[Federal Register Volume 62, Number 103 (Thursday, May 29, 1997)]
[Notices]
[Pages 29244-29269]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 97-14074]



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Part IV





Department of Health and Human Services





_______________________________________________________________________



Administration for Children and Families



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Fiscal Year 1997 Family Violence Prevention and Services Discretionary 
Funds Program; Availability of Funds and Request for Applications; 
Notice

  Federal Register / Vol. 62, No. 103 / Thursday, May 29, 1997 / 
Notices  

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Administration for Children and Families
[Program Announcement No. OCS 97-07]


Fiscal Year 1997 Family Violence Prevention and Services 
Discretionary Funds Program; Availability of Funds and Request for 
Applications

AGENCY: Office of Community Services, ACF, DHHS.

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

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SUMMARY: The Office of Community Services (OCS) announces its Family 
Violence Prevention and Services discretionary funds program for fiscal 
year (FY) 1997. Funding for grants under this announcement is 
authorized by the Family Violence Prevention and Services Act, Public 
Law 102-295, as amended, governing discretionary programs for family 
violence prevention and services. Applicants should note that the award 
of grants and cooperative agreements under this program announcement is 
subject to the availability of funds. This announcement contains all 
forms and instructions for submitting an application.

CLOSING DATE: The closing date for submission of applications is July 
28, 1997. Applications postmarked after the closing date will be 
classified as late. Applicants are cautioned to request a legibly dated 
U.S. Postal Service postmark or to obtain a legibly dated receipt from 
a commercial carrier or U.S. Postal Service. Private metered postmarks 
shall not be accepted as proof of timely mailing. Detailed application 
submission instructions, including the addresses where applications 
must be received, are found in Part IV of this announcement.

ADDRESSES: Applications may be mailed to Department of Health and Human 
Services, Administration for Children and Families/Division of 
Discretionary Grants, (OCS-97-07), 370 L'Enfant Promenade, S.W., Mail 
Stop 6C-462, Washington, D.C. 20447.
    Hand delivered applications are accepted during the normal working 
hours of 8:00 a.m. to 4:30 p.m., 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, DC 20447, between Monday and 
Friday (excluding Federal holidays). (Applicants are cautioned that 
express/overnight mail services do not always deliver as agreed.)

FOR FURTHER INFORMATION CONTACT: Administration for Children and 
Families, Office of Community Services, Division of State Assistance, 
370 L'Enfant Promenade, S.W., Washington, D.C. 20447. Telephone Trudy 
Hairston, (202) 401-5319, James Gray, (202) 401-5705, or William Riley 
(202) 401-5529.

SUPPLEMENTARY INFORMATION:

    The Office of Community Services, Administration for Children and 
Families, announces that applications are being accepted for funding 
for FY 1997 projects on:
     FV-01-97, Developing and Enhancing Services for Immigrant 
and Migrant Battered Women;
     FV-02-97, Domestic Violence/Temporary Assistance for Needy 
Families (Welfare Reform);
     FV-03-97, A Special Issue Resource Center to Aid Indian 
Tribes and Tribal Organizations in Preventing Domestic Violence; and
     FV-04-97, Training Grant Stipends in Domestic Violence for 
Historically Black, Hispanic-serving and Tribal Colleges and 
Universities.
    This program announcement consists of four parts.
    Part I provides information on the family violence prevention and 
services program and the statutory funding authority applicable to this 
announcement.
    Part II describes the priority areas under which applications for 
FY 1997 family violence funding are being requested.
    Part III describes the review process.
    Part IV provides information and instructions for the development 
and submission of applications.
    The forms to be used for submitting an application follow Part IV. 
Please copy and use these forms in submitting an application under this 
announcement. No additional application materials are available or 
needed to submit an application.

Part I. Introduction

    Title III of the Child Abuse Amendments of 1984, (Pub. L. 98-457, 
42 U.S.C. 10401, et seq.) is entitled the Family Violence Prevention 
and Services Act (the Act). The Act was first implemented in FY 1986, 
was reauthorized and amended in 1992 by Pub. L. 102-295, and was 
amended and reauthorized for fiscal years 1996 through 2000 by Pub. L. 
103-322, the Violent Crime Control and Law Enforcement Act of 1994 (the 
Crime Bill), signed into law on September 13, 1994. The Act was most 
recently amended by Pub. L. 104-235, the ``Child Abuse Prevention and 
Treatment Act Amendment of 1996.''
    The purpose of this legislation is to assist States in supporting 
the establishment, maintenance, and expansion of programs and projects 
to prevent incidents of family violence and provide immediate shelter 
and related assistance for victims of family violence and their 
dependents.
    We expect to fund four priority areas in FY 1997. (These include 
three new areas in which OCS will seek interested applicants for this 
fiscal year.)
    1. To develop and enhance the services and supports available to 
immigrant and migrant battered victims of domestic violence by 
supporting collaborations between domestic violence, immigration, and 
migrant-serving organizations by providing organizations an opportunity 
to jointly design, develop, and implement collaborative projects 
addressing key issues or areas of concern facing immigrant and/or 
migrant battered women and their families.
    2. The implementation of the Personal Responsibility and Work 
Opportunity Reconciliation Act of 1996, also known as ``welfare 
reform,'' has provided an opportunity for creative and challenging 
collaborations regarding the work requirements and penalties under the 
law and the policy and operational implications for domestic violence 
victims. The OCS will invite interested agencies and advocacy 
organizations to identify and initiate collaborations in these areas;
    3. The establishment of a special issue resource center for Indian 
Tribes and Tribal organizations. The proposed resource center is 
predicated on the unique government-to-government relationship between 
the U.S. Federal government and the Federally recognized Indian Tribes 
as well as the need for increased support for the work that is being 
initiated by Indian advocates in their communities; and
    4. The provision of training grant stipends to Historically Black, 
Hispanic-Serving and Tribal Colleges and Universities will assist in 
generating skill-building and training opportunities particularly 
responsive to issues of cultural content and the extent to which some 
minority groups participate in the domestic violence system.

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Part II. Fiscal Year 1997 Family Violence Projects

1. Priority Area Number FV-01-97: Developing and Enhancing Services for 
Immigrant and Migrant Battered Women

Background

    Today the numbers of battered immigrant and migrant women who 
receive services from domestic violence programs is extremely small. 
Immigrant and migrant women may feel alienated by mainstream shelters 
and domestic violence programs where food and customs are completely 
foreign and where staff and other program participants do not speak 
their language. Traditional public education efforts conducted by 
domestic violence programs often fail to adequately reach immigrant and 
migrant communities due to language and other barriers.
    Immigrant battered women have great difficulty accessing services 
to assist them in escaping domestic violence. They encounter numerous 
barriers in the legal system that makes accessing services even more 
difficult than for other abuse victims. Few police officers are 
bilingual; few court systems have multi-lingual staff or interpreters; 
and few culturally sensitive programs provide services to immigrant 
domestic violence victims. Battered immigrant women often need creative 
legal remedies that redress the effects of their abusers' control over 
their immigration status or that prevent international child snatching. 
In other cases, battered women will have to fight the abuser's attempts 
to wrongly introduce immigration concerns into their family law cases 
in an attempt to shift the focus of the case away from his violent 
behavior.
    A number of unique issues face migrant families dealing with 
domestic violence: continuity of critical social services, enforcement 
of protection orders, securing shelter and support services for 
battered women and their children, and intervention services for 
batterers. Systems that link migrant health services with the domestic 
violence program network are almost non-existent.
Purpose
    To develop and enhance the services and supports available to 
immigrant and migrant victims of domestic violence by supporting 
collaborations between domestic violence, immigration, and migrant-
serving organizations. To offer the applicant organizations an 
opportunity to jointly design, develop, and implement collaborative 
projects addressing key issues or areas of concern facing immigrant 
and/or migrant battered women and their families.
    Efforts are to be focused on the joint development of model 
protocols and programs, training curricula and materials, models of 
cross-training, and the conduct of training for staff at agencies 
working in immigrant and migrant communities and with domestic violence 
victims. Training would focus on ensuring that those coming into 
contact with immigrant or migrant victims of domestic violence 
understand how both domestic violence and immigrant or migrant status 
affect an individual's need for services. Of particular importance, 
also, is cultural sensitivity, which may make it more difficult for an 
individual to access or respond to particular services.
    The development of model protocols and programs and the training of 
immigrant and migrant-serving agency representatives and domestic 
violence advocates will enable the most efficient and effective 
response to the often complex concerns arising when an immigrant or 
migrant worker is facing domestic violence. These activities may 
include outreach to and the identification, assessment, and referral of 
potential victims of domestic violence to appropriate culturally-
sensitive crisis intervention, legal representation, support and other 
related services and programs. Moreover, to be effective, these 
activities should demonstrate culturally-sensitive case coordination by 
all the agencies and advocates involved that respond to the safety, 
confidentiality, and services needs of immigrant and migrant domestic 
violence victims.
    The design, development and implementation of protocols for 
effective strategies are needed to:
    (1) Ensure confidentiality of client information at every stage of 
the process;
    (2) Enlighten domestic violence advocates and agencies regarding 
the impact of immigrant or migrant status on the victim's needs, 
access, and response to services;
    (3) Advise immigration and migrant advocates and agencies of the 
impact of domestic violence on their immigrant or migrant clients' 
needs, access, and response to services;
    (4) Ensure the safety of domestic violence victims who are involved 
in immigration proceedings, family law proceedings, or interstate or 
intrastate migrant farmworker networks; and
    (5) Promote collaborations that bring together the expertise and 
services of domestic violence programs and agencies working with 
immigrant and migrant communities to enhance and coordinate services 
delivery.
    Applicants may propose to do one or more of the following:
    (a) Plan and implement the training of domestic violence advocates, 
immigration rights organizations, migrant health and social services 
agencies, and/or social services providers on the relationship of 
domestic violence and immigration and migrant status, including the 
development of reproducible training curricula and materials;
    (b) Develop and implement a system of recruiting, training, and 
providing backup expert support to pro bono immigration attorneys and 
shelter advocates, as well as peer advocates, to work with immigrant 
battered women to secure culturally sensitive and responsive services 
and enhance safety;
    (c) Develop effective outreach strategies for domestic violence 
programs to recruit and train culturally sensitive staff, develop 
culturally sensitive and responsive materials, and more effectively 
reach immigrant and migrant communities, including the design and pilot 
testing of radio and television PSAs targeted to reach isolated 
domestic violence victims;
    (d) Develop a model of intrastate and interstate networks of 
domestic violence services to meet the unique needs of migrant 
farmworker families dealing with domestic violence, including links 
with migrant health centers and legal services; and
    (e) Gather and submit data on the types of interventions and the 
effects of those interventions on helping immigrant and migrant 
battered women receive adequate services.
    Products should include reproducible materials, and replicable 
models of programs, curricula, policies, and protocols.
Eligible Applicants
    State and local public agencies, erritories, Federally recognized 
American Indian Tribes and Tribal Organizations, and Native American 
communities; public and private nonprofit agencies providing services 
to immigrant or migrant communities; domestic violence advocacy 
organizations; and State and local domestic violence coalitions.
    The applicant organization must submit a Memorandum of 
Understanding (MOU) between and among the collaborating organizations. 
The MOU must identify the projected role and responsibilities of each 
proposed participant organization in the implementation of the project 
and the level of commitment in providing

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training, assistance, and or services to victims of domestic violence 
and migrant advocacy organizations working in their behalf.
Project Period
    The length of the project will not exceed 17 months.
Federal Share of the Project
    The maximum Federal share of the project is not to exceed $50,000 
for the 17 month project period. Applications for lesser amounts also 
will be considered for this project.
Matching Requirement
    Successful grantees must provide at least 25 percent of the total 
cost of the project. The total cost of the project is the sum of the 
ACF share and the non-Federal share. The non-Federal share may be met 
by cash or in-kind contributions, although applicants are encouraged to 
meet their match requirements through cash contributions. Therefore, a 
project requesting $50,000 in Federal funds (based on an award of 
$50,000 per budget period) must include a match of at least $16,666 
(25% of total project cost) for a total budget of $66,666.
Anticipated Number of Projects to be Funded
    It is anticipated that four projects may be funded at the maximum 
level; more than four projects may be funded depending on the number of 
acceptable applications for lesser amounts which are received.
    CFDA: 93.592 Family Violence Prevention and Services: Family 
Violence Prevention and Services Act, as amended.

