future placement options and associated costs. It is also 
recognized that certain areas may be more appropriate for qualitative 
analysis, although a summary of any quantitative data (if available) 
should be included in the proposal.
    All projects funded under this priority area must provide evidence 
of the soundness of their proposed research methods and analytic 
techniques. In addition, proposals should clearly delineate (via a 
comprehensive literature review) existing data sets, how these data 
sets will be incorporated into the research design, and what new 
knowledge will be gained through the proposed project.
    All projects shall provide for the widespread distribution of their 
products (reports, summary documents, audio-visual materials, and the 
like) in accessible formats to a national audience consisting of, at a 
minimum, people with developmental disabilities and their families, 
advocacy groups, State Developmental Disabilities Councils, Protection 
and Advocacy Systems, University Affiliated Programs, State Mental 
Retardation/ Developmental Disabilities Directors, State Governor's 
Offices, Federal agencies represented on the Interagency Committee on 
Developmental Disabilities, as well as the Secretaries of Health and 
Human Services and Education at the federal level.
    Applications should also include provisions for the travel of two 
key personnel during the first and last years of the project to 
Washington, DC for a one-day meeting with ADD staff.
    The application must also respond to the following:
     Describe the physical setting, the administrative and 
organizational structure within which the program will function, and 
internal and external organizational relationships relevant to this 
project. Include charts outlining these relationships, and any formal 
agreements defining them in the appendices.
     Describe staff, space, equipment, research facilities, and 
other supports available to carry out the project.
     Describe briefly how the additional resources sought to 
accomplish the purposes of this effort will be integrated into, and 
augmented by, other resources available to, or accessible by, the 
applicant.
     Develop and implement an evaluation process to ensure that 
systematic, objective information is available about the utilization 
and effectiveness of the products of this project. Specific outcomes 
must be built into the project for evaluation. The evaluation should be 
performed by an independent evaluator.
    As noted earlier, the award will be made as a cooperative 
agreement. While an organization receiving an award will not be 
conducting its project on behalf of ADD, ADD and the awardee will work 
cooperatively in developing and implementing the project's agenda as 
described below.
    Under the cooperative agreement mechanism, ADD and the awardees 
will share responsibility for planning the objectives of the projects. 
Awardees will have the primary responsibility for developing and 
implementing the activities of the project. ADD will jointly 
participate with awardees in such activities as: clarifying the 
specific issue areas to be addressed through periodic briefings and 
ongoing consultation; sharing with awardees its knowledge of the issues 
addressed by past and current projects; and providing feedback to 
awardees about the usefulness to the field of written products and 
information sharing activities. Details of the relationship between ADD 
and awardees will be set forth in the cooperative agreement to be 
developed and signed prior to issuance of the award.
     Project Duration: This announcement solicits applications 
for project periods up to three years. Awards, on a competitive basis, 
will be for a one-year budget period, although project periods may be 
for three years. Applications for continuation grants funded under this 
priority area beyond the one-year budget period, but within the three 
year project period, will be entertained in subsequent years on a non-
competitive basis, subject to the availability of funds, satisfactory 
progress of the grantee and determination that continued funding would 
be in the best interest of the Government.
     Federal Share of Project Costs: The maximum Federal share 
is not to exceed $200,000 for the first 12-month budget period or a 
maximum of $600,000 for a 3-year project period.
     Matching Requirement: The minimum non-Federal matching 
requirement in proportion to the maximum Federal share of $600,000 is 
$200,000 for a 3-year project period. This constitutes 25 percent of 
the total project budget.
     Anticipated Number of Projects to be Funded: It is 
anticipated that at least three data collection projects will be 
funded.
     CFDA: ADD's CFDA (Code of Federal Domestic Assistance) 
number is 93.631--Developmental Disabilities--Projects of National 
Significance. This information is needed to complete item 10 on the SF 
424.

Part V. 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 along with a checklist for assembling an application package. 
Please copy and use these forms in submitting an application.

[[Page 41902]]

    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 IV.

A. Required Notification of the State Single Point of Contact

    All applications under the ADD priority areas are required to 
follow the Executive Order (E.O.) 12372 process, ``Intergovernmental 
Review of Federal Programs,'' and 45 CFR Part 100, ``Intergovernmental 
Review of Department of Health and Human Services Program and 
Activities.'' Under the Order, States may design their own processes 
for reviewing and commenting on proposed Federal assistance under 
covered programs.
    All States and territories, except 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 Executive Order process and have established a State 
Single Point of Contact (SPOC). Applicants from these 19 jurisdictions 
need take no action regarding E.O. 12372. Applications 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 all required materials to the SPOC as soon 
as possible so that the program office can obtain and review SPOC 
comments as part of the award process. It is imperative that the 
applicant submit all required materials and indicate the date of this 
submittal (or date SPOC was contacted, if no submittal is required) on 
the SF 424, item 16a.
    Under 45 CFR 100.8(a), a SPOC has 60 days from the application due 
date to comment on proposed new or competing continuation awards. 
However, there is insufficient time to allow for a complete SPOC 
comment period. Therefore under 45 CFR 100.8(a), we have reduced the 
comment period to 45 days from the closing date for applications. These 
comments are reviewed as part of the award process. Failure to notify 
the SPOC can result in delays in awarding grants.
    SPOCs are encouraged to eliminate the submission of routine 
endorsements as official recommendations. Additionally, SPOCs are 
requested to clearly differentiate between mere advisory comments and 
those official State process recommendations which may trigger the 
``accommodate or explain'' rule.
    When comments are submitted directly to ACF, they should be 
addressed to: Department of Health and Human Services, Administration 
for Children and Families, Division of Discretionary Grants, Sixth 
Floor, 370 L'Enfant Promenade, SW, Washington, DC 20447, Attn: 93.631 
ADD--Projects of National Significance.
    Contact information for each State's SPOC is found at the end of 
this Part.

