[Federal Register Volume 66, Number 240 (Thursday, December 13, 2001)]
[Notices]
[Pages 64437-64449]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 01-30825]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Administration for Children and Families

[Program Announcement No. OCS-02-03]


Fiscal Year 2002 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) 2002. 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 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 
February 11, 2002. 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.
    Hand delivered applications are accepted during the normal working 
hours of 8 a.m. to 4:30 p.m. EST at the Family Violence Operations 
Center: 1815 North Fort Myer Drive, Suite 300, Arlington, VA 22209 
between Monday and Friday (excluding Federal holidays). (Applicants are 
cautioned that express/overnight mail services do not always deliver as 
agreed.)

MAILING ADDRESS: Applications should be mailed to Family Violence 
Operations Center, 1815 North Fort Myer Drive, Suite 300, Arlington, VA 
22209; Attention: Application for Family Violence Prevention and 
Services Program.
    Number of Copies Required: One signed original application and four 
copies are required at the time of initial submission. (OMB-0970-0062, 
expiration date 01/29/2002.)
    Acknowledgement of Receipt: An acknowledgement will be mailed to 
all applicants with an identification number which will be noted on the 
acknowledgement. This number must be referred to in all subsequent 
communications with OCS concerning the application. If an 
acknowledgment is not received within three weeks after the application 
deadline, applicants must notify the Family Violence Operations Center 
by telephone at (703) 351-7676. The applicant should also submit a 
mailing label for the acknowledgement.


    Note: To facilitate receipt of this acknowledgement from ACF, 
applicant should include a cover letter with the application 
containing an e-mail address and

[[Page 64438]]

facsimile (FAX) number if these items are available to the 
applicant.



FOR FURTHER INFORMATION CONTACT: Administration for Children and 
Families, Office of Community Services, Division of State Assistance, 
370 L'Enfant Promenade, SW, Washington, DC 20447. Telephone Sunni 
Knight, (202) 401-5319, James Gray, (202) 401-5705, William Riley (202) 
401-5529, or Shena Williams, (202) 205-5932.
    For a Copy of the Announcement Contact: Administration for Children 
and Families, Office of Community Services, 370 L'Enfant Promenade, 
SW., Washington, DC, 20447. Telephone Shena Williams, (202) 205-5932. 
Our Web site address is: http://www.acf.dhhs.gov/programs/ocs under 
``Funding Opportunities''.

SUPPLEMENTARY INFORMATION: The Office of Community Services, 
Administration for Children and Families, announces that applications 
are being accepted for funding for FY 2002 projects on:
    FV-01-01--Public Information/Community Awareness Campaign Projects 
for the Prevention of Family Violence; and
    FV-02-02--Collaborative Efforts between Faith-Based Organizations 
and Domestic Violence Organizations.
    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 2002 family violence funding are being requested.
    Part III describes the applicable evaluation criteria.
    Part IV provides other information and instructions for the 
development and submission of applications.

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 and 
by Pub. L. 104-235, the ``Child Abuse Prevention and Treatment Act 
Amendment of 1996.'' The Act was most recently amended by the ``Victims 
of Trafficking and Violence Protection Act of 2000'' (Pub. L. 106-386, 
10/28/2000).
    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 two priority areas in FY 2002:

Public Information/Community Awareness Campaign Projects for the 
Prevention of Family Violence

    1. The purpose of the public information/community awareness 
projects is to assist in the continued development of state/local 
public information and community awareness campaign projects and 
activities that assist in preventing family violence. These projects 
should provide information on resources, facilities, other individuals 
seeking assistance, and service alternatives available to family 
violence victims and their dependents, community organizations, local 
school districts, and others.

Collaborative Efforts Between Faith-Based Organizations and Domestic 
Violence Organizations

    2. The purpose of this priority area is to support collaborative 
efforts that would enhance the response to a battered woman whose 
initial point of contact for help was with a member of a faith-based 
organization. Further, this priority area seeks to support the 
development of credible and helpful information from faith-based 
organizations in order to increase the involvement and leverage from 
this vital segment of the community.

