[Federal Register Volume 59, Number 75 (Tuesday, April 19, 1994)] [Unknown Section] [Page 0] From the Federal Register Online via the Government Publishing Office [www.gpo.gov] [FR Doc No: 94-9423] [[Page Unknown]] [Federal Register: April 19, 1994] ----------------------------------------------------------------------- DEPARTMENT OF HEALTH AND HUMAN SERVICES Administration for Children and Families [Program Announcement No. 93656-941] Temporary Child Care for Children With Disabilities and Crisis Nurseries Program AGENCY: Administration on Children, Youth and Families (ACYF), Administration for Children and Families (ACF), Department of Health and Human Services (DHHS). ACTION: Announcement of the availability of financial assistance and request for applications from States to support demonstration projects to provide temporary child care for children with disabilities and children with chronic illnesses, and crisis nurseries for abused and neglected children and children at risk of abuse and neglect. ----------------------------------------------------------------------- SUMMARY: The Administration on Children, Youth and Families (ACYF) announces the availability of fiscal year 1994 funds for competing new discretionary grants under the Temporary Child Care for Children with Disabilities and Crisis Nurseries Program. Funding for ACYF grants and the Cooperative Agreement identified in this announcement is authorized by legislation governing ACF programs in the Administration on Children, Youth and Families. This announcement contains all of the necessary application material to apply for these grants and the Cooperative Agreement. DATES: The closing date for the submission of all applications under this announcement is June 20, 1994. ADDRESSES: Applications may be mailed to the Department of Health and Human Services, Administration for Children and Families, Division of Discretionary Grants, 370 L'Enfant Promenade, SW., 6th Floor East, OFM/ DDG, Washington, DC 20447. (Reference announcement number and priority area.) Hand delivered applications are accepted during the normal working hours of 8 a.m. to 4:30 p.m., Monday through Friday, on or prior to the established closing date at: Administration for Children and Families, Division of Discretionary Grants, 6th Floor OFM/DDG, 901 D Street, SW., Washington, DC 20447. FOR FURTHER INFORMATION CONTACT: Administration on Children, Youth and Families, Children's Bureau, P.O. Box 1182, Washington, DC 20013, Telephone: Ory Cuellar (202) 205-8899 or Shirley Haile-Howard (202) 205-8788. SUPPLEMENTARY INFORMATION: The Administration on Children, Youth and Families (ACYF) administers national programs for children and youth, works with States and local communities to develop services which support and strengthen family life, seeks out joint ventures with the private sector to enhance the lives of children and their families, and provides information and other assistance to parents. The concerns of ACYF extend to all children from birth through adolescence. Many of the programs administered by the agency focus on children from low-income families; children and youth in need of foster care, adoption or other child welfare services; preschool children; children with disabilities; abused and neglected children; runaway and homeless youth; and children from American Indian and migrant families. Within ACYF, the Children's Bureau's Division of Child Welfare plans, manages, coordinates and supports child welfare services programs. It administers the Foster Care and Adoption Assistance Program, the Child Welfare Services State Grants Program, the Child Welfare Services Research, Demonstration and Training Programs, the Independent Living Initiatives Program, the Adoption Opportunities Program, the Temporary Child Care for Children With Disabilities and Crisis Nurseries Program, the Abandoned Infants Assistance Program, the Child Care and Development Block Grant Program, the State Dependent Care Planning and Development Program and the recently enacted Family Preservation and Family Support program. The Children's Bureau programs are designed to promote the welfare of all children, including disabled, homeless, dependent or neglected children and their families. The programs aid in preventing and remedying the neglect, abuse and exploitation of children. The programs also encourage the strengthening of the family unit to help alleviate the unnecessary separation of children from their families. This program announcement consists of four parts. Part I provides information on the goals of the Children's Bureau and the statutory authorities for awarding grants. Part II describes the programmatic priorities for which applications are being solicited. Part III provides information on the application review process. Part IV provides information and instructions for the development and submission of applications. Part I--General Information A. Background The Temporary Child Care for Children With Disabilities and Crisis Nurseries Act of 1986 (the Act), as amended, authorizes grants to States to assist public and private agencies in developing temporary child care or respite care services for children with disabilities and crisis nurseries for children who are abused or neglected, at risk of abuse and neglect, or in families receiving protective services. These programs are intended to maintain and support the family unit and strengthen the parent-child bond. Programs were funded under this Act in fiscal years 1988, 1989, 1990, 1991, and 1993. In FY 1992, ACYF funded, through a limited competition, final continuations grants for projects originally funded in FY 1990. B. Statutory Authorities Covered Under This Announcement The Temporary Child Care for Children With Disabilities and Crisis Nurseries Program provides demonstration grants to States to assist private and public agencies in developing temporary child care (respite care) for children with disabilities and crisis nurseries for children at risk of child abuse and neglect. Authorization: Temporary Child Care for Children With Disabilities and Crisis Nurseries Act of 1986, as amended, Public Law 102-295, 42 U.S.C. 5117a, 5117b, 5117c. CFDA: 93.656 C. Eligibility Requirements Eligibility requirements are referenced under each priority area. D. Availability and Allocation of Funds The Administration for Children, Youth and Families proposes to award approximately 30 grants in varying amounts up to $200,000 per budget period and one Cooperative Agreement in varying amounts throughout the project period but with the first three years limited to $600,000 per budget period. Award amounts are indicated in the discussion of each priority area. Part II--Programmatic Priorities for Funding The priority areas identified in this announcement are derived from legislative mandates as well as Departmental goals and initiatives. The priorities reflect the state of current knowledge as well as emerging issues which have come to ACYF's attention by several means including consultation with advocates, policymakers, and practitioners in the field. The priorities seek to focus attention on and to encourage demonstration efforts to obtain new knowledge and improvements in service delivery for the solution of particular problems and to promote the dissemination and utilization of the knowledge and model practices developed under these priorities. A. Structure of Priority Area Descriptions This section presents the basic set of issues that must be addressed in the application. Typically, they relate to project design, evaluation, and community involvement. This section also asks for specific information on the proposed project. Inclusion and discussion of these items in the applicant's proposal is important since they will be used by the reviewers in evaluating the proposal against the evaluation criteria. Project products, continuation of the project effort after the Federal support ceases, and dissemination/utilization activities, if appropriate, should also be addressed. Each priority area is composed of the following sections:Eligible Applicants: This section specifies the type of organization which is eligible to apply under the particular priority area. Specific restrictions are also noted, where applicable. 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 depending on statutory provisions, it is critical that the Eligible Applicants section under each specific priority area be read carefully. Purpose: This section presents the basic focus and/or broad goal(s) of the priority area. Background: This section briefly discusses the current state-of-the-art and/or current state-of practice that supports the need for the particular priority area activity and provides relevant information on projects previously funded by ACYF and/or other State models, where applicable. Minimum Requirements for Project Design: This section presents the basic set of issues that must be addressed in the application. Typically, they relate to project design, evaluation, and community involvement. This section also asks for specific information on the proposed project. The inclusion and discussion of these items in the applicant's proposal is important since they will be used by the reviewers in evaluating the proposal against the evaluation criteria. Project products, continuation of the project effort after the Federal support ceases, and dissemination/utilization activities, if applicable, should also be addressed. Project Duration: This section specifies the maximum allowable length of time for the project period; it refers to the amount of time for which Federal funding is available. Federal Share of Project Cost: This section specifies the amount of Federal support for the project. The term budget period refers to the interval of time (usually 12 months) into which a multi-year period of assistance (project period) is divided for budgetary and funding purposes. The term project period refers to the total time a project is approved for support, including any extensions. Matching Requirement: This section specifies the minimum non-Federal contribution, either through cash or in-kind match, that is required. Applicants are encouraged to meet their match requirements through cash contributions. Grantees must provide at least 25 percent of the total approved cost of the project. The total approved cost of the project is the sum of the ACYF share and the non-Federal share. Therefore, a project requesting $50,000 in Federal funds must include a match of at least $16,666 (25 percent of the total project cost of $66,666). Anticipated Number of Projects To Be Funded: This section specifies the number of projects that ACYF anticipates it will fund in the priority area. B. List of Priority Areas Included in This Announcement 1.01A--Temporary Child Care for Children with Disabilities and Chronically Ill Children 1.01B--Crisis Nurseries 1.02--National Resource Center for Respite and Crisis Care Services C. Priority Area Descriptions and Requirements 1.01A Temporary Child Care for Children With Disabilities and Chronically Ill Children and 1.01B Crisis Nurseries Eligible Applicants: Only State agencies designated by the Governor of the State to carry out programs funded under the Temporary Child Care for Children With Disabilities and Crisis Nurseries Act of 1986, as amended (42 U.S.C. 5117a and 5117b) are eligible to apply. Other State agencies carrying out similar programs are ineligible. States, including those currently receiving financial assistance under these programs, may apply under each priority area described below. A separate application, however, must be submitted under each priority area. Only one application per State may be submitted under each priority area. Applications must clearly indicate whether they are being submitted under 1.01A, Temporary Child Care for Children with Disabilities and Chronically Ill Children, or 1.01B, Crisis Nurseries. Purpose: To support States in their efforts to assist private and public agencies in developing two types of services: In-home or out-of-home temporary non-medical child care (respite care) for children with disabilities and children with chronic or terminal illnesses, including children with AIDS or AIDS-related conditions (priority area 1.01A); and Crisis nurseries for abused and neglected children, children at risk of abuse and neglect, or children in families receiving protective services (priority area 1.01B). Special attention should be paid in both priority areas to the needs of drug-affected infants. 