B. Notification of State Developmental Disabilities Planning Councils

    A copy of the application must also be submitted for review and 
comment to the State Developmental Disabilities Council in each State 
in which the applicant's project will be conducted. A list of the State 
Developmental Disabilities Councils is included at the end of this 
announcement.

C. Deadline for Submittal of Applications

    Deadline: Mailed applications shall be considered as meeting an 
announced deadline if they are received on or before the deadline time 
and date at the 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: Application for [insert Program Name]. 
Applicants are responsible for mailing applications well in advance, 
when using all mail services, to ensure that the applications are 
received on or before the deadline time and date. Applications 
handcarried by applicants, applicant couriers, or by 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 weekends and Federal holidays). Any applications 
received after 4:30 p.m. on the deadline date will not be considered 
for competition. Applicants using express/overnight services should 
allow two working days prior to the deadline date for receipt of 
applications. (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 date or time of 
submission and time of receipt.
    Late applications: Applications which do not meet the criterion 
stated above are considered late applications. ACF/ADD shall notify 
each late applicant that its application will not be considered in the 
current competition.
    Extension of deadlines: ACF may extend the deadline for all 
applicants because of acts of God such as floods, hurricanes, etc., or 
when there is a widespread disruption of the mails. However, if ACF 
does not extend the deadline for all applicants, it may not waive or 
extend the deadline for any applicants.

D. Instructions for Preparing the Application and Completing 
Application Forms

    The SF 424, SF 424A, SF 424A, 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.
    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.

[[Page 41903]]

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. For all of ADD's priority areas, the following should be 
entered, ``93.631--Developmental Disabilities: Projects of National 
Significance.''
    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. If the proposed project 
period exceeds 17 months, enter only those dollar amounts needed for 
the first 12 months of the proposed project.
    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 program income, if any, 
expected to be generated from the proposed project. Do not add or 
subtract this amount from the total project amount entered under item 
15g. Describe the nature, source and anticipated use of this program 
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.
    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 
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 
(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. 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

[[Page 41904]]

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 principal investigator or 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 tangible, non-
expendable personal property having a useful life of more than one year 
and acquisition cost of $5,000 or more per unit.
    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 (1) procurement contracts (except those which belong on other 
lines such as equipment, supplies, etc.) and (2) contracts with 
secondary recipient organizations, including delegate agencies. Also 
include any contracts with organizations for the provision of technical 
assistance. Do not include payments to individuals on this line. If the 
name of the contractor, scope of work, and estimated total costs are 
not available or have not been negotiated, include on Line 6h, 
``Other.''
    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 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. 
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, Parts 74.51 and 92.24, as ``property or services which 
benefit a grant- supported project or program and which are contributed 
by non-Federal third parties without charge to the grantee, the 
subgrantee, or a cost-type contractor under the grant or subgrant.''

[[Page 41905]]

    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. This section should only be completed if the total project 
period exceeds 17 months.
    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, the priority area number as shown at the top 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 proposal. 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 IV. 
The narrative should also provide information concerning how the 
application meets the evaluation criteria, using the following 
headings:
    (a) Objectives and Need for Assistance;
    (b) Results and Benefits Expected;
    (c) Approach; and
    (d) Staff Background and Organization's Experience.
    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 Assistance'' 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 xeroxing 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. Part V--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. Applicants must also 
provide certifications regarding: (1) Drug-Free Workplace Requirements; 
and (2) Debarment and Other Responsibilities. These two certifications 
are self-explanatory. Copies of these assurances/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 certifications, and need not be mailed back with 
the application.
    In addition, applicants are required under Section 162(c)(3) of the 
Act to provide assurances that the human rights of all individuals with 
developmental disabilities (especially those individuals without 
familial protection) who will receive services under projects assisted 
under Part E will be protected consistent with section 110 (relating to 
the rights of individuals with developmental disabilities). Each 
application must include a statement providing this assurance.
    For research projects in which human subjects may be at risk, a 
Protection of Human Subjects Assurance may be required. If there is a 
question regarding the applicability of this assurance, contact the 
Office for Research Risks of the National Institutes of Health at (301) 
496-7041.