Part II. Fiscal Year 2002 Family Violence Projects

1. Priority Area FV01-01. Public Information and/or Community Awareness 
Campaign Projects for the Prevention of Family Violence

Background
    Based on the positive response to prior year public information and 
community awareness grants, ACF will again make these grants available 
in FY 2002.
    Previous public information/community awareness grants have 
stimulated the development of a number of very effective informational 
programs and activities at the local levels. They have assisted 
community organizations to focus on and emphasize prevention; helped 
make available public service announcements and descriptive program 
brochures in several different languages, including Russian and 
Vietnamese; and assisted in the implementation of conflict resolution 
activities in elementary, middle, and high school curricula. The 
continuation of these grant awards will help assure that individuals, 
particularly those within minority communities, are aware of available 
alternatives and resources for the intervention and prevention of 
family violence.
    This priority area requires the development and implementation of 
an effective public information campaign that may be used, for example, 
by public and private agencies, schools, churches, boys and girls 
clubs, community organizations, and individuals.
    Accurate information is critical to any community awareness 
strategy and activity. How information is communicated must be modified 
where communication barriers may exist because of perceived or real 
language differences and cultural insensitivity. OCS seeks to continue 
to provide victims, their dependents, perpetrators, and others in the 
community with knowledge of the service options available.
Eligible Applicants
    State and local public agencies, Territories, and Native American 
Tribes and Tribal Organizations who are, or have been, recipients of 
Family Violence Prevention and Services Act grants; State and local 
private non-profit agencies experienced in the field of family violence 
prevention; and public and private non-profit educational institutions, 
community organizations, community-based coalitions, faith-based 
organizations, and other entities that have designed and implemented 
family violence prevention information activities or community 
awareness strategies.
Minimum Requirements for Project Design
    In order to successfully compete under the priority area, the 
applicant should:
     Present a plan for community awareness and public 
information activities that clearly reflects how the applicant will 
target the populations at risk, including pregnant women; coordinate 
its implementation efforts with public agencies and other community 
organizations; and communicate with institutions active in the field of 
family violence prevention.
     Describe the proposed approach to the development of a 
public information campaign and identify the specific audience(s), 
community(s), and groups that will be targeted, including

[[Page 64439]]

communities and groups with the highest prevalence of domestic 
violence.
    Include, as critical elements in the plan:
     A set of achievable objectives and a description of the 
population groups, relevant geographic area, and the indicators to be 
used to measure progress and the overall effectiveness of the campaign;
     The intended strategies for test marketing the development 
plans, and assurances that effectiveness criteria will be implemented 
prior to the completion of the final plan;
     The development and use of non-traditional sources as 
community awareness or information providers (applicants should present 
specific plans for the use of local organizations, businesses and 
individuals in the distribution of information and materials);
     The identification of the media to be used in the campaign 
and the geographic limits of the campaign;
     How the applicant would be responsive and sensitive to 
minority communities and their cultural perspectives; and
     A description of the kind, volume, distribution, and 
timing of the proposed information with assurances that the public 
information campaign activities will not supplant or lower the current 
frequency of current public service announcements.
Project Duration
    The length of the project should not exceed 12 months.
Federal Share of the Project
    The maximum Federal share of the project will not exceed $35,000 
for the 1-year project period. Applications for lesser amounts also 
will be considered under this priority area.
Matching Requirements
    Successful applicants must provide at least 25 percent of the total 
cost of the project. The approved total cost of the project is the sum 
of the ACF share and non-Federal share. Applications for lesser amounts 
also will be considered under this priority area. Cash or in-kind 
contributions may meet the non-Federal share, although applicants are 
encouraged to meet their match requirements through cash contributions. 
If approved for funding, the applicant 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. Therefore, a project requesting $35,000 in Federal funds (based 
on an award of $35,000 per budget period) must include a match of at 
least $11,666 (25% of total project cost) for a total budget of 
$46,666.
Anticipated Number of Projects to be Funded
    We anticipate that five projects will be funded at the maximum 
level. We may fund more than five projects if we receive acceptable 
applications for lesser amounts.

Priority Area FV-02-02, Collaborative efforts between Faith-Based/
Spiritual Organizations and Domestic Violence Organizations