2. Priority Area Number FV-02-97: Domestic Violence/Temporary 
Assistance for Needy Families (TANF) Program (welfare reform)

Background
    On August 22, 1997, Pub. L. 104-193, the Personal Responsibility 
and Work Opportunities Reconciliation Act of 1996 (PRWORA) was enacted. 
Also known as ``welfare reform,'' it abolishes the Aid to Families with 
Dependent Children (AFDC) and the Job Opportunities and Basic Skills 
(JOBS) Training programs and replaces them with the Temporary 
Assistance for Needy Families (TANF) State block grant program. The 
TANF program includes specific work participation requirements and 
penalizes States if these standards are not met.
    The Family Violence Amendment, section 402(a)(7) of the Social 
Security Act, also known as the Wellstone/Murray Amendment, is an 
optional certification for States to develop a three-pronged strategy 
for helping victims of domestic violence applying for, or receiving 
welfare move successfully into the work force. The strategy includes: 
(1) Identifying a victim of domestic violence as that person enters the 
assistance system; (2) waiving certain program requirements if 
compliance would put the victim at risk of further violence, make it 
more difficult for the victim to escape violence, or unfairly penalize 
the victim; and (3) providing referrals for supportive services. The 
goal of this grant is to promote services to victims of domestic 
violence who are TANF applicants or recipients regardless of whether a 
State has chosen to implement the Family Violence Amendment.
Purpose
    To develop effective strategies for integrating domestic violence 
services into State/local or Tribal welfare service systems to promote 
services, including crisis intervention and other domestic violence 
services, to victims of domestic violence, while assisting victims 
towards employment and self-sufficiency.
    Moreover, to offer the applicant organizations an opportunity to 
jointly design, develop, and implement collaborative projects 
addressing several issues or areas of concern among State and local 
TANF and Tribal TANF programs and the domestic violence community and 
other community-based organizations providing services to victims of 
domestic violence.
Minimum Requirements for Project Design
    Efforts are to be focused on the joint development of model 
protocols and programs, training curricula and materials, models of 
cross-training, training of front-line staff in welfare offices and the 
training of domestic violence advocates and service providers. The 
public agency staff trained would include anyone in the local welfare 
office or related offices (such as child support enforcement or job 
training programs) who has direct contact with TANF applicants/
recipients.
    Domestic violence advocates would be trained in State/local and 
Tribal TANF office procedures, child support enforcement, paternity 
establishment, and job training and work activity issues to the extent 
that the procedures and programs impact upon victims of domestic 
violence.
    Protocols for effective strategies of intervention should be 
considered to:
    (1) Ensure confidentiality of client information at every stage of 
the process;
    (2) Enlighten TANF eligibility workers and case workers, job 
training and employment personnel, and child support enforcement staff 
about the possible effects of domestic violence on a victim's ability 
to work; and
    (3) Allow job training and employment staff as well as child 
support enforcement workers to ensure the safety of domestic violence 
victims who are involved in their system.
    The services and activities affected by these strategies would 
include the identification, screening, assessment and referral of 
victims or potential victims of domestic violence during the course of 
eligibility transactions (including Food Stamps and Medicaid) to 
appropriate crisis intervention and support services. The intervention 
and support services may be job training and other related services and 
programs, case management by TANF, child support enforcement, 
employment service and agencies that respond to the safety, 
confidentiality, and service needs of domestic violence victims.
    Applicants may propose to do one or more of the following:
    (a) Develop a plan for and implement the training of TANF 
eligibility and case workers, child support enforcement workers and 
supervisors, on the relationship of domestic violence, poverty and work 
activity as it relates to TANF recipients, and related cross-training 
of domestic violence programs staff;
    (b) Design, pilot test and implement domestic violence-appropriate 
model approaches to screening, notification, safety planning, 
employability planning and referral systems to be adopted by the State 
or Tribal TANF program including eligibility, case maintenance, and 
child support enforcement;
    (c) Develop and implement through the TANF structure, a domestic 
violence-specific curriculum which will become part of a mandatory 
training program; and
    (d) Gather and submit data on the types of interventions and the 
effects of those interventions on helping recipients, identified as 
domestic violence victims or potential victims, achieve self-
sufficiency.
Eligible Applicants
    State and local public agencies, Territories, and Federally 
recognized American Indian Tribes and Tribal Organizations; State and 
local welfare agencies; child support enforcement

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agencies; private nonprofit agencies providing services to TANF 
recipients; domestic violence advocacy organizations; and State and 
local domestic violence coalitions.
    The applicants must submit a Memorandum of Understanding between 
and among the TANF systems, the domestic violence state/local systems 
and community-based service providers, specifically identifying the 
role each participant organization has in the implementation of the 
proposed project and the level of commitment to providing training to 
staff, and services to victims of domestic abuse. The Memorandum of 
Understanding is necessary because the successful implementation of a 
proposed project would have implications for systemic/procedural change 
in the TANF and/or the domestic violence community.
    In addition to the Memorandum of Understanding, applicants must 
submit signed Letters of Support from the State or Tribal TANF agency 
or from the appropriate public agency that is the collaborative partner 
and from the state domestic violence coalition or the specific domestic 
violence advocacy organization. These letters should identify the 
specific commitment that each collaborative partner will bring to the 
implementation of the project. If the Memorandum of Agreement and 
Letters of Support are not included as part of the application, then 
the application will be considered as non-responsive, declared 
ineligible, and will be excluded from competition.
Project Period
    The length of the project will not exceed 17 months.
Federal Share of the Project
    The maximum Federal share of the project is not to exceed $75,000 
for the 17 month project period. Applications for lesser amounts also 
will be considered for this project.
Matching Requirement
    Successful grantees must provide at least 25 percent of the total 
cost of the project. The total cost of the project is the sum of the 
ACF share and the non-federal share. The non-Federal share may be met 
by cash or in-kind contributions, although applicants are encouraged to 
meet their match requirements through cash contributions. Therefore, a 
project requesting $75,000 in Federal funds (based on an award of 
$75,000 per budget period) must include a match of at least $25,000 
(25% of total project cost). Therefore, a total project cost of 
$100,000 would be comprised of $75,000 Federal funds and $25,000 non-
Federal funds. If approved for funding, grantees will be held 
accountable for commitments of non-Federal resources and failure to 
provide the required amount will result in a disallowance of unmatched 
Federal funds.
Anticipated Number of Projects To Be Funded
    It is anticipated that four projects may be funded at the maximum 
level; more than four projects may be funded depending on the number of 
acceptable applications for lesser amounts which are received.
    CFDA: 93.592 Family Violence Prevention and Services: Family 
Violence Prevention and Services Act, as amended.

3. Priority Area Number FV-03-97: The Establishment and Implementation 
of a Special Issue Resource Center (SIRC) To Aid Indian Tribes and 
Tribal Organizations

Purpose
    The purpose of the SIRC To Aid Indian Tribes and Tribal 
Organizations is to provide specific leadership in the prevention of 
domestic violence, resource information and materials, technical 
assistance and professional consultation to Tribes, Tribal 
organizations, individuals, and other persons and entities seeking to 
assist Tribes and Tribal organizations.
Background
    The Office of Community Services seeks to support a nationwide 
effort that is staffed by an expert and multi-disciplinary team that 
responds to requests for resource information, policy analysis, 
technical assistance and training. These requests would be from 
individuals, agencies, and organizations at the Tribal, Federal, State 
and local levels.
    The current Domestic Violence Resource Network--a network of four 
domestic violence resource centers and the national hotline: (1) 
National Resource Center on Domestic Violence; (2) Resource Center on 
Civil and Criminal Law, aka the Battered Women's Justice Project; (3) 
Health Resource Center on Domestic Violence; (4) Resource Center on 
Child Protection and Custody; and (5) the National Domestic Violence 
Hotline--serves to strengthen the existing support systems servicing 
battered women, their dependents and other victims of domestic 
violence. The Resource Network provides nationally recognized 
comprehensive program information and information on resources, policy 
development, and technical assistance designed to enhance community 
resources for the prevention of domestic violence. The Office of 
Community Services will consider applications for an additional 
resource center to work as part of this network in partnership with 
Indian Tribes and Tribal organizations, community-based domestic 
violence programs, State domestic violence coalitions, Federal, State 
and local governmental agencies, policy makers and individuals involved 
in assisting programs for victims of domestic violence. In addition to 
providing information and technical assistance, the SIRC to Aid Indian 
Tribes and Tribal organizations must provide in relation to Indian 
Tribes, issues, and population:
     Comprehensive statistics, fact sheets, and specialized 
information packets addressing a range of domestic violence issues;
     Materials to support the development and replication of 
model programs, legislation and exemplary practices;
     Technical assistance and training to assist organizations, 
programs and communities to adapt available resources to meet local 
needs;
     A toll-free information line which allows the public to 
access the latest developments in research, policy, and practice; and
     A customized service reachable by fax or mail whereby 
programs, agencies, and professionals may receive packets, newsletters, 
bibliographies, policy papers and fact sheets.
    The proposed SIRC must have the ability to deliver highly 
individualized technical assistance which enables an Indian Tribe or 
Tribal organization to solve a specific problem. In addition to 
facilitating on-site assistance, the SIRC shall:
     Identify, develop, and disseminate research and evaluation 
findings pertinent to Indian Tribes and Tribal organizations;
     Prepare and distribute technical assistance packages to 
aid in the replication of effective services, prevention efforts and 
training programs that have been found effective and are culturally 
relevant to the Indian Tribes and Tribal organizations;
     And identify new areas for demonstration activities that 
address domestic violence issues.
Eligible Applicants
    Private nonprofit organizations that have focused primarily on 
domestic violence prevention and intervention activities and have 
extensive experience in the field with Indian Tribes and Tribal 
organizations in training

