[Federal Register Volume 61, Number 53 (Monday, March 18, 1996)]
[Notices]
[Pages 11033-11054]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 96-6260]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
[Program Announcement No. OCS 96-05]
Family Violence Prevention and Services Program, National
Resource Center on Domestic Violence and Three Special Issue Resource
Centers; Availability of Funds for Fiscal Year 1996 and Request for
Applications
AGENCY: Office of Community Services, ACF, HHS.
ACTION: Announcement of the availability of funds and request for
applications for the National Resource Center on Domestic Violence and
Three Special Issue Resource Centers: Civil and Criminal Law; Child
Custody and Protection; and Health Resources, respectively.
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SUMMARY: The Office of Community Services (OCS) of the Administration
for Children and Families (ACF) expects $1,130,436 to be available in
fiscal year (FY) 1996 for the award of one cooperative agreement and
three grant awards in support of a National Resource Center on Domestic
Violence (NRC), and three Special Issue Resource Centers (SIRCs) to
operate as the Domestic Violence Resource Network. This Announcement
contains all the application materials needed to apply for these
grants. Please copy and use these materials provided in submitting an
application under this Announcement. No additional application
materials are available or needed to submit an application.
Applications will be judged competitively.
Applicants should note that grants and cooperative agreements to be
awarded under this Program Announcement are subject to the availability
of funds.
The purpose of the Domestic Violence Resource Network (a network of
four domestic violence resource centers: the National Resource Center
on Domestic Violence, the Resource Center on Civil and Criminal Law,
the Health Resource Center on Domestic Violence, and the Resource
Center on Child Protection and Custody) is to strengthen the existing
support systems serving battered women, their children and other
victims of domestic violence; and to provide comprehensive information
and resources, policy development, and technical assistance designed to
enhance community response to and prevention of domestic violence.
Each resource center, as part of the network, is required to work
in partnership with community-based domestic violence programs, State
domestic violence coalitions, Federal, State, and local government
agencies, Indian tribal organizations, policy makers and others
involved in assisting programs and victims of domestic violence in
order to identify and respond to emerging issues, technical assistance
requests, and increasing service demands. In addition to promoting
research, providing information, and technical assistance, each center
within the network must provide:
Comprehensive statistics, fact sheets, and specialized
information packets addressing a range of domestic violence issues;
Materials to support the development and replication of
model programs, legislation and exemplary practices;
Technical assistance and training to assist organizations,
programs and communities to adapt available resources to meet local
needs;
A toll-free information line which allows the public to
access the latest developments in research, policy, and practice; and
A customized service reachable by fax or mail whereby
programs, agencies, and professionals may receive packets, newsletters,
bibliographies, policy papers and fact sheets.
DATES: The closing date for submission of applications is May 17, 1996.
Applications postmarked after the closing date will be classified as
late.
ADDRESSES: Application receipt point: Department of Health and Human
Services, Administration for Children and Families/Division of
Discretionary Grants, (OCS-96-05) 370 L'Enfant Promenade, S.W., Mail
Stop 6C-462, Washington, D.C. 20447.
FOR FURTHER INFORMATION CONTACT: William Riley, Administration for
Children and Families, Office of Community Services, Division of State
Assistance, 370 L'Enfant Promenade,
[[Page 11034]]
S.W., Washington, D.C. 20447. Telephone (202) 401-5529.
Part I: General Information
A. Legislative Authority
The NRC and the SIRC grants are authorized under the Family
Violence Prevention and Services Act (FVPSA), 42 U.S.C. 10401 et seq.
Enacted as Title III of the Child Abuse Amendments of 1984, the FVPSA
was amended and reauthorized by Pub. L. 102-295, the Child Abuse,
Domestic Violence, Adoption and Family Services Act of 1992. The FVPSA
was further amended by the Violent Crime and Law Enforcement Act of
1994 (Pub. L. 103-322). The Act is administered by the Office of
Community Services, Administration for Children and Families,
Department of Health and Human Services.
B. Program Purpose
The Department is required to establish and maintain a NRC and up
to seven SIRCs. (See section 308(a)(2) of the FVPSA, as amended.)
On a nationwide basis, a network composed of the NRC and the SIRCs
will offer resource, policy, and training assistance to Federal, State,
and local government agencies, to domestic violence service providers,
and to other professional and interested parties on issues pertaining
to domestic violence. The NRC will maintain a central resource library
in order to collect, prepare, analyze, and disseminate information and
statistics relating to the incidence and prevention of family violence
(particularly the prevention of repeated incidents of violence) and the
provision of immediate shelter and related assistance. The SIRCs shall
provide a specialization, on a nationwide basis, in at least one area
of domestic violence service, prevention or law.
C. Eligible Applicants
Private nonprofit organizations that focus primarily on domestic
violence. Applicants must have documented organizational experience in
the area of domestic violence prevention and services and in the
specific special-issue area(s) for which they are applying. Each
applicant must have an advisory board.
D. Background
To comply with the NRC mandate, the Office of Community Services
seeks to support a nationwide effort that is staffed by an expert and
experienced multi-disciplinary team that can respond to requests for
resource, policy, and training assistance from individuals, agencies
and organizations at the Federal, State and local levels.
Because of our concerns for administrative efficiency, ACF has
concluded that the most effective relationships and anticipated
coordination activities between the NRC and the SIRCs will be greatly
enhanced with the establishment and maintenance of three (3) SIRCs. The
areas of domestic violence service, prevention, or law described in
section 308 of the FVPSA clearly overlap; therefore OCS has determined
that they may be combined with no loss of emphasis.
(1) Areas related to the efforts of the Special Issue Resource
Centers will include the:
(a) Identification, documentation and the development of innovative
training curricula, materials and manuals for specific program needs;
(b) Provision of technical assistance, training and consultation to
improve program administration, service delivery, and to promote the
utilization of resources and state-of-the-art techniques related to
domestic violence, including methods and techniques for program
implementation and evaluation; and
(c) Development of a network of professionals in domestic violence
and the coordination of their input and experiences to assist persons,
programs or agencies requesting assistance or information.
Considered together, the NRC and the SIRCs will constitute a
domestic violence resource network and will provide assistance to
Federal, State and local governmental agencies, Tribal agencies, State
Domestic Violence Coalitions, community-based domestic violence
programs, and other organizations and individuals involved in domestic
violence prevention, identification, services, and intervention. To
that end, questions related to the forms and extent of the assistance
needed by the field must be addressed. Additionally, questions related
to the efficient and shared use of current electronic capabilities, how
assistance and support for the field may be best communicated and
delivered, and questions relative to the state-of-the-art on
prevention, identification, intervention, and services in domestic
violence must also be discussed.
Moreover, the discussion of the provision of assistance and
consultation must be conducted in a manner that takes into account
varying circumstances, e.g., conditions in the field, and the target
populations to be addressed. The discussion of the anticipated level of
responsiveness and sensitivity requires that questions of flexibility,
options for services delivery, cost, and the appropriateness of content
also be addressed.
The SIRCs must have the ability to deliver highly individualized
technical assistance which enables a user to solve a specific problem.
In addition to facilitating on-site assistance, the SIRCs shall:
identify, develop, and disseminate research and evaluation findings;
prepare and distribute technical assistance packages to aid in the
replication of effective services, prevention efforts and training
programs; and identify new areas of demonstration and services
improvement needed to address domestic violence issues in their
respective topical areas.
The proposed three SIRCs will provide specific leadership, resource
information and materials, training, technical assistance and
professional consultation as the following resource centers:
Special Issue Resource Centers on Domestic Violence:
(a) Civil and Criminal Justice
(i) Criminal justice responses to domestic violence, including
court-mandated abuser treatment and the development of batterers
intervention services.
(ii) The use of the self-defense plea by domestic violence victims
and other issues that arise when domestic violence victims are accused
of committing crimes, including homicide.
(iii) Improving access to and the quality of legal representation
for victims of domestic violence in civil litigation, including the
issuance and enforcement of protection orders.
(b) Child Protection and Custody
(i) Improving the response of Child Protective Service agencies to
battered mothers of abused children.
(ii) Child custody issues in domestic violence cases.
(c) Health Care and Access
(i) Improving interdisciplinary health care responses.
(ii) Improving access to health care resources for victims of
domestic violence.
(2) Areas of Responsibility for the National Resource Center on
Domestic Violence:
It is expected that on a nationwide basis the NRC shall have a
knowledge building and dissemination capacity and exhibit a systematic
approach to the development and the distribution of information on
issues for the field in close coordination with the SIRCs. To that end,
the NRC shall assume an
[[Page 11035]]
active role in the development of work groups and conferences on
emerging policy and practice issues, and publish and disseminate
proceedings on the state-of-the-art in selected areas of domestic
violence intervention and prevention efforts, model programs, policy
development and research; identify areas where additional information
and research is needed to complement policy and practice; and suggest
next steps for additional data compilation, innovative demonstrations,
program administration, policy and service program evaluations.