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.

[[Page 41906]]

    --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, etc. 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);
    --Certification Regarding Lobbying; and
    --Certification of Protection of Human Subjects, if necessary.
    --Certification of the Pro-Children Act of 1994; signature on the 
application represents certification.

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.

G. Paper Reduction Act

    Under the Paperwork Reduction Act of 1995 (Pub. L. 104-13), the 
Department is required to submit to OMB for review and approval any 
reporting and record keeping requirements or program announcements. 
This program announcement meets all information collection requirements 
approved for ACF grant applications under OMB Control Number 0970-0139.

(Federal Catalog of Domestic Assistance Number 93.631 Developmental 
Disabilities--Projects of National Significance)

    Dated: July 3, 1996.
Bob Williams,
Commissioner, Administration on Developmental Disabilities.

Executive Order 12372--State Single Points of Contact

Alabama

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

Arizona

    Janice Dunn, 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.

California

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

Colorado

    State Single Point of Contact, State Clearinghouse, Division of 
Local Government, 1313 Sherman Street, Room 521, Denver, Colorado 
80203, Telephone: (303) 866-2156, FAX # (303) 866-2251.

Delaware

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

District of Columbia

    Rodney T. Hallman, State Single Point of Contact, Office of Grants 
Management and Development, 717 14th Street, N.W., Suite 500, 
Washington, D.C. 20005, Telephone: (202) 727-6551, FAX # (202) 727-
1617.

Florida

    Suzanne Traub-Metlay, Florida State Clearinghouse, 
Intergovernmental Affairs Policy Unit, Executive Office of the 
Governor, The Capitol (Room 1603), Tallahassee, Florida 32399-0001, 
Telephone: (904) 488-8114, FAX # (904) 488-9005.

Georgia

    Charles H. Badger, 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

    Steve Klokkenga, State Single Point of Contact, Office of the 
Governor, 107 Stratton Building, Springfield, Illinois 62706, 
Telephone: (217) 782-1671, FAX # (217) 782-6620.

Indiana

    Frances E. Williams, State Budget Agency, 212 State House, 
Indianapolis, Indiana 46204, Telephone: (317) 232-2972. 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

    Mr. Roland E. English III, Chief, State Clearinghouse for 
Intergovernmental Assistance, Maryland Office of Planning, 301 W. 
Preston Street, Room 1104, Baltimore, Maryland 21201-2365, Telephone: 
(410) 225-4490, FAX # (410) 225-4480.

Michigan

    Richard S. Pastula, Director, Office of Federal Grants, Michigan 
Department of Commerce, P.O. Box 30225, Lansing, Michigan 48909, 
Telephone: (517) 373-7356, FAX # (517) 373-6683.

Mississippi

    Cathy Malette, Clearinghouse Officer, Office of Federal Grant 
Management and Reporting, Department of Finance and Administration, 301 
West Pearl Street,

[[Page 41907]]

Jackson, Mississippi 39203, Telephone: (601) 949-2174, FAX # (601) 949-
2125.

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, James E. Bieber, 2\1/
2\ Beacon Street, Concord, New Hampshire 03301, Telephone: (603) 271-
2155, FAX # (603) 271-1728.

New Jersey

    Gregory W. Adkins, Director, Division of Community Resources, New 
Jersey Department of Community Affairs.
    Please direct all correspondence and questions about 
intergovernmental review to: Andrew J. Jaskolka, State Review Process, 
Division of Community Resources, CN 814, Room 609, Trenton, New Jersey 
08625-0814, Telephone: (609) 292-9025, FAX # (609) 984-0386.

New Mexico

    George Elliott, Deputy Director, 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 Contact, 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, Director, Intergovernmental Coordination, P.O. Box 
13005, Austin, Texas 78711, Telephone: (512) 463-1771, FAX # (512) 463-
1984.

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 
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) 266-2125, 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 (SPOC)

Guam

    Mr. Giovanni T. Sgambelluri, Director, Bureau of Budget and 
Management Research, Office of the Governor, IP.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, FAX # (809) 724-3270, (809) 724-3103.

Northern 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.

State Developmental Disabilities Planning Councils

Alabama

    Joan B. Hannah, Ed.D., Executive Director, Alabama Developmental 
Disabilities, Planning Council, 200 Interstate Park Dr., P.O. Box 3710, 
Montgomery, Alabama 36193-5001, (205) 270-4680, 1-800-232-2158, FAX # 
(205) 240-3195.

Alaska

    David Maltman, Director, Govenor's Council on Disabilities, and 
Special Education, P.O. Box 240249, Anchorage, Alaska 99524-0249, (907) 
563-5355,FAX # (907) 563-5357.

Arizona

    Diane Skay, Director, Governor's Council on Developmental, 
Disabilities, 1717 West Jefferson Street, Site Code 074Z, Phoenix, 
Arizona 85007, (602) 542-4049, FAX # (602) 542-5339.