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activities, direct technical assistance, program and services design, 
implementation and administration.
Form of Award
    The Office of Community Services (OCS) intends to support the SIRC 
to Aid Indian Tribes and Tribal organizations with a Cooperative 
Agreement. A Cooperative Agreement is Federal financial aid in which 
substantial Federal involvement is anticipated. The respective 
responsibilities of OCS and of the successful applicant will be 
identified and incorporated into the cooperative agreement during pre-
award negotiations. The grantee will outline a plan of interaction with 
OCS for implementation under a cooperative agreement including, as 
appropriate, activities involving Federal staff. The plan under the 
cooperative agreement will describe the general and specific 
responsibilities of the grantee and the grantor as well as foreseeable 
joint responsibilities. A schedule of tasks will be developed and 
agreed upon in addition to any special conditions relating to the 
implementation of the project.
Minimum Requirements for Project Design
    In order to successfully compete under this announcement, the 
applicant must:
    (a) Describe the immediacy of the need(s) to be addressed and 
provide information on the specific services your organization 
currently provides to Tribes or Tribal Organizations and what 
information, specific training, and technical assistance would be 
provided as an SIRC;
    (b) Demonstrate an in-depth understanding of the program/service 
and access/response issues of the Indian Tribes and Tribal 
organizations and the problems associated with them;
    (c) Present the technical approach and the specific workplans for 
the provision of training and technical assistance to Tribes and Tribal 
Organizations that is nationwide in scope and utilizes the support and 
facilitating efforts of the National Resource Center (NRC) and the 
Resource Center Network; describe a plan for continuous contact with 
the field, an 800 telephone number and direct mailings; and a plan for 
the development and use of a network of experts for the provision of 
direct training and consultation, including fees for service, if 
necessary;
    (d) Describe the efforts that you currently make or would 
implement, and the relationships that you currently have or will form, 
to coordinate activities with other appropriate resource centers, 
domestic violence advocacy organizations, State domestic violence 
coalitions, public agencies, the NRC, and affiliated SIRCs in a 
national domestic violence network to enhance the Center's activities 
and to avoid duplication;
    (e) Provide a plan to determine the need to implement special 
projects related to training curricula, service delivery models or 
other aspects of the proposed SIRC to Aid Indian Tribes and Tribal 
organizations;
    (f) Provide a plan to evaluate the effectiveness of the proposed 
project activities within one year of the effective date of the grant;
    (g) Describe the proposed SIRC staff with appropriate expertise; 
and
    (h) Describe the administrative and organizational structure, the 
management plan, the cost structure within which the project would 
operate; and describe the operational and programmatic relationships to 
be formed with the affiliated SIRCs and the NRC. Charts depicting the 
organizational structures and the ensuing relationships must be 
included.
Project Period
    The length of the project for the SIRC will not exceed 48 months. 
The award, on a competitive basis, will be for an initial 12-month 
budget period, although the project period may be for 4 years. 
Applications for continuation grants funded under this award beyond the 
12-month budget period but within the 4-year project period will be 
considered in subsequent years on a non-competitive basis, 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.
Budget Period and Federal Share
    The fiscal year 1997 Federal share for the SIRC to Aid Indian 
Tribes and Tribal organizations is $600,000 for the first 12-month 
budget period subject to the availability of funds. Applications for 
lesser amounts also will be considered for this project. The estimated 
Federal share for the second, third, and fourth budget period is 
$600,000 per 12-month period.
Matching Requirement
    SUCCESSFUL GRANTEES MUST PROVIDE AT LEAST 25 PERCENT OF THE TOTAL 
COST OF THE PROJECT. THE TOTAL COST OF THE PROJECT IS THE SUM OF THE 
ACF SHARE AND THE NON-FEDERAL SHARE. The non-Federal share may be met 
by cash or in-kind contributions, although applicants are encouraged to 
meet their match requirements through cash contributions. Therefore, a 
project requesting $600,000 in Federal funds (based on an award of 
$600,000 per budget period) must include a match of at least $200,000 
(25% of total project cost). Therefore, a total project cost of 
$800,000 would be comprised of $600,000 in Federal funds and $200,000 
in non-Federal funds. If approved for funding, grantees will be held 
accountable for commitments of non-Federal resources and failure to 
provide the required amount will result in a disallowance of unmatched 
Federal funds.
Anticipated Number of Projects To Be Funded
    It is anticipated that one (1) project may be funded.
    CFDA: 93.592 Family Violence Prevention and Services: Family 
Violence Prevention and Services Act, as amended.

4. Priority Area Number FV-04-97: Training Grant Stipends in Domestic 
Violence for Historically Black, Hispanic-Serving and Tribal Colleges 
and Universities

Background

    Media coverage, court records, and crime statistics suggest that a 
substantial proportion of the domestic violence which occurs in the 
general population involves underserved populations, including 
populations that are underserved because of ethnic, racial, cultural, 
language diversity or geographic isolation (Brachman & Saltzman, 1995). 
Official statistics on child abuse and spouse abuse indicate that 
women, minorities, and the poor are over-represented among victims of 
domestic violence (Straus, Gelles & Steinmetz, 1980). The scholars and 
practitioners who are responding to violence in underserved communities 
are currently few in number and work in isolation. The purpose of this 
effort and priority area is to increase the capacity for advocates and 
allies to do the work that is needed to prevent domestic violence.
    There are three Executive Orders that support the provision of 
training grants to the educational institutions targeted in this 
priority area:

--Executive Order 13021 of October 19, 1969, Tribal Colleges and 
Universities;
--Executive Order 12900 of December 5, 1994, Educational Excellence for 
Hispanic Americans; and

[[Page 29249]]

--Executive Order 12876 of November 1, 1993, Historically Black 
Colleges and Universities.

    Executive Order 13021 reaffirms the special relationship of the 
Federal Government to the American Indians and identifies several 
purposes that support access to opportunities, resources, and that 
support educational opportunities for economically disadvantaged 
students; Executive Order 12900 requires the provision of quality 
education and increased educational opportunities for Hispanic 
Americans; and Executive Order 12876 requires strengthening the 
capacity of Historical Black Colleges and Universities to provide 
quality education and increased opportunities to participate in and 
benefit from Federal programs.
Purpose
    (a) To provide support for graduate and undergraduate students who 
show promise and demonstrate serious interest and commitment to issues 
of domestic violence in underserved populations. Historically Black, 
Hispanic and American Indian colleges and universities will be given 
special consideration in order to generate skill building and training 
opportunities particularly responsive to issues of cultural content.
    (b) To support the growth of college and university-based practice 
knowledge about domestic violence and encourage social work students 
and faculty to pursue careers which address the issue of domestic 
violence experiences and underscore the need to draw new social 
workers.
    (c) To identify best practices regarding critical issues in 
domestic violence prevention, identification, and treatment efforts in 
under-served domestic violence populations. These grants will include 
an institutional payment, to cover the individual student's tuition and 
fees, and a stipend for the student.
Minimum Requirements for Project Design
    Field Placement: The grant will provide stipends for qualified 
individuals pursuing degrees in social work with a special interest in 
domestic violence. It will provide one year graduate and undergraduate 
stipends to support skill building and training of students interested 
in domestic violence treatment and intervention services to underserved 
racial and ethnic minority populations.
    Placements must provide a structured learning environment that 
enables students to compare their field placement experiences, 
integrate knowledge from the classroom, and expand knowledge beyond the 
scope of the practicum setting (Council on Social Work Education 
[CSWE], {1994}. Baccalaureate and Master's Program Evaluative 
Standards, Interpretive Guidelines, Curriculum Policy Statement, and 
Self-Study Guide. The Accreditation Standards and Self-Study Guides).
    Proposals must include content about differences and similarities 
in the experiences, needs, and beliefs of the people being served. The 
proposals must also include content about differential assessment and 
intervention skills that will enable practitioners to serve diverse 
populations. The field placements must focus on the general and 
specific topic areas as indicated in this announcement. The applicant 
student must indicate the area of interest, objectives, and goals of 
the placement/study. Field placements will be at a minimum of 900 hours 
per semester.
    Faculty Involvement: Faculty must indicate the use of professional 
supervision to enhance the learning of students and must coordinate and 
monitor practicum placements of student selected for stipends.
    Proposals must define the social work setting and practice, field 
instructor assignments and activities, and student learning 
expectations and responsibilities.
    Individual faculty may organize their practicum-placements in 
different ways but must ensure educationally directed, coordinated, and 
monitored practicum experiences are maintained for students and related 
to domestic violence.
    Faculty must articulate clear practice and evaluation goals for the 
field practicum and for each student and faculty proposals must provide 
an orientation plan for the student to the practicum placement and the 
agency's policy.
    Final Products/Results and Benefits Expected:
     Practicum proposal/contract between the student, the 
organization (agency), and the college or university indicating defined 
objectives, goals, students performance, benefits to student, lessons 
learned, and recommendations for future placement at agency;
     A report focusing on agency population served, 
difficulties encountered, outcomes, implications and recommendations 
for future placements. The report should be prepared and submitted to 
the Office of Community Services; and
     One mid-semester student performance evaluation.
Eligible Applicants
    Historically Black Colleges and Universities; Hispanic-serving 
Colleges and Universities; and Tribal Colleges and Universities. 
Hispanic-serving Colleges and Universities are defined as those whose 
student population is more than 25% Hispanic. Tribal Colleges and 
Universities are those institutions cited in section 532 of the Equity 
in Educational Land-Grant Status Act of 1994 (7 U.S.C. 301 note), any 
other institution that qualifies for funding under the Tribally 
Controlled Community College Assistance Act of 1978 (25 U.S.C. 1801 et 
seq.) and Navajo Community College, authorized in the Navajo Community 
College Assistance Act of 1978, Pub. L. 95-471, title II (25 U.S.C. 
640a note.)
    Applicant institutions must be fully accredited by one of the 
regional institutional accrediting commissions recognized by the U.S. 
Secretary of Education and the Council on Social Work Education.
    Participants would include: qualified undergraduate or graduate 
social work students. All individuals seeking student stipends must be 
enrolled in the institution.
     Recipients of student stipends must maintain satisfactory 
academic records and be full-time students.
     Awards will be made only to eligible institutions on 
behalf of their qualified candidates.
Project Period
     Stipends are awarded for one year, not to exceed 12 
months.
Federal Share of the Project Cost
    This competitive program provides stipends for a maximum amount not 
to exceed $75,000 (includes direct and indirect costs) per college or 
university. The Federal share will fund up to four student candidates 
at a maximum of $11,250 each and will fund one faculty coordinator of 
the project at $30,000.
Anticipated Number of Projects to be Funded
    It is anticipated that 4 projects will be funded at $75,000 each. 
Applications for lesser amounts will also be considered for this 
priority area. CDFA: 93.592 Family Violence Prevention and Services: 
Family Violence Prevention and Services Act as amended.

Part III. The Review Process

A. Eligible Applicants

    Before applications are reviewed, each application will be screened 
to determine that the applicant organization is an eligible applicant 
as

[[Page 29250]]

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

B. Review Process and Funding Decisions

    Experts in the field, generally persons from outside of the Federal 
government, will use the appropriate evaluation criteria listed later 
in this Part to review and score the applications. The results of this 
review are a primary factor in making funding decisions.
    ACF reserves the option of discussing applications with, or 
referring them to, other Federal or non-Federal funding sources when 
this is determined to be in the best interest of the Federal government 
or the applicant. It may also solicit comments from ACF Regional Office 
staff, other Federal agencies, interested foundations, national 
organizations, specialists, experts, States and the general public. 
These comments, along with those of the expert reviewers, will be 
considered by OCS in making funding decisions.
    In making decisions on awards, OCS may give preference to 
applications which focus on or feature: a substantially innovative 
strategy with the potential to improve theory or practice in the field 
of human services; a model practice or set of procedures that holds the 
potential for replication by organizations involved in the 
administration or delivery of human services; substantial involvement 
of volunteers; substantial involvement (either financial or 
programmatic) of the private sector; a favorable balance between 
Federal and non-Federal funds 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 encourage increased collaboration and coordination among 
existing programs and related initiatives, OCS will give additional 
consideration to applications from organizations and/ or agencies that 
are documented participants in Empowerment Zone and/or Enterprise 
Community plans and applications. Applicants citing participation with 
Empowerment Zones and/or Enterprise Communities should document that 
they were involved in the preparation and proposed implementation of 
the plan and how their proposed family violence project supports the 
goal of the Empowerment or Enterprise plans (0-5 points).