Specific areas related to the efforts of the National Resource
Center will include:
(a) Identifying emerging domestic violence issues and preparing
information and policy papers addressing such issues;
(b) Identification of the need, documentation and development of
innovative or exemplary practice and resource development, and
assisting the field through the acquisition of a 1-800 information line
and other means, in acquiring and adapting such resources to specific
needs; and
(c) Maintaining a central resource library to collect, prepare,
analyze, and disseminate information and statistics.
E. Forms of Awards
The Office of Community Services intends to support the SIRC's via
regular grant awards. However, OCS intends to support the NRC through a
Cooperative Agreement. A Cooperative Agreement is an award instrument
of financial assistance when substantial involvement is anticipated
between the awarding office and the recipient during performance of the
contemplated project. The Office of Community Services will outline a
plan of interaction with the grantee for implementation under the
cooperative agreement. The respective responsibilities of the Office of
Community Services and the successful applicant will be identified and
incorporated into the Cooperative Agreement during pre-award
negotiations. It is anticipated that OCS responsibilities will not
change the project requirements for the NRC found in this Announcement.
The plan under the cooperative agreement will describe the general and
specific responsibilities of the grantee and the grantor as well as
foreseeable joint responsibilities. A schedule of tasks will be
developed and agreed upon in addition to any special conditions
relating to the implementation of the project.
F. Minimum Requirements for Project Design
Applicants may apply to provide NRC services or SIRC services, and
may submit applications for more than one center. However, in the event
that the applicant does apply for more than one center, a separate
application for each center would be required. Applicants must clearly
indicate whether funding is being sought to support the NRC or the
SIRC. When applying for the SIRC grant the applicant must specify the
topical area(s) being addressed.
In order to successfully compete under this Announcement, the
applicant should:
(1) For the National Resource Center:
(a) Outline a plan of interaction with OCS for implementation under
a cooperative agreement including, as appropriate, activities involving
Headquarters agency staff;
(b) Describe the immediacy of the need(s) to be addressed as an NRC
and provide information on the specific services your organization has
provided and currently provides and what need(s) and information would
be provided as the NRC;
(c) Present the technical approach and the specific workplans for
the provision of assistance to the field that is nationwide in scope
and that includes the use of an advisory board and/or expert panel; a
plan for continued contact with the field, including an 800 telephone
number and direct mailings; a plan for the implementation and effective
use of electronic communication capability with the field; and a plan
for the development and use of a network of experts for the provision
of direct training and consultation, including fees for service, if
necessary;
(d) Describe the efforts that would be initiated to coordinate the
NRC with national advocacy groups and domestic violence organizations,
other related national resource centers and clearinghouses, and
Federal, State and Indian Tribal agencies; identify the agencies/
organizations and how the initiation of or continued coordination with
them will enhance the NRC's activities and avoid a duplication of
efforts;
(e) Provide a plan to determine the need for and the manner in
which you would implement special projects relating to policy issues,
training curricula, service delivery models or other aspects of
services, related to the prevention of domestic violence;
(f) Provide a plan and schedule for evaluating and reporting on the
effectiveness of the project(s) 6 months after the effective date of
the grant;
(g) Describe the proposed NRC staff with appropriate expertise; and
(h) Describe the administrative and organizational structure, the
management plan, and the cost structure within which the project will
operate; describe the administrative, operational and organizational
relationships to be established with the SIRCs that will constitute an
effective national network in the domestic violence areas. Charts
depicting these structures and the ensuing relationships must be
included.
Project Period
Awards, on a competitive basis, will be for a one-year budget
period, although project periods may be for 5 years. Applications for
continuation grants funded under these awards beyond the one-year
budget period but within the 5-year project period will be entertained
in subsequent years on a non-competitive basis, subject to the
availability of funds, satisfactory progress of the grantee and a
determination that continued funding would be in the best interest of
the government.
Budget Period and Federal Share
The FY 96 Federal share for the National Resource Center is
$452,174 for the first 12-month budget period, subject to the
availability of funds.
Matching Requirement
Grantees 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 ACF
share and the non-Federal share. The non-Federal share may be met by
cash or in-kind contributions, although applicants are encouraged to
meet their match requirements through cash contributions. Therefore, a
project requesting $602,898 in Federal funds for the first-year budget
period must include a match of at least $200,966 (25 percent of total
project cost). If approved for funding, the grantee will be held
accountable for commitments of non-Federal resources, and failure to
provide the required amounts will result in a disallowance of unmatched
Federal funds.
Anticipated Number of Projects to be Funded
It is anticipated that one National Resource Center on Domestic
Violence will be funded.
(2) For the Special Issue Resource Centers:
(a) Describe the immediacy of the need(s) to be addressed and
provide information on the specific services your organization has
provided and currently provides and what information, specific
training, and
[[Page 11036]]
technical assistance would be provided as an SIRC;
(b) Demonstrate an in-depth understanding of the program/service
and access/response issues of the particular SIRC(s) and the problems
associated with them;
(c) Present the technical approach and the specific workplans for
the provision of training and technical assistance to the field that is
nationwide in scope and utilizes the support and facilitating efforts
of the NRC and a network of experts; describe a plan for continuous
contact with the field, an 800 telephone number and direct mailings;
and a plan for the development and use of a network of experts for the
provision of direct training and consultation, including fees for
service, if necessary;
(d) Describe the efforts that you currently make or would
implement, and the relationships that you currently have or will form,
to coordinate activities with other appropriate resource centers,
domestic violence advocacy organizations, public agencies, the NRC, and
affiliated SIRCs in a national domestic violence network to enhance the
center's activities and to avoid duplication;
(e) Provide a plan to determine the need for and to implement
special projects related to training curricula, service delivery models
or other aspects of the proposed SIRC topic;
(f) Provide a plan to evaluate the effectiveness of the proposed
project activities within 6 months of the effective date of the grant;
(g) Describe the proposed SIRC staff with appropriate expertise;
and
(h) Describe the administrative and organizational structure, the
management plan, the cost structure within which the project would
operate; and describe the operational and programmatic relationships to
be formed with the affiliated SIRCs and the NRC. Charts depicting the
organizational structures and the ensuing relationships must be
included.
Project Period
The length of the projects for the Special Issue Resource Centers
must not exceed 60 months.
Budget Period and Federal Share
The FY 96 Federal share for each of the three Special Issue
Resource Centers is $226,087 for the first 12-month budget period
subject to the availability of funds.
Matching Requirement
Successful grantees must provide at least 25 percent of the total
cost of the project. The approved total cost of the project is the sum
of the ACF share and the non-Federal share. The non-Federal share may
be met by cash or in-kind contributions, although applicants are
encouraged to meet their match requirements through cash contributions.
Therefore, a project requesting $301,449 in Federal funds for the first
year budget period must include a match of at least $100,449 (25
percent of total project cost). If approved for funding, the grantee
will be held accountable for commitments of non-Federal resources, and
failure to provide the required amounts will result in a disallowance
of unmatched Federal funds.
Anticipated Number of Projects to be Funded
It is anticipated that three Special Issue Resource Center projects
will be funded as grants, i.e., one each in the areas of Civil and
Criminal Justice, Child Protection and Custody, and Health Care and
Access.
CFDA: 93.671 Family Violence Prevention and Services: Family
Violence Prevention and Services Act, as amended.
Part II--The Review Process
A. Eligible Applicants
Before applications are reviewed, each application will be screened
to determine that the applicant organization is an eligible applicant
as specified. Applications from organizations which do not meet the
eligibility requirements area will not be considered or reviewed in the
competition, and the applicant will be so informed.
Only agencies and organizations, not individuals, are eligible to
apply. On all applications developed jointly by more than one agency or
organization, the application must identify only one organization as
the lead organization and official applicant. The other participating
agencies and organizations can be included as co-participants,
subgrantees or subcontractors.
For-profit organizations and public agencies are also eligible to
participate as subgrantees or subcontractors with eligible private non-
profit organizations.
Any non-profit organization which has not previously received an
award from the U.S. Department of Health and Human Services must submit
proof of non-profit status with its grant application. The non-profit
organization can accomplish this by either making reference to its
listing in the Internal Revenue Service's (IRS) most recent list of
tax-exempt organizations or submitting a copy of its letter from the
IRS under IRS Code Section 501(c)(3). ACF cannot fund a non-profit
applicant without acceptable proof of its non-profit status.
B. Review Process and Funding Decisions
Applications that are received by the deadline date and are from
eligible applicants will be reviewed and scored competitively. Experts
in the field, generally persons from outside of the Federal government,
will use the appropriate evaluation criteria listed later in this Part
to review and score the applications. The results of this review are a
primary factor in making funding decisions.