Arkansas

    Orson Berry, Executive Director, Governor's Developmental 
Disabilities, Planning Council, 4815 West Markham, Slot 12, Little 
Rock, Arkansas 72205-

[[Page 41908]]

3867, (501) 661-2589, FAX # (501) 661-2399.

California

    Roberta A. Marlowe, Ph.D., Executive Director, CA State Council on 
Developmental, Disabilities, 2000 ``O'' Street, Suite 100, Sacramento, 
California 95814, (916) 322-8481, FAX # (916) 443-4957.

Colorado

    Donald St. Louis, Executive Director, Colorado Developmental 
Disabilities, Planning Council, 777 Grant Street, Suite 304, Denver, 
Colorado 80203, (303) 894-2345, FAX # (303) 894-2880.

Connecticut

    Edward T. Preneta, Director, CT Council on Developmental 
Disabilities, 90 Pitkin Street, East Hartford, Connecticut 06108, (203) 
725-3829, FAX # (203) 528-3680.

Delaware

    James F. Linehan, Director, Developmental Disabilities Planning 
Council, Department of Administrative Services, Box 1401, Townsend 
Building, Dover, Delaware 19901, (302) 739-3333, FAX # (302) 739-6704.

District of Columbia

    Carol Boykins, Executive Director, Developmental Disabilities, 
State Planning Council, 801 N. Capitol St., N.E., Suite 954, 
Washington, D.C. 20002, (202) 279-6085, FAX # (202) 727-6587.

Florida

    K. Joseph Krieger, Executive Director, Florida Developmental 
Disabilities Planning Council, 820 East Park Avenue, Suite I-100, 
Tallahassee, Florida 32301, (904) 488-4180, FAX # (904) 922-6702.

Georgia

    Zebe Schmitt, Executive Director, Governor's Council on 
Developmental Disabilities, 2 Peachtree St. N.E., Room 3-210, Atlanta, 
Georgia 30303, (404) 657-2126, FAX # (404) 657-2132, TDD 657-2133.

Hawaii

    Diana Tizard, Director, State Planning Council on Developmental 
Disabilities, Five Waterfront Plaza, 500 Ala Moana Boulevard, Suite 5-
200, Honolulu, Hawaii 96813, (808) 586-8100, FAX # (808) 586-8129.

Idaho

    John D. Watts, Director, Idaho State Council on Developmental 
Disabilities, 280 North 8th Street, Suite 208, Boise, Idaho 83720, 
(208) 334-2178, FAX # (208) 334-3417, 800-544-2433 (Idaho only).

Illinois

    Rene Christensen-Leininger, Director, Illinois Council on 
Developmental Disabilities, 830 S. Spring Street, Springfield, IL 
62704, (217) 782-9696, FAX # (217) 524-5339.

Indiana

    Ms. Suellen Jackson-Boner, Director, Governor's Planning Council 
for People with Disabilities, 143 W. Market Street, Harrison Building, 
Suite 404, Indianapolis, Indiana 46204, (317) 232-7770/3. FAX # (317) 
233-3712.

Iowa

    Mr. Jay Brewer, Executive Director, Governor's Planning Council for 
Developmental Disabilities, Hoover State Office Building, 1st Floor, 
Des Moines, Iowa 50319, (515) 281-7632, FAX # (515) 281-4597.

Kansas

    Ms. Jane Rhys, Executive Director, Kansas Planning Council on 
Developmental Disabilities, 915 Harrison, Room 141, Topeka, Kansas 
66612, (913) 296-2608/9, FAX # (913) 296-1158.

Kentucky

    Prudence Reilly, Executive Director, Kentucky Developmental 
Disabilities Planning Council, Department for Mental Health and Mental 
Retardation Services, 275 East Main Street, Frankfort, Kentucky 40621, 
(502) 564-7842, FAX # (502) 564-3844.

Louisiana

    Clarice Eichelberger, Executive Director, Louisiana State Planning 
Council on Developmental Disabilities, P.O. Box 3455 Ben 14, 1201 
Capitol Access, 5th Floor, DOT Edition, East Entrance, Baton Rouge, 
Louisiana 70821-3455, (504) 342-6804, FAX # (504) 342-4419.

Maine

    Peter R. Stowell, Executive Director, Maine Developmental 
Disabilities Council, Nash Building, Station #139, Augusta, Maine 
04333-0139, (207) 287-4213, FAX # (207) 287-4268.

Maryland

    Mindy Morrell, Executive Director, Maryland State Planning Council 
on Developmental Disabilities, One Market Center, Box 10, 300 West 
Lexington Street, Baltimore, Maryland 21201-2323, (410) 333-3688, FAX # 
(401) 333-6674.

Massachusetts

    Jody Williams, Executive Director, Massachusetts Developmental 
Disabilities Council, 600 Washington Street, Room 670, Boston, 
Massachusetts 02111, (617) 727-6374, FAX # (617) 727-1174, TDD 617 727-
1885.

