[Federal Register Volume 61, Number 72 (Friday, April 12, 1996)] [Notices] [Pages 16318-16345] From the Federal Register Online via the Government Publishing Office [www.gpo.gov] [FR Doc No: 96-8594] [[Page 16317]] _______________________________________________________________________ Part III Department of Health and Human Services _______________________________________________________________________ Administration for Children and Families _______________________________________________________________________ Discretionary Grants Program, Fiscal Year 1996; Application; Notice Federal Register / Vol. 61, No. 72 / Friday, April 12, 1996 / Notices [[Page 16318]] DEPARTMENT OF HEALTH AND HUMAN SERVICES Administration for Children and Families [Program Announcement No. OCS-96-01] Request for Applications Under the Office of Community Services' Fiscal Year 1996 Discretionary Grants Program AGENCY: Office of Community Services, ACF, DHHS. ACTION: Request for applications under the Office of Community Services' Discretionary Grants Program. ----------------------------------------------------------------------- SUMMARY: The Administration for Children and Families, Office of Community Services (OCS) announces that competing applications will be accepted for new grants pursuant to the Secretary's discretionary authority under sections 681(a) and (b) of the Community Services Block Grant Act of 1981, as amended. This Program Announcement consists of seven parts: Part A covers information on legislative authorities and defines terms used in the Program Announcement; Part B lists the two program priority areas under which grants will be made, describes the types of projects that will be considered for funding under each priority area, and defines which organizations are eligible to apply; Part C provides details on application prerequisites, funds available in each priority area, limitations on grant amounts, project periods, who should benefit from the programs, and other application requirements; Part D describes the application procedures, including the availability of forms, where and how to submit an application, the criteria used in screening and evaluating applications, and compliance with Federal requirements regarding the drug-free workplace and debarment requirements in submitting the application; Part E describes the contents of the application package and receipt process; Part F provides instructions for completing the SF-424 following standard Federal guidelines as well as OCS specific requirements, and describes how the project narrative should be ordered and presented; and Part G details post-award information and reporting requirements. CLOSING DATES: The closing date and time for receipt of applications is 4:30 p.m., eastern time zone, on June 11, 1996. Applications received after 4:30 p.m. on that day will be classified as late. Postmarks and other similar documents do not establish receipt of an application. Detailed application submission instructions including the addresses where applications must be received are found in Part D of this announcement. FOR FURTHER INFORMATION CONTACT: Office of Community Services, Joseph Carroll, Division of Community Discretionary Programs, Administration for Children and Families, 370 L'Enfant Promenade S.W., Washington, D.C. 20447, Telephone (202) 401-9345. Table of Contents Part A--Preamble 1. Legislative Authority 2. Departmental Goals 3. Definition of Terms Part B--Program Priority Areas Part C--Application Prerequisites 1. Eligible Applicants 2. Availability of Funds 3. Project and Budget Periods 4. Mobilization of Resources 5. Program Beneficiaries 6. Number of Projects in Application 7. Multiple Submittals 8. Sub-contracting or Delegating Projects 9. Previous Performance and Current Grants Part D--Application Procedures 1. Availability of Forms 2. Application Submission 3. Intergovernmental Review 4. Application Consideration 5. Criteria for Screening Applicants 6.--10. Criteria for Review and Evaluation of all Applications Part E--Contents of Application and Receipt Process 1. Contents of Application 2. Acknowledgement of Receipt Part F--Instructions for Completing Application Package 1. SF-424 ``Application for Federal Assistance'' 2. SF-424A ``Budget Information - Non-Construction Programs'' 3. SF-424B ``Assurances - Non-Construction'' 4. Restrictions on Lobbying Activities 5. Disclosure of Lobbying Activities 6. Project Narrative Part G--Post Award Information and Reporting Requirements Part A--Preamble 1. Legislative Authority Section 681(a) and 681(b)(2) of the Community Services Block Grant Act, as amended, authorizes the Secretary to make funds available to support program activities of national or regional significance to alleviate the causes of poverty in distressed communities with special emphasis on community and economic development activities. 2. Departmental Goals This announcement is particularly relevant to the Departmental goal of strengthening the American family and promoting self-sufficiency. These programs have objectives of increasing the access of low-income people to employment- related opportunities, improving job skills, and improving the integration, coordination, and continuity of the various HHS (and other Federal Departments') funded services potentially available to families living in poverty. 