OCS reserves the option of discussing applications with, or
referring them to, other Federal or non-Federal funding sources when
this is determined to be in the best interest of the Federal government
or the applicant. It may also solicit comments from ACF Regional Office
staff, other Federal agencies, interested foundations, national
organizations, specialists, experts, States and the general public.
These comments, along with those of the expert reviewers, will be
considered by OCS in making funding decisions.
In making decisions on awards, OCS may give preference to
applications which focus on or feature: past experience in operating a
resource center of similar nature; a substantially innovative strategy
with the potential to improve theory or practice in the field of human
services; a model practice or set of procedures that holds the
potential for replication by organizations involved in the
administration or delivery of human services; substantial involvement
of volunteers; substantial involvement (either financial or
programmatic) of the private sector; a favorable balance between
Federal and non-Federal funds available for the proposed project; the
potential for high benefit for low Federal investment; a programmatic
focus on those most in need; and/or substantial involvement in the
proposed project by national or community foundations.
C. Evaluation Criteria
Using the appropriate evaluation criteria below, a panel of at
least three reviewers (primarily experts from outside the Federal
government) will review each application. Applicants should ensure that
they address each minimum requirement under the appropriate section of
the Program Narrative Statement.
Reviewers will determine the strengths and weaknesses of each
[[Page 11037]]
proposal in terms of the appropriate evaluation criteria listed below,
provide comments and assign numerical scores. The point value following
each criterion heading indicates the maximum numerical weight that each
section may be given in the review process.
Review Criteria for All Priority Areas
Applications for the National Resource Center and the Special Issue
Resource Centers will be evaluated against the following criteria.
1. Need for the Project (10 Points)
The extent to which the need for the project and the problems it
will address have national and local significance; the applicability of
the project to coordination efforts by national, State and local
governmental and non-profit agencies, and its ultimate impact on
domestic violence prevention services and intervention efforts,
policies and practice; the relevance of other documentation as it
relates to the applicants knowledge of the need for the project; and
the identification of the specific topic or program area to be served
by the project. Maps and other graphic aids may be attached.
2. Goals and Objectives (10 Points)
The extent to which the specific goals and objectives have national
or local significance, the clarity of the goals and objectives as they
relate to the identified need for and the overall purpose of the
project, and their applicability to policy and practice. The provision
of a detailed discussion of the objectives and the extent to which the
objectives reflect or impact the state-of-the-art relative to the
problem or needs for the project.
3. Approach (30 Points)
The extent to which the application outlines a sound and workable
plan of action pertaining to the scope of the project, and details how
the proposed work will be accomplished; relates each task to the
objectives and identifies the key staff member who will be the lead
person; provides a chart indicating the timetable for completing each
task, the lead person, and the time committed; cites factors which
might accelerate or decelerate the work, giving acceptable reasons for
taking this approach as opposed to others; describes and supports any
unusual features of the project, such as design or technological
innovations, reductions in cost or time, or extraordinary social and
community involvements; and provides for projections of the
accomplishments to be achieved.
The extent to which the application describes the evaluation
methodology that will be used to determine if the needs identified and
discussed are being met and if the results and benefits identified are
being achieved.
4. Results and Benefits (20 Points)
The extent to which the application identifies the results and
benefits to be derived, the extent to which they are consistent with
the objectives of the application, the extent to which the application
indicates the anticipated contributions to policy, practice, and
theory, and the extent to which the proposed project costs are
reasonable in view of the expected results. Applicants should identify,
in specific terms, the results and benefits, for target groups and
human service providers, to be derived from implementing the proposed
project. Applicants should also describe how the expected results and
benefits will relate to previous demonstration efforts.
5. Level of Effort: (30 Points)
Expertise, Commitment, and Support
(a) The extent to which the applicant has nationally recognized
expertise in the area of domestic violence and a record of high quality
service to victims of domestic violence, including a demonstration of
support from advocacy groups, such as State Domestic violence
Coalitions or recognized national domestic violence groups; the extent
of the applicant's commitment to diversity, and to the provision of
service to ethnic, racial, and non-English speaking minorities, older
individuals, and individuals with disabilities.
Staff Background, Organizational Experience, and Competence of Staff
(b) The adequacy of the staffing pattern for the proposed project,
how the individual responsibilities are linked to project tasks, and
the contributions to be made by key staff. Each collaborating or
cooperative organization, individual consultant, or other key
individuals who will work on the project should be listed along with a
description of the nature of their effort or contribution.
The background and experience of the project director and key
project staff and the history and accomplishments of the organization;
the qualifications of the project team including any experience with
similar projects; the variety of skills, relevant educational
background, and the ability to effectively manage the project and to
coordinate with other agencies. One or two pertinent paragraphs on each
key member are preferred to vitae/resumes. However, vitae resumes may
be included.
Adequacy of Resources and the Budget
(c) The adequacy of the available resources and organizational
experience with regard to the scope of the tasks of the proposed
project. A list of the financial, physical, and other resources already
committed by other private and public institutions and agencies, if
any, and the explanation of how these organizations will participate in
the day-to-day operations of the project. Letters from these agencies
and organizations identifying and discussing the specifics of their
commitment and participation must be included in the application. The
extent to which the proposed budget is related to the level of effort
required to obtain the project's objectives; demonstration that the
project's costs are reasonable in view of the anticipated results.
Collaborative Efforts
(d) The extent of the additional private sector resources that may
be available to support or enhance the overall program. A discussion in
detail and the provision of documentation for any proposed
collaborative or coordinated efforts with other public or private
agencies or organizations. Letters from these agencies and
organizations must be included discussing their interest and/or
commitment in supporting the proposed project, stating at what juncture
they would become involved and the expected level of resource
commitment.
Applicants should note that non-responsiveness to the section
``Minimum Requirements for Project Design'' will result in a low
evaluation score by the panel of expert reviewers. Applicants must
clearly identify the specific resource center for which they wish to
have their applications considered, and tailor their applications
accordingly. Previous experience has shown that an application which is
broader and more general in concept than outlined in the project
description is less likely to score as well as one which is more
clearly focused and directly responsive.
D. Available Funds
OCS intends to award three new grants and one cooperative agreement
(subject to the availability of funds) resulting from this Announcement
during the third quarter of FY 1996. The size of the actual awards may
vary from the estimates herein.
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
[[Page 11038]]
``project period'' refers to the total time a project is approved for
support, including any extensions.
For multi-year projects, continued Federal funding beyond the first
budget period is dependent upon several factors which include proof of
satisfactory performance and the availability of funds from future
appropriations.
E. Grantee Share of Project Costs
Federal funds will be provided to cover up to 75% of the total
allowable project costs. Therefore, the non-Federal share must amount
to at least 25% of the total (Federal plus non-Federal) project cost.
This means that, for every $3 in Federal funds received, up to the
maximum amount allowable for each center, applicants must contribute at
least $1.
For example, the cost breakout for a project with a total cost of
$100,000 to implement would be:
------------------------------------------------------------------------
Non-Federal
Max. Federal request share Total cost
------------------------------------------------------------------------
$75,000....................................... $25,000 $100,000
75%........................................... 25% 100%
------------------------------------------------------------------------
Part III--Instructions for the Development and Submission of
Applications
This Part contains information and instructions for submitting
applications in response to this Announcement. Application forms are
provided as part of this publication along with a checklist for
assembling an application package. Please copy and use these forms in
submitting an application.
Potential applicants should read this section carefully in
conjunction with the information contained within the specific priority
area under which the application is to be submitted. The priority area
descriptions are in Part II.
A. Required Notification of the State Single Point of Contact
This program is covered under Executive Order 12372, (E.O.)
``Intergovernmental Review of Federal Programs,'' and 45 CFR Part 100,
``Intergovernmental Review of Department of Health and Human Services
Program and Activities.'' Under the E.O., States may design their own
processes for reviewing and commenting on proposed Federal assistance
under covered programs.
All States and territories, except Alaska, Colorado, Connecticut,
Hawaii, Idaho, Kansas, Louisiana, Massachusetts, Minnesota, Montana,
Nebraska, Oklahoma, Oregon, Pennsylvania, South Dakota, Tennessee,
Virginia, Washington, American Samoa, and Palao have elected to
participate in the E.O. process and have established a Single Point of
Contact (SPOCs). Applicants from these twenty jurisdictions need take
no action regarding E.O. 12372. Applicants for projects to be
administered by Federally-recognized Indian Tribes are also exempt from
the requirements of E.O. 12372. Otherwise, applicants should contact
their SPOCs as soon as possible to alert them of the prospective
applications and receive any necessary instructions. Applicants must
submit any required material to the SPOCs as soon as possible so that
OCS can obtain and review SPOC comments as part of the award process.