Background
    For many women across varying social and economic strata, churches, 
synagogues, or places of contemplation and spiritual connection may be 
the only sources of safe and confidential interaction. However, even in 
these settings of assumed trust and confidentiality, many women who 
seek counseling are hesitant to expose the nature and extent of their 
abuse because of fear, shame, guilt, or feelings of human or spiritual 
failure. Additionally, spiritual leaders, though dedicated to the 
principles of respect and human dignity for all people, are sometimes 
unable to recognize the characteristics and results of abusive 
relationships. Even when recognized, they often lack the resources and 
information available to provide support that would ensure protection 
and safety through the resolution of the problem.
    Establishing a collaborative effort between faith-based 
organizations and domestic violence intervention services will help 
provide organizations with information about the availability of 
domestic violence intervention services, effectively create additional 
points of entry to services for victims of family violence, and expand 
and strengthen the network of knowledgeable service providers.
    Some suggested activities applicable under this priority area are:
    (a) Plan and implement training and the development of training 
materials that enable leaders of faith-based organizations to increase 
the capacity of the faith-based community to understand and 
appropriately respond to the complexities of domestic violence.
    (b) Plan and implement a replicable domestic violence collaborative 
project that provides information on resources, facilities, and service 
alternatives to family violence victims and their dependents for use by 
faith-based organizations.
    (c) Plan and implement a domestic violence information and 
awareness project related to specific population groups such as youth, 
elderly, disabled, or gay/lesbian/transgender individuals that provide 
information on the services available to these groups for intervention 
and prevention.
Eligible Applicants
    State and local private non-profit agencies experienced in the 
field of family violence prevention in collaboration with private non-
profit faith-based organizations, public and private non-profit 
educational/faith-based institutions, associations, or societies, and 
other entities that have designed and implemented activities related to 
the prevention of domestic violence as a faith-based issue.
Minimum Requirements for Project Design
    This project requires the collaboration between a recognized 
domestic violence service provider or state domestic violence coalition 
with a church, synagogue, mosque, faith-based or spiritually-based 
organization or an organization representing multiple churches, 
synagogues, mosques, and/or other faith-based entities. Applicant's 
proposal should include a description of the collaborating domestic 
violence service provider's organization, domestic violence service 
experience, and organizational affiliation with the domestic violence 
community.
    The applicant's proposal should address the following:
    Demonstrate that the required collaboration has occurred in the 
preparation and planned implementation of the activities specified in 
the grant application; and demonstrate that the developed materials 
and/or training will incorporate guiding principles similar to the 
following:
     The safety of victims and children is a priority;
     The integrity and authority of each battered woman over 
her own life is to be respected;
     Perpetrators, not victims, must be held responsible for 
the abuse and for stopping it; and
     The confidentiality of client information must be ensured.
    Include, as critical elements in the plan:
     A set of identified objectives for training, outreach, and 
the development of training materials;
     Development of an approach and strategy that is useful in 
providing sensitive and responsive services and/or training.

[[Page 64440]]

     A description of the type, distribution and timing of 
information to be developed and distributed; and
     A description of any non-traditional informational 
sources, counseling practices, programs, or organizational linkages 
that might be utilized in the provision of services and information to 
persons in abusive situations who contact faith-based organizations.
Project Duration
    The length of the project should not exceed 12 months.
Federal Share of the Project
    The maximum Federal share of the project is not to exceed $37,500 
for the 1-year project period. Applications for lesser amounts also 
will be considered under this priority area.
Matching Requirements
    Successful applicants must provide at least 25 percent of the total 
cost of the project. The approved total cost of the project is the sum 
of the ACF share and non-Federal share. Cash or in-kind contributions 
may meet the non-Federal share although applicants are encouraged to 
meet their match requirements through cash contributions. If approved 
for funding, the applicant 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. Therefore, a 
project requesting $37,500 in Federal funds (based on an award of 
$37,500 per budget period) must include a match of at least $12,500 
(25% of the total project cost) for a total budget of $50,000.
Anticipated Number of Projects To Be Funded
    It is anticipated, subject to the availability of funds, that six 
projects will be funded at the maximum level; more than six projects 
may be funded depending on the number of acceptable applications for 
lesser amounts which are received.

Part III. Evaluation Criteria

    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.
    Using the 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 and 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:

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; 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 
about 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 involvement; 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;

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 extent to which the 
application has identified, in specific terms, the results and benefits 
specific for target groups and human service providers, to be derived 
from implementing the proposed project; and has described 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 
obtaining project objectives and providing 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

[[Page 64441]]

any collaborative or coordinated efforts with other agencies or 
organizations. Identify these agencies or organizations and explain how 
their participation will enhance the project. Letters from these 
agencies and organizations discussing the specifics of their commitment 
must be included in the application.
    Authorship--The authors of the application must be clearly 
identified together with their current relationship to the applicant 
organization and any future project role they may have if the project 
is funded.
    Applicants should note that non-responsiveness to the section 
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.
    CFDA: 93.592 Family Violence Prevention and Services: Family 
Violence Prevention and Services Act, as amended.