3. Definition of Terms For purposes of this Program Announcement the following definitions apply: --Community development corporation: a private, nonprofit entity, governed by a board consisting of residents of the community and business and civic leaders, which has as a principal purpose planning, developing, or managing low-income housing or community development projects. --Displaced worker: An individual who is in the labor market but has been unemployed for six months or longer. --Distressed community: A geographic urban neighborhood or rural community of high unemployment and pervasive poverty. --Eligible applicant: (See appropriate Priority Area under Part B.) --Empowerment Zones and Enterprise Communities: Those communities designated as such by the Secretaries of Agriculture or Housing and Urban Development. --Indian tribe: A tribe, band, or other organized group of Indians recognized in the State in which it resides or which is considered by the Secretary of the Interior to be an Indian tribe or an Indian organization for any purpose. For the purpose of Priority Area 1.0 (Urban and Rural Community Economic Development) an Indian tribe or Indian organization is ineligible unless the applicant organization is a private non-profit community economic development corporation. --Job Creation: To bring about, by activities and services funded under this program, new jobs, that is, jobs that were not in existence before the start of the project. These activities can be the development of new business ventures or the expansion of existing businesses. (Note: Do not confuse this with Job Placement which is placing a person in a vacant job.) --Job Retention: Jobs that are saved as a result of the OCS grant. (For [[Page 16319]] example, saving a business that may be headed towards bankruptcy or stopping a business that may be relocating which would cause the loss of low-income jobs). --Budget period: The interval of time into which a grant period of assistance is divided for budgetary and funding purposes. --Project period: The total time for which a project is approved for support, including any approved extensions. --Employment Education and Training Program: A program that provides education and/or training to welfare recipients, at-risk youth, public housing tenants, displaced workers, homeless and low-income individuals and that has demonstrated organizational experience in education and training for these populations (JOBS, JTPA, etc). --Technical Assistance: A problem-solving event generally utilizing the services of an expert. Such services may be provided on-site, by telephone, or other communications. These services address specific problems and are intended to assist with the immediate resolution of a given problem or set of problems. 4. Availability of Funds All grant awards are subject to the availability of appropriated funds. Part B--Program Priority Areas The program priority areas of the Office of Community Services' Discretionary Grants Program are as follows: Priority Area 1.0 Urban and Rural Community Economic Development. Sub-Priority Areas Under 1.0 1.1 Urban and Rural Community Economic Development (Operational). 1.2 Urban and Rural Community Economic Development (HBCU Set- Aside). 1.3 Urban and Rural Community Economic Development (Pre- Developmental Set-Aside). 1.4 Urban and Rural Community Economic Development (Developmental Set-Aside). 1.5 Administrative and Management Expertise (Set-Aside). 1.6 Training and Technical Assistance (Set-Aside). Priority Area 2.0 Rural Community Development Activities. Sub-Priority Area 2.1 Rural Community Facilities Development (Water and Waste Water Treatment Systems Development). Priority Area 1.0 Urban and Rural Community Economic Development. Eligible applicants are private, non-profit community development corporations governed by a board consisting of residents of the community and business and civic leaders which have as a principal purpose planning, developing, or managing low-income housing or community development projects. The purpose of this priority area is to encourage the creation of projects intended to provide employment and business development opportunities for low-income people through business, physical or commercial development, and generally to improve the quality of the economic and social environment of low-income residents, including displaced workers, at-risk teenagers, individuals residing in public housing, and individuals who are homeless, especially those with developmental disabilities. It is intended to provide resources to eligible applicants but also has the broader objectives of arresting tendencies toward dependency, chronic unemployment, and community deterioration in urban and rural areas. Sub-Priority Area 1.5 is intended to provide administrative and management expertise to current Office of Community Services' grantees who are experiencing problems in the implementation of urban and rural community economic development projects. Sub-Priority Area 1.6 is intended to provide training and technical assistance to groups of community development corporations in developing or implementing projects funded under this section and to generally enhance the viability and competence of community development corporations. To this end, the program also seeks to attract additional private capital into distressed communities, including empowerment zones and enterprise communities, and to build and/or expand the ability of local institutions to better serve the economic needs of local residents. Sub-Priority Area 1.1 Urban and Rural Community Economic Development (Operational) Funds will be provided to a limited number of private non-profit community development corporations for business development activities at the local level. Funding will be provided for specific projects and will require the submission of business plans or developmental proposals that meet the test of economic feasibility. For Fiscal Year 1996, it is anticipated that approximately twenty (20) grants up to a maximum of $350,000 will be awarded and approximately ten (10) grants over $350,000 but up to $700,000 will be made. Competition for these funds will be restricted to either the $350,000 and under or over $350,000 but up to $700,000 