It is imperative that the applicant submit all required materials, if
any, to the SPOC and indicate the date of this submittal (or the date
of contact if no submittal is required) on the Standard Form 424, item
16a.
Under 45 CFR 100.8(a)(2), a SPOC has 60 days from application
deadline to comment on proposed new or competing continuation awards.
SPOCs are encouraged to eliminate the submission of routine
endorsements as official recommendations. Additionally, SPOCs are
requested to differentiate clearly between mere advisory comments and
those official State process recommendations which may trigger the
``accommodate or explain'' rule.
When comments are submitted directly to ACF, they should be
addressed to: Department of Health and Human Services, Administration
for Children and Families, Division of Discretionary Grants, (OCS-96-
05) 370 L'Enfant Promenade, S.W., 6th Floor East, Washington, D.C.
20447.
A list of the Single Point of Contact for each State and Territory
is included at the end of this Announcement.
B. Paperwork Reduction Act of 1980
Under the Paperwork Reduction Act of 1980, Public Law 96-511, the
Department is required to submit to the Office of Management and Budget
(OMB) for review and approval any reporting and recordkeeping
requirements in regulations, including Program Announcements. This
Program Announcement does not contain information collection
requirements beyond those approved for ACF grant applications under OMB
Control Number 0970-0062.
C. Deadline for Submittal of Applications
The closing date for submittal of applications under this Program
Announcement is found at the beginning of this Program Announcement
under DATES.
Mailed applications shall be considered as meeting an announced
deadline if they are either received on or before the deadline date or
sent on or before the deadline date and received in ACF in time for the
independent review to: U.S. Department of Health and Human Services,
Administration for Children and Families, Division of Discretionary
Grants, 370 L'Enfant Promenade, S.W., Mail Stop 6C-462, Washington,
D.C. 20447, Attention: Family Violence Prevention and Services Program.
Applicants are cautioned to request a legibly dated U.S. Postal
Service postmark or to obtain a legibly dated receipt from a commercial
carrier or U.S. Postal Service. Private metered postmarks shall not be
acceptable proof of timely mailing.
Applications handcarried by applicants, applicant couriers, or
overnight/express mail couriers shall be considered as meeting an
announced deadline if they are received on or before the deadline date,
between the hours of 8:00 a.m. and 4:30 p.m., at the U.S. Department of
Health and Human Services, Administration for Children and Families,
Division of Discretionary Grants, ACF Mailroom, 2nd Floor Loading Dock,
Aerospace Center, 901 D Street, S.W., Washington, D.C. 20024, between
Monday and Friday (excluding Federal holidays). (Applicants are
cautioned that express/overnight mail services do not always deliver as
agreed.)
ACF cannot accommodate transmission of applications by fax or
through other electronic media. Therefore, applications transmitted to
ACF electronically will not be accepted regardless of the date or time
of submission and time of receipt.
Late applications: Applications which do not meet the criteria
above are considered late applications. The ACF shall notify each late
applicant that its application will not be considered in the current
competition.
Extension of deadlines: The ACF may extend the deadline for all
applicants due to acts of God, such as floods, hurricanes or
earthquakes; widespread disruption of the mails; or if ACF determines a
deadline extension to be in the best interest of the Government.
However, if ACF does not extend the deadline for all applicants, it may
not waive or extend the deadline for any applicant.
[[Page 11039]]
D. Instructions for Preparing the Application and Completing
Application Forms
The SF 424, Page 2; and certifications have been reprinted for your
convenience in preparing the application. You should reproduce single-
sided copies of these forms from the reprinted forms in the
Announcement, typing your information onto the copies. Please do not
use forms directly from the Federal Register Announcement, as they are
printed on both sides of the page.
In order to assist applicants in correctly completing the SF 424
and SF 424A, instructions for these forms have been included at the end
of Part III of this Announcement.
Where specific information is not required under this program, NA
(not applicable) has been preprinted on the form.
Please prepare your application in accordance with the following
instructions:
1. SF 424 Page 1, Application Cover Sheet
Please read the following instructions before completing the
application cover sheet. An explanation of each item is included.
Complete only the items specified.
Top of Page. Enter the single priority area number under which the
application is being submitted. An application should be submitted
under only one priority area.
Item 1. ``Type of Submission''--Preprinted on the form.
Item 2. ``Date Submitted'' and ``Applicant Identifier''--Date
application is submitted to ACF and applicant's own internal control
number, if applicable.
Item 3. ``Date Received By State''--State use only (if applicable).
Item 4. ``Date Received by Federal Agency''--Leave blank.
Item 5. ``Applicant Information''
``Legal Name''--Enter the legal name of applicant organization. For
applications developed jointly, enter the name of the lead organization
only. There must be a single applicant for each application.
``Organizational Unit''--Enter the name of the primary unit within
the applicant organization which will actually carry out the project
activity. Do not use the name of an individual as the applicant. If
this is the same as the applicant organization, leave the
organizational unit blank.
``Address''--Enter the complete address that the organization
actually uses to receive mail, since this is the address to which all
correspondence will be sent. Do not include both street address and
P.O. box number unless both must be used in mailing.
``Name and telephone number of the person to be contacted on
matters involving this application (give area code)''--Enter the full
name (including academic degree, if applicable) and telephone number of
a person who can respond to questions about the application. This
person should be accessible at the address given here and will receive
all correspondence regarding the application.
Item 6. ``Employer Identification Number (EIN)''--Enter the
employer identification number of the applicant organization, as
assigned by the Internal Revenue Service, including, if known, the
Central Registry System suffix.
Item 7. ``Type of Applicant''--Self-explanatory.
Item 8. ``Type of Application''--Preprinted on the form.
Item 9. ``Name of Federal Agency''--Preprinted on the form.
Item 10. ``Catalog of Federal Domestic Assistance Number and
Title''--Enter the Catalog of Federal Domestic Assistance (CFDA) number
assigned to the program under which assistance is requested and its
title, as indicated in the relevant priority area description.
Item 11. ``Descriptive Title of Applicant's Project''--Enter the
project title. The title is generally short and is descriptive of the
project, not the priority area title.
Item 12. ``Areas Affected by Project''--Enter the governmental unit
where significant and meaningful impact could be observed. List only
the largest unit or units affected, such as State, county, or city. If
an entire unit is affected, list it rather than subunits.
Item 13. ``Proposed Project''--Enter the desired start date for the
project and projected completion date.
Item 14. ``Congressional District of Applicant/Project''--Enter the
number of the Congressional district where the applicant's principal
office is located and the number of the Congressional district(s) where
the project will be located. If statewide, a multi-State effort, or
nationwide, enter ``00.''
Items 15. ``Estimated Funding Levels''--In completing 15a through
15f, the dollar amounts entered should reflect, for a 17 month or less
project period, the total amount requested.
Item 15a. Enter the amount of Federal funds requested in accordance
with the preceding paragraph. This amount should be no greater than the
maximum amount specified in the priority area description.
Items 15b-e Enter the amount(s) of funds from non-Federal sources
that will be contributed to the proposed project. Items b-e are
considered cost-sharing or ``matching funds.'' The value of third party
in-kind contributions should be included on appropriate lines as
applicable. For more information regarding funding as well as
exceptions to these rules, see Part III, Sections E and F, and the
specific priority area description.
Item 15f. Enter the estimated amount of income, if any, expected to
be generated from the proposed project. Do not add to or subtract this
amount from the total project amount entered under item 15g. Describe
the nature, source and anticipated use of this income in the Project
Narrative Statement.
Item 15g. Enter the sum of items 15a-15e.
Item 16a. ``Is Application Subject to Review By State Executive
Order 12372 Process? Yes.''--Enter the date the applicant contacted the
SPOC regarding this application. Select the appropriate SPOC from the
listing provided at the end of Part IV. The review of the application
is at the discretion of the SPOC. The SPOC will verify the date noted
on the application. If there is a discrepancy in dates, the SPOC may
request that the Federal agency delay any proposed funding until
September 30, 1996.
Item 16b. ``Is Application Subject to Review By State Executive
Order 12372 Process? No.''--Check the appropriate box if the
application is not covered by E.O. 12372 or if the program has not been
selected by the State for review.
Item 17. ``Is the Applicant Delinquent on any Federal Debt?''--
Check the appropriate box. This question applies to the applicant
organization, not the person who signs as the authorized
representative. Categories of debt include audit disallowances, loans
and taxes.
Item 18. ``To the best of my knowledge and belief, all data in this
application/preapplication are true and correct. The document has been
duly authorized by the governing body of the applicant and the
applicant will comply with the attached assurances if the assistance is
awarded.''--To be signed by the authorized representative of the
applicant. A copy of the governing body's authorization for signature
of this application by this individual as the official representative
must be on file in the applicant's office, and may be requested from
the applicant.