Part IV: Other Information and Instructions for the Development and 
Submission of Applications

A. Required Notification of the State Single Point of Contact

    This program is covered under Executive Order 12372, (EO) 
``Intergovernmental Review of Federal Programs,'' and 45 CFR part 100, 
``Intergovernmental Review of Department of Health and Human Services 
Program and Activities.'' Under the EO, 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 EO process 
and have established a Single Point of Contact (SPOCs). Applicants from 
these twenty-three jurisdictions need take no action regarding EO 
12372. Applicants for projects to be administered by Federally 
recognized Indian Tribes are also exempt from the requirements of EO 
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 that 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, Office of Grants Management/OCSE, 4th Floor 
Aerospace Center, 370 L'Enfant Promenade, SW, 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 information requirements beyond 
those approved for ACF grant applications under OMB Control Number 
0970-0062. 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.
    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

1. SF 424
    Single-sided copies of SF should be used.
    At the top of the Cover Page of the SF 424, enter the single 
priority area number under which the application is being submitted. An 
application should be submitted under only one priority area.
2. SF 424A Budget Information--Non-Construction Programs
    With respect to the 424A, Budget Information--Non-Construction 
Programs, Sections A, B, C, E, and F are to be completed. Section D 
does not need to be completed.
    In order to assist applicants in correctly completing the SF 424 
and 424A, detailed instructions for completing these forms are 
contained on the forms themselves. See the Instructions accompanying SF 
424A, as well as the instructions set forth below.
Section A--Budget Summary
    Lines 1-4:
    Column (a) Line 1--Enter OCS FVPS Program.
    Column (b) Line 1--Enter 93.592.
    Columns (c) and (d)--Not Applicable.
    Columns (e), (f) and (g)--For lines 1 through 4, enter in 
appropriate amounts needed to support the project for the entire 
project period.
    Line 5:
    Enter the figures from Line 1 for all columns completed, (e), (f), 
and (g).
Section B--Budget Categories
    This section should contain entries for OCS funds only. For all 
projects, the first budget period will be entered in Column (1).
    Allocability of costs is governed by applicable cost principles set 
forth in the Code of Federal Regulations (CFR), Title 45, parts 74 and 
92.
    Budget estimates for administrative costs must be supported by 
adequate detail for the grants officer to perform a cost analysis and 
review. Adequately detailed calculations for each budget object class 
are those which reflect

[[Page 64442]]

estimation methods, quantities, unit costs, salaries, and other similar 
quantitative detail sufficient for the calculation to be duplicated. 
For any additional object class categories included under the object 
class other, identify the additional object class(es) and provide 
supporting calculations.
    Supporting narratives and justifications are required for each 
budget category, with emphasis on unique/special initiatives; large 
dollar amounts; local, regional, or other travel; new positions; major 
equipment purchases; and training programs.
    A detailed itemized budget with a separate budget justification for 
each major item should be included as indicated below:
    Line 6a:
    Personnel--Enter the total costs of salaries and wages.
    Justification--Identify the project director and staff. 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.
    Line 6b:
    Fringe Benefits--Enter the total costs of fringe benefits unless 
treated as part of an approved indirect cost rate, which is entered on 
Line 6j.
    Justification--Enter the total costs of fringe benefits, unless 
treated as part of an approved indirect cost rate. Provide a breakdown 
of amounts and percentages that comprise fringe benefit costs.
    Line 6c:
    Travel--Enter total cost of all travel by employees of the project. 
Do not enter costs for consultant's travel.
    Justification--Include the name(s) of traveler(s), total number of 
trips, destinations, length of stay, mileage rate, transportation costs 
and subsistence allowances. Traveler must be a person listed under the 
personnel line or employee being paid under non-federal share. (Note: 
Local transportation and Consultant travel costs are entered on Line 
6h.)
    Line 6d:
    Equipment--Enter the total costs of all equipment to be acquired by 
the project. Equipment means an article of non-expendable, tangible 
personal property having a useful life of more than one year and an 
acquisition cost which equals or exceeds the lesser of (a) the 
capitalization level established by the organization for financial 
statement purposes, or (b) $5,000. [Note: If an applicant's current 
rate agreement was based on another definition for equipment, such as 
``tangible personal property $500 or more'', the applicant shall use 
the definition used by the cognizant agency in determining the rate(s). 
However, consistent with the applicant's equipment policy, lower limits 
may be set.]
    Justification--Equipment to be purchased with Federal funds must be 
required to conduct the project, and the applicant organization or its 
subgrantees must not already have the equipment or a reasonable 
facsimile available to the project.
    Line 6e:
    Supplies--Enter the total costs of all tangible personal property 
other than that included on line 6d.
    Justification--Provide a general description of what is being 
purchased such as type of supplies: Office, classroom, medical, etc. 
Include equipment costing less than $5,000 per item.
    Line 6f:
    Contractual--Enter the total costs of all contracts, including (1) 
procurement contracts (except those which belong on other lines such as 
equipment, supplies, etc.) and (2) contracts with secondary recipient 
organizations including delegate agencies and specific project(s) or 
businesses to be financed by the applicant.
    Justification--Attach a list of contractors, indicating the names 
of the organizations, the purposes of the contracts, the estimated 
dollar amounts, and selection process of the awards as part of the 
budget justification. Also provide back-up documentation identifying 
the name of contractor, purpose of contract, and major cost elements.