Michigan

    Ms. Sharon Tipton, Executive Director, Dept. of Mental Health, 
Michigan DD Council, Lewis Cass Building, 6th Floor, Lansing, Michigan 
48913, (517) 334-6123, 7240, FAX # (517) 334-7353.

Minnesota

    Ms. Colleen Wieck, Ph.D., Executive Director, Governor's Planning 
Council on Developmental Disabilities, 300 Centennial Office Building, 
658 Cedar Street, St. Paul, Minnesota 55155, (612) 296-4018, FAX # 
(612) 296-3698.

Mississippi

    Ed C. Bell, Staff Director, Mississippi Developmental Disabilities 
Planning Council, 1101 Robert E. Lee Building, Jackson, Mississippi 
39201, (601) 359-6238, FAX # (601) 359-6295.

Missouri

    Ms. Kay Conklin, Director, Missouri Planning Council for 
Developmental Disabilities, P.O. Box 687, 1706 East Elm Street, 
Jefferson City, Missouri 65102, (314) 751-8611, FAX # (314) 751-9207.

Montana

    Greg A. Olsen, Executive Director, Developmental Disabilities 
Planning and Advisory Council, 111 N. Last Chance Gulch, Arcade Bldg., 
Unit C, Box 526, Helena, Montana 59620, (406) 444-1334, FAX # (406) 
444-5999.

Nebraska

    Ms. Mary Gordon, Director, Dept. of Health/Developmental 
Disabilities, 301 Centennial Mall South, P.O. Box 95007, Lincoln, 
Nebraska 68509, (402) 471-2330, FAX # (402) 471-0383.

Nevada

    Donny Loux, Director, DD Council, Dept. of Rehab., 711 S. Stewart, 
Carson City, Nevada 89710, (702) 687-4440, FAX # (702) 687-5980.

New Hampshire

    Thomas Flayton, (Acting) Executive Director, New Hampshire 
Developmental Disabilities Council, The Concord Center, Room 315, P.O. 
Box 315, 10 Ferry Street, Concord, New Hampshire 03301-5022, (603) 271-
3236,7,8, FAX # (603) 225-6766.

[[Page 41909]]

New Jersey

    Ethan B. Ellis, Executive Director, NJ Developmental Disabilities 
Planning Council, 32 W. State Street, CN 700, Trenton, New Jersey 
08625-0700, (609) 292-3745, FAX # (609) 292-7114.

New Mexico

    Chris Isengard, Executive Director, Developmental Disabilities 
Planning Council, State of New Mexico, 435 St. Michael's Drive, 
Building D, Santa Fe, New Mexico 87501, (505) 827-7590, FAX # (505) 
827-7589.

New York

    Isabel T. Mills, Executive Director, New York State Developmental 
Disabilities Planning Council, 155 Washington Avenue, 2nd Floor, 
Albany, New York 12210, (518) 432-8233, FAX # 518-432-8238.

North Carolina

    Holly Riddle, Executive Director, North Carolina Council on 
Developmental Disabilities, 1508 Western Blvd., Raleigh, North Carolina 
27606-1359, (919) 733-6566, FAX # (919) 733-1863.

North Dakota

    Tom Wallner, Director, North Dakota Council on, Developmental 
Disabilities, c/o Department of Human Services, State Capitol, 600 E. 
Boulevard Avenue, Bismarck, North Dakota 58505-0250, (701) 224-3219, 
FAX # (701) 224-2359.

Ohio

    Mr. Ken Campbell, Executive Director, Ohio Developmental 
Disabilities Planning Council, Department of Mental Retardation/
Developmental Disabilities, 8 East Long Street, 6th Floor, Columbus, 
Ohio 43266-0523, (614) 466-5205, FAX # (614) 466-0298.

Oklahoma

    Ann Trudgeon, Director, Developmental Disabilities Planning 
Council, Department of Human Services, P.O. Box 25352, Oklahoma City, 
Oklahoma 73125-0352, (405) 521-4984(5), FAX # (405) 521-6684.

Oregon

    Charlotte Duncan, Executive Director, Oregon Developmental 
Disabilities, Planning Council, 540 24th Place NE, Salem, Oregon 97301-
4517, (503) 373-7555, FAX # (503) 373-7172.

Pennsylvania

    David B. Schwartz, Executive Director, Developmental Disabilities 
Planning Council, Forum Building, Room 569, Commonwealth Avenue, 
Harrisburg, Pennsylvania 17120, (717) 787-6057.

Rhode Island

    Marie V. Citrone, Executive Director, Rhode Island Developmental 
Disabilities Council, State Executive Department, 600 New London 
Avenue, Cranston, Rhode Island 02920-3028, (401) 464-3191, FAX # (401) 
464-3570.

South Carolina

    Charles Lang, Interim Executive Director, South Carolina 
Developmental Disabilities Planning Council, Edgar Brown Building, Room 
372, 1205 Pendleton Street, Columbia, South Carolina 29201-3731, (803) 
734-0465, FAX # (803) 734-0356.