C. Evaluation Criteria

    Using the appropriate evaluation criteria below, a panel of at 
least three reviewers (primarily experts from outside the Federal 
government) will review each application. Applicants should ensure that 
they address each minimum requirement in the priority area description 
under the appropriate section of the Program Narrative Statement.
    Reviewers will determine the strengths and weaknesses of each 
application in terms of the appropriate evaluation criteria listed 
below, provide comments and assign numerical scores. The point value 
following each criterion heading indicates the maximum numerical weight 
that each section may be given in the review process.
Evaluation Criteria for Priority Areas
    Applications submitted under priority areas:
     FV-01-97, Developing and Enhancing Services for Immigrant 
and Migrant Battered Women;
     FV-02-97, Domestic Violence/Temporary Assistance for Needy 
Families (TANF) Program; and
     FV-04-97, Minority Training Grant Stipends in Domestic 
Violence,

will be evaluated against the following criteria.
1. Need for the Project (10 Points)
    The extent to which the need for the project and the problems it 
will address have national and local significance; the applicability of 
the project to coordination efforts by national, Tribal, State and 
local governmental and non-profit agencies, and its ultimate impact on 
domestic violence prevention services and intervention efforts, 
policies and practice; the relevance of other documentation as it 
relates to the applicant's knowledge of the need for the project; and 
the identification of the specific topic or program area to be served 
by the project. Maps and other graphic aids may be attached.
2. Goals and Objectives (10 Points)
    The extent to which the specific goals and objectives have national 
or local significance, the clarity of the goals and objectives as they 
relate to the identified need for and the overall purpose of the 
project, and their applicability to policy and practice. The provision 
of a detailed discussion of the objectives and the extent to which the 
objectives are realistic, specific, and achievable.
3. Approach (30 Points)
    The extent to which the application outlines a sound and workable 
plan of action pertaining to the scope of the project, and details how 
the proposed work will be accomplished; relates each task to the 
objectives and identifies the key staff member who will be the lead 
person; provides a chart indicating the timetable for completing each 
task, the lead person, and the time committed; cites factors which 
might accelerate or decelerate the work, giving acceptable reasons for 
taking this approach as opposed to others; describes and supports any 
unusual features of the project, such as design or technological 
innovations, reductions in cost or time, or extraordinary social and 
community involvements; and provides for projections of the 
accomplishments to be achieved.
    The extent to which, when applicable, the application describes the 
evaluation methodology that will be used to determine if the needs 
identified and discussed are being met and if the results and benefits 
identified are being achieved.

[[Page 29251]]

4. Results and Benefits (20 Points)
    The extent to which the application identifies the results and 
benefits to be derived, the extent to which they are consistent with 
the objectives of the application, the extent to which the application 
indicates the anticipated contributions to policy, practice, and 
theory, and the extent to which the proposed project costs are 
reasonable in view of the expected results. Identify, in specific 
terms, the results and benefits, for target groups and human service 
providers, to be derived from implementing the proposed project. 
Describe how the expected results and benefits will relate to previous 
demonstration efforts.
5. Level of Effort: (30 Points)
    Staffing pattern--Describe the staffing pattern for the proposed 
project, clearly linking responsibilities to project tasks and 
specifying the contributions to be made by key staff.
    Competence of staff--Describe the qualifications of the project 
team including any experiences working on similar projects. Also, 
describe the variety of skills to be used, relevant educational 
background and the demonstrated ability to produce final results that 
are comprehensible and usable. One or two pertinent paragraphs on each 
key member are preferred to resumes. However, resumes may be included 
in the ten pages allowed for attachments/appendices.
    Adequacy of resources--Specify the adequacy of the available 
facilities, resources and organizational experience with regard to the 
tasks of the proposed project. List the financial, physical and other 
resources to be provided by other profit and nonprofit organizations. 
Explain how these organizations will participate in the day to day 
operations of the project.
    Budget--Relate the proposed budget to the level of effort required 
to obtain project objectives and provide a cost/benefit analysis. 
Demonstrate that the project's costs are reasonable in view of the 
anticipated results.
    Collaborative efforts--Discuss in detail and provide documentation 
for any collaborative or coordinated efforts with other agencies or 
organizations. Identify these agencies or organizations and explain how 
their participation will enhance the project. Letters from these 
agencies and organizations discussing the specifics of their commitment 
must be included in the application.
    Authorship--The authors of the application must be clearly 
identified together with their current relationship to the applicant 
organization and any future project role they may have if the project 
is funded.
    Applications submitted under priority area:
     FV-03-97, The Establishment and Implementation of a 
Special Issue Resource Center to Aid Indian Tribes and Tribal 
Organizations;

will be evaluated against the following criteria.
1. Need for the Project (10 Points)
    The extent to which the need for the project and the problems it 
will address have national and local significance; the applicability of 
the project to coordination efforts by national, Tribal, State and 
local governmental and non-profit agencies, and its ultimate impact on 
domestic violence prevention services and intervention efforts, 
policies and practice on Tribal Trust lands and reservations; the 
relevance of other documentation as it relates to the applicants 
knowledge of the need for the project; and the identification, 
understanding and knowledge of the specific topic or program area to be 
served by the project. Maps and other graphic aids may be attached.
2. Goals and Objectives (10 Points)
    The extent to which the specific goals and objectives have national 
or local significance, the clarity of the goals and objectives as they 
relate to the identified need for and the overall purpose of the 
project, and their applicability to policy and practice. The provision 
of a detailed discussion of the objectives and the extent to which the 
objectives are realistic, specific, and achievable.
3. Approach (30 Points)
    The extent to which the application outlines a sound and workable 
plan of action pertaining to the scope of the project, and details how 
the proposed work will be accomplished; relates each task to the 
objectives and identifies the key staff member who will be the lead 
person; provides a chart indicating the timetable for completing each 
task, the lead person, and the time committed; cites factors which 
might accelerate or decelerate the work, giving acceptable reasons for 
taking this approach as opposed to others; describes and supports any 
unusual features of the project, such as design or technological 
innovations, reductions in cost or time, or extraordinary social and 
community involvements; and provides for projections of the 
accomplishments to be achieved.
    The extent to which 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.
4. Results and Benefits (20 Points)
    The extent to which the application identifies the results and 
benefits to be derived, the extent to which they are consistent with 
the objectives of the application, the extent to which the application 
indicates the anticipated contributions to policy, practice, and 
theory, and the extent to which the proposed project costs are 
reasonable in view of the expected results.
    The applicant should identify, in specific terms, the results and 
benefits, for target groups and human service providers, to be derived 
from implementing the proposed project. Applicant should also describe 
how the expected results and benefits will relate to previous 
demonstration efforts.
5. Level of Effort: (30 Points)
Expertise, Commitment, and Support
    (a) Applicants must have documented individual and organizational 
experience in the area of domestic violence prevention and services 
with Indian Tribes and Tribal organizations. Each applicant 
organization must have an advisory board.
    (b) The extent to which the applicant has nationally recognized 
expertise in the area of domestic violence and a record of high quality 
service to victims of domestic violence, including a demonstration of 
support from advocacy groups, such as State Domestic Violence 
Coalitions or recognized national domestic violence advocacy groups; 
the extent of the applicant's commitment to diversity, and to the 
provision of services to Indian Tribes and Tribal organizations.
Staff Background, Organizational Experience, and Competence of Staff
    (c) The adequacy of the staffing pattern for the proposed project, 
how the individual responsibilities are linked to project tasks, and 
the contributions to be made by key staff. Each collaborating or 
cooperative organization, individual consultant, or other key 
individuals who will work on the project should be listed along with a 
description of the nature of their effort or contribution.
    The background and experience of the project director and key 
project staff and the history and accomplishments of the organization; 
the qualifications of the project team including any experience with 
similar projects; the variety of skills, relevant educational 
background, and the ability to effectively manage the project and to 
coordinate with other agencies. One or two pertinent

[[Page 29252]]

paragraphs on each key member are preferred to vitae/resumes. However, 
resumes may be included.
Adequacy of Resources and the Budget
    (d) The adequacy of the available resources and organizational 
experience with regard to the scope of the tasks of the proposed 
project. A list of the financial, physical, and other resources already 
committed by other private and public institutions and agencies, if 
any, and the explanation of how these organizations will participate in 
the day-to-day operations of the project. Letters from these agencies 
and organizations identifying and discussing the specifics of their 
commitment and participation must be included in the application. The 
extent to which the proposed budget is related to the level of effort 
required to obtain the project's objectives; demonstration that the 
project's costs are reasonable in view of the anticipated results.
Collaborative Effort
    (e) The extent of the additional private sector resources that may 
be available to support or enhance the overall program. A discussion in 
detail and the provision of documentation for any proposed 
collaborative or coordinated efforts with other public or private 
agencies or organizations. Letters from these agencies and 
organizations must be included discussing their interest and/or 
commitment in supporting the proposed project, stating at what juncture 
they would become involved and the expected level of resource 
commitment.
    Applicants should note that non-responsiveness to the section 
designated as ``Minimum Requirements for Project Design,'' in the 
applicable priority areas, will result in a low evaluation score by the 
panel of expert reviewers.
    Applicants must clearly identify the specific priority area under 
which they wish to have their applications considered, and tailor their 
applications accordingly. Previous experience has shown that an 
application which is broad and more general in concept than outlined in 
the priority area description is less likely to score as well as one 
which is more clearly focused and directly responsive to the concerns 
of that specific priority area.

D. Available Funds

    ACF intends to award grants resulting from this announcement during 
the fourth quarter of FY 1997. The size of the actual awards will vary. 
Each priority area description includes information on the maximum 
Federal share of the project costs and the anticipated number of 
projects to be funded.
    The term ``budget period'' refers to the interval of time (usually 
12 or 17 months) into which a multi-year period of assistance (project 
period) is divided for budgetary and funding purposes. The term 
``project period'' refers to the total time a project is approved for 
support, including any extensions.
    Where appropriate, applicants may propose project periods which are 
shorter than the maximums specified in the various priority areas. Non-
Federal share contributions may exceed the minimums specified in the 
various priority areas when the applicant is able to do so.