    Note 1: Whenever the applicant/grantee intends to delegate part 
of the program to another agency, the applicant/grantee must submit 
Sections A and B of this Form SF-424A, completed for each delegate 
agency by agency title, along with the required supporting 
information referenced in the applicable instructions.


    The total costs of all such agencies will be part of the amount 
shown on Line 6f. Provide draft Request for Proposal in accordance with 
45 CFR part 74, Appendix A. All procurement transactions shall be 
conducted in a manner to provide, to the maximum extent practical, open 
and free competition.


    Note 2: Contractual cannot be a person--must be an organization, 
firm, etc. Enter Consultant cost on Line 6h.


    Line 6g:
    Construction--Not applicable.
    Line 6h:
    Other--Enter the total of all other costs. Such costs, where 
applicable, may include, but are not limited to, insurance, food, 
medical and dental costs (non-contractual), 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.
    Line 6i:
    Total Direct Charges--Enter the total of 6a through 6h.
    Line 6j:
    Indirect Charges--Enter the total amount of indirect costs. This 
line should be used only when the applicant currently has an indirect 
cost rate approved by DHHS or other Federal agencies.
    Line 6k:
    Totals--Enter the total amount of Lines 6i and 6j.
    Line 7:
    Program Income--Enter the estimated amount of income, if any, 
expected to be generated from this project. Separately show expected 
program income generated from OCS support and income generated from 
other mobilized funds. Do not add or subtract this amount from the 
budget total. Show the nature and source of income in the program 
narrative statement.
    Justification--Describe the nature, source and anticipated use of 
program income in the Program Narrative Statement.
Section C--Non-Federal Resources
    This section is to record the amounts of Non-Federal resources that 
will be used to support the project. Non-Federal resources mean other 
than OCS funds for which the applicant has received a commitment. 
Provide a brief explanation, on a separate sheet, showing the type of 
contribution, broken out by Object Class Category, (See SF-424A, 
Section B.6) and whether it is cash or third party in-kind. The firm 
commitment of these required funds must be documented and submitted 
with the application in order to be given credit in the Criterion.
    Except in unusual situations, this documentation must be in the 
form of letters of commitment or letters of intent from the 
organization(s)/individuals from which funds will be received.
    Line 8:
    Column (a)--Enter the project title.
    Column (b)--Enter the amount of cash or donations to be made by the 
applicant.
    Column (c)--Enter the State contribution.

[[Page 64443]]

    Column (d)--Enter the amount of cash and third party in-kind 
contributions to be made from all other sources.
    Column (e)--Enter the total of columns (b), (c), and (d).
    Lines 9, 10 and 11:
    Leave Blank
    Line 12:
    Carry the total of each column of Line 8, (b) through (e). The 
amount in Column (e) should be equal to the amount on Section A, Line 
5, Column (f).
    Justification--Describe third party in-kind contributions, if 
included.
Section F--Other Budget Information
    Line 21:
    Direct Charges--Include narrative justification required under 
Section B for each object class category for the total project period.
    Line 22:
    Indirect Charges--Enter the type of DHHS or other Federal agency 
approved indirect cost rate (provisional, predetermined, final or 
fixed) that will be in effect during the funding period, the estimated 
amount of the base to which the rate is applied and the total indirect 
expense. Also, enter the date the rate was approved, where applicable. 
Attach a copy of the approved rate agreement.
    Line 23:
    Provide any other explanations and continuation sheets required or 
deemed necessary to justify or explain the budget information.
3. Project Summary Description
    Clearly mark this separate page with the applicant name as shown in 
item 5 of the SF 424, and the title of the project as shown in item 11 
of the SF 424. The summary description should not exceed 300 words. 
These 300 words become part of the computer database on each project.
    Care should be taken to produce a summary description which 
accurately and concisely reflects the application. It should describe 
the objectives of the project, the approaches to be used and the 
outcomes expected. The description should also include a list of major 
products that will result from the proposed project, such as software 
packages, materials, management procedures, data collection 
instruments, training packages, or videos (please note that 
audiovisuals should be closed captioned). The project summary 
description, together with the information on the SF 424, will 
constitute the project ``abstract.'' It is the major source of 
information about the proposed project and is usually the first part of 
the application that the reviewers read in evaluating the application.
4. Program Narrative Statement
    The Program Narrative Statement is a very important part of an 
application. It should be clear, concise, and address the specific 
requirements mentioned under the priority area description in Part II. 
The narrative should also provide information concerning how the 
application meets the evaluation criteria using the following headings:
    (a) Need for the Project;
    (b) Goals and Objectives;
    (c) Approach;
    (d) Results and Benefits; and
    (e) Level of Effort.
    The specific information to be included under each of these 
headings is described in 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:
    Drug-Free Workplace Requirements; and
    Debarment and Other Responsibilities; and
    Certification Regarding Environmental Tobacco Smoke.
    These certifications are self-explanatory. Copies of these 
assurances/certifications are reprinted at the end of this Application 
Kit 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. The Application Package