South Dakota

    Charles A. Anderson, Director, South Dakota Governor's Planning 
Council on Developmental Disabilities, Hillsview Plaza, c/o 500 East 
Capitol, Pierre, South Dakota 57501-5070, (605) 77- 6415, FAX # (605) 
773-5483.

Tennessee

    Wanda Willis, Director, Developmental Disabilities Planning 
Council, Department of Mental Health and Mental Retardation, 706 Church 
Street, 3rd Floor, Doctor's Building, Nashville, Tennessee 37219-5393, 
(615) 741-9791, FAX # (615) 741-0770.

Texas

    Roger A. Webb, Executive Director, Texas Planning Council for 
Developmental Disabilities, 4900 North Lamar Blvd., Austin, Texas 
78751-2399, (512) 483-4080, FAX # (512) 483-4097.

Utah

    Catherine E. Chambless, Director, Utah Governor's Council for 
People with Disabilities, P.O. Box 1958, Salt Lake City, Utah 84110-
1958, (801) 533-4128, FAX # (801) 533-5302.

Vermont

    Thomas A. Pombar, Executive Secretary, Vermont Developmental 
Disabilities Council, Waterbury Office Complex, 103 South Main Street, 
Waterbury, Vermont 05671-1534, (802) 241-2612, FAX # (802) 241-2979.

Virginia

    Sandy Reen, Director, Virginia Board for People with Disabilities, 
Post Office Box 613, Richmond, Virginia 23205-0613, (804) 786-0016, FAX 
# (804) 786-1118.

Washington

    Edward M. Holen, Executive Director, Developmental Disabilities 
Planning Council, Department of Community Development, 906 Columbia 
St., S.W., Post Office Box 48314, Olympia, Washington 98504-8314, (206) 
753-3908, 1-800-634-4473, FAX # (206) 586-2424.

West Virginia

    Julie Pratt, Director, West Virginia Developmental Disabilities 
Planning Council, 1601 Kanawha Blvd., West, Suite 200, Charleston, West 
Virginia 25312-2500, (304) 558-0416 (Voice), (304) 558-2376 (TDD), FAX 
# (304) 558-0941.

Wisconsin

    Ms. Jayn Wittenmyer, Executive Director, Council on Developmental 
Disabilities, State of Wisconsin, 722 Williamson Street, P.O. Box 7851, 
Madison, Wisconsin 53707-7851, (608) 266-7826, FAX # (608) 267-3906.

Wyoming

    Sharron C. Kelsey, Executive Director, Governor's Planning Council 
on Developmental Disabilities, 122 West 25th Street, Herschler Bldg., 
First Floor East, Cheyenne, Wyoming 82002, (307) 777-7230, 1-800-442-
4333 (in-state-only), FAX # (307) 777-5690.

Territories (DDCs)

American Samoa

    Henry Sesepasara, Executive Director, American Samoa Developmental 
Disabilities Council, P.O. Box 184, Pago Pago, American Samoa 96799, 
(684) 633-2919, FAX # (684) 633-1139.

Commonwealth of the Northern Mariana Islands

    Juanita S. Malone, CNMI DD Council, P.O. Box 2565, Saipan, MP 
96950, (011) 670-323-3014/16, FAX # (011) 670-322-4168.

Government of Federated State of Micronesia

    Yosiro Suta, Gov't of Federated States of Micronesia, Dept of Ed., 
Palikir, Pohnpei, FM 96941, (691) 320-2609, FAX # (691) 320-5500.

Guam

    Frances Limitiaco Standing Soldier, Executive Director, Guam 
Developmental Disabilities Council, 122 IT&E Plazza, Rm. 201, Harmon, 
Guam 96911, (671) 646-9468, 9469, FAX # (671) 649-7672, TDD 671-649-
3911.

Northern Mariana Islands

    Juanita S. Malone, Executive Director, Developmental Disabilities 
Council, Department of Education, P. O. Box 2565, Saipan, CM 96950, W 
(670) 322-3014, H (670) 322-1398.

[[Page 41910]]

Puerto Rico

    Maria Luisa Mendia, Executive Director, Puerto Rico Developmental 
Disabilities State Council, P.O. Box 9543, Santurce, Puerto Rico 00908, 
(809) 722-0595 FAX # (809) 721-3622.

Virgin Islands

    Mark Vinzant, Director, VI Developmental Disabilities Council, P.O. 
Box 2671 Kings Hill, St. Croix, U.S. Virgin Islands 00850-9999, (809) 
772-2133.

Western Carolina Islands (Trust Territories of the Pacific)

    Minoru Ueki, MD, Trust Territory Health Council, MacDonald Memorial 
Hospital KOROR, Palau. WCI 96940.