E. Grantee Share of Project Costs

    Federal funds will be provided to cover up to 75% of the total 
allowable project costs. Therefore, the non-Federal share must amount 
to at least 25% of the total (Federal plus non-Federal) project cost. 
This means that, for every $3 in Federal funds received, up to the 
maximum amount allowable under each priority area, applicants must 
contribute at least $1.
    For example, the cost breakout for a project with a total cost of 
$66,666 to implement would be:

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

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

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

A. Required Notification of the State Single Point of Contact

    This program is covered under Executive Order 12372, (E.O.) 
``Intergovernmental Review of Federal Programs,'' and 45 CFR Part 100, 
``Intergovernmental Review of Department of Health and Human Services 
Program and Activities.'' Under the E.O., States may design their own 
processes for reviewing and commenting on proposed Federal assistance 
under covered programs.
    All States and territories, except Alabama, Alaska, Colorado, 
Connecticut, Hawaii, Idaho, Kansas, Louisiana, Massachusetts, 
Minnesota, Montana, Nebraska, New Jersey, Oklahoma, Oregon, 
Pennsylvania, South Dakota, Tennessee, Vermont, Virginia, Washington, 
American Samoa and Palau, have elected to participate in the E.O. 
process and have established a Single Point of Contact (SPOCs). 
Applicants from these twenty-three jurisdictions need take no action 
regarding E.O. 12372. Applicants for projects to be administered by 
Federally-recognized Indian Tribes are also exempt from the 
requirements of E.O. 12372. Otherwise, applicants should contact their 
SPOCs as soon as possible to alert them of the prospective applications 
and receive any necessary instructions. Applicants must submit any 
required material to the SPOCs as soon as possible so that OCS can 
obtain and review SPOC comments as part of the award process. It is 
imperative that the applicant submit all required materials, if any, to 
the SPOC and indicate the date of this submittal (or the date of 
contact if no submittal is required) on the Standard Form 424, item 
16a.
    Under 45 CFR 100.8(a)(2), a SPOC has 60 days from application 
deadline to comment on proposed new or competing continuation awards.
    SPOCs are encouraged to eliminate the submission of routine 
endorsements as official recommendations. Additionally, SPOCs are 
requested to differentiate clearly between mere advisory comments and 
those official State process recommendations which may trigger the 
``accommodate or explain'' rule.
    When comments are submitted directly to ACF, they should be 
addressed to: Department of Health and Human Services, Administration 
for Children and Families, Division of Discretionary Grants, (OCS-97-
07) 370 L'Enfant Promenade, SW., 6th Floor East, Washington, DC 20447.
    A list of the Single Point of Contact for each State and Territory 
is included at the end of this announcement.

B. Paperwork Reduction Act of 1995

    Under the Paperwork Reduction Act of 1995, Public Law 104-13, the 
Department is required to submit to the Office of Management and Budget 
(OMB) for review and approval any reporting and recordkeeping 
requirements in regulations, including program announcements. This 
program announcement does not contain

[[Page 29253]]

information requirements beyond those approved for ACF grant 
applications under OMB Control Number 0970-0062 which will expire 09/
30/98. An agency may not conduct or sponsor, and a person is not 
required to respond to, a collection of information unless it displays 
a currently valid OMB control number.

C. Deadline for Submittal of Applications

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

D. Instructions for Preparing the Application and Completing 
Application Forms

    The SF 424, Page 2; and certifications have been reprinted for your 
convenience in preparing the application. You should reproduce single-
sided copies of these forms from the reprinted forms in the 
announcement, typing your information onto the copies. Please do not 
use forms directly from the Federal Register announcement, as they are 
printed on both sides of the page.
    In order to assist applicants in correctly completing the SF 424 
and SF 424A, instructions for these forms have been included at the end 
of Part IV of this announcement.
    Where specific information is not required under this program, NA 
(not applicable) has been preprinted on the form.
    Please prepare your application in accordance with the following 
instructions:
1. SF 424 Page 1, Application Cover Sheet
    Please read the following instructions before completing the 
application cover sheet. An explanation of each item is included. 
Complete only the items specified.
    Top of Page. Enter the single priority area number under which the 
application is being submitted. An application should be submitted 
under only one priority area.
    Item 1. ``Type of Submission''--Preprinted on the form.
    Item 2. ``Date Submitted'' and ``Applicant Identifier''--Date 
application is submitted to ACF and applicant's own internal control 
number, if applicable.
    Item 3. ``Date Received By State''--State use only (if applicable).
    Item 4. ``Date Received by Federal Agency''--Leave blank.
    Item 5. ``Applicant Information.''
    ``Legal Name''--Enter the legal name of applicant organization. For 
applications developed jointly, enter the name of the lead organization 
only. There must be a single applicant for each application.
    ``Organizational Unit''--Enter the name of the primary unit within 
the applicant organization which will actually carry out the project 
activity. Do not use the name of an individual as the applicant. If 
this is the same as the applicant organization, leave the 
organizational unit blank.
    ``Address''--Enter the complete address that the organization 
actually uses to receive mail, since this is the address to which all 
correspondence will be sent. Do not include both street address and 
P.O. box number unless both must be used in mailing.
    ``Name and telephone number of the person to be contacted on 
matters involving this application (give area code)''--Enter the full 
name (including academic degree, if applicable) and telephone number of 
a person who can respond to questions about the application. This 
person should be accessible at the address given here and will receive 
all correspondence regarding the application.
    Item 6. ``Employer Identification Number (EIN)''--Enter the 
employer identification number of the applicant organization, as 
assigned by the Internal Revenue Service, including, if known, the 
Central Registry System suffix.
    Item 7. ``Type of Applicant''--Self-explanatory.
    Item 8. ``Type of Application''--Preprinted on the form.
    Item 9. ``Name of Federal Agency''--Preprinted on the form.
    Item 10. ``Catalog of Federal Domestic Assistance Number and 
Title''--Enter the Catalog of Federal Domestic Assistance (CFDA) number 
assigned to the program under which assistance is requested and its 
title, as indicated in the relevant priority area description.
    Item 11. ``Descriptive Title of Applicant's Project''--Enter the 
project title. The title is generally short and is descriptive of the 
project, not the priority area title.
    Item 12. ``Areas Affected by Project''--Enter the governmental unit 
where significant and meaningful impact could be observed. List only 
the largest unit or units affected, such as State, county, or city. If 
an entire unit is affected, list it rather than subunits.
    Item 13. ``Proposed Project''--Enter the desired start date for the 
project and projected completion date.
    Item 14. ``Congressional District of Applicant/Project''--Enter the 
number of the Congressional district where the applicant's principal 
office is located and the number of the Congressional district(s) where 
the project will be located. If statewide, a multi-State effort, or 
nationwide, enter ``00.''
    Items 15. ``Estimated Funding Levels''--In completing 15a through 
15f, the dollar amounts entered should reflect, for a 17 month or less 
project period, the total amount requested.

[[Page 29254]]

    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 15 b-e Enter the amount(s) of funds from non-Federal sources 
that will be contributed to the proposed project. Items b-e are 
considered cost-sharing or ``matching funds.'' The value of third party 
in-kind contributions should be included on appropriate lines as 
applicable. For more information regarding funding as well as 
exceptions to these rules, see Part III, Sections E and F, and the 
specific priority area description.
    Item 15f. Enter the estimated amount of income, if any, expected to 
be generated from the proposed project. Do not add to or subtract this 
amount from the total project amount entered under item 15g. Describe 
the nature, source and anticipated use of this income in the Project 
Narrative Statement.
    Item 15g. Enter the sum of items 15a-15e.
    Item 16a. ``Is Application Subject to Review By State Executive 
Order 12372 Process? Yes.''--Enter the date the applicant contacted the 
SPOC regarding this application. Select the appropriate SPOC from the 
listing provided at the end of Part IV. The review of the application 
is at the discretion of the SPOC. The SPOC will verify the date noted 
on the application. If there is a discrepancy in dates, the SPOC may 
request that the Federal agency delay any proposed funding until 
September 30, 1997.
    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 18 a-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 
the total project period of 17 months or less. It should relate to item 
15g, total funding, on the SF 424. Under column (5), enter the total 
requirements for funds (Federal and non-Federal) by object class 
category.
    A separate budget justification should be included to explain fully 
and justify major items, as indicated below. The types of information 
to be included in the justification are indicated under each category. 
For multiple year projects, it is desirable to provide this information 
for each year of the project. The budget justification should 
immediately follow the second page of the SF 424A.
    Personnel--Line 6a. Enter the total costs of salaries and wages of 
applicant/grantee staff. Do not include the costs of consultants, which 
should be included on line 6h, ``Other.''
    Justification: Identify the project director, if known. Specify by 
title or name the percentage of time allocated to the project, the 
individual annual salaries, and the cost to the project (both Federal 
and non-Federal) of the organization's staff who will be working on the 
project.
    Fringe Benefits--Line 6b. Enter the total costs of fringe benefits, 
unless treated as part of an approved indirect cost rate.
    Justification: Provide a break-down of amounts and percentages that 
comprise fringe benefit costs, such as health insurance, FICA, 
retirement insurance, etc.
    Travel--6c. Enter total costs of out-of-town travel (travel 
requiring per diem) for staff of the project. Do not enter costs for 
consultant's travel or local transportation, which should be included 
on Line 6h, ``Other.''
    Justification: Include the name(s) of traveler(s), total number of 
trips, destinations, length of stay, transportation costs and 
subsistence allowances.
    Equipment--Line 6d. Enter the total costs of all equipment to be 
acquired by the project. Equipment is defined as non-expendable 
tangible personal property having a useful life of more than one year 
and an 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 procurement contracts (except those which belong on other 
lines such as equipment, supplies, etc.) and contracts with secondary 
recipient organizations. Also include any contracts with organizations 
for the provision of technical assistance. Do not include payments to 
individuals on this line.
    Justification: Attach a list of contractors, indicating the names 
of the organizations, the purposes of the contracts, and the estimated 
dollar amounts of the awards as part of the budget justification. 
Whenever the applicant/grantee intends to delegate part or all of the 
program to another agency, the applicant/grantee must complete this 
section (Section B, Budget

[[Page 29255]]

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 State and local 
governments) has a current indirect cost rate agreement approved by the 
Department of Health and Human Services or another Federal agency. Note 
percentage for indirect cost rate and include a copy of the indirect 
cost rate with the application.
    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 
if it was negotiated with a Federal agency other than DHHS. Applicants 
subject to the limitation on the Federal reimbursement of indirect 
costs for training grants should specify this.
    Total--Line 6k. Enter the total amounts of lines 6i and 6j.
    Program Income--Line 7. Enter the estimated amount of income, if 
any, expected to be generated from this project. Do not add or subtract 
this amount from the total project amount.
    Justification: Describe the nature, source, and anticipated use of 
program income in the Program Narrative Statement.
    Section C--Non-Federal Resources. This section summarizes the 
amounts of non-Federal resources that will be applied to the grant. 
Enter this information on line 12 entitled ``Totals.'' In-kind 
contributions are defined in title 45 of the Code of Federal 
Regulations, Part 74.2, as the value of non-cash contributions provided 
by non-Federal third parties. Third party in-kind contributions may be 
in the form of real property, equipment, supplies, and other expendable 
property, and the value of goods and services directly benefiting and 
specifically identifiable to the project or program.
    Justification: Describe third party in-kind contributions, if 
included.
    Section D--Forecasted Cash Needs. Not applicable.
    Section E--Budget Estimate of Federal Funds Needed For Balance of 
the Project. Not applicable.
    Totals--Line 20. For projects that will have more than one budget 
period, enter the estimated required Federal funds for the second 
budget period (months 13 through 24) under column ``(b) First.'' If a 
third budget period will be necessary, enter the Federal funds needed 
for months 25 through 36 under ``(c) Second.'' Columns (d) and (e) are 
not applicable in most instances, since ACF funding is almost always 
limited to a three-year maximum project period. They should remain 
blank.
    Section F--Other Budget Information.
    Direct Charges--Line 21. Not applicable.
    Indirect Charges--Line 22. Enter the type of indirect rate 
(provisional, predetermined, final or fixed) that will be in effect 
during the funding period, the estimated amount of the base to which 
the rate is applied, and the total indirect expense.
    Remarks--Line 23. If the total project period exceeds 17 months, 
you must enter your proposed non-Federal share of the project budget 
for each of the remaining years of the project.
3. Project Summary Description
    Clearly mark this separate page with the applicant name as shown in 
item 5 of the SF 424, and the title of the project as shown in item 11 
of the SF 424. The summary description should not exceed 300 words. 
These 300 words become part of the computer database on each project.
    Care should be taken to produce a summary description which 
accurately and concisely reflects the application. It should describe 
the objectives of the project, the approaches to be used and the 
outcomes expected. The description should also include a list of major 
products that will result from the proposed project, such as software 
packages, materials, management procedures, data collection 
instruments, training packages, or videos (please note that 
audiovisuals should be closed captioned). The project summary 
description, together with the information on the SF 424, will 
constitute the project ``abstract.'' It is the major source of 
information about the proposed project and is usually the first part of 
the application that the reviewers read in evaluating the application.
4. Program Narrative Statement
    The Program Narrative Statement is a very important part of an 
application. It should be clear, concise, and address the specific 
requirements mentioned under the priority area description in Part II. 
The narrative should also provide information concerning how the 
application meets the evaluation criteria using the following headings:
    (a) Need for the Project;
    (b) Goals and Objectives;
    (c) Approach;
    (d) Results and Benefits; and
    (e) Level of Effort.
    The specific information to be included under each of these 
headings