42 U.S.C. Section 5117a: Temporary Child Care for Children With Disabilities and Chronically Ill Children (Priority Area 1.01A) Background: The Act authorizes temporary child care programs for children with disabilities and requires applicants seeking temporary child care funds to define disabilities using the definition in the Individuals with Disabilities Education Act: * * * The term children with disabilities means children--(A)(i) with mental retardation, hearing impairments including deafness, speech or language impairments, visual impairments including blindness, serious emotional disturbance, orthopedic impairments, autism, traumatic brain injury, other health impairments, or specific learning disabilities; and (ii) who, by reason thereof, need special education and related services. (B) The term children with disabilities for children aged 3 to 5, inclusive, may at a State's discretion, include children--(i) experiencing developmental delays, as defined by the State and as measured by appropriate diagnostic instruments and procedures, in one or more of the following areas: physical development, cognitive development, communication development, social or emotional development, or adaptive development; and, (ii) who, by reason thereof; need special education and related services * * * (Public Law 102-119) The purpose of establishing a temporary child care program (also known as respite care) for children with disabilities or who are chronically or terminally ill is to alleviate social, economic, and financial stress among the families of such children. Such care provides the families or primary caregivers with periods of temporary relief from the pressures of the demanding child care routine, thus preventing severe family stress. The following components may be included in temporary child care or respite care projects: 24-hour services; Access to primary medical services; Referral to counseling/therapy services; Staff training, including child abuse/neglect reporting responsibilities; Public awareness programs; and Linkages to other family support and/or family preservation services. 42 U.S.C. Section 5117b: Crisis Nurseries (Priority Area 1.01B) Background: A crisis nursery is defined in section 42 U.S.C. Section 5117c(d) to mean a center providing temporary emergency services and care for children. Crisis nurseries are child care facilities which protect children by providing a safe environment at a time when the chances of neglect or abuse in the home are increased. The programs offer parents the option of ``time out'' as a preventive measure in reducing the incidence of child maltreatment. They are designed to: (1) Develop a safe environment as a resource for children at risk of abuse; (2) deliver non-punitive, non-threatening services as a resource to caregivers of at-risk children; and (3) utilize existing community-based services to further diminish the potential for the maltreatment of children in families experiencing crisis. Services funded under 42 U.S.C. Section 5117b must be provided without fee and may be provided for a maximum of 30 days in any year. Crisis nurseries must also provide referral to support services. The following components may be included in crisis nursery programs: 24-hour services; Referral to counseling/therapy services, including out-of- home placement (when appropriate); Access to primary medical services; Staff training, including child abuse/neglect reporting responsibilities; Public awareness programs; and Linkages to other family support and/or family preservation services. Minimum Requirements for Project Design: 1.01A--Temporary Child Care for Children With Disabilities and Chronically Ill Children, and 1.01B - Crisis Nurseries In order to successfully compete under one or both of these priority areas, the applicant should: Provide a letter addressed to the Commissioner, Administration on Children, Youth and Families, and signed by the Governor which certifies that the State agency applying for funding is the State agency designated to carry out programs funded under 42 U.S.C. Sections 5117a and 5117b of the Temporary Child Care for Children With Disabilities and Crisis Nurseries Act. Provide documentation of the State's commitment to develop a State plan for coordination among agencies carrying out programs and activities provided by the State pursuant to a temporary child care grant under 42 U.S.C. Section 5117a. (Section 5117c(a)(1)(A)(v)) Describe collaborative efforts with programs funded through the Child Care and Development Block Grant. Describe collaborative efforts with other family preservation and/or support programs including how the project(s) funded under this program will be family-centered and incorporated into an integrated service system being planned under the Family Preservation and Family Support program authorized in Title IV-B, Subpart 2 of the Social Security Act. Describe the proposed State program to assist private and public agencies or organizations in providing in-home or out-of-home temporary, non-medical care to children with disabilities and children with chronic or terminal illnesses, including drug-related conditions and children with AIDS or AIDS-related conditions, or crisis nurseries for abused and neglected children. (1) If the State has previously received an award under this statute, describe the types of services being provided and the geographical sites served utilizing these funds. (2) If the funds being requested would be used to enhance services previously or currently supported under this statute, substantial detailed documentation must be provided on the increased need for services such as the existence of waiting lists or an increase in the population of the geographical area. (3) If the funds being requested would be used to expand services to geographical sites not previously or currently supported under this statute, describe the process that was used or will be used to select the sites. Particularly encouraged are sites which would serve homeless families, families living in public housing projects or American Indian communities and/or other minority families. Describe the services to be provided, the agencies and organizations that would provide the services and the criteria that would be employed in the selection of children and families for participation in the project. (42 U.S.C. Section 5117c(a)(1)(A)(i)) Describe State plans for the submission of an annual report to the Secretary evaluating the programs that are funded, including information on costs, number of participants, impact on family stability, incidence of child abuse and neglect and such other information as the Secretary may require. Describe fully how this requirement would be met and specifically describe how the data required to conduct this evaluation and to generate the information would be collected. (42 U.S.C. 5117c(C)) Describe a plan for dissemination of the results of the programs and projects funded under the Act. (42 U.S.C. 5117c(a)(1)(A)(iii)) Discuss plans for continuation of the program after the federally funded project period has ended. Provide assurances and adequate budget funds to enable at least one key person from the State agency and one key person from each service provider site receiving funds from the grant to attend an annual three day conference in Washington, DC. Provide assurances that travel to these conferences would not be subject to any limitations on travel which may be imposed by the State on its employees. Provide the following assurances as required by statute: (1) That not more than 5 percent of the funds made available under each section of the Act would be used for State administrative costs. (2) That projects funded by the State would be of sufficient size, scope and quality to achieve the objectives of the program. (3) That, in the distribution of funds under the Temporary Child Care program, the State would give priority consideration to agencies and organizations which have experience in working with disabled, terminally ill, and chronically ill children and their families and which serve communities which demonstrate the greatest need for such services. (4) That, in the distribution of funds under the Crisis Nurseries program, the State would give priority consideration to agencies and organizations with experience in working with abused or neglected children and their families; in working with children at high risk of abuse and neglect and their families; and in serving communities which demonstrate the greatest need for such services. (5) That Federal funds made available under these programs would be used to supplement and, to the extent practicable, increase the amount of State and local funds available for these purposes, and in no case supplant such State or local funds. (6) That the State would use the definition of children with disabilities found in Public Law 102-119, the Individuals with Disabilities Education Act, in implementing programs under the Temporary Child Care program. (7) That all agencies and organizations funded under the Temporary Child Care for Children with Disabilities program would provide child care only on a sliding fee scale with hourly and daily rates. (8) That the services provided under the Crisis Nurseries program would be provided without fee and for a maximum of 30 days in any year. Federal Share of Project Costs: The maximum Federal share may not exceed $200,000 for the first 12-month budget period or $600,000 for a 3-year project period. Matching or Cost Sharing Requirements: The applicant must provide at least 25 percent of the total cost of the project. The total approved cost of the project is the sum of the ACYF share and the non- Federal share. The non-Federal share may be 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 must include a match of at least $200,000 (25 percent of the total project cost of $800,000). Non-Federal share contributions may exceed the minimum specified when the applicant is able to do so. An applicant should ensure the availability of any amount proposed as match prior to including it in the budget. The non-Federal share must be met by a grantee during the life of the project. Otherwise, ACF will disallow any unmatched Federal funds. Project