    Each application package must include an original and four 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.
    Applicants should include a self-addressed stamped acknowledgement 
card. All applicants will be notified automatically about the receipt 
of their application. If acknowledgement of receipt of your application 
is not received within three weeks after the deadline date, please 
notify to Family Violence Operations Center by telephone at (703) 351-
7676.

F. 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

[[Page 64444]]

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 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), and OMB Circular A-133. 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 or 
Indian Tribes and Tribal organizations. Current and prospective 
recipients (and their subtier contractors and/or grantees) are 
prohibited from using Federal funds, other than profits from a Federal 
contract, for lobbying Congress or any Federal agency in connection 
with the award of a contract, grant, cooperative agreement or loan. In 
addition, for each award action in excess of $100,000 (or $150,000 for 
loans) the law requires recipients and their subtier contractors and/or 
subgrantees (1) To certify that they have neither used nor will use any 
appropriated funds for payment to lobbyists; (2) to disclose the name, 
address, payment details, and the purpose of any agreements with 
lobbyists whom recipients or their subtier contractors or subgrantees 
will pay with profits or non-appropriated 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: December 7, 2001.
Clarence H. Carter,
Director, Office of Community Services.

List of Attachments

Attachment A--Certification Regarding Lobbying
Attachment B--Certification Regarding Debarment
Attachment C--Certification Regarding Environmental Tobacco Smoke
Attachment D--Certification Regarding Drug-Free Workplace
Attachment E--State Single Point of Contact

Attachment A

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, 
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

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


[[Page 64445]]


[GRAPHIC] [TIFF OMITTED] TN13DE01.238

BILLING CODE 4184-01-C

[[Page 64446]]

Instructions for Completion of SF-LLL, Disclosure of Lobbying 
Activities

    This disclosure form shall be completed by the reporting entity, 
whether subawardee or prime Federal recipient, at the initiation or 
receipt of a covered Federal action, or a material change to a 
previous filing, pursuant to title 31 U.S.C. section 1352. The 
filing of a form is required for each payment or agreement to make 
payment to any lobbying entity 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 a covered Federal action. 
Complete all items that apply for both the initial filing and 
material change report. Refer to the implementing guidance published 
by the Office of Management and Budget for additional information.
    1. Identify the type of covered Federal action for which 
lobbying activity is and/or has been secured to influence the 
outcome of a covered Federal action.
    2. Identify the status of the covered Federal action.
    3. Identify the appropriate classification of this report. If 
this is a followup report caused by a material change to the 
information previously reported, enter the year and quarter in which 
the change occurred. Enter the date of the last previously submitted 
report by this reporting entity for this covered Federal action.
    4. Enter the full name, address, city, State and zip code of the 
reporting entity. Include Congressional District, if known. Check 
the appropriate classification of the reporting entity that 
designated if it is, or expects to be, a prime or subaward 
recipient. Identify the tier of the subawardee, e.g., the first 
subawardee of the prime is the 1st tier. Subawards include but are 
not limited to subcontracts, subgrants and contract awards under 
grants.
    5. If the organization filing the report in item 4 checks 
``Subawardee,'' then enter the full name, address, city, State and 
zip code of the prime Federal recipient. Include Congressional 
District, if known.
    6. Enter the name of the Federal agency making the award or loan 
commitment, include at least one organization level below agency 
name, if known. For example, Department of Transportation, United 
States Coast Guard.
    7. Enter the Federal program name or description for the covered 
Federal action (item 1). If known, enter the full Catalog of federal 
Domestic Assistance (CFDA) number for grants, cooperative 
agreements, loans, and loan commitments.
    8. Enter the most appropriate Federal identifying number 
available for the Federal action identified in item 1 (e.g., Request 
for Proposal (RFP) number; Invitation for Bid (IFB) number; grant 
announcement number; the contract, grant, or loan award number; the 
application/proposal control number assigned by the Federal agency). 
Include prefixes, e.g., ``RFP-DE-90-001.''
    9. For a covered Federal action when there has been an award or 
loan commitment by the Federal agency, enter the Federal amount of 
the award/loan commitment for the prime entity identified in item 4 
or 5.
    10. (a) Enter the full name, address, city, State and zip code 
of the lobbying registrant under the Lobbying Disclosure Act of 1995 
engaged by the reporting entity identified in item 4 to influence 
the covered Federal action.
    (b) Enter the full names of the individual(s) performing 
services, and include full address if different from 10(a). Enter 
Last Name, First Name, and Middle Initial (MI).
    11. The certifying official shall sign and date the form, print 
his/her name, title, and telephone number.
    According to the Paperwork Reduction Act, as amended, no persons 
are required to respond to a collection of information unless it 
displays a valid OMB Control Number. The valid OMB control number 
for this information collection is OMB No. 0348-0046. Public 
reporting burden for this collection of information is estimated to 
average 10 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 (0348-0046), 
Washington, DC 20503.