[[Page 29256]]

is described in Section C of Part III, Evaluation Criteria.
    The narrative should be typed double-spaced on a single-side of an 
8\1/2\'' x 11'' plain white paper, with 1'' margins on all sides. All 
pages of the narrative (including charts, references/footnotes, tables, 
maps, exhibits, etc.) must be sequentially numbered, beginning with 
``Objectives and Need for the Project'' as page number one. Applicants 
should not submit reproductions of larger size paper, reduced to meet 
the size requirement.
    The length of the application, including the application forms and 
all attachments, should not exceed 60 pages. A page is a single side of 
an 8\1/2\ x 11'' sheet of paper. Applicants are requested not to send 
pamphlets, maps, brochures or other printed material along with their 
application as these pose photocopy difficulties. These materials, if 
submitted, will not be included in the review process if they exceed 
the 60-page limit. Each page of the application will be counted to 
determine the total length.
5. Organizational Capability Statement
    The Organizational Capability Statement should consist of a brief 
(two to three pages) background description of how the applicant 
organization (or the unit within the organization that will have 
responsibility for the project) is organized, the types and quantity of 
services it provides, and/or the research and management capabilities 
it possesses. This description should cover capabilities not included 
in the Program Narrative Statement. It may include descriptions of any 
current or previous relevant experience, or describe the competence of 
the project team and its demonstrated ability to produce a final 
product that is readily comprehensible and usable. An organization 
chart showing the relationship of the project to the current 
organization should be included.
6. Assurances/Certifications
    Applicants are required to file an SF 424B, Assurances--
    Non-Construction Programs, and the Certification Regarding 
Lobbying. Both must be signed and returned with the application. In 
addition, applicants must certify their compliance with: (1) Drug-Free 
Workplace Requirements; and (2) Debarment and Other Responsibilities; 
and (3) Certification Regarding Environmental Tobacco Smoke. These 
certifications are self-explanatory. Copies of these assurances/
certifications are reprinted at the end of this announcement and should 
be reproduced, as necessary. A duly authorized representative of the 
applicant organization must certify that the applicant is in compliance 
with these assurances/certifications. A signature on the SF 424 
indicates compliance with the Drug Free Workplace Requirements, and 
Debarment and Other Responsibilities, and Environmental Tobacco Smoke 
certifications.

E. Checklist for a Complete Application

    The checklist below is for your use to ensure that your application 
package has been properly prepared.
    ____One original, signed and dated application, plus two copies. 
Applications for different priority areas are packaged separately;
    ____Application is from an organization which is eligible under the 
eligibility requirements defined in the priority area description 
(screening requirement);
    ____Application length does not exceed 60 pages, unless otherwise 
specified in the priority area description.
    ____A complete application consists of the following items in this 
order:
    ____Application for Federal Assistance (SF 424A, REV 4-92);
    ____A completed SPOC certification with the date of SPOC contact 
entered in line 16, page 1 of the SF 424A if applicable.
    ____Budget Information--Non-Construction Programs (SF 424A, REV 4-
92);
    ____Budget justification for Section B--Budget Categories;
    ____Cable of Contents;
    ____Letter from the Internal Revenue Service to prove non-profit 
status, if necessary;
    ____Copy of the applicant's approved indirect cost rate agreement, 
if appropriate;
    ____Project summary description and listing of key words;
    ____Program Narrative Statement (See Part III, Section C);
    ____Organizational capability statement, including an organization 
chart;
    ____Any appendices/attachments;
    ____Assurances--Non-Construction Programs (Standard Form 424B, REV 
4-92);
    ____Certification Regarding Lobbying;
    ____Certification Regarding Drug-Free Workplace Requirements; and
    ____Certification Regarding Environmental Tobacco Smoke.

F. The Application Package

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

G. Post-Award Information and Reporting Requirements

    Following approval of the applications selected for funding, notice 
of project approval and authority to draw down project funds will be 
made in writing. The official award document is the Financial 
Assistance Award which provides the amount of Federal funds approved 
for use in the project, the project and budget periods for which 
support is provided, the terms and conditions of the award, the total 
project period for which support is contemplated, and the total 
required financial grantee participation.
    General Conditions and Special Conditions (where the latter are 
warranted) which will be applicable to grants, grantees will be subject 
to the provisions of 45 CFR part 74 or 92.
    Grantees will be required to submit quarterly progress and semi-
annual financial reports (SF 269) throughout the project period, as 
well as a final progress and financial report within 90 days of the 
termination of the project.
    Grantees are subject to the audit requirements in 45 CFR Parts 74 
(non-governmental), 92 (governmental), OMB Circular A-133 and OMB 
Circular A-128. If an applicant does not request indirect costs, it 
should anticipate in its budget request the cost of having an audit 
performed at the end of the grant period.
    Section 319 of Public Law 101-121, signed into law on October 23, 
1989, imposes prohibitions and requirements for disclosure and 
certification related to lobbying on recipients of Federal contracts, 
grants, cooperative agreements, and loans. It provides exemptions for 
Indian Tribes and Tribal organizations. Current and prospective 
recipients (and their subtier contractors

[[Page 29257]]

and/or grantees) are prohibited from using Federal funds, other than 
profits from a Federal contract, for lobbying Congress or any Federal 
agency in connection with the award of a contract, grant, cooperative 
agreement or loan. In addition, for each award action in excess of 
$100,000 (or $150,000 for loans) the law requires recipients and their 
subtier contractors and/or subgrantees (1) To certify that they have 
neither used nor will use any appropriated funds for payment to 
lobbyists; (2) to disclose the name, address, payment details, and 
purpose of any agreements with lobbyists whom recipients or their 
subtier contractors or subgrantees will pay with profits or 
nonappropriated funds on or after December 22, 1989 and (3) to file 
quarterly up-dates about the use of lobbyists if material changes occur 
in their use. The law establishes civil penalties for noncompliance.

(Catalog of Federal Domestic Assistance number 93.592, Family 
Violence Prevention and Services)

    Dated: May 14, 1997.
Donald Sykes,
Director, Office of Community Services.

BILLING CODE 4184-01-P

[[Page 29258]]

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BILLING CODE 4184-01-C

[[Page 29259]]

Instructions for the SF 424

    Public reporting burden for this collection of information is 
estimated to average 45 minutes per response, including time for 
reviewing instructions, searching existing data sources, gathering 
and maintaining the data needed, and completing and reviewing the 
collection of information. Send comments regarding the burden 
estimate or any other aspect of this collection of information, 
including suggestions for reducing this burden, to the Office of 
Management and Budget. Paperwork Reduction Project (0348-0043), 
Washington, DC 20503.
    Please do not return your completed form to the Office of 
Management and Budget, send it to the address provided by the 
sponsoring agency.
    This is a standard form used by applicants as a required 
facesheet for preapplications and applications submitted for Federal 
assistance. It will be used by Federal agencies to obtain applicant 
certification that States which have established a review and 
comment procedure in response to Executive Order 12372 and have 
selected the program to be included in their process, have been 
given an opportunity to review the applicant's submission.

Item and Entry

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

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

    9. Name of Federal agency 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 inkind 
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 allowances, loans and taxes.
    18. To be signed by the authorized representative of the 
applicant. A copy of the governing body's authorization for you to 
sign this application as official representative must be on file in 
the applicant's office. (Certain Federal agencies may require that 
this authorization be submitted as part of the application.)

BILLING CODE 4184-01-P

[[Page 29260]]

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[[Page 29261]]

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BILLING CODE 4184-01-C

[[Page 29262]]

Instructions for the SF 424F

    Public reporting burden for this collection of information is 
estimated to average 180 minutes per response, including time for 
reviewing instructions, searching existing data sources, gathering 
and maintaining the data needed, and completing and reviewing the 
collection of information. Send comments regarding the burden 
estimate or any other aspect of this collection of information, 
including suggestion for reducing this burden, to the Office of 
Management and Budget, Paperwork Reduction Project (0348-0043), 
Washington, DC 20530.
    Please do not return your completed form to the Office of 
Paperwork and Budget, send it to the address provided by the 
sponsoring agency.

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. Section A, B, C, 
and D should include budget estimates for the whole project except 
when applying for assistance which required Federal authorization in 
annual or other funding period increments. In the latter case 
Sections A, B, C, and D should provide the budget for the first 
budget period (usually a year) and Section E should present the need 
for Federal assistance in the subsequent budget periods. All 
applications should contain a breakdown by the object class 
categories shown in lines a-k of Section B.

Section A. Budget Summary Lines 1-4, Columns (a) and (b)

    For applications pertaining to a single Federal grant program 
(Federal Domestic Assistance Catalog number) and not requiring a 
functional or activity breakdown, enter on Line 1 under Column (a) 
the catalog program title and the catalog number in Column (b).
    For applications pertaining to a single program requiring budget 
amounts by multiple function 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 of 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 programs, leave Columns (c) and (d) blank. For each line 
in Columns (a) and (b), enter in Columns (e), (f), and (g) the 
appropriate amounts of funds needed to support the project for the 
first funding period (usually a year).
    For continuing grant program applications, submit these forms 
before the end of each funding period as required by the grantor 
agency. Enter in Columns (c) and (d) the estimated amounts of funds 
which will remain unobligated at the end of the grant funding period 
only if the Federal grantor agency instructions provide for this. 
Otherwise, leave these columns blank. Enter in Columns (e) and (f) 
the amounts of funds needed for the upcoming period. The amount(s) 
in Column (g) should be the sum of amounts in Columns (e) and (f).
    For supplemental grants and changes to existing grants, do not 
use Columns (c) and (d). Enter in Column (e) the amount of the 
increase or decrease of Federal funds and enter in Column (f) the 
amount of the increase or decrease or 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 in Columns (e) 
and (f).
    Line 5--Shown the total for all columns used.