Duration: The length of the project may not exceed 36 months. Anticipated Number of Projects to be Funded: It is anticipated that approximately 30 projects, 15 under each priority area, 1.01A and 1.01B, will be funded. Length of Proposal: The length of the proposal should not exceed 60 pages, including all preprinted forms and appendices. Refer to Part IV for additional information regarding proposal requirements and limitations. CDFA: 93.656 Temporary Child Care for Children With Disabilities and Crisis Nurseries Act of 1986, as amended, Title II, Public Law 102-295, 42 U.S.C. 5117a, 5117b, 5117c 1.02 National Resource Center for Respite and Crisis Care Services Eligible Applicants: Only State agencies designated by the Governor of the State to carry out programs funded under Sections 5117a and 5117b of the Temporary Child Care for Children With Disabilities and Crisis Nurseries Act (the Act), including current grantees under the Act, are eligible to apply. Other State agencies carrying out similar programs are ineligible to apply. Purpose: The purpose of this Resource Center is to assist in the coordination, exchange of information, continuing development and improvement of the types of services described in Sections 5117a and 5117b of the Temporary Child Care for Children With Disabilities and Crisis Nurseries Act. The Resource Center will also assist programs providing respite care services pursuant to the Family Preservation and Family Support program authorized in Title IV-B, Subpart 2 of the Social Security Act. The Resource Center will assist in the coordination, the dissemination of information about, and the continuing development and improvement of these respite care services. These services will be provided by the Resource Center whether or not the service providers receive Federal funds from the programs authorized under these Acts. The services to be provided are: (1) In-home or out-of-home temporary non-medical child care (respite care) for children with disabilities and children with chronic or terminal illnesses (Section 5117a), including children with AIDS or AIDS-related conditions and drug-affected infants and children; (2) Crisis nurseries for abused and neglected children, children at risk of abuse and neglect, and children in families receiving protective services, (Section 5117b), including drug-affected infants and children; (3) Respite care as part of a system of family preservation services designed to assist families in crisis or at risk of having their children placed in foster care; and, (4) Respite care as a part of a system of family support services designed to work with families before a crisis occurs to enhance child development and increase family stability. Background: Since 1988, the Children's Bureau in the Department of Health and Human Services has awarded 145 grants to States to support respite care services and crisis nurseries under the Temporary Child Care for Children With Disabilities and Crisis Nurseries Program. Through these State agency grantees, over 250 local service providers have been recipients of the $52,106,552 awarded thus far. In addition, other projects, not utilizing Federal funds available under this program, have been developed and implemented in local communities designed to address the needs of similar target populations. In FY 1993 the Children's Bureau awarded grants to 24 States with funds earmarked for expanding respite care and crisis nurseries services within the States. Respite care programs funded under the Temporary Child Care program are designed to alleviate social, economic, and financial stress among families of all children and, particularly, children with disabilities or children who are chronically or terminally ill through the provision of short-term, non-medical child care. Such respite care provides families or primary care givers with periods of temporary relief from the pressures of the demanding child care routine, thus preventing severe family stress. Respite care programs generally provide 24-hour services, access to medical services; referral access to counseling/ therapy; staff training, including child abuse/neglect reporting responsibilities; and public awareness efforts. Crisis Nurseries programs are designed to protect children by providing a safe environment at a time when the chances of neglect or physical abuse in the home are increased. These programs offer parents the option of time out as a preventive measure to reduce the incidence of child maltreatment. In general, crisis nursery programs provide many of the same services as respite care programs but also place greater emphasis on intervention, remediation and prevention services including referrals for out-of-home placement, when appropriate. Other community programs also provide respite care as an integrated part of their services. New legislation recently established Subpart 2 of Title IV-B of the Social Security Act, entitled the Family Preservation and Support Services, which encourages and enables States to develop, establish or expand and operate programs for family preservation and community-based family support services. These programs are family-centered and will focus on strengthening the family unit. Family preservation services will assist families in crisis when the child is at imminent risk of being placed in out-of-home care because of abuse and/or neglect. Family support services will focus on activities aimed at increasing the strength and stability of families. Existing programs vary considerably in terms of quality, experience and methodology. However, the demand for services is increasing as the number of single-parent families, families in poverty, and stress on families increases; as fewer disabled children are institutionalized; and as substance abuse impacts greater numbers of children and families. Additional resources are needed to assist in identifying, developing and utilizing effective program practices, information and materials in order to meet this demand. Minimum Requirements for Project Design In order to successfully compete under this priority area, the application should: Provide a letter addressed to the Commissioner, Administration on Children, Youth and Families, and signed by the Governor which certifies that the State agency applying for funding is the State agency designated to carry out the program. Demonstrate knowledge about the problems and issues involved in providing services for children with disabilities and children at risk of abuse and neglect. Provide documentation of the commitment to improving the quality of respite care and crisis nurseries program and services. Describe a plan for identifying emerging issues from the fields of child welfare (including family preservation and family support), developmental disabilities, and child health, particularly as they relate to prenatal drug exposure and pediatric HIV infection. Describe a plan for preparing and disseminating information and policy papers to the field which address these emerging issues. Describe a plan for promoting collaboration among agencies within states and communities. Describe a plan that will establish an advisory committee to provide overall guidance and support to the Resource Center. Describe a plan for coordinating activities with other national Resource Centers, Research Centers and Clearinghouses funded by HHS and other organizations to assure effective utilization of resources and avoid duplication of effort. Describe a plan for holding at least one national conference per year, in collaboration with the Children's Bureau, for relevant service providers. Describe a strategy for identifying and disseminating information about innovative and/or exemplary programs. Describe how the training and technical assistance needs of States identified by the HHS Regional Offices will be met. Describe a strategy for providing technical assistance to programs to improve the quality and rigor of their evaluations. Describe the applicant's experience in providing training and technical assistance on a variety of program models serving economically, racially and culturally diverse populations. Describe a strategy for identifying, documenting and developing innovative and/or exemplary resources such as training curricula and manuals and for assisting the field in adapting such resources to meet specific needs. Describe a plan for providing technical assistance, training and consultation to service providers and to State agencies to improve professional competency, to insure service coordination and integration, and to promote the utilization of resources and best practices related to the management and administration of respite care programs and crisis nurseries. Describe a plan for ensuring that the staff of the Resource Center are racially and culturally reflective of the population being served. Describe a plan for developing a national network of professionals in the field to serve as consultants, for linking these individuals with agencies requesting assistance, for ensuring that the network is racially and culturally diverse, and for ensuring the quality of the consultation provided. Provide assurances that at least one key staff member would attend an annual four-day meeting in Washington, DC, and at least three additional two-day meetings in Washington, DC with Children's Bureau staff, grantees, service providers, and/or policymakers each year. Provide assurances that not more than 5 percent of the funds awarded would be used for State administrative costs. Agree to enter into a Cooperative Agreement which will require the grantee to submit to the Children's Bureau for review and approval: workplans, including, as appropriate, activities involving Headquarters and Regional Office staff; lists of topics to be covered in technical assistance resources, syntheses, summaries and literature reviews; topics, times and places for conferences; topics for any collection of original data; and draft reports, conference agendas and other materials prior to their finalization and dissemination by the grantee. (A Cooperative Agreement is Federal Assistance in which substantial Federal involvement is anticipated. The respective responsibilities of Federal staff and the awardee are negotiated prior to the award.) The grantee shall also cooperate, to the extent that its budget will allow, with the Children's Bureau in meetings, briefings, or other forums to disseminate knowledge gained from its work with States and local communities. Federal Share of Project Costs: The maximum Federal share may notexceed $600,000 for the first 12-month budget period or $1,800,000 for the first 3-years of the project. Funding for years 4 and 5 may exceed $600,000 per budget period based on a comprehensive needs assessment submitted by the grantee. Matching Requirement: There is no matching requirement. Project Duration: The length of the project may not exceed 60 months. Anticipated Number of Projects to be Funded: It is anticipated that one project will be funded as a Cooperative Agreement. Length of Proposal: There is no page limitation on applications submitted under this priority area. CDFA: 93.656 Temporary Child Care for Children With Disabilities and Crisis Nurseries Act of 1986, as amended, 42 U.S.C. 5117 D. Available Funds The ACYF intends to award new grants and a Cooperative Agreement under this announcement during