Item 18a-c. ``Typed Name of Authorized Representative, Title,
Telephone Number''--Enter the name, title and telephone number of the
[[Page 11040]]
authorized representative of the applicant organization.
Item 18d. ``Signature of Authorized Representative''--Signature of
the authorized representative named in Item 18a. At least one copy of
the application must have an original signature. Use colored ink (not
black) so that the original signature is easily identified.
Item 18e. ``Date Signed''--Enter the date the application was
signed by the authorized representative.
2. SF 424A--Budget Information--Non-Construction Programs
This is a form used by many Federal agencies. For this application,
Sections A, B, C, E and F are to be completed. Section D does not need
to be completed.
Sections A and B should include the Federal as well as the non-
Federal funding for the proposed project covering (1) the total project
period of 17 months or less or (2) the first year budget period, if the
proposed project period exceeds 17 months.
Section A--Budget Summary. This section includes a summary of the
budget. On line 5, enter total Federal costs in column (e) and total
non-Federal costs, including third party in-kind contributions, but not
program income, in column (f). Enter the total of (e) and (f) in column
(g).
Section B--Budget Categories. This budget, which includes the
Federal as well as non-Federal funding for the proposed project, covers
the total project period of 17 months or less. It should relate to item
15g, total funding, on the SF 424. Under column (5), enter the total
requirements for funds (Federal and non-Federal) by object class
category.
A separate budget justification should be included to explain fully
and justify major items, as indicated below. The types of information
to be included in the justification are indicated under each category.
For multiple year projects, it is desirable to provide this information
for each year of the project. The budget justification should
immediately follow the second page of the SF 424A.
Personnel--Line 6a. Enter the total costs of salaries and wages of
applicant/grantee staff. Do not include the costs of consultants, which
should be included on line 6h, ``Other.''
Justification: Identify the project director, if known. Specify by
title or name the percentage of time allocated to the project, the
individual annual salaries, and the cost to the project (both Federal
and non-Federal) of the organization's staff who will be working on the
project.
Fringe Benefits--Line 6b. Enter the total costs of fringe benefits,
unless treated as part of an approved indirect cost rate.
Justification: Provide a break-down of amounts and percentages that
comprise fringe benefit costs, such as health insurance, FICA,
retirement insurance, etc.
Travel--6c. Enter total costs of out-of-town travel (travel
requiring per diem) for staff of the project. Do not enter costs for
consultant's travel or local transportation, which should be included
on Line 6h, ``Other.''
Justification: Include the name(s) of traveler(s), total number of
trips, destinations, length of stay, transportation costs and
subsistence allowances.
Equipment--Line 6d. Enter the total costs of all equipment to be
acquired by the project. For State and local governments, including
Federally recognized Indian Tribes, ``equipment'' is tangible, non-
expendable personal property having a useful life of more than one year
and an acquisition cost of $5,000 or more per unit. For all other
applicants, the threshold for equipment is $500 or more per unit. The
higher threshold for State and local governments became effective
October 1, 1988, through the implementation of 45 CFR Part 92,
``Uniform Administrative Requirements for Grants and Cooperative
Agreements to State and Local Governments.''
Justification: Equipment to be purchased with Federal funds must be
justified. The equipment must be required to conduct the project, and
the applicant organization or its subgrantees must not have the
equipment or a reasonable facsimile available to the project. The
justification also must contain plans for future use or disposal of the
equipment after the project ends.
Supplies--Line 6e. Enter the total costs of all tangible expendable
personal property (supplies) other than those included on Line 6d.
Justification: Specify general categories of supplies and their
costs.
Contractual--Line 6f. Enter the total costs of all contracts,
including procurement contracts (except those which belong on other
lines such as equipment, supplies, etc.) and contracts with secondary
recipient organizations. Also include any contracts with organizations
for the provision of technical assistance. Do not include payments to
individuals on this line.
Justification: Attach a list of contractors, indicating the names
of the organizations, the purposes of the contracts, and the estimated
dollar amounts of the awards as part of the budget justification.
Whenever the applicant/grantee intends to delegate part or all of the
program to another agency, the applicant/grantee must complete this
section (Section B, Budget Categories) for each delegate agency by
agency title, along with the supporting information. The total cost of
all such agencies will be part of the amount shown on Line 6f. Provide
backup documentation identifying the name of contractor, purpose of
contract, and major cost elements.
Construction--Line 6g. Not applicable. New construction is not
allowable.
Other--Line 6h. Enter the total of all other costs. Where
applicable, such costs may include, but are not limited to: insurance;
medical and dental costs; noncontractual fees and travel paid directly
to individual consultants; local transportation (all travel which does
not require per diem is considered local travel); space and equipment
rentals; printing and publication; computer use; training costs,
including tuition and stipends; training service costs, including wage
payments to individuals and supportive service payments; and staff
development costs. Note that costs identified as ``miscellaneous'' and
``honoraria'' are not allowable.
Justification: Specify the costs included.
Total Direct Charges--Line 6i. Enter the total of Lines 6a through
6h.
Indirect Charges--6j. Enter the total amount of indirect charges
(costs). If no indirect costs are requested, enter ``none.'' Generally,
this line should be used when the applicant (except local governments)
has a current indirect cost rate agreement approved by the Department
of Health and Human Services or another Federal agency.
When an indirect cost rate is requested, these costs are included
in the indirect cost pool and should not be charged again as direct
costs to the grant. In the case of training grants to other than State
or local governments (as defined in title 45, Code of Federal
Regulations, part 74), the Federal reimbursement of indirect costs will
be limited to the lesser of the negotiated (or actual) indirect cost
rate or 8 percent of the amount allowed for direct costs, exclusive of
any equipment charges, rental of space, tuition and fees, post-doctoral
training allowances, contractual items, and alterations and
renovations.
For training grant applications, the entry under line 6j should be
the total indirect costs being charged to the project. The Federal
share of indirect costs is calculated as shown above. The
[[Page 11041]]
applicant's share is calculated as follows:
(a) Calculate total project indirect costs (a*) by applying the
applicant's approved indirect cost rate to the total project (Federal
and non-Federal) direct costs.
(b) Calculate the Federal share of indirect costs (b*) at 8 percent
of the amount allowed for total project (Federal and non-Federal)
direct costs exclusive of any equipment charges, rental of space,
tuition and fees, post-doctoral training allowances, contractual items,
and alterations and renovations.
(c) Subtract (b*) from (a*). The remainder is what the applicant
can claim as part of its matching cost contribution.
Justification: Enclose a copy of the indirect cost rate agreement
if it was negotiated with a Federal agency other than DHHS. Applicants
subject to the limitation on the Federal reimbursement of indirect
costs for training grants should specify this.
Total--Line 6k. Enter the total amounts of lines 6i and 6j.
Program Income--Line 7. Enter the estimated amount of income, if
any, expected to be generated from this project. Do not add or subtract
this amount from the total project amount.
Justification: Describe the nature, source, and anticipated use of
program income in the Program Narrative Statement.
Section C--Non-Federal Resources. This section summarizes the
amounts of non-Federal resources that will be applied to the grant.
Enter this information on line 12 entitled ``Totals.'' In-kind
contributions are defined in title 45 of the Code of Federal
Regulations, Part 74.2, as the value of non-cash contributions provided
by non-Federal third parties. Third party in-kind contributions may be
in the form of real property, equipment, supplies, and other expendable
property, and the value of goods and services directly benefiting and
specifically identifiable to the project or program.
Justification: Describe third party in-kind contributions, if
included.
Section D--Forecasted Cash Needs. Not applicable.
Section E--Budget Estimate of Federal Funds Needed For Balance of
the Project. Not applicable.
Totals--Line 20. For projects that will have more than one budget
period, enter the estimated required Federal funds for the second
budget period (months 13 through 24) under column ``(b) First.'' If a
third budget period will be necessary, enter the Federal funds needed
for months 25 through 36 under ``(c) Second.'' Columns (d) and (e) are
not applicable in most instances, since ACF funding is almost always
limited to a three-year maximum project period. They should remain
blank.
Section F--Other Budget Information.
Direct Charges--Line 21. Not applicable.
Indirect Charges--Line 22. Enter the type of indirect rate
(provisional, predetermined, final or fixed) that will be in effect
during the funding period, the estimated amount of the base to which
the rate is applied, and the total indirect expense.
Remarks--Line 23. If the total project period exceeds 17 months,
you must enter your proposed non-Federal share of the project budget
for each of the remaining years of the project.
3. Project Summary Description
Clearly mark this separate page with the applicant name as shown in
item 5 of the SF 424, and the title of the project as shown in item 11
of the SF 424. The summary description should not exceed 300 words.