Section B. Budget Categories

    In the column headings (1) through (4), enter the titles of the 
same programs, functions, and activities shown on Lines 1-4, Column 
(a), Section A. When additional sheets are prepared for Section A, 
provide similar column headings on each sheet. For each program, 
function or activity, fill in the total requirements for funds (both 
Federal and non-Federal) by object class categories.
    Lines 6a-i--Show the totals of Lines 6a to 6h in each column.
    Line 6j--Show the amount of indirect cost.
    Line 6k--Enter the total of amounts on Lines 6i and 6j. For all 
applications for new grants and continuation grants the total amount 
in column (5), Line 6k, should be the same as the total amount shown 
in Section A, Column (g), Lines 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 in 
determining the total amount of the grant.

Section. 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 in 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 total 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) to 
funds for the current year of existing grants.
    If more than four lines are needed to list the program titles, 
submit additional schedules as necessary.
    Line 20--Enter the total for each of the Columns (b)-(e). When 
additional schedules are prepared for this Section, annotate 
accordingly and who 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

    Public reporting burden for this collection of information is 
estimated to average 15 minutes per response, including time for 
reviewing instructions, searching existing data sources, gathering 
and maintaining the data needed, and completing and reviewing the 
collection of information. Send

[[Page 29263]]

comments regarding the burden estimate or any other aspect of this 
collection of information, including suggestions for reducing this 
burden, to the Office of Management and Budget, Paperwork Reduction 
Project (0348-0043), Washington, DC 20503.
    Please do not return your completed form to the Office of 
Management and Budget, send it to the address provided by the 
Sponsoring agency.

    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 
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. Sec. 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 290ee-3), 
as amended, relating to confidentiality of alcohol and drug abuse 
patient records; (h) Title VIII of the Civil Rights Act of 1968 (42 
U.S.C. Sec. 3601 et seq.), as amended, relating to non-
discrimination in the sale, rental or financing of housing; (i) any 
other nondiscrimination provisions in the specific statute(s) under 
which application for Federal assistance is being made; and (j) the 
requirements of any other nondiscrimination statute(s) which may 
apply to the application.
    7. Will comply, or has already complied, with the requirements 
of Title 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, as applicable, with the provisions of the Health 
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. Secs. 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. 
Secs. 7401 et seq.); (g) protection of underground sources of 
drinking water under the Safe Drinking Water Act of 1974, as 
amended, (P.L. 93-523); and (h) protection of endangered species 
under the Endangered Species Act of 1973, as amended, (P.L. 93-205).
    12. Will comply with the Wild and Scenic Rivers Act of 1968 (16 
U.S.C. Secs. 1271 et seq.) related to protecting components or 
potential components of the national wild and scenic rivers system.
    13. Will assist the awarding agency in assuring compliance with 
Section 106 of the National Historic Preservation Act of 1966, as 
amended (16 U.S.C. 470), EO 11593 (identification and protection of 
historic properties), and the Archaeological and Historic 
Preservation Act of 1974 (16 U.S.C. 469a-1 et seq.).
    14. Will comply with P.L. 93-348 regarding the protection of 
human subjects involved in research, development, and related 
activities supported by this award of assistance.
    15. Will comply with the Laboratory Animal Welfare Act of 1966 
(P.L. 89-544, as amended, 7 U.S.C. 2131 et seq.) pertaining to the 
care, handling, and treatment of warm blooded animals held for 
research, teaching, or other activities supported by this award of 
assistance.
    16. Will comply with the Lead-Based Paint 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 or 
OMB Circular No. A-133, Audits of Institutions of Higher Learning 
and other Non-profit Institutions.
    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

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 an 
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,

[[Page 29264]]

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.

Statement for Loan Guarantees 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

----------------------------------------------------------------------
Organziation

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

BILLING CODE 4184-01-P

[[Page 29265]]

[GRAPHIC] [TIFF OMITTED] TN29MY97.010



BILLING CODE 4184-01-C

[[Page 29266]]

    This certification is required by the regulations implementing 
the Drug-Free Workplace Act of 1988: 45 CFR Part 76, Subpart, F. 
Sections 76.630 (c) and (d)(2) and 76.645 (a)(1) and (b) provide 
that a Federal agency may designate a central receipt point for 
STATE-WIDE AND STATE AGENCY-WIDE certifications, and for 
notification of criminal drug convictions. For the Department of 
Health and Human Services, the central pint is: Division of Grants 
Management and Oversight, Office of Management and Acquisition, 
Department of Health and Human Services, Room 517-D, 200 
Independence Avenue, SW, Washington, DC 20201.

Certification Regarding Drug-Free Workplace Requirements

(Instructions for Certification)

    1. By signing and/or submitting this application or grant 
agreement, the grantee is providing the certification set out below.
    2. The certification set out below is a material representation 
of fact upon which reliance is placed when the agency awards the 
grant. If it is later determined that the grantee knowingly rendered 
a false certification, or otherwise violates the requirements of the 
Drug-Free Workplace Act, the agency, in addition to any other 
remedies available to the Federal Government, may take action 
authorized under the Drug-Free Workplace Act.
    3. For grantees other than individuals, Alternate I applies.
    4. For grantees who are individuals, Alternate II applies.
    5. Workplaces under grants, for grantees other than individuals, 
need not be identified on the certification. If known, they may be 
identified in the grant application. If the grantee does not 
identify the workplaces at the time of application, or upon award, 
if there is no application, the grantee must keep the identity of 
the workplace(s) on file in its office and make the information 
available for Federal inspection. Failure to identify all known 
workplaces constitutes a violation of the grantee's drug-free 
workplace requirements.
    6. Workplace identifications must include the actual address of 
buildings (or parts of buildings) or other sites where work under 
the grant takes place. Categorical descriptions may be used (e.g., 
all vehicles of a mass transit authority or State highway department 
while in operation, State employees in each local unemployment 
office, performers in concert halls or radio studios).
    7. If the workplace identified to the agency changes during the 
performance of the grant, the grantee shall inform the agency of the 
change(s), if it previously identified the workplaces in question 
(see paragraph five).
    8. Definitions of terms in the Nonprocurement Suspension and 
Debarment common rule and Drug-Free Workplace common rule apply to 
this certification. Grantees' attention is called, in particular, to 
the following definitions from these rules:
    Controlled substances means a controlled substance in Schedules 
I through V of the Controlled Substances Act (21 U.S.C. 812) and as 
further defined by regulation (21 CFR 1308.11 through 1308.15);
    Conviction means a finding of guilt (including a plea of nolo 
contendere) or imposition of sentence, or both, by any judicial body 
charged with the responsibility to determine violations of the 
Federal or State criminal drug statutes;
    Criminal drug statute means a Federal or non-Federal criminal 
statute involving the manufacture, distribution, dispensing, use, or 
possession of any controlled substance;
    Employee means the employee of a grantee directly engaged in the 
performance of work under a grant, including: (i) All direct charge 
employees; (ii) All indirect charge employees unless their impact or 
involvement is insignificant to the performance of the grant; and, 
(iii) Temporary personnel and consultants who are directly engaged 
in the performance of work under the grant and who are on the 
grantee's payroll. This definition does not include workers not on 
the payroll of the grantee (e.g., volunteers, even if used to meet a 
matching requirement; consultants or independent contractors not on 
the grantee's payroll; or employees of subrecipients or 
subcontractors in covered workplaces).

Certification Regarding Drug-Free Workplace Requirements

Alternate I. (Grantees Other Than Individuals)

    The grantee certifies that it will or will continue to provide a 
drug-free workplace by:
    (a) Publishing a statement notifying employees that the unlawful 
manufacture, distribution, dispensing, possession, or use of a 
controlled substance is prohibited in the grantee's workplace and 
specifying the actions that will be taken against employees for 
violation of such prohibition;
    (b) Establishing an ongoing drug-free awareness program to 
inform employees about--
    (1) The dangers of drug abuse in the workplace;
    (2) The grantee's policy of maintaining a drug-free workplace;
    (3) Any available drug counseling, rehabilitation, and employee 
assistance programs; and
    (4) The penalties that may be imposed upon employees for drug 
abuse violations occurring in the workplace;
    (c) Making it a requirement that each employee to be engaged in 
the performance of the grant be given a copy of the statement 
required by paragraph (a);
    (d) Notifying the employee in the statement required by 
paragraph (a) that, as a condition of employment under the grant, 
the employee will--
    (1) Abide by the terms of the statement; and
    (2) Notify the employer in writing of his or her conviction for 
a violation of a criminal drug statute occurring in the workplace no 
later than five calendar days after such conviction;
    (e) Notifying the agency in writing, within ten calendar days 
after receiving notice under paragraph (d)(2) from an employee or 
otherwise receiving actual notice of such conviction. Employers of 
convicted employees must provide notice, including position title, 
to every grant officer or other designee on whose grant activity the 
convicted employee was working, unless the Federal agency has 
designated a central point for the receipt of such notices. Notice 
shall include the identification number(s) of each affected grant;
    (f) Taking one of the following actions, within 30 calendar days 
of receiving notice under paragraph (d)(2), with respect to any 
employee who is so convicted--
    (1) Taking appropriate personnel action against such an 
employee, up to and including termination, consistent with the 
requirements of the Rehabilitation Act of 1973, as amended; or
    (2) Requiring such employee to participate satisfactorily in a 
drug abuse assistance or rehabilitation program approved for such 
purposes by a Federal, State, or local health, law enforcement, or 
other appropriate agency;
    (g) Making a good faith effort to continue to maintain a drug-
free workplace through implementation of paragraphs (a), (b), (c), 
(d), (e) and (f).
    (B) The grantee may insert in the space provided below the 
site(s) for the performance of work done in connection with the 
specific grant:

    Place of Performance (Street address, city, county, state, zip 
code)
----------------------------------------------------------------------
----------------------------------------------------------------------
    Check {time}  if there are workplaces on file that are not 
identified here.

Alternate II. (Grantees Who Are Individuals)

    (a) The grantee certifies that, as a condition of the grant, he 
or she will not engage in the unlawful manufacture, distribution, 
dispensing, possession, or use of a controlled substance in 
conducting any activity with the grant;
    (b) If convicted of a criminal drug offense resulting from a 
violation occurring during the conduct of any grant activity, he or 
she will report the conviction, in writing, within 10 calendar days 
of the conviction, to every grant officer or other designee, unless 
the Federal agency designates a central point for the receipt of 
such notices. When notice is made to such a central point, it shall 
include the identification number(s) of each affected grant.