categories. Each category of funds will compete only among themselves. Projects must further the Departmental goals of strengthening American families and promoting their self-sufficiency. OCS is particularly interested in receiving applications that stress public- private partnerships that are directed toward the development of economic self-sufficiency through a focus on economic expansion. Applicants located in empowerment zones and enterprise communities are urged to submit applications. Such applicants may request funds for a business development project or a project that demonstrates innovative ways to create jobs in the community. Applications must show that the proposed project: (1) Creates full-time permanent jobs except where an applicant demonstrates that a permanent part-time job produces actual wages that exceed the HHS poverty guidelines. Seventy-five percent (75%) of those jobs created must be filled by low-income residents of the community and must also provide for career development opportunities. Project emphasis should be on employment of individuals who are unemployed or on public assistance, with particular emphasis on at-risk teenagers, AFDC recipients who are participating in the JOBS program, individuals residing in public housing, and individuals who are homeless. While projected employment in future years may be included in the application, it is essential that the focus of employment projects concentrate on those jobs created during the duration of the OCS project period; and/or (2) Creates a significant number of business development opportunities for low-income residents of the community or significantly aids such residents in maintaining economically viable businesses; and (3) Provides for establishing the self-sufficiency of program participants. In the evaluation process, favorable consideration will be given to applicants under this priority area who show the lowest cost-per-job created. Unless there are extenuating circumstances, OCS will not fund projects where the cost-per-job in OCS funds exceeds $15,000. [[Page 16320]] In addition, favorable consideration in the evaluation process will be given to applicants who demonstrate their intention to coordinate services with the local public assistance offices and/or other employment education and training offices that serve the proposed area. The JOBS or other employment education and training offices should serve welfare recipients, at-risk youth, public housing tenants, displaced workers, homeless and low-income individuals (as defined by DHHS poverty guidelines). Applicants should submit a written agreement from the JOBS or other local employment education and training office that indicates what actions will be taken to integrate/coordinate services that relate directly to the project for which funds are being requested. The agreement should include the goals and objectives (including target groups) that the applicant and the employment education and training office expect to reach through their collaboration. It should describe the cooperative relationship, including specific activities and/or actions each of these entities proposes to carry out in support of the project, and the mechanism(s) to be used in coordinating those activities if the project is funded by OCS. Documentation that illustrates the organizational experience of the employment education and training office should also be included. Any applicant which proposes to use the requested OCS funds to make an equity investment such as the purchase of stock, or a loan to a business concern, including a wholly-owned subsidiary, or to make a sub-grant with a portion of the OCS funds, must include the terms of the proposed transaction. For example, regarding a stock purchase, the cost per share, number of shares and percentage of ownership is needed. Also the application must include a written agreement with the third party that commits the latter to the following: 1. A minimum of 75% of the jobs to be created under the grant will be for low-income individuals. 2. The grantee will have authority to screen applicants for jobs to be filled by low-income individuals and to verify their eligibility. 3. The grantee will have a seat on the Board of Directors of the third party's firm if the grantee's investment equals 25% or more of the firm's assets. (Not applicable to loans made to third parties.) 4. Reports will be made on a quarterly basis to the grantee on the use of grant funds. 5. A procedure will be developed to assure that there are no duplicative counts of jobs created. 6. Detailed information will be provided on how the grant funds will be used by the third party by submitting a Source and Use of Funds Statement. In addition, the agreement will provide details on how the community development corporation will provide support and technical assistance to the third-party in areas of recruitment and retention of low-income individuals. OCS encourages applications that will develop linkages or agreements with local agencies responsible for administering public assistance programs. OCS would expect these programs to train public assistance recipients and create new jobs for public assistance recipients through a variety of business development projects funded under this priority area, i.e., business expansions, new business development and start up entities, etc. Any funds that are proposed to be used for training purposes must be limited to providing specific job-related training to those individuals who have been selected for employment in the grant supported project for newly created positions. Projects involving training and placement for existing vacant positions will be disqualified. Projects which would result in the relocation of a business from one geographic area to another with the possible