fiscal year 1994. Applications for continuation grants funded under this program beyond the first year's budget period, but within the total project period, will be entertained in subsequent years on a non-competitive basis, subject to the availability of funds and a determination that continued funding would be in the best interest of the Federal government. Applicants are advised that the Administration has proposed the consolidation of this program into the Child Care and Development Block Grant (CCDBG) beginning in FY 1995. In addition, for priority areas 1.01A and 1.01B, non-competitive funding for subsequent years will be based on a program staff review of project status and performance, and evidence that the program is part of an integrated system of services described in an approved State plan as mandated by Title IV-B, Subpart 2, of the Social Security Act, pursuant to the Family Preservation and Family Support program. If the Temporary Child Care for Children With Disabilities and Crisis Nurseries program is consolidated with CCDBG, ACYF will encourage States to consider continuing those projects funded under these priority areas. For priority area 1.02, non-competitive funding beyond year three will be based on the project's responsiveness to customers' needs. Part III--Review Process A. Eligible Applicants Before applications are reviewed, each application will be screened to determine that the applicant organization is an eligible applicant as specified under the selected priority area. Applications from organizations which do not meet the eligibility requirements for the priority area will not be considered or reviewed in the competition, and the applicant will be so informed. B. Review Process and Funding Decisions Timely applications from eligible applicants will be reviewed and scored competitively. Experts in the field, generally persons from outside of the Federal government, will use the evaluation criteria listed in Section C, Evaluation Criteria, to review and score the applications. The results of this review are a primary factor in making funding decisions. The ACYF 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 ACYF 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 ACYF in making funding decisions. In making decisions on awards, ACYF may give preference to applications which focus on or feature: Minority populations; programs which are part of an integrated system of family support services and/ or family preservation services; a substantial 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 the greatest extent possible, efforts will be made to ensure that funding decisions reflect an equitable distribution of assistance among the States, and geographical regions of the country, rural and urban areas, and ethnic populations. In making these decisions, the Assistant Secretary and HHS Senior Staff may also take into account the need to avoid unnecessary duplication of efforts. C. Evaluation Criteria A panel of at least three reviewers (primarily experts from outside the Federal government) will review the applications. 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 proposal in terms of the 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. Applications under all priority areas will be evaluated against the following criteria. 1. Objective and Need for Assistance (20 points). The extent to which the application pinpoints any relevant physical, economic, social, financial, institutional or other problems requiring a solution; demonstrates the need for the assistance; states the principal and subordinate objectives of the project; provides supporting documentation or other testimonies from concerned interests other than the applicant; and includes and/or references relevant data. The application must identify the precise location of the project and area to be served by the proposed project. Maps and other graphic aids may be attached. 2. Results or Benefits Expected (20 points). The extent to which the application identifies the results and benefits to be derived, the extent to which they are consistent with the objectives of the proposal, and the extent to which the application indicates the anticipated contributions to policy, practice, theory and/or research. The extent to which the proposed project costs are reasonable in view of the expected results. 3. Approach (35 points). The extent to which the application outlines a sound and workable plan of action pertaining to the scope of the project, and details how the proposed work will be accomplished; cites factors which might accelerate or decelerate the work, giving acceptable reasons for taking the proposed 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; provides for projections of the accomplishments to be achieved; and lists the activities to be carried out in chronological order, showing a reasonable schedule of accomplishments and target dates. The extent to which, when applicable, the application identifies the kinds of data to be collected and maintained, and discusses the criteria to be used to evaluate the results and successes of the project. The extent to which the application describes the evaluation methodology that will be used to determine if the needs identified and discussed are being met and if the results and benefits identified are being achieved. The extent to which the application identifies each organization, agency, consultant, or other key individuals or groups who will work on the project, along with a description of the activities each will undertake and the nature of their effort or contribution. 4. Staff Background and Organization's Experience (25 points). The extent to which the background of the project director/principal investigator and key project staff (including name, address, training, educational background and other qualifying experience) and the experience of the organization demonstrate the applicant's ability to effectively and efficiently administer the project. The extent to which the application describes the relationship between the proposed project and other relevant work planned, anticipated or underway by the applicant. Part IV--Instructions for the Development and Submission of Application This Part contains information and instructions for submitting applications in response to this announcement. Application forms are provided along with a checklist for assembling an application package. Please copy and use these forms in submitting an application. 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 presented in Part II. A. Required Notification of the State Single Point of Contact The Temporary Child Care for Children with Disabilities and Crisis Nurseries Program is covered under Executive Order 12372, Intergovernmental Review of Federal Programs, and 45 CFR Part 100, Intergovernmental Review of Department of Health and Human Services Program and Activities. Under the Order, States may design their own processes for reviewing and commenting on proposed Federal assistance under covered programs. All States and territories, except Alabama, Alaska, Connecticut, Hawaii, Idaho, Kansas, Louisiana, Minnesota, Montana, Nebraska, Oklahoma, Oregon, Pennsylvania, Virginia, Washington, American Samoa and Palau, have elected to participate in the Executive Order process and have established State Single Point of Contact (SPOCs). Applicants from these 17 jurisdictions need take no action regarding E.O. 12372. Otherwise, applicants should contact their SPOCs as soon as possible to alert them to the prospective applications and receive any necessary instructions. Applicants must submit any required material to the SPOCs as soon as possible so that the program office can obtain and review SPOC comments as part of the award process. It is imperative that the applicant submit all required materials, 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 the 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 clearly differentiate between mere advisory comments and those official State process recommendations which may trigger the accommodate or explain rule. When comments are submitted directly to ACF, they should be addressed to: Department of Health and Human Services, Administration for Children and Families, Division of Discretionary Grants, 370 L'Enfant Promenade, SW., 6th Floor East, OFM/DDG, Washington, DC 20447. A list of the Single Points of Contact for each State and Territory is included as Appendix B of this announcement. B. Deadline for Submission of Applications Deadline: Applications shall be considered as meeting the announced deadline if they are either: 1. Mailed on or before the deadline date to: Department of Health and Human Services, Administration for Children and Families, Division of Discretionary Grants, 370 L'Enfant Promenade, SW., 6th Floor East, OFM/DDG, Washington, DC 20447. 2. Mailed on or before the deadline date and received by the granting agency in time for the independent review under DHHS GAM Chapter 1-62. (Applicants are cautioned to request a legibly dated U.S. Postal Service postmark or to obtain a legibly dated receipt from a commercial carrier or U.S. Postal Service. Private Metered postmarks shall not be acceptable as proof of timely mailing.) 3. Hand delivered during the normal working hours of 8 a.m. to 4:30 p.m., Monday through Friday, on or before to the established closing date to: Administration for Children and Families, Division of Discretionary Grants, 901 D Street, SW., 6th Floor OFM/DDG, Washington, DC 20447. Late Applications: Applications which do not meet the criteria stated above are considered late applications. The granting agency shall notify each late applicant that its application will not be considered in the current competition. Extension of Deadlines: The granting agency may extend the deadline for all applicants because of acts of God such as floods, hurricanes, etc., or when there is a widespread disruption of the mails. However, if the granting agency does not extend the deadline for all applicants, it may not waive or extend the deadline for any applicants. C. Instructions for Preparing the Application and Completing Application Forms The SF 424, 424A, 424B, and certifications have been reprinted for your convenience in preparing the application. See Appendix A. You should reproduce single-sided copies of these forms from the reprinted forms in the announcement, typing your information onto the copies. Please do not use forms directly from the Federal Register announcement, as they are printed on both sides of the page. Please prepare your application in accordance with the following instructions: 1. SF 424 Page 1, Application Cover Sheet Please read the following instructions before completing the application cover sheet. An explanation of each item is included. Complete only the items specified. Top of Page. Enter the single priority area number under which the application is being submitted. An application should be submitted under only one priority area. Item 1. Type of Submission--Preprinted on the form. Item 2. Date Submitted and Applicant Identifier--Date application is submitted to ACYF 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 the 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. Item 15. Estimated Funding Levels In completing 15a through 15f, the dollar amounts entered should reflect, for a 17-month or less project period, the total amount requested. If the proposed project period exceeds 17- months, enter only those dollar amounts needed for the first 12 months of the proposed project. Item 15a. Enter the amount of Federal funds requested in accordance with the preceding paragraph. This amount should be no greater than the maximum amount specified in the priority area description. Items 15b-e. Enter the amount(s) of funds from non-Federal sources that will be contributed to the proposed project. Items b-e are considered cost-sharing or matching funds. The value of third party in-kind contributions should be included on appropriate lines as applicable. For more information regarding funding as well as exceptions to these rules, see Part I, Section D, and the specific priority area description (Part II, Section C). Item 15f. Enter the estimated amount of income, if any, expected to be generated from the proposed project. Do not add or subtract this amount from the total project amount entered under item 15g. Describe the nature, source and anticipated use of this 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 1994. Item 16b. Is Application Subject to Review By State Executive Order 12372 Process? No.