These 300 words become part of the computer database on each project.
Care should be taken to produce a summary description which
accurately and concisely reflects the application. It should describe
the objectives of the project, the approaches to be used and the
outcomes expected. The description should also include a list of major
products that will result from the proposed project, such as software
packages, materials, management procedures, data collection
instruments, training packages, or videos (please note that
audiovisuals should be closed captioned). The project summary
description, together with the information on the SF 424, will
constitute the project ``abstract.'' It is the major source of
information about the proposed project and is usually the first part of
the application that the reviewers read in evaluating the application.
4. Program Narrative Statement
The Program Narrative Statement is a very important part of an
application. It should be clear, concise, and address the specific
requirements mentioned under the priority area description in Part II.
The narrative should also provide information concerning how the
application meets the evaluation criteria using the following headings:
(a) Need for the Project;
(b) Goals and Objectives;
(c) Approach;
(d) Results and Benefits; and
(e) Level of Effort.
The specific information to be included under each of these
headings is described in Section C of Part III, Evaluation Criteria.
The narrative should be typed double-spaced on a single-side of an
8\1/2\'' x 11'' plain white paper, with 1'' margins on all sides. All
pages of the narrative (including charts, references/footnotes, tables,
maps, exhibits, etc.) must be sequentially numbered, beginning with
``Objectives and Need for the Project'' as page number one. Applicants
should not submit reproductions of larger size paper, reduced to meet
the size requirement.
The length of the application, including the application forms and
all attachments, should not exceed 60 pages. A page is a single side of
an 8\1/2\'' x 11'' sheet of paper. Applicants are requested not to send
pamphlets, brochures or other printed material along with their
application as these pose photocopy difficulties. These materials, if
submitted, will not be included in the review process if they exceed
the 60-page limit. Each page of the application will be counted to
determine the total length.
5. Organizational Capability Statement
The Organizational Capability Statement should consist of a brief
(two to three pages) background description of how the applicant
organization (or the unit within the organization that will have
responsibility for the project) is organized, the types and quantity of
services it provides, and/or the research and management capabilities
it possesses. This description should cover capabilities not included
in the Program Narrative Statement. It may include descriptions of any
current or previous relevant experience, or describe the competence of
the project team and its demonstrated ability to produce a final
product that is readily comprehensible and usable. An organization
chart showing the relationship of the project to the current
organization should be included.
6. Assurances/Certifications
Applicants are required to file an SF 424B, Assurances-- Non-
Construction Programs, and the Certification Regarding Lobbying. Both
must be signed and returned with the application. In addition,
applicants must certify their compliance with: (1) Drug-Free Workplace
Requirements; and (2) Debarment and Other Responsibilities; and (3)
Certification Regarding Environmental Tobacco Smoke. These
certifications are self-explanatory. Copies of these assurances/
certifications are reprinted at the end of this Announcement and should
be reproduced, as necessary. A duly
[[Page 11042]]
authorized representative of the applicant organization must certify
that the applicant is in compliance with these assurances/
certifications. A signature on the SF 424 indicates compliance with the
Drug Free Workplace Requirements, and Debarment and Other
Responsibilities, and Environmental Tobacco Smoke certifications.
E. Checklist for a Complete Application
The checklist below is for your use to ensure that your application
package has been properly prepared.
____ One original, signed and dated application, plus two copies.
Applications for different priority areas are packaged separately;
____ Application is from an organization which is eligible under the
eligibility requirements defined in the priority area description
(screening requirement);
____ Application length does not exceed 60 pages, unless otherwise
specified in the priority area description.
____ A complete application consists of the following items in this
order:
____ Application for Federal Assistance (SF 424, REV 4-88);
____ A completed SPOC certification with the date of SPOC contact
entered in line 16, page 1 of the SF 424 if applicable.
____ Budget Information--Non-Construction Programs (SF 424A, REV 4-88);
____ Budget justification for Section B--Budget Categories;
____ Table of Contents;
____ Letter from the Internal Revenue Service to prove non-profit
status, if necessary;
____ Copy of the applicant's approved indirect cost rate agreement, if
appropriate;
____ Project summary description and listing of key words;
____ Program Narrative Statement (See Part III, Section C);
____ Organizational capability statement, including an organization
chart;
____ Any appendices/attachments;
____ Assurances--Non-Construction Programs (Standard Form 424B, REV 4-
88);
____ Certification Regarding Lobbying; and
F. The Application Package
Each application package must include an original and two copies of the
complete application. Each copy should be stapled securely (front and
back if necessary) in the upper left-hand corner. All pages of the
narrative (including charts, tables, maps, exhibits, etc.) must be
sequentially numbered, beginning with page one. In order to facilitate
handling, please do not use covers, binders or tabs. Do not include
extraneous materials as attachments, such as agency promotion
brochures, slides, tapes, film clips, minutes of meetings, survey
instruments or articles of incorporation.
Applicants should include a self-addressed, stamped acknowledgment
card. All applicants will be notified automatically about the receipt
of their application. If acknowledgment of receipt of your application
is not received within eight weeks after the deadline date, please
notify ACF by telephone at (202) 401-5529.
G. Post-Award Information and Reporting Requirements
Following approval of the applications selected for funding, notice
of project approval and authority to draw down project funds will be
made in writing. The official award document is the Financial
Assistance Award which provides the amount of Federal funds approved
for use in the project, the project and budget periods for which
support is provided, the terms and conditions of the award, the total
project period for which support is contemplated, and the total
required financial grantee participation.
General Conditions and Special Conditions (where the latter are
warranted) which will be applicable to grants, grantees will be subject
to the provisions of 45 CFR Part 74.
Grantees will be required to submit quarterly progress and
financial reports (SF 269) throughout the project period, as well as a
final progress and financial report within 90 days of the termination
of the project.
Grantees are subject to the audit requirements in 45 CFR Parts 74
and OMB Circular A-133. If an applicant does not request indirect
costs, it should anticipate in its budget request the cost of having an
audit performed at the end of the grant period.
Section 319 of Public Law 101-121, signed into law on October 23,
1989, imposes prohibitions and requirements for disclosure and
certification related to lobbying on recipients of Federal contracts,
grants, cooperative agreements, and loans. It provides exemptions for
Indian tribes and tribal organizations. Current and prospective
recipients (and their subtier contractors and/or grantees) are
prohibited from using Federal funds, other than profits from a Federal
contract, for lobbying Congress or any Federal agency in connection
with the award of a contract, grant, cooperative agreement or loan. In
addition, for each award action in excess of $100,000 (or $150,000 for
loans) the law requires recipients and their subtier contractors and/or
subgrantees (1) to certify that they have neither used nor will use any
appropriated funds for payment to lobbyists; (2) to disclose the name,
address, payment details, and purpose of any agreements with lobbyists
whom recipients or their subtier contractors or subgrantees will pay
with profits or nonappropriated funds on or after December 22, 1989 and
(3) to file quarterly up-dates about the use of lobbyists if material
changes occur in their use. The law establishes civil penalties for
noncompliance.
(Catalog of Federal Domestic Assistance program number, 93.671,
Family Violence Prevention and Services)
Dated: March 7, 1996.
Donald Sykes,
Director, Office of Community Services.
BILLING CODE 4184-01-P
[[Page 11043]]
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BILLING CODE 4184-01-C
[[Page 11044]]
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 for 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 explanatin of a
separate sheet. If appropriate (e.g., construction or real property
projects), attach a map showing project location. For
preapplications, use a separate sheet to provide a summary
description of this project.
12. List only the largest political entities affected (e.g.,
State, counties, cities).
13. Self-explanatory.
14. List the applicant's Congressional District and any
District(s) affected by the program or project.
15. Amount requested or to be contributed during the first
funding/budget period by each contributor. Value of in-kind
contributions should be included on appropriate lines as applicable.
If the action will result in a dollar change to an existing award,
indicate only the amount of the change. For decreases, enclose the
amounts in parentheses. If both basic and supplemental amounts are
included, show breakdown on an attached sheet. For multiple program
funding, use totals and show breakdown using same categories as item
15.
16. Applicants should contact the State Single Point of Contact
(SPOC) for Federal Executive Order 12372 to determine whether the
application is subject to the State intergovernmental review
process.
17. This question applies to the applicant organization, not the
person who signs as the authorized representative. Categories of
debt include delinquent audit disallowances, loans and taxes.
18. To be signed by the authorized representative of the
applicant. A copy of the governing body's authorization for you to
sign this application as official representative must be on file in
the applicant's office. (Certain Federal agencies may require that
this authorization be submitted as part of the application.)