Attachment B

Certification Regarding Debarment, Suspension and Other Responsibility 
Matters

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 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 be 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.
* * * * *

[[Page 64447]]

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

Certification Regarding Debarment, Suspension, Ineligibility an 
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.

Attachment C

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.

Attachment D

Certification Regarding Drug-Free Workplace Requirements

    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 point 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.

[[Page 64448]]

    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 substance 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 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.

Attachment E

State Single Point of Contact Listing Maintained by OMB

    In accordance with Executive Order 12372, 
``Intergovernmental Review of Federal Programs,'' Section 4, ``the 
Office of Management and Budget (OMB) shall maintain a list of 
official State entities designated by the States to review and 
coordinate proposed Federal financial assistance and direct Federal 
development.'' This attached listing is the OFFICIAL OMB LISTING. 
OMB's point of contact for the SPOC list is Fredrick J. Charney 
(202) 395-3993 or [email protected]. This listing is also published 
in the Catalogue of Federal Domestic Assistance biannually

October 5, 1999

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, 515 W. 7th St., Room 412, Little Rock, Arkansas 
72203, Telephone: (501) 682-1074, Fax: (501) 682-5206.

California

Grants Coordination, State Clearinghouse, Office of Planning & 
Research, 1400 Tenth Street, Room 121, Sacramento, California 95814, 
Telephone: (916) 445-0613, Fax: (916) 323-3018.

Delaware

Francine Booth, State Single Point of Contact, Executive Department, 
Office of the Budget, 540 S. Dupont Highway, Suite 5, Dover, 
Delaware 19901, 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, NW. Suite 1200, Washington, DC 20005, 
Telephone: (202) 727-1700 (direct), (202) 727-6537 (secretary), Fax: 
(202) 727-1617.

Florida

Florida State Clearinghouse, Department of Community Affairs, 2555 
Shumard Oak Blvd., Tallahassee, Florida 32399-2100, Telephone: (850) 
922-5438, Fax: (850)

[[Page 64449]]

414-0479, Contact: Cherie Trainor, (850) 414-5495.

Georgia

Deborah Stephens, Coordinator, Georgia State Clearinghouse, 270 
Washington Street, SW.--8th Floor, Atlanta, Georgia 30334, 
Telephone: (404) 656-3855, Fax: (404) 656-7901.

Illinois

Virginia Bova, State Single Point of Contact, Illinois 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

Renee Miller, State Budget Agency, 212 State House, Indianapolis, 
Indiana 46204-2796, Telephone: (317) 232-2971 (directline), 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) 242-4809.

Kentucky

Kevin J. Goldsmith, Director, Sandra Brewer, Executive Secretary, 
Intergovernmental Affairs, Office of the Governor, 700 Capitol 
Avenue, Frankfort, Kentucky 40601, Telephone: (502) 564-2611, Fax: 
(502) 564-0437.

Maine

Joyce Benson, State Planning Office, 184 State Street, 38 State 
House Station, Augusta, Maine 04333, Telephone: (207) 287-3261, Fax: 
(207) 287-6489.

Maryland

Linda Janey, Manager, Plan & Project Review, Maryland Office of 
Planning, 301 W. Preston Street--Room 1104, Baltimore, Maryland 
21201-2365, Staff Contact: Linda Janey, Telephone: (410) 767-4490, 
Fax: (410) 767-4480.