--Check the appropriate box if the application is not covered by E.O. 12372 or if the program has not been selected by the State for review. Item 17. Is the Applicant Delinquent on any Federal Debt?--Check the appropriate box. This question applies to the applicant organization, not the person who signs as the authorized representative. Categories of debt include audit disallowances, loans and taxes. Item 18. To the best of my knowledge and belief, all data in this application/ preapplication are true and correct. The document has been duly authorized by the governing body of the applicant and the applicant will comply with the attached assurances if the assistance is awarded.--To be signed by the authorized representative of the applicant. A copy of the governing body's authorization for signature of this application by this individual as the official representative must be on file in the applicant's office, and may be requested from the applicant. Item 18a-c. Typed Name of Authorized Representative, Title, Telephone Number--Enter the name, title and telephone number of the authorized representative of the applicant organization. Item 18d. Signature of Authorized Representative--Signature of the authorized representative named in Item 18a. At least one copy of the application must have an original signature. Use colored ink (not black) so that the original signature is easily identified. Item 18e. Date Signed--Enter the date the application was signed by the authorized representative. 2. SF 424A--Budget Information--Non-Construction Programs This is a form used by many Federal agencies. For this application, Sections A, B, C, E and F are to be completed. Section D does not need to be completed. Sections A and B should include the Federal as well as the non- Federal funding for the proposed project covering the first year budget period. 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 first year budget period if the proposed project period exceeds 12 months. It should relate to item 15g, total funding, on the SF 424. Under column (5), enter the total requirements for funds (Federal and non-Federal) by object class category. A separate itemized budget justification for each line item is required. 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 principal investigator or project director, if known. Specify by title or name the percentage of time allocated to the project, the individual annual salaries, and the cost to the project (both Federal and non-Federal) of the organization's staff who will be working on the project. Fringe Benefits--Line 6b. Enter the total cost 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 (1) procurement contracts (except those which belong on other lines such as equipment, supplies, etc.) and (2) contracts with secondary recipient organizations, including delegate agencies. Also include any contracts with organizations for the provision of technical assistance. Do not include payments to individuals on this line. If the name of the contractor, scope of work, and estimated total costs are not available or have not been negotiated, include on Line 6h, ``Other.'' Justification: Attach a list of contractors, indicating the names of the organizations, the purposes of the contracts, and the estimated dollar amounts of the awards as part of the budget justification. Whenever the applicant/grantee intends to delegate part or all of the program to another agency, the applicant/grantee must complete this section (Section B, Budget Categories) for each delegate agency by agency title, along with the supporting information. The total cost of all such agencies will be part of the amount shown on Line 6f. Provide backup documentation identifying the name of contractor, purpose of contract, and major cost elements. Applicants who anticipate procurements that will exceed $5,000 (non-governmental entities) or $25,000 (governmental entities) and are requesting an award without competition should include a sole source justification in the proposal which at a minimum should include the basis for contractor's selection, justification for lack of competition when competitive bids or offers are not obtained and basis for award cost or price. (Note: Previous or past experience with a contractor is not sufficient justification for sole source.) Construction--Line 6g. Not applicable. New construction is not allowable. Other--Line 6h. Enter the total of all other costs. Where applicable, such costs may include, but are not limited to: insurance; medical and dental costs; noncontractual fees and travel paid directly to individual consultants; local transportation (all travel which does not require per diem is considered local travel); space and equipment rentals; printing and publication; computer use; training costs, including tuition and stipends; training service costs, including wage payments to individuals and supportive service payments; and staff development costs. Note that costs identified as ``miscellaneous'' and honoraria are not allowable. Justification: Specify the costs included. Total Direct Charges--Line 6i. Enter the total of Lines 6a through 6h. Indirect Charges--6j. Enter the total amount of indirect charges (costs). If no indirect costs are requested, enter none. Generally, this line should be used when the applicant (except local governments) has a current indirect cost rate agreement approved by the Department of Health and Human Services or another Federal agency. Local and State governments should enter the amount of indirect costs determined in accordance with HHS requirements. When an indirect cost rate is requested, these costs are included in the indirect cost pool and should not be charged again as direct costs to the grant. Justification: Enclose a copy of the indirect cost rate agreement. 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 45 CFR 74.51 and 45 CFR 92.3, as property or services which benefit a grant-supported project or program and which are contributed by non-Federal third parties without charge to the grantee, the subgrantee, or a cost-type contractor under the grant or subgrant. Justification: Describe third party in-kind contributions, if included. Section D--Forecasted Cash Needs. Not applicable. Section E--Budget Estimate of Federal Funds Needed For Balance of the Project. This section should only be completed if the total project period exceeds 12 months. Totals--Line 20. For projects that will have more than one budget period, enter the estimated required Federal funds for the second budget period (months 13 through 24) under column (b) First. If a third budget period will be necessary, enter the Federal funds needed for months 25 through 36 under (c) Second. Columns (d) and (e) are not applicable in most instances, since ACF funding is almost always limited to a three-year maximum project period. Columns (d) and (e) would be used in the case of a 60 month project. 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 12 months, you must enter your proposed non-Federal share of the project budget for each of the remaining years of the project. 3. Project Summary Description Clearly mark this separate page with the applicant name as shown in item 5 of the SF 424, the priority area number as shown at the top of the SF 424, and the title of the project as shown in item 11 of the SF 424. The summary description should not exceed 300 words. These 300 words become part of the computer database on each project. Care should be taken to produce a summary description which accurately and concisely reflects the proposal. It should describe the objectives of the project, the approaches to be used and the outcomes expected. The description should also include a list of major products that will result from the proposed project, such as software packages, materials, management procedures, data collection instruments, training packages, or videos (please note that audiovisuals should be closed captioned). The project summary description, together with the information on the SF 424, will constitute the project abstract. It is the major source of information about the proposed project and is usually the first part of the application that the reviewers read in evaluating the application. At the bottom of the page, following the summary description, type up to 10 key words which best describe the proposed project, the service(s) involved and the target population(s) to be covered. These key words will be used for computerized information retrieval for specific types of funded projects. 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 provide information concerning how the application meets the evaluation criteria (see Section C, Part III), using the following headings: (a) Objectives and Need for Assistance; (b) Results and Benefits Expected; (c) Approach; and (d) Staff Background and Organization's Experience. The specific information to be included under each of these headings is described in Section C of Part III, Evaluation Criteria. The narrative should be typed double-spaced on a single-side of an 8\1/2\ x 11 plain white paper, with one inch margins on all sides. All pages of the narrative (including charts, references/footnotes, tables, maps, exhibits, etc.) must be sequentially numbered, beginning with Objectives and Need for Assistance as page number one. Applicants should not submit reproductions of larger size paper, reduced to meet the size requirement. The length of the application, including the application forms and all attachments, should not exceed 60 pages. A page is a single side of an 8\1/2\ x 11 sheet of paper. Applicants are requested not to send pamphlets, brochures or other printed material along with their application as these pose xeroxing difficulties. These materials, if submitted, will not be included in the review process if they exceed the 60-page limit. Each page of the application will be counted to determine the total length. 