BILLING CODE 4184-01-M
[[Page 11045]]
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[[Page 11046]]
[GRAPHIC] [TIFF OMITTED] TN18MR96.008
BILING CODE 4184-01-C
[[Page 11047]]
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 functions 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
functions 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 authorization budgeted amounts
plus or minus, as appropriate, the amounts shown in Columns (e) and
(f). The amount(s) in Column (g) should not equal the sum of amounts
in Columns (e) and (f).
Line 5--Show the totals for all columns used.
Section B. Budget Categories
In the column headings (1) through (4), enter the titles of the
same programs, functions, and activities shown on Lines 1-4, Column
(a), Section A. When additional sheets are prepared for Section A,
provide similar column headings on each sheet. For each program,
function or activity, fill in the total requirements for funds (both
Federal and non-Federal) by object class categories.
Lines 6a-i--Show the totals of Lines 6a to 6h in each column.
Line 6j--Show the amount of indirect cost.
Line 6k--Enter the total of amounts on Lines 6i and 6j. For all
applications for new grants and continuation grants the total amount in
column (5), Line 6k, should be the total amount shown in Section A,
Column (g), Line 5. For supplemental grants and charges to grants, the
total amount of the increase or decrease as shown in Columns (1)-(4),
Line 6k should be the same as the sum of the amounts in Section A,
Columns (e) and (f) on Line 5.
Line 7--Enter the estimated amount of income, if any, expected
to be generated from this project. Do not add or subtract this
amount from the total project amount. Show under the program
narrative statement the nature and source of income. The estimated
amount of program income may be considered by the federal grantor
agency in determining the total amount of the grant.
Section C. Non-Federal-Resources
Line 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
Line 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 Column (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.
[[Page 11048]]
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. 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.
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. 794), which prohibits discrimination on the basis
of handicaps; (d) the Age Discrimination Act of 1975, as amended (42
U.S.C. 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.
3601 et seq.), as amended, relating to nondiscrimination in the
sale, rental or financing of housing; (i) any other
nondiscrimination provisions in the specific statute(s) under which
application for Federal assistance is being made; and (j) the
requirements of any other nondiscrimination statute(s) which may
apply to the application.
7. Will comply, or has already complied, with the requirements
of Titles II and III of the Uniform Relocation Assistance and Real
Property Acquisition Policies Act of 1970 (P.L. 91-646) which
provide for fair and equitable treatment of persons displaced or
whose property is acquired as a result of Federal or federally
assisted programs. These requirements apply to all interests in real
property acquired for project purposes regardless of Federal
participation in purchases.
8. Will comply with the provisions of the Hatch Act (5 U.S.C.
1501-1508 and 7324-7328) which limit the political activities of
employees whose principal employment activities are funded in whole
or in part with Federal funds.
9. Will comply, as applicable, with the provisions of the Davis-
Bacon Act (40 U.S.C. 276a to 276a-7), the Copeland Act (40 U.S.C.
276c and 18 U.S.C. 874), and the Contract Work Hours and Safety
Standards Act (40 U.S.C. 327-333), regarding labor standards for
federally assisted construction subagreements.
10. Will comply, if applicable, with flood insurance purchase
requirements of Section 102(a) of the Flood Disaster Protection Act
of 1973 (P.L. 93-234) which requires recipients in a special flood
hazard area to participate in the program and to purchase flood
insurance if the total cost of insurable construction and
acquisition is $10,000 or more.
11. Will comply with environmental standards which may be
prescribed pursuant to the following: (a) institution of
environmental quality control measures under the National
Environmental Policy Act of 1969 (P.L. 91-190) and Executive Order
(EO) 11514; (b) notification of violating facilities pursuant to EO
11738; (c) protection of wetlands pursuant to EO 11990; (d)
evaluation of flood hazards in floodplains in accordance with EO
11988; (e) assurance of project consistency with the approved State
management program developed under the Coastal Zone Management Act
of 1972 (16 U.S.C. Secs. 1451 et seq.); (f) conformity of Federal
actions to State (Clear Air) Implementation Plans under Section
176(c) of the Clean 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--------------------------------------------------------
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[[Page 11050]]
[GRAPHIC] [TIFF OMITTED] TN18MR96.010
BILLING CODE 4184-01-C
[[Page 11051]]
Certification Regarding Debarment, Suspension, and Other Responsibility
Matters--Primary Covered Transactions
By signing and submitting this proposal, the applicant, defined
as the primary participant in accordance with 45 CFR Part 76,
certifies to the best of its knowledge and belief that it and its
principals:
(a) are not presently debarred, suspended, proposed for
debarment, declared ineligible, or voluntarily excluded from covered
transactions by any Federal Department or agency;
(b) have not within a 3-year period preceding this proposal been
convicted of or had a civil judgment rendered against them for
obtaining, attempting to obtain, or performing a public (Federal,
State, or local) transaction or contract under a public transaction;
violation of Federal or State antitrust statutes or commission of
embezzlement, theft, forgery, bribery, falsification or destruction
of records, making false statements, or receiving stolen property.
(c) are not presently indicated or otherwise criminally or
civilly charged by a governmental entity (Federal, State or local)
with commission of any of the offenses enumerated in paragraph
(1)(b) of this certification; and
(d) have not within a 3-year period preceding this application/
proposal had one or more public transactions (Federal, State or
local) terminated for cause or default.
The inability of a person to provide the certification required
above will not necessarily result in denial of participation in this
covered transaction. If necessary, the prospective participate shall
submit an explanation of why it cannot provide the certification.
The certification or explanation will be considered in connection
with the Department of Health and Human Services' (HHS)
determination whether to enter into this transaction. However,
failure of the prospective primary participant to furnish a
certification or an explanation shall disqualify such person from
participation in this transaction.
The prospective primary participant agrees that by submitting
this proposal, it will include the clause entitled ``Certification
Regarding Debarment, Suspension, Ineligibility, and Voluntary
Exclusion--Lower Tier Covered Transactions'' provided below without
modification in all lower tier covered transactions and in all
solicitations for lower tier covered transactions.
Certification Regarding Debarment, Suspension, Ineligibility and
Voluntary Exclusion--Lower Tier Covered Transactions (To Be Supplied to
Lower Tier Participants)
By signing and submitting this lower tier proposal, the
prospective lower tier participant, as defined in 45 CFR Part 76,
certifies to the best of its knowledge and belief that it and its
principals:
(a) are not presently debarred, suspended, proposed for
debarment, declared ineligible, or voluntarily excluded from
participation in this transaction by any federal department or
agency.
(b) where the prospective lower tier participant is unable to
certify to any of the above, such prospective participant shall
attach an explanation to this proposal.
The prospective lower tier participant further agrees by
submitting this proposal that it will include this clause entitled
``Certification Regarding Debarment, Suspension, Ineligibility, and
Voluntary Exclusion--Lower Tier Covered Transactions'' without
modification in all lower tier covered transactions and in all
solicitations for lower tier covered transactions.
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 require statement shall
be subject to a civil penalty of not less than $10,000 and not more
than $100,000 for each such failure.
----------------------------------------------------------------------
Signature
----------------------------------------------------------------------
Title
----------------------------------------------------------------------
Organization
----------------------------------------------------------------------
Date
BILLING CODE 4184-01-M
[[Page 11052]]
[GRAPHIC] [TIFF OMITTED] TN18MR96.011
BILLING CODE 4184-01-C
[[Page 11053]]
OMB State Single Point of Contact Listing*
Arizona
Joni Saad, Arizona State Clearinghouse, 3800 N. Central Avenue,
Fourteenth Floor, Phoenix, Arizona 85012, Telephone (602) 280-1315,
FAX: (602) 280-1305
Arkansas
Mr. Tracy L. Copeland, Manager, State Clearinghouse, Office of
Intergovernmental Services, Department of Finance and
Administration, 1515 W. 7th St., Room 412, Little Rock, Arkansas
72203, Telephone: (501) 682-1074, FAX: (501) 682-5206
Alabama
Jon C. Strickland, Alabama Department of Economic and Community
Affairs, Planning and Economic Development Division, 401 Adams
Avenue, Montgomery, AL 36103-5690, Telephone: (205) 242-5483, FAX:
(205) 242-5515
California
Grants Coordinator, Office of Planning and Research, 1400 Tenth
Street, Room 121, Sacramento, California 95814, Telephone (916) 323-
7480, FAX: (916) 323-3018
Delaware
Francine Booth, State Single Point of Contact, Executive Department,
Thomas Collins Building, P.O. Box 1401, Dover, Delaware 19903,
Telephone: (302) 739-3326, FAX: (302) 739-5661
District of Columbia
Charles Nichols, State Single Point of Contact, Office of Grants
Mgmt. and Dev., 717 14th Street, N.W.--Suite 500, Washington, D.C.