BILLING CODE 4184-01-P

[[Page 41911]]

[GRAPHIC] [TIFF OMITTED] TN12AU96.001



BILLING CODE 4184-01-C

[[Page 41912]]

Instructions for the SF 424

    This is a standard form used by applicants as a required facesheet 
for preapplications and applications submitted for Federal assistance. 
It will be used by Federal agencies to obtain applicant certification 
that States which have established a review and comment procedure in 
response to Executive Order 12372 and have selected the program to be 
included in their process, have been given an opportunity to review the 
applicant's submission.
    1. Self-explanatory.
    2. Date application submitted to Federal agency (or State if 
applicable) & applicant's control number (if applicable).
    3. State use only (if applicable).
    4. If this application is to continue or revise an existing award, 
enter present Federal identifier number. If for a new project, leave 
blank.
    5. Legal name of applicant, name of primary organizational unit 
which will undertake the assistance activity, complete address of the 
applicant, and name and telephone number of the person to contact on 
matters related to this application.
    6. Enter Employer Identification Number (EIN) as assigned by the 
Internal Revenue Service.
    7. Enter the appropriate letter in the space provided.
    8. Check appropriate box and enter appropriate letter(s) in the 
space(s) provided:
--``New'' means a new assistance award.
--``Continuation'' means an extension for an additional funding/budget 
period for a project with a projected completion date.
--``Revision'' means any change in the Federal Government's financial 
obligation or contingent liability from an existing obligation.
    9. Name of Federal agency from which assistance is being requested 
with this application.
    10. Use the Catalog of Federal Domestic Assistance number and title 
of the program under which assistance is requested.
    11. Enter a brief descriptive title of the project. If more than 
one program is involved, you should append an explanation on a separate 
sheet. If appropriate (e.g., construction or real property projects), 
attach a map showing project location. For preapplications, use a 
separate sheet to provide a summary description of this project.
    12. List only the largest political entities affected (e.g., State, 
counties, cities).
    13. Self-explanatory.
    14. List the applicant's Congressional District and any District(s) 
affected by the program or project.
    15. Amount requested or to be contributed during the first funding/
budget period by each contributor. Value of in-kind contributions 
should be included on appropriate lines as applicable. If the action 
will result in a dollar change to an existing award, indicate only the 
amount of the change. For decreases, enclose the amounts in 
parentheses. If both basic and supplemental amounts are included, show 
breakdown on an attached sheet. For multiple program funding, use 
totals and show breakdown using same categories as item 15.
    16. Applicants should contact the State Single Point of Contact 
(SPOC) for Federal Executive Order 12372 to determine whether the 
application is subject to the State intergovernmental review process.
    17. This question applies to the applicant organization, not the 
person who signs as the authorized representative. Categories of debt 
include delinquent audit disallowances, loans and taxes.
    18. To be signed by the authorized representative of the applicant. 
A copy of the governing body's authorization for you to sign this 
application as official representative must be on file in the 
applicant's office. (Certain Federal agencies may require that this 
authorization be submitted as part of the application.)

BILLING CODE 4184-01-M

[[Page 41913]]

[GRAPHIC] [TIFF OMITTED] TN12AU96.002



[[Page 41914]]

[GRAPHIC] [TIFF OMITTED] TN12AU96.003



BILLING CODE 4184-01-C

[[Page 41915]]

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 and 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 Column (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 heading (1) through (4), enter the titles of the same 
programs, functions, and activities shown on Lines 1-4, Column (a), 
Section A. When additional sheets are prepared for Section A, provide 
similar column headings on each sheet. For each program, function or 
activity, fill in the total requirements for funds (both Federal and 
non-Federal) by object class categories.
    Lines 6a-i--Show the totals of Lines 6a to 6h in each column.
    Line 6j--Show the amount of indirect cost.
    Line 6k--Enter the total of amounts on Lines 6i and 6j. For all 
applications for new grants and continuation grants the total mount in 
column (5), Line 6k, should be the same as the total amount shown in 
Section A, Column (g), Line 5. For supplemental grants and changes to 
grants, the total amount of the increase or decrease as shown in 
Columns (1)-(4), Line 6k should be the same as the sum of the amounts 
in Section A, Columns (e) and (f) on Line 5.
    Line 7--Enter the estimated amount of income, if any, expected to 
be generated from this project. Do not add or subtract this amount from 
the total project amount. Show under the program narrative statement 
the nature and source of income. The estimated amount of program income 
may be considered by the federal grantor agency in determining the 
total amount of the grant.

Section C. Non-Federal-Resources

    Lines 8-11--Enter amounts of non-Federal resources that will be 
used on the grant. If in-kind contributions are included, provide a 
brief explanation on a separate sheet.
    Column (a)--Enter the program titles identical to Column (a), 
Section A. A breakdown by function or activity is not necessary.
    Column (b)--Enter the contribution to be made by the applicant.
    Column (c)--Enter the amount of the State's cash and in-kind 
contribution if the applicant is not a State or State agency. 
Applicants which are a State or State agencies should leave this column 
blank.
    Column (d)--Enter the amount of cash and in-kind contributions to 
be made from all other sources.
    Column (e)--Enter totals of Columns (b), (c), and (d).
    Line 12--Enter the total for each of Columns (b)-(e). The amount in 
column (e) should be equal to the amount on Line 5, Column (f), Section 
A.