[55 FR 21690, 21702, May 25, 1990]

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

Instructions for Certification

    1. By signing and submitting this proposal, the prospective 
primary participant is providing the certification set out below.
    2. The inability of a person to provide the certification 
required below will not necessarily result in denial of 
participation in this covered transaction. The prospective 
participant shall submit an explanation of why it cannot provide the 
certification set out below. The certification or explanation will 
be considered in connection with the department or agency's 
determination whether to enter into this transaction. However, 
failure of the prospective primary participant to furnish a 
certification or an

[[Page 29267]]

explanation shall disqualify such person from participation in this 
transaction.
    3. The certification in this clause is a material representation 
of fact upon which reliance was placed when the department or agency 
determined to enter into this transaction. If it is later determined 
that the prospective primary participant knowingly rendered an 
erroneous certification, in addition to other remedies available to 
the Federal Government, the department or agency may terminate this 
transaction for cause or default.
    4. The prospective primary participant shall provide immediate 
written notice to the department or agency to which this proposal is 
submitted if at any time the prospective primary participant learns 
that its certification was erroneous when submitted or has become 
erroneous by reason of changed circumstances.
    5. The terms covered transaction, debarred, suspended, 
ineligible, lower tier covered transaction, participant, person, 
primary covered transaction, principal, proposal, and voluntarily 
excluded, as used in this clause, have the meanings set out in the 
Definitions and Coverage sections of the rules implementing 
Executive Order 12549. You may contact the department or agency to 
which this proposal is being submitted for assistance in obtaining a 
copy of those regulations.
    6. The prospective primary participant agrees by submitting this 
proposal that, should the proposed covered transaction by entered 
into, it shall not knowingly enter into any lower tier covered 
transaction with a person who is proposed for debarment under 48 CFR 
part 9, subpart 9.4, debarred, suspended, declared ineligible, or 
voluntarily excluded from participation in this covered transaction, 
unless authorized by the department or agency entering into this 
transaction.
    7. The prospective primary participant further agrees by 
submitting this proposal that it will include the clause titled 
``Certification Regarding Debarment, Suspension, Ineligibility and 
Voluntary Exclusion-Lower Tier Covered Transaction,'' provided by 
the department or agency entering into this covered transaction, 
without modification, in all lower tier covered transactions and in 
all solicitations for lower tier covered transactions.
    8. A participant in a covered transaction may rely upon a 
certification of a prospective participant in a lower tier covered 
transaction that it is not proposed for debarment under 48 CFR part 
9, subpart 9.4, debarred, suspended, ineligible, or voluntarily 
excluded from the covered transaction, unless it knows that the 
certification is erroneous. A participant may decide the method and 
frequency by which it determines the eligibility of its principals. 
Each participant may, but is not required to, check the List of 
Parties Excluded from Federal Procurement and Nonprocurement 
Programs.
    9. Nothing contained in the foregoing shall be construed to 
require establishment of a system of records in order to render in 
good faith the certification required by this clause. The knowledge 
and information of a participant is not required to exceed that 
which is normally possessed by a prudent person in the ordinary 
course of business dealings.
    10. Except for transactions authorized under paragraph 6 of 
these instructions, if a participant in a covered transaction 
knowingly enters into a lower tier covered transaction with a person 
who is proposed for debarment under 48 CFR part 9, subpart 9.4, 
suspended, debarred, ineligible, or voluntarily excluded from 
participation in this transaction, in addition to other remedies 
available to the Federal Government, the department or agency may 
terminate this transaction for cause or default.
* * * * *

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

    (1) The prospective primary participant 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 by any 
Federal department or agency;
    (b) Have not within a three-year period preceding this proposal 
been convicted of or had a civil judgment rendered against them for 
commission of fraud or a criminal offense in connection with 
obtaining, attempting to obtain, or performing a public (Federal, 
State or local) transaction or contract under a public transaction; 
violation of Federal or State antitrust statutes or commission of 
embezzlement, theft, forgery, bribery, falsification or destruction 
of records, making false statements, or receiving stolen property;
    (c) Are not presently indicted for or otherwise criminally or 
civilly charged by a governmental entity (Federal, State or local) 
with commission of any of the offenses enumerated in paragraph 
(1)(b) of this certification; and
    (d) Have not within a three-year period preceding this 
application/proposal had one or more public transactions (Federal, 
State or local) terminated for cause or default.
    (2) Where the prospective primary participant is unable to 
certify to any of the statements in this certification, such 
prospective participant shall attach an explanation to this 
proposal.

Certification Regarding Debarment, Suspension, Ineligibility and 
Voluntary Exclusion--Lower Tier Covered Transactions

Instructions for Certification

    1. By signing and submitting this proposal, the prospective 
lower tier participant is providing the certification set out below.
    2. The certification in this clause is a material representation 
of fact upon which reliance was placed when this transaction was 
entered into. If it is later determined that the prospective lower 
tier participant knowingly rendered an erroneous certification, in 
addition to other remedies available to the Federal Government the 
department or agency with which this transaction originated may 
pursue available remedies, including suspension and/or debarment.
    3. The prospective lower tier participant shall provide 
immediate written notice to the person to which this proposal is 
submitted if at any time the prospective lower tier participant 
learns that its certification was erroneous when submitted or had 
become erroneous by reason of changed circumstances.
    4. The terms covered transaction, debarred, suspended, 
ineligible, lower tier covered transaction, participant, person, 
primary covered transaction, principal, proposal, and voluntarily 
excluded, as used in this clause, have the meaning set out in the 
Definitions and Coverage sections of rules implementing Executive 
Order 12549. You may contact the person to which this proposal is 
submitted for assistance in obtaining a copy of those regulations.
    5. The prospective lower tier participant agrees by submitting 
this proposal that, [[Page 33043]] should the proposed covered 
transaction be entered into, it shall not knowingly enter into any 
lower tier transaction with a person who is proposed for debarment 
under 48 CFR part 9, subpart 9.4, debarred, suspended, declared 
ineligible, or voluntarily excluded from participation in this 
covered transaction, unless authorized by the department or agency 
with which this transaction originated.
    6. The prospective lower tier participant further agrees by 
submitting this proposal that it will include this clause titled 
``Certification Regarding Debarment, Suspension, Ineligibility and 
Voluntary Exclusion-Lower Tier Covered Transaction,'' without 
modification, in all lower tier covered transactions and in all 
solicitations for lower tier covered transactions.
    7. A participant in a covered transaction may rely upon a 
certification of a prospective participant in a lower tier covered 
transaction that it is not proposed for debarment under 48 CFR part 
9, subpart 9.4, debarred, suspended, ineligible, or voluntarily 
excluded from covered transactions, unless it knows that the 
certification is erroneous. A participant may decide the method and 
frequency by which it determines the eligibility of its principals. 
Each participant may, but is not required to, check the List of 
Parties Excluded from Federal Procurement and Nonprocurement 
Programs.
    8. Nothing contained in the foregoing shall be construed to 
require establishment of a system of records in order to render in 
good faith the certification required by this clause. The knowledge 
and information of a participant is not required to exceed that 
which is normally possessed by a prudent person in the ordinary 
course of business dealings.
    9. Except for transactions authorized under paragraph 5 of these 
instructions, if a participant in a covered transaction knowingly 
enters into a lower tier covered transaction with a person who is 
proposed for debarment under 48 CFR part 9, subpart 9.4, debarred, 
suspended, ineligible, or voluntarily excluded from participation in 
this transaction, in addition to other remedies available to the 
Federal

[[Page 29268]]

Government, the department or agency with which this transaction 
originated may pursue available remedies, including suspension and/
or debarment.
* * * * *

Certification Regarding Debarment, Suspension, Ineligibility and 
Voluntary Exclusion--Lower Tier Covered Transactions

    (1) The prospective lower tier participant certifies, by 
submission of this proposal, that neither it nor its principals is 
presently debarred, suspended, proposed for debarment, declared 
ineligible, or voluntarily excluded from participation in this 
transaction by any Federal department or agency.
    (2) Where the prospective lower tier participant is unable to 
certify to any of the statements in this certification, such 
prospective participant shall attach an explanation to this 
proposal.

Certification Regarding Environmental Tobacco Smoke

    Public Law 103-227, Part C--Environmental Tobacco Smoke, also 
known as the Pro-Children Act of 1994 (Act), requires that smoking 
not be permitted in any portion of any indoor routinely owned or 
leased or contracted for by an entity and used routinely or 
regularly for provision of health, day care, education, or library 
services to children under the age of 18, if the services are funded 
by Federal programs either directly or through State or local 
governments, by Federal grant, contract, loan, or loan guarantee. 
The law does not apply to children's services provided in private 
residences, facilities funded solely by Medicare or Medicaid funds, 
and portions of facilities used for inpatient drug or alcohol 
treatment. Failure to comply with the provisions of the law may 
result in the imposition of a civil monetary penalty of up to $1000 
per day and/or the imposition of an administrative compliance order 
on the responsible entity.
    By signing and submitting this application the applicant/grantee 
certifies that it will comply with the requirements of the Act. The 
applicant/grantee further agrees that it will require the language 
of this certification be included in any subawards which contain 
provisions for the children's services and that all subgrantees 
shall certify accordingly.

OMB State Single Point of Contact Listing

Arizona

Joni Saad, Arizona State Clearinghouse, 3800 N. Central Avenue, 
Fourteenth Floor, Phoenix, Arizona 85012, Telephone (602) 280-1315, 
FAX: (602) 280-8144

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

Delaware

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

District of Columbia

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

Florida

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

Georgia

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

Illinois

Virginia Bova, State Single Point of Contact, Department of Commerce 
and Community Affairs, James R. Thompson Center, 100 West Randolph, 
Suite 3-400, Chicago, Illinois 60601, Telephone: (312) 814-6028, 
FAX: (312) 814-1800

Indiana

Frances Williams, State Budget Agency, 212 State House, 
Indianapolis, Indiana 46204-2796, Telephone: (317) 232-5619, FAX: 
(317) 233-3323

Iowa

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

Kentucky

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

Maine

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

Maryland

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

Michigan

Richard Pfaff, Southeast Michigan Council of Governments, 1900 
Edison Plaza, 660 Plaza Drive, Detroit, Michigan 48226, Telephone: 
(313) 961-4266, FAX: (313) 961-4869

Mississippi

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

Missouri

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

Nevada

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

New Hampshire

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

New Mexico

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

New York

New York State Clearinghouse, Division of the Budget, State Capitol, 
Albany, New York 12224, Telephone: (518) 474-1605, FAX: (518) 486-
5617

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, Bismark, 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

Kevin Nelson, Review Coordinator, Department of Administration, 
Division of Planning, One Capitol Hill, 4th Floor, Providence, Rhode 
Island 02908-5870,

[[Page 29269]]

Telephone: (401) 277-2656, FAX: (401) 277-2083

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

South Carolina

Rodney Grizzle, State Single Point of Contact, Grant Services, 
Office of the Governor, 1205 Pendleton Street, Room 331, Columbia, 
South Carolina 29201, Telephone: (803) 734-0494, FAX: (803) 734-0356

Texas

Tom Adams, Governors Office, Director, Intergovernmental 
Coordination, P.O. Box 12428, Austin, Texas 78711, Telephone: (512) 
463-1771, FAX: (512) 463-1888

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

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

Jeff Smith, Section Chief, State/Federal Relations, Wisconsin 
Department of Administration, 101 East Wilson Street, 6th Floor, 
P.O. Box 7868, Madison, Wisconsin 53707, Telephone: (608) 266-0267, 
FAX: (608) 267-6931

Wyoming

Matthew Jones, State Single Point of Contact, Office of the 
Governor, 200 West 24th Street, State Capital, Room 124, Cheyenne, 
Wyoming 82002, Telephone: (307) 777-7446, FAX: (307) 632-3909

TERRITORIES

Guam

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

Puerto Rico

Normal 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

North Mariana Islands

Mr. Alvaro A. Santos, Executive Officer, State Single Point of 
Contact, Office of Management and Budget, Office of the Governor, 
Saipan, MP, Telephone: (670) 664-2256, FAX: (670) 664-2272
Contact Person: Ms. Jacoba T. Seman, Federal Programs Coordinator, 
Telephone: (670) 644-2289, FAX: (670) 644-2272

Virgin Islands

Nelson Bowry, 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.

[FR Doc. 97-14074 Filed 5-28-97; 8:45 am]
BILLING CODE 4184-01-P-M