20005, Telephone: (202) 727-6554, FAX: (202) 727-1617
Florida
Florida State Clearinghouse, Department of Community Affairs, 2740
Centerview Drive, Tallahassee, Florida 32399-2100, Telephone: (904)
922-5438, FAX: (904) 487-2899
Georgia
Tom L. Reid, III, Administrator, Georgia State Clearinghouse, 254
Washington Street, S.W.--Room 401J, Atlanta, Georgia 30334,
Telephone: (404) 656-3855 or (404) 656-3829, FAX: (404) 656-7938
Illinois
Barbara Beard, State Single Point of Contact, Department of Commerce
and Community Affairs, 620 East Adams, Springfield, Illinois 62701,
Telephone: (217) 782-1671, FAX: (217) 534-1627
Indiana
Amy Brewer, State Budget Agency, 212 State House, Indianapolis,
Indiana 46204, Telephone: (317) 232-5619, FAX: (317) 233-3323
Iowa
Steven R. McCann, Division for Community Assistance, Iowa Department
of Economic Development, 200 East Grand Avenue, Des Moines, Iowa
50309, Telephone: (515) 242-4719, FAX: (515) 242-4859
Kentucky
Ronald W. Cook, Office of the Governor, Department of Local
Government, 1024 Capitol Center Drive, Frankfort, Kentucky 40601-
8204, Telephone: (502) 573-2382, FAX: (502) 573-2512
Maine
Joyce Benson, State Planning Office, State House Station #38,
Augusta, Maine 04333, Telephone: (207) 287-3261, FAX: (207) 287-6489
Maryland
William G. Carroll, Manager, State Clearinghouse for
Intergovernmental Assistance, Maryland Office of Planning, 301 W.
Preston Street--Room 1104, Baltimore, Maryland 21201-2365, Staff
Contact: Linda Janey, Telephone: (410) 225-4490, FAX: (410) 225-4480
Michigan
Richard Pfaff, Southeast Michigan Council of Governments, 1900
Edison Plaza, 660 Plaza Drive, Detroit, Michigan 48226, Telephone:
(313) 4266
Mississippi
Cathy Mallette, Clearinghouse Officer, Department of Finance and
Administration, 455 North Lamar Street, Jackson, Mississippi 39202-
3087, Telephone: (601) 359-6762, FAX: (601) 359-6764
Missouri
Lois Pohl, Federal Assistance Clearinghouse, Office of
Administration, P.O. Box 809, Room 760, Truman Building, Jefferson
City, Missouri 65102, Telephone: (314) 751-4834, FAX: (314) 751-7819
Nevada
Department of Administration,
State Clearinghouse,
Capitol Complex,
Carson City, Nevada 89710,
Telephone: (702) 687-4065,
FAX: (702) 687-3983
New Hampshire
Jeffrey H. Taylor,
Director, New Hampshire Office of State Planning,
Attn: Intergovernmental Review Process,
Mike Blake,
2\1/2\ Beacon Street,
Concord, New Hampshire 03301,
Telephone: (603) 271-2155,
FAX: (603) 271-1728
New Jersey
Gregory W. Adkins, Assistant Commissioner,
New Jersey Department of Community Affairs
Please direct all correspondence and questions about
intergovernmental review to:
Andrew J. Jaskolka,
State Review Process,
Intergovernmental Review Unit CN 800, Room 813A,
Trenton, New Jersey 08625-0800,
Telephone: (609) 292-9025,
FAX: (609) 633-2132
New Mexico
Robert Peters,
State Budget Division,
Room 190 Bataan Memorial Building,
Santa Fe, New Mexico 87503,
Telephone: (505) 827-3640
New York
New York State Clearinghouse,
Division of the Budget,
State Capitol,
Albany, New York 12224,
Telephone: (518) 474-1605
North Carolina
Chrys Baggett, Director,
N.C. State Clearinghouse,
Office of the Secretary of Admin.,
116 West Jones Street,
Raleigh, North Carolina 27603-8003,
Telephone: (919) 733-7232,
FAX: (919) 733-9571
North Dakota
North Dakota Single Point of Contact,
Office of Intergovernmental Assistance,
600 East Boulevard Avenue,
Bismarck, North Dakota 58505-0170,
Telephone: (701) 224-2094,
FAX: (701) 224-2308
Ohio
Larry Weaver,
State Single Point of Contact,
State Clearinghouse,
Office of Budget and Management,
30 East Broad Street, 34th Floor,
Columbus, Ohio 43266-0411
Please direct correspondence and questions about
intergovernmental review to:
Linda Wise,
Telephone: (614) 466-0698,
FAX: (614) 466-5400
Rhode Island
Daniel W. Varin,
Associate Director,
Department of Administration/Division of Planning,
One Capitol Hill, 4th Floor,
Providence, Rhode Island 02908-5870,
Telephone: (401) 277-2656,
FAX: (401) 277-2083
Please direct correspondence and questions to:
Review Coordinator,
Office of Strategic Planning
South Carolina
Omeagia Burgess,
State Single Point of Contact,
Grant Services,
Office of the Governor,
1205 Pendleton Street--Room 477,
Columbia, South Carolina 29201,
Telephone: (803) 734-0494,
FAX: (803) 734-0385
Texas
Tom Adams,
Governor's Office,
Director, Intergovernmental Coordination,
P.O. Box 12428,
Austin, Texas 78711,
Telephone: (512) 463-1771,
FAX: (512) 463-1880
Utah
Carolyn Wright, Utah State Clearinghouse, Office of Planning and
Budget, Room 116,
[[Page 11054]]
State Capitol, Salt Lake City, Utah 84114, Telephone: (801) 538-
1535, FAX: (801) 538-1547
Vermont
Nancy McAvoy, State Single Point of Contact, Pavilion Office
Building, 109 State Street, Montpelier, Vermont 05609, Telephone:
(802) 828-3326, FAX: (802) 828-3339
West Virginia
Fred Cutlip, Director, Community Development Division, W. Virginia
Development Office, Building #6, Room 553, Charleston, West Virginia
25305, Telephone: (304) 558-4010, FAX: (304) 558-3248
Wisconsin
Martha Kerner, Section Chief, State/Federal Relations, Wisconsin
Department of Administration, 101 East Wilson Street--6th Floor,
P.O. Box 7868, Madison, Wisconsin 53707, Telephone: (608) 266-2125,
FAX: (608) 267-6931
Wyoming
Sheryl Jeffries, State Single Point of Contact, Herschler Building,
4th Floor, East Wing, Cheyenne, Wyoming 82002, Telephone: (307) 777-
7574, FAX: (307) 638-8967
Territories
Guam
Mr. Giovanni T. Sgambelluri, Director, Bureau of Budget and
Management Research, Office of the Governor, P.O. Box 2950, Agana,
Guam 96910, Telephone: 011-671-472-2285, FAX: 011-671-472-2825
Puerto Rico
Norma Burgos/Jose E. Caro, Chairwoman/Director, Puerto Rico Planning
Board, Federal Proposals Review Office, Minillas Government Center,
P.O. Box 41119, San Juan, Puerto Rico 00940-1119, Telephone: (809)
727-4444, (809) 723-6190, FAX: (809) 724-3270, (809) 724-3103
North Mariana Islands
State Single Point of Contact, Planning and Budget Office, Office of
the Governor, Saipan, CM, Northern Mariana Islands 96950
Virgin Islands
Jose George, Director, Office of Management and Budget, #41
Norregade Emancipation Garden Station, Second Floor, Saint Thomas,
Virgin Islands 00802
Please direct all questions and correspondence about
intergovernmental review to:
Linda Clarke, Telephone: (809) 774-0750, FAX: (809) 776-0069
Certification Regarding Environmental Tobacco Smoke
Public Law 103-227, Part C--Environmental Tobacco Smoke, also
known as the Pro-Children Act of 1994 (Act), requires that smoking
not be permitted in any portion of any indoor facility owned or
leased or contracted for by an entity and used routinely or
regularly for the provision of health, day care, education, or
library services to children under the age of 18, if the services
are funded by Federal programs either directly or through State or
local governments, by Federal grant, contract, loan, or loan
guarantee. The law does not apply to children's services provided in
private residences, facilities funded solely by Medicare or Medicaid
funds, and portions of facilities used for inpatient drug or alcohol
treatment. Failure to comply with the provisions of the law may
result in the imposition of a civil monetary penalty of up to $1,000
per day and/or the imposition of an administrative compliance order
on the responsible entity.
By signing and submitting this application the applicant/grantee
certifies that it will comply with the requirements of the Act. The
applicant/grantee further agrees that it will require the language
of this certification be included in any subawards which contain
provisions for children's services and that all subgrantees shall
certify accordingly.
[FR Doc. 96-6260 Filed 3-15-96; 8:45 am]
BILLING CODE 4184-01-P