5. Organizational Capability Statement The Organizational Capability Statement should consist of a brief (two to three pages) background description of how the applicant organization (or the unit within the organization that will have responsibility for the project) is organized, the types and quantity of services it provides, and/or the research and management capabilities it possesses. This description should cover capabilities not included in the Program Narrative Statement. It may include descriptions of any current or previous relevant experience, or describe the competence of the project team and its demonstrated ability to produce a final product that is readily comprehensible and usable. An organization chart showing the relationship of the project to the current organization should be included. 6. Part IV--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. Copies of these assurances/certifications are reprinted at the end of this announcement and should be reproduced, as necessary. A duly authorized representative of the applicant organization must certify that the applicant is in compliance with these assurances/certifications. A signature on the SF 424 indicates compliance with the Drug Free Workplace Requirements, and Debarment and Other Responsibilities certifications. D. Checklist for a Complete Application The checklist below is for your use to ensure that your application package has been properly prepared. --One original, signed and dated application, plus two copies. Applications for different priority areas are packaged separately; --Application is from an organization which is eligible under the eligibility requirements defined in the priority area description (screening requirement); --Application length does not exceed 60 pages, unless otherwise specified in the priority area description. A complete application consists of the following items in this order: --Application for Federal Assistance (SF 424, REV 4-88); --A completed SPOC certification with the date of SPOC contact entered in line 16, page 1 of the SF 424; --Budget Information--Non-Construction Programs (SF 424A, REV 4-88); --Budget justification for Section B--Budget Categories; --Table of Contents; --Letter from the Internal Revenue Service to prove non-profit status, if necessary; --Copy of the applicant's approved indirect cost rate agreement, if appropriate; --Project summary description and listing of key words; --Program Narrative Statement (See Part III, Section C); --Organizational capability statement, including an organization chart; --Any appendices/attachments; --Assurances--Non-Construction Programs (Standard Form 424B, REV 4-88); --Certification Regarding Lobbying; and --Certification of Protection of Human Subjects, if necessary. E. 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. Do not 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 ACYF by telephone at (202) 690-7016. Dated: April 13, 1993. Olivia A. Golden, Commissioner, Administration on Children, Youth and Families. BILLING CODE 4184-01-P ![]()
TN19AP94.001 BILLION CODE 4184-01-C Instructions for the SF 424 This is a standard form used by applicants as a required facesheet for preapplications and applications submitted for Federal assistance. It will be used by Federal agencies to obtain applicant certification that States which have established a review and comment procedure in response to Executive Order 12372 and have selected the program to be included in their process, have been given an opportunity to review the applicant's submission. Item and Entry 1. Self-explanatory. 2. Date application submitted to Federal agency (or State if applicable) & applicant's control number (if applicable). 3. State use only (if applicable). 4. If this application is to continue or revise an existing award, enter present Federal identifier number. If for a new project, leave blank. 5. Legal name of applicant, name of primary organizational unit which will undertake the assistance activity, complete address of the applicant, and name and telephone number of the person to contact on matters related to this application. 6. Enter Employer Identification Number (EIN) as assigned by the Internal Revenue Service. 7. Enter the appropriate letter in the space provided. 8. Check appropriate box and enter appropriate letter(s) in the space(s) provided: --``New'' means a new assistance award. --``Continuation'' means an extension for an additional funding/ budget period for a project with a projected completion date. --``Revision'' means any change in the Federal Government's financial obligation or contingent liability from an existing obligation. 9. Name of Federal agency from which assistance is being requested with this application. 10. Use the Catalog of Federal Domestic Assistance number and title of the program under which assistance is requested. 11. Enter a brief descriptive title of the project. If more than one program is involved, you should append an explanation on a separate sheet. If appropriate (e.g., construction or real property projects), attach a map showing project location. For preapplications, use a separate sheet to provide a summary description of this project. 12. List only the largest political entities affected (e.g., State, counties, cities). 13. Self-explanatory. 14. List the applicant's Congressional District and any District(s) affected by the program or project. 15. Amount requested or to be contributed during the first funding/budget period by each contributor. Value of in-kind contributions should be included on appropriate lines as applicable. If the action will result in a dollar change to an existing award, indicate only the amount of the change. For decreases, enclose the amounts in parentheses. If both basic and supplemental amounts are included, show breakdown on an attached sheet. For multiple program funding, use totals and show breakdown using same categories as item 15. 16. Applicants should contact the State Single Point of Contact (SPOC) for Federal Executive Order 12372 to determine whether the application is subject to the State intergovernmental review process. 17. This question applies to the applicant organization, not the person who signs as the authorized representative. Categories of debt include delinquent audit disallowances, loans and taxes. 18. To be signed by the authorized representative of the applicant. A copy of the governing body's authorization for you to sign this application as official representative must be on file in the applicant's office. (Certain Federal agencies may require that this authorization be submitted as part of the application.) BILLING CODE 4184-01-P ![]()
TN19AP94.002 ![]()
TN19AP94.003 BILLING CODE 4184-01-C Instructions for the SF-424A General Instructions This form is designed so that application can be made for funds from one or more grant programs. In preparing the budget, adhere to any existing Federal grantor agency guidelines which prescribe how and whether budgeted amounts should be separately shown for different functions or activities within the program. For some programs, grantor agencies may require budgets to be separately shown by function or activity. For other programs, grantor agencies may require a breakdown by function or activity. Sections A, B, C and D should include budget estimates for the whole project except when applying for assistance which requires Federal authorization in annual or other funding period increments. In the latter case, Sections A, B, C, and D should provide the budget for the first budget period (usually a year) and Section E should present the need for Federal assistance in the subsequent budget periods. All applications should contain a breakdown by the object class categories shown in Lines a-k of Section B. Section A. Budget Summary Lines 1-4, Columns (a) and (b). For applications pertaining to a single Federal grant program (Federal Domestic Assistance Catalog number) and not requiring a functional or activity breakdown, enter on Line 1 under Column (a) the catalog program title and the catalog number in Column (b). For applications pertaining to a single program requiring budget amounts by multiple functions or activities, enter the name of each activity or function on each line in Column (a), and enter the catalog number in Column (b). For applications pertaining to multiple programs where none of the programs require a breakdown by function or activity, enter the catalog program title on each line in Column (a) and the respective catalog number on each line in Column (b). For applications pertaining to multiple programs where one or more programs require a breakdown by function or activity, prepare a separate sheet for each program requiring the breakdown. Additional sheets should be used when one form does not provide adequate space for all breakdown of data required. However, when more than one sheet is used, the first page should provide the summary totals by programs. Lines 1-4, Columns (c) through (g). For new applications, leave Columns (c) and (d) blank. For each line entry in Columns (a) and (b), enter in Columns (e), (f), and (g) the appropriate amounts of funds needed to support the project for the first funding period (usually a year). For continuing grant program applications, submit these forms before the end of each funding period as required by the grantor agency. Enter in Columns (c) and (d) the estimated amounts of funds which will remain unobligated at the end of the grant funding period only if the Federal grantor agency instructions provide for this. Otherwise, leave these columns blank. enter in columns (e) and (f) the amounts of funds needed for the upcoming period. The amount(s) in Column (g) should be the sum of amounts in Columns (e) and (f). For supplemental grants and changes to existing grants, do not use Columns (c) and (d). Enter in Column (e) the amount of the increase or decrease of Federal funds and enter in Column (f) the amount of the increase or decrease of non-Federal funds. In Column (g) enter the new total budgeted amount (Federal and non-Federal) which includes the total previous authorized budgeted amounts plus or minus, as appropriate, the amounts shown in Columns (e) and (f). The amount(s) in Column (g) should not equal the sum of amounts in Columns (e) and (f). Line 5--Show the totals for all columns used. Section B. Budget Categories In the column headings (1) through (4), enter the titles of the same programs, functions, and activities shown on Lines 1-4, Column (a), Section A. When additional sheets are prepared for Section A, provide similar column headings on each sheet. For each program, function or activity, fill in the total requirements for funds (both Federal and non-Federal) by object class categories. Line 6a-i--Show the totals of Lines 6a to 6h in each column. Line 6k--Show the amount of indirect cost. Line 6k--Enter the total of amounts on Lines 6i and 6j. For all applications for new grants and continuation grants the total amount in column (5), Line 6k, should be the same as the total amount shown in Section A, Column (g), Line 5. For supplemental grants or decrease as shown in Columns (1)-(4), Line 6k should be the same as the sum of amounts in Section A, Columns (e) and (f) on Line 5. Line 7--Enter the estimated amount of income, if any, expected to be generated from this project. Do not add or subtract this amount from the total project amount. Show under the program narrative statement the nature and source of income. The estimated amount of program income may be considered by the federal grantor agency in determining the total amount of the grant. Section C. Non-Federal-Resources