Section D. Forecasted Cash Needs

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

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

    Lines 16-19--Enter in Column (a) the same grant program titles 
shown in Column (a), Section A. A breakdown by function or activity is 
not necessary. For new applications and continuation grant 
applications, enter in the proper columns amounts of Federal funds 
which will be needed to complete the program or project over the 
succeeding funding periods (usually in years). This section need not be 
completed for revisions (amendments, changes, or supplements) for 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.

[[Page 41916]]

    Line 20--Enter the total for each of the Columns (b)-(e). When 
additional schedules are prepared for this Section, annotate 
accordingly and show the overall totals on this line.

Section F. Other Budget Information

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

Assurances--Non-Construction Programs

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

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

[[Page 41917]]

544, as amended, 7 U.S.C. 2131 et seq.) pertaining to the care, 
handling, and treatment of warm blooded animals held for research, 
teaching, or other activities supported by this award of assistance.
    16. Will comply with the Lead-Based Paint Poisoning Prevention Act 
(42 U.S.C. Secs. 4801 et seq.) which prohibits the use of lead based 
paint in construction or rehabilitation of residence structures.
    17. Will cause to be performed the required financial and 
compliance audits in accordance with the Single Audit Act of 1984.
    18. Will comply with all applicable requirements of all other 
Federal laws, executive orders, regulations and policies governing this 
program.
----------------------------------------------------------------------
Signature of Authorized Certifying Official
----------------------------------------------------------------------
Title
----------------------------------------------------------------------
Applicant Organization
----------------------------------------------------------------------
Date Submitted

BILLING CODE 4184-01-M

[[Page 41918]]

[GRAPHIC] [TIFF OMITTED] TN12AU96.004



[[Page 41919]]

[GRAPHIC] [TIFF OMITTED] TN12AU96.005


      

BILLING CODE 4184-01-C

[[Page 41920]]

Attachment C

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 participant shall 
submit an explanation of why it cannot provide the certification. The 
certification or explanation will be considered in connection with the 
Department of Health and Human Services' (HHS) determination whether to 
enter into this transaction. However, failure of the prospective 
primary participant to furnish a certification or an explanation shall 
disqualify such person from participation in this transaction.
    The prospective primary participant agrees that by submitting this 
proposal, it will include the clause entitled ``Certification Regarding 
Debarment, Suspension, Ineligibility, and Voluntary Exclusion--Lower 
Tier Covered 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.

Attachment D

Certification Regarding Lobbying--Certification for Contracts, Grants, 
Loans, and Cooperative Agreements

    The undersigned certifies, to the best of his or her knowledge and 
belief, that:
    (1) No Federal appropriated funds have been paid or will be paid, 
by or on behalf of the undersigned, to any person for influencing or 
attempting to influence an officer or employee of any agency, a Member 
of Congress, an officer or employee of Congress, or an employee of a 
Member of Congress in connection with the awarding of any Federal 
contract, the making of any Federal grant, the making of any Federal 
loan, the entering into of any cooperative agreement, and the 
extension, continuation, renewal, amendment, or modification of any 
Federal contract, grant, loan, or cooperative agreement.
    (2) If any funds other than Federal appropriated funds have been 
paid or will be paid to any person for influencing or attempting to 
influence an officer or employee of any agency, a Member of Congress, 
an officer or employee of Congress, or an employee of a Member of 
Congress in connection with this Federal contract, grant, loan or 
cooperative agreement, the undersigned shall complete and submit 
Standard Form-LLL, ``Disclosure Form to Report Lobbying,'' in 
accordance with its instructions.
    (3) The undersigned shall require that the language of this 
certification be included in the award documents for all subawards at 
all tiers (including subcontracts, subgrants, and contracts under 
grants, loans, and cooperative agreements) and that all subrecipients 
shall certify and disclose accordingly.
    This certification is a material representation of fact upon which 
reliance was placed when this transaction was made or entered into. 
Submission of this certification is a prerequisite for making or 
entering into this transaction imposed by section 1352, title 31, U.S. 
Code. Any person who fails to file the required certification shall be 
subject to a civil penalty of not less than $10,000 and not more than 
$100,000 for each such failure.

State for Loan Guarantee and Loan Insurance

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

BILLING CODE 4184-01-M

[[Page 41921]]

[GRAPHIC] [TIFF OMITTED] TN12AU96.006



BILLING CODE 4184-01-C

[[Page 41922]]

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 $1,000 per day and/or the imposition of an 
administrative compliance order on the responsible entity.
    By signing and submitting this application the applicant/grantee 
certifies that it will comply with the requirements of the Act. The 
applicant/grantee further agrees that it will require the language of 
this certification be included in any subawards which contain 
provisions for children's services and that all subgrantees shall 
certify accordingly.

[FR Doc. 96-20365 Filed 8-9-96; 8:45 am]
BILLING CODE 4184-01-M