Michigan

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

Mississippi

Cathy Mallette Clearinghouse Officer, Department of Finance and 
Administration, 550 High Street, 303 Walters Sillers Building, 
Jackson, Mississippi 39201-3087, Telephone: (601) 359-6762, Fax: 
(601) 359-6758.

Missouri

Lois Pohl, Federal Assistance Clearinghouse, Office of 
Administration, P.O. Box 809, Jefferson Building, 9th Floor, 
Jefferson City, Missouri 65102, Telephone: (314) 751-4834, Fax: 
(314) 751-7819.

Nevada

Department of Administration, State Clearinghouse, 209 E. Musser 
Street, Room 220, Carson City, Nevada 89710, Telephone: (702) 687-
4065, Fax: (702) 687-3983, Contact: Heather Elliot, (702) 687-6367.

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

Nick Mandell, Local Government Division, Room 201 Bataan Memorial 
Building, Santa Fe, New Mexico 87503, Telephone: (505) 827-3640, 
Fax: (505) 827-4984.

North Carolina

Jeanette Furney, North Carolina Department of Administration, 116 
West Jones Street--Suite 5106, Raleigh, North Carolina 27603-8003, 
Telephone: (919) 733-7232, FAX: (919) 733-9571.

North Dakota

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

Rhode Island

Kevin Nelson, Review Coordinator, Department of Administration, 
Division of Planning, One Capitol Hill, 4th Floor, Providence, Rhode 
Island 02908-5870, Telephone: (401) 277-2656, FAX: (401) 277-2083.

South Carolina

Omeagia Burgess, State Single Point of Contact, Budget and Control 
Board, Office of State Budget, 1122 Ladies Street--12th Floor, 
Columbia, South Carolina 29201, Telephone: (803) 734-0494, FAX: 
(803) 734-0645.

Texas

Tom Adams, Governors Office, Director, Intergovernmental 
Coordination, P.O. Box 12428, Austin, Texas 78711, Telephone: (512) 
463-1771, FAX: (512) 936-2681.

Utah

Carolyn Wright, Utah State Clearinghouse, Office of Planning and 
Budget, Room 116 State Capitol, Salt Lake City, Utah 84114, 
Telephone: (801) 538-1027, 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, Federal/State 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

Sandy Ross, State Single Point of Contact, Department of 
Administration and Information, 2001 Capitol Avenue, Room 214, 
Cheyenne, WY 82002, Telephone: (307) 777-5492, FAX: (307) 777-3696.

Territories

Guam

Joseph Rivera, Acting Director, Bureau of Budget and Management 
Research, Office of the Governor, P.O. Box 2950, Agana, Guam 96932, 
Telephone: (671)475-9411 or 9412, FAX: (671)472-2825.

Puerto Rico

Jose Caballero-Mercado, Chairman, Puerto Rico Planning Board, 
Federal Proposals Review Office, Minillas Government Center, P.O. 
Box 41119, San Juan, Puerto Rico 00940-1119, Telephone: (787) 727-
4444, (787) 723-6190, FAX: (787) 724-3270.

North Mariana Islands

Mr. Alvaro A. Santos, Executive Officer, Office of Management and 
Budget, Office of the Governor, Saipan, MP 96950, Telephone: (670) 
664-2256, FAX: (670) 664-2272, Contact person: Ms. Jacoba T. Seman, 
Federal Programs Coordinator, Telephone: (670) 664-2289, FAX: (670) 
664-2272.

Virgin Islands

Nellon 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.
    If you would like a copy of this list faxed to your office, 
please call our publications office at: (202) 395-9068.
    *In accordance with Executive Order #12372, ``Intergovernmental 
Review of Federal Programs,'' this listing represents the designated 
State Single Points of Contact. The jurisdictions not listed no 
longer participate in the process but grant applicants are still 
eligible to apply for the grant even if your state, territory, 
commonwealth, etc does not have a ``state single point of contact.'' 
states without ``state single points of contact'' include: Alabama, 
Alaska; American Samoa; Colorado; Connecticut; Hawaii; Idaho; 
Kansas; Louisiana; Massachusetts, Minnesota; Montana; Nebraska; New 
Jersey; New York; Ohio; Oklahoma; Oregon; Palau; Pennsylvania; South 
Dakota; Tennessee; Vermont, Virginia; and Washington. This list is 
based on the most current information provided by the States. 
Information on any changes or apparent errors should be provided to 
the Office of Management and Budget and the State in question. 
Changes to the list will only be made upon formal notification by 
the State. Also, this listing is published biannually in the 
Catalogue of Federal Domestic Assistance.

[FR Doc. 01-30825 Filed 12-12-01; 8:45 am]
BILLING CODE 4184-01-P