Lines 8-11--Enter amounts of non-Federal resources that will be used on the grant. If in-kind contributions are included, provide a brief explanation on a separate sheet. Column (a)--Enter the program titles identical to Column (a), Section A. A breakdown by function or activity is not necessary. Column (b)--Enter the contribution to be made by the applicant. Column (c)--Enter the amount of the State's cash and in-kind contribution if the applicant is not a State or State agency. Applicants which are a State or State agencies should leave this column blank. Column (d)--Enter the amount of cash and in-kind contributions to be made from all other sources. Column (e)--Enter totals of Columns (b), (c), and (d). Line 12--Enter the total for each of Columns (b)-(e). The amount in Column (e) should be equal to the amount on Line 5, Column (f), Section A. Section D. Forecasted Cash Needs Line 13--Enter the amount of cash needed by quarter from the grantor agency during the first year. Line 14--Enter the amount of cash from all other sources needed by quarter during the first year. Line 15--Enter the totals of amounts on Lines 13 and 14. Section E. Budget Estimates of Federal Funds Needed for Balance of the Project Lines 16-19--Enter in Column (a) the same grant program titles shown in Column (a), Section A. A breakdown by function or activity is not necessary. For new applications and continuation grant applications, enter in the proper columns amounts of Federal funds which will be needed to complete the program or project over the succeeding funding periods (usually in years). This section need not be completed for revisions (amendments, changes, or supplements) to funds for the current year of existing grants. If more than four lines are needed to list the program titles, submit additional schedules as necessary. Line 20--Enter the total for each of the Columns (b)-(e). When additional schedules are prepared for this Section, annotate accordingly and show the overall totals on this line. Section F. Other Budget Information Line 21--Use this space to explain amounts for individual direct object-class cost categories that may appear to be out of the ordinary or to explain the details as required by the Federal grantor agency. Line 22--Enter the type of indirect rate (provisional, predetermined, final or fixed) that will be in effect during the funding period, the estimated amount of the base to which the rate is applied, and the total indirect expense. Line 23--Provide any other explanations or comments deemed necessary. Assurances--Non-Construction Programs Note: Certain of these assurances may not be applicable to your project or program. If you have questions, please contact the awarding agency. Further, certain Federal awarding agencies may require applicants to certify to additional assurances. If such is the case, you will be notified. As the duly authorized representative of the applicant I certify that the applicant: 1. Has the legal authority to apply for Federal assistance, and the institutional, managerial and financial capability (including funds sufficient to pay the non-Federal share of project costs) to ensure proper planning, management and completion of the project described in this application. 2. Will give the awarding agency, the Comptroller General of the United States, and if appropriate, the State, through any authorized representative, access to and the right to examine all records, books, papers, or documents related to the award; and will establish a proper accounting system in accordance with generally accepted accounting standards or agency directives. 3. Will establish safeguards to prohibit employees from using their positions for a purpose that constitutes or presents the appearance of personal or organizational conflict of interest, or personal gain. 4. Will initiate and complete the work within the applicable time frame after receipt of approval of the awarding agency. 5. Will comply with the Intergovernmental Personnel Act of 1970 (42 U.S.C. Secs. 4728-4763) relating to prescribed standards for merit systems for programs funded under one of the nineteen statutes or regulations specified in Appendix A of OPM's Standards for a Merit System of Personnel Administration (5 C.F.R. 900, Subpart F). 6. Will comply with all Federal statutes relating to nondiscrimination. These include but are not limited to: (a) Title VI of the Civil Rights Act of 1964 (P.L. 88-352) which prohibits discrimination on the basis of race, color or national origin; (b) Title IX of the education Amendments of 1972, as amended (20 U.S.C. Secs. 1681-1683, and 1685-1686), which prohibits discrimination on the basis of sex; (c) Section 504 of the Rehabilitation Act of 1973, as amended (29 U.S.C. Sec. 794), which prohibits discrimination on the basis of handicaps; (d) the Age Discrimination Act of 1975, as amended (42 U.S.C. Secs. 6101-6107), which prohibits discrimination on the basis of age; (e) the Drug Abuse Office and Treatment Act of 1972 (P.L. 92-255), as amended, relating to nondiscrimination on the basis of drug abuse; (f) The Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment and Rehabilitation Act of 1970 (P.L. 91-616), as amended, relating to nondiscrimination on the basis of alcohol abuse or alcoholism; (g) Secs. 523 and 527 of the Public Health Service Act of 1912 (42 U.S.C. 290 dd-3 and 290 ee-3), as amended, relating to confidentiality of alcohol and drug abuse patient records; (h) Title VIII of the Civil Rights Act of 1968 (42 U.S.C. Sec. 3601 et seq.), as amended, relating to 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 Titles II and III of the Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970 (P.L. 91-646) which provide for fair and equitable treatment of persons displaced or whose property is acquired as a result of Federal or federally assisted programs. These requirements apply to all interests in real property acquired for project purposes regardless of Federal participation in purchases. 8. Will comply with the provisions of the Hatch Act (5 U.S.C. Secs. 1505-1508 and 7324-7328) which limit the political activities of employees whose principal employment activities are funded in whole or in part with Federal funds. 9. Will comply, as applicable, with the provisions of the Davis- Bacon Act (40 U.S.C. Secs. 276a to 276a-7), the Copeland Act (40 U.S.C. Sec. 276c and 18 U.S.C. Secs. 874), and the Contract Work Hours and Safety Standards Act (40 U.S.C. Secs. 327-333), regarding labor standards for federally assisted construction subagreements. 10. Will comply, if applicable, with flood insurance purchase requirements of Section 102(a) of the Flood Disaster Act of 1973 (P.L. 93-234) which requires recipients in a special flood hazard area to participate in the program and to purchase flood insurance if the total cost of insurable construction and acquisition is $10,000 or more. 11. Will comply with environmental standards which may be prescribed pursuant to the following: (a) institution of environmental quality control measures under the National Environmental Policy Act of 1969 (P.L. 91-190) and Executive Order (EO) 11514; (b) notification of violating facilities pursuant to EO 11738; (c) protection of wetlands pursuant to EO 11990; (d) evaluation of flood hazards in floodplains in accordance with EO 11988; (e) assurance of project consistency with the approved State management program developed under the Coastal Zone Management Act of 1972 (16 U.S.C. Secs. 1451 et seq.); (f) conformity of Federal actions to State (Clear Air) Implementation Plans under Section 176(c) of the Clear Air Act of 1955, as amended (42 U.S.C. Sec. 7401 et seq.); (g) protection of underground sources of drinking water under the Safe Drinking Water Act of 1974, as amended, (P.L. 93- 523); and (h) protection of endangered species under the Endangered Species Act of 1973, as amended, (P.L. 93-205). 12. Will comply with the Wild and Scenic Rivers Act of 1968 (16 U.S.C. Secs. 1271 et seq.) related to protecting components or potential components of the national wild and scenic rivers system. 13. Will assist the awarding agency in assuring compliance with Section 106 of the National Historic Preservation Act of 1966, as amended (16 U.S.C. 470), EO 11593 (identification and protection of historic properties), and the Archaeological and Historic Preservation Act of 1974 (16 U.S.C. 469a-1 et seq.). 14. Will comply with P.L. 93-348 regarding the protection of human subjects involved in research, development, and related activities supported by this award of assistance. 15. Will comply with the Laboratory Animal Welfare Act of 1966 (P.L. 89-544, as amended, 7 U.S.C. 2131 et seq.) pertaining to the care, handling, and treatment of warm blooded animals held for research, teaching, or other activities supported by this award of assistance. 16. Will comply with the Lead-Based Paint Poisoning Prevention Act (42 U.S.C. Secs. 4801 et seq.) which prohibits the use of lead based paint in construction or rehabilitation of residence structures. 17. Will cause to be performed the required financial and compliance audits in accordance with the Single Audit Act of 1984. 18. Will comply with all applicable requirements of all other Federal laws, executive orders, regulations and policies governing this program. ---------------------------------------------------------------------- Signature of Authorized Certifying Official ---------------------------------------------------------------------- Title ---------------------------------------------------------------------- Applicant Organization ---------------------------------------------------------------------- Date Submitted Appendix B--Executive Order 12372--State Single Points of Contact Arizona Mrs. Janice Dunn, Attn: Arizona State Clearinghouse, 3800 N. Central Avenue, 14th Floor, Phoenix, Arizona 85012, Telephone (602) 280-1315 Arkansas Tracie L. Copeland, Manager, State Clearinghouse, Office of Intergovernmental Services, Department of Finance and Administration, P.O. Box 3278, Little Rock, Arkansas 72203, Telephone (501) 682-1074 California Glenn Stober, Grants Coordinator, Office of Planning and Research, 1400 Tenth Street, Sacramento, California 95814, Telephone (916) 323-7480 Colorado State Single Point of Contact, State Clearinghouse, Division of Local Government, 1313 Sherman Street, Room 520, Denver, Colorado 80203, Telephone (303) 866-2156 Delaware Ms. Francine Booth, State Single Point of Contact, Executive Department, Thomas Collins Building, Dover, Delaware 19903, Telephone (302) 736-3326 District of Columbia Rodney T. Hallman, State Single Point of Contact, Office of Grants Management and Development, 717 14th Street, NW., Suite 500, Washington, DC 20005, Telephone (202) 727-6551 Florida Florida State Clearinghouse, Intergovernmental Affairs Policy Unit, Executive Office of the Governor, Office of Planning and Budgeting, The Capitol, Tallahassee, Florida 32399-0001, Telephone (904) 488- 8441 Georgia Mr. Charles H. Badger, Administrator, Georgia State Clearinghouse, 254 Washington Street, SW., Atlanta, Georgia 30334, Telephone (404) 656-3855 Illinois Steve Klokkenga, State Single Point of Contact, Office of the Governor, 107 Stratton Building, Springfield, Illinois 62706, Telephone (217) 782-1671 Indiana Jean S. Blackwell, Budget Director, State Budget Agency, 212 State House, Indianapolis, Indiana 46204, Telephone (317) 232-5610 Iowa Mr. Steven R. McCann, Division of Community Progress, Iowa Department of Economic Development, 200 East Grand Avenue, Des Moines, Iowa 50309, Telephone (515) 281-3725 Kentucky Ronald W. Cook, Office of the Governor, Department of Local Government, 1024 Capitol Center Drive, Frankfort, Kentucky 40601, Telephone (502) 564-2382 Maine Ms. Joynce Benson, State Planning Office, State House Station #38, Augusta, Maine 04333, Telephone (207) 289-3261 Maryland Ms. Mary Abrams, Chief, Maryland State Clearinghouse, Department of State Planning, 301 West Preston Street, Baltimore, Maryland 21201- 2365, Telephone (301) 225-4490 Massachusetts Karen Arone, State Clearinghouse, Executive Office of Communities and Development, 100 Cambridge Street, Room 1803, Boston, Massachusetts 02202, Telephone (617) 727-7001 Michigan Richard S. Pastula, Director, Michigan Department of Commerce, Lansing, Michigan 48909, Telephone (517) 373-7356 Mississippi Ms. Cathy Mallette, Clearinghouse Officer, Office of Federal Grant Management and Reporting, 301 West Pearl Street, Jackson, Mississippi 39203, Telephone (601) 960-2174 Missouri Ms. Lois Pohl, Federal Assistance Clearinghouse, Office of Administration, P.O. Box 809, Room 430, Truman Building, Jefferson City, Missouri 65102, Telephone (314) 751-4834 Nevada Department of Administration, State Clearinghouse, Capitol Complex, Carson City, Nevada 89710, Telephone (702) 687-4065, Attention: Ron Sparks, Clearinghouse Coordinator New Hampshire Mr. Jeffrey H. Taylor, Director, New Hampshire Office of State Planning, Attn: Intergovernmetnal Review, Process/James E. Bieber, 2\1/2\ Beacon Street, Concord, New Hampshire 03301, Telephone (603) 271-2155 New Jersey Gregory W. Adkins, Acting Director, Division of Community Resources, N.J. Department of Community Affairs, Trenton, New Jersey 08625- 0803, Telephone (609) 292-6613 Please direct correspondence and questions to: Andrew J. Jaskolka, State Review Process, Division of Community Resources, CN 814, Room 609, Trenton, New Jersey 08625-0803, Telephone (609) 292-9025 New Mexico George Elliott, Deputy Director, State Budget Division, Room 190, Bataan Memorial Building, Santa Fe, New Mexico 87503, Telephone (505) 827-3640, FAX (505) 827-3006 New York New York State Clearinghouse, Division of the Budget, State Capitol, Albany, New York 12224, Telephone (518) 474-1605 North Carolina Mrs. Chrys Baggett, Director, Office of the Secretary of Admin., N.C. State Clearinghouse, 116 W. Jones Street, Raleigh, North Carolina 27603-8003, Telephone (919) 733-7232 North Dakota ND Single Point of Contact, Office of Intergovernmental Assistance, Office of Management and Budget, 600 East Boulevard Avenue, Bismarck, North Dakota 58505-0170, Telephone (701) 224-2094 Ohio Larry Weaver, State Single Point of Contact, State/Federal Funds Coordinator, State Clearinghouse, Office of Budget and Management, 30 East Broad Street, 34th Floor, Columbus, Ohio 43266-0411, Telephone (614) 466-0698 Rhode Island Mr. Daniel W. Varin, Associate Director, Statewide Planning Program, Department of Administration, Division of Planning, 265 Melrose Street, Providence, Rhode Island 02907, Telephone (401) 277-2656 Please direct correspondence and questions to: Review Coordinator, Office of Strategic Planning South Carolina Omeagia Burgess, State Single Point of Contact, Grant Services, Office of the Governor, 1205 Pendleton Street, Room 477, Columbia, South Carolina 29201, Telephone (803) 734-0494 South Dakota Ms. Susan Comer, State Clearinghouse Coordinator, Office of the Governor, 500 East Capitol, Pierre, South Dakota 57501, Telephone (605) 773-3212 Tennessee Mr. Charles Brown, State Single Point of Contact, State Planning Office, 500 Charlotte Avenue, 309 John Sevier Building, Nashville, Tennessee 37219, Telephone (615) 741-1676 Texas Mr. Thomas Adams, Governor's Office of Budget and Planning, P.O. Box 12428, Austin, Texas 78711, Telephone (512) 463-1778 Utah Utah State Clearinghouse, Office of Planning and Budget, ATTN: Carolyn Wright, Room 116 State Capitol, Salt Lake City, Utah 84114, Telephone (801) 538-1535 Vermont Mr. Bernard D. Johnson, Assistant Director, Office of Policy Research and Coordination, Pavilion Office Building, 109 State Street, Montpelier, Vermont 05602, Telephone (802) 828-3326 West Virginia Mr. Fred Cutlip, Director, Community Development Division, West Virginia Development Office, Building #6, Room 553, Charleston, West Virginia 25305, Telephone (304) 348-4010 Wisconsin Mr. William C. Carey, Federal/State Relations, Wisconsin Department of Administration, 101 South Webster Street, P.O. Box 7864, Madison, Wisconsin 53707, Telephone (608) 266-0267 Wyoming Sheryl Jeffries, State Single Point of Contact, Herschler Building, 4th Floor, East Wing, Cheyenne, Wyoming 82002, Telephone (307) 777- 7574 Guam Mr. Michael J. Reidy, Director, Bureau of Budget and Management Research, Office of the Governor, P.O. Box 2950, Agana, Guam 96910, Telephone (671) 472-2285 Northern Mariana Islands State Single Point of Contact, Planning and Budget Office, Office of the Governor, Saipan, CM, Northern Mariana Islands 96950 Puerto Rico Norma Burgos/Jose H. Caro, Chairman/Director, Puerto Rico Planning Board, Minillas Government Center, P.O. Box 41119, San Juan, Puerto Rico 00940-9985, Telephone (809) 727-4444 Virgin Islands Jose L. George, Director, Office of Management and Budget, #41 Norregade Emancipation Garden Station, Second Floor, Saint Thomas, Virgin Islands 00802 Please direct correspondence to: Linda Clarke, Telephone (809) 774-0750 BILLING CODE 4184-01-P ![]()
TN19AP94.004 ![]()
TN19AP94.005 BILLING CODE 4184-01-C Appendix--Certification Regarding Debarment, Suspension, and Other Responsibility Matters--Primary Covered Transactions By signing and submitting this proposal, the applicant, defined as the primary participant in accordance with 45 CFR Part 76, certifies to the best of its knowledge and believe that it and its principles: (a) Are not presently debarred, suspended, proposed for debarment, declared ineligible or voluntarily excluded from covered transactions by any Federal Department or agency; (b) Have not within a 3-year period preceding this proposal been convicted of or had a civil judgment rendered against them for 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 indicated or otherwise criminally or civilly charged by a governmental entity (Federal, State of local) with commission of any of the offenses enumbered in paragraph (1) (b) of this certification; and (d) Have not within a 3-year period preceding this application/ proposal had one or more public transactions (Federal, State, or local) terminated for cause or default. The inability of a person to provide the certification required above will not necessarily result in denial of participation in this covered transaction. If necessary, the prospective participant shall submit an explanation of why it cannot provide the certification. The certification or explanation will be considered in connection with the Department of Health and Human Services(HHS) determination whether to enter into this transaction. However, failure of the prospective primary participant to furnish a certification or an explanation shall disqualify such person from participation in this transaction. The prospective primary participant agrees that by submitting this proposal, it will include the clause entitled ``Certification Regarding Debarment, Suspension, Ineligibility, and Voluntary Exclusion--Lower Tier Covered Transaction. ``provided below without modification in all lower tier covered transactions and in all solicitations for lower tier covered transactions. Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion--Lower Tier Covered Transactions (To Be Supplied to Lower Tier Participants) By signing and submitting this lower tier proposal, the prospective lower tier participant, as defined in 45 CFR Part 76, certifies to the best of its knowledge and belief that it and its principals: (a) Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any federal department or agency. (b) Where the prospective lower tier participant is unable to certify to any of the above, such prospective participant shall attach an explanation to this proposal. The prospective lower tier participant further agrees by submitting this proposal that it will include this clause entitled ``certification Regarding Debarment, Suspension, Ineligibility, and Voluntary Exclusion--Lower Tier Covered Transactions. ``Without modification in all lower tier covered transactions and in all solicitations for lower tier covered transactions. Certification Regarding Lobbying Certification for Contracts, Grants, Loans, and Cooperative Agreements The undersigned certifies, to the best of his or her knowledge and belief, that: (1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement. (2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan or cooperative agreement, the undersigned shall complete and submit Standard Form-LLL, ``Disclosure Form to Report Lobbying,'' in accordance with its instructions. (3) The undersigned shall require that the language of this certification be included in the award documents for all subawards at all tiers (including subcontracts, subgrants, and contracts under grants, loans, and cooperative agreements) and that all subrecipients shall certify and disclose accordingly. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. State for Loan Guarantee and Loan Insurance The undersigned states, to the best of his or her knowledge and belief, that: If any funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this commitment providing for the United States to insure or guarantee a loan, the undersigned shall complete and submit Standard Form-LLL ``Disclosure Form to Report Lobbying,'' in accordance with its instructions. Submission of this statement is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required statement shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. ---------------------------------------------------------------------- Signature ---------------------------------------------------------------------- Title ---------------------------------------------------------------------- Organization ---------------------------------------------------------------------- Date BILLING CODE 4184-01-P ![]()
TN19AP94.006 [FR Doc. 94-9276 Filed 4-18-94; 8:45 am] BILLING CODE 4184-01-C ----------------------------------------------------------------------- DEPARTMENT OF HEALTH AND HUMAN SERVICES Administration on Aging White House Conference on Aging; Recognition of Activities; Extension of Recognition Period AGENCY: White House Conference on Aging, AoA, HHS. ACTION: Notice; extension of recognition period. ----------------------------------------------------------------------- SUMMARY: The 1995 White House Conference on Aging (WHCOA) published a document in the Federal Register on March 17, 1994, page 12609, announcing its intention to recognize local and regional activities, events and programs developed by outside organizations during 1994. The WHCOA is extending the period for recognition to April 30, 1995. FOR FURTHER INFORMATION CONTACT: Judy Satine, White House Conference on Aging, 501 School St. SW., 8th floor, Washington, DC 20024, 202-245-7826. Fernando M. Torres-Gil, Assistant Secretary for Aging. [FR Doc. 94-9423 Filed 4-18-94; 8:45 am] BILLING CODE 4130-02-M