displacement of employees are discouraged. OCS will not consider applications that propose to establish or expand revolving loan funds, nor proposals that are geared towards the establishment of Small Business Investment Corporations or Minority Enterprise Small Business Investment Corporations. OCS does not anticipate approving the funding of applications which propose to sub-grant all or most of the grant activities to an unrelated entity. Applicants must be aware that projects funded under this priority area must be operational by the end of the project period, i.e., businesses must be in place, and low-income individuals actually employed in those businesses. See Part F, 7, d, for special instructions on developing a work program for this priority area. Sub-Priority Area 1.2 Urban and Rural Community Economic Development (HBCU Set-Aside) For Fiscal Year 1996, it is anticipated that a set-aside fund of $2,100,000 will be included under this priority area for eligible applicants that submit projects that will be carried out in conjunction with Historically Black Colleges and Universities through contract or sub-grant. Such projects must conform to the purposes, requirements and prohibitions applicable to those submitted under Sub-Priority Area 1.1. These projects should reflect a significant partnership role for the college or university, and the applicant in doing so will be considered to have fulfilled the goals of the Public-Private Partnerships evaluation criterion and will be granted the maximum number of points in that category. Applications for these set-aside funds which are not funded due to the limited amount of funds available will also be considered competitively within the larger pool of eligible applicants under Sub-Priority Area 1.1. Any funds that are not used under this sub-priority area due to the limited number of highly scored applications will be rolled over into Sub-Priority Area 1.1. Any funds that are proposed to be used for training must be directly related to the project and individuals trained should be placed in the newly created job or business. See Part F, 7, d, for special instructions on developing a work program for this priority area. Sub-Priority Area 1.3 Urban and Rural Community Economic Development (Pre-Developmental Set-Aside) OCS intends in this priority area to provide funds to recently- establishment private, non-profit community development corporations which propose to undertake economic development activities in distressed communities. OCS recognizes that there are a number of newly-organized non- profit community development corporations who have identified needs in their communities but who have not had the staff or other resources to develop projects to address those needs. This lack of resources also might be affecting their ability to compete for funds, such as those provided under OCS's Urban and Rural Community Development Program (Operational Grants) since their limited resources would preclude them from developing a comprehensive business plan and/or mobilizing resources. OCS has an interest in providing support to these new entities in order to enable them to become more firmly established in their communities, thereby bringing technical expertise and new resources to these previously unserved or underserved communities. Therefore, OCS is setting aside funds in Fiscal Year 1996 for grants to private non-profit community development corporations that have never received OCS funding; have been in existence for [[Page 16321]] no more than three years or have been in existence longer than three years but have no record of participation in economic development type projects. For the latter, a CDC must state that it has not been active. We anticipate that grants of up to $75,000 each will be made to eligible applicants. These grants will be made for a period of one year and will not require matching funds. These grants will be pre-developmental grants under which CDCs may incur costs to: (1) Evaluate the feasibility of potential projects which address identified needs in the low-income community and which conform to those projects and activities allowable under Sub-Priority Areas 1.1, 1.2, and 1.4; (2) develop a Business Plan related to one of those projects; and (3) mobilize resources to be contributed to projects, including the utilization of Historically Black Colleges and Universities. Based on the availability of funds in Fiscal Year 1997, OCS will consider establishing a set-aside to provide operational funds to those organizations which received pre-developmental grants. Grants might be for a maximum of $250,000 and competition for those funds would be restricted to those organizations receiving Fiscal Year 1996 pre- developmental grants. The Business Plan developed as a result of the pre-developmental grant would be submitted as part of the competitive application. Each application for Fiscal Year 1996 funded under this Priority Area must include the following as part of the project narrative. 1. Description of the impact area, i.e., a description of the low- income area it proposes to address; 2. Analysis of need in the distressed community; 3. Project objectives and measurable impact, i.e., a discussion of the types of projects that might be implemented to address the identified needs and how the proposed projects relate to the applicant's organizational goals and previous experience (if any); and 4. Implementation factors and quarterly work plans with specific task timelines. Applications for these set-aside funds which are not funded due to the limited amount of funds available will also be considered competitively within the larger pool of eligible applicants under Sub- Priority Area 1.1. Sub-Priority Area 1.4 Urban and Rural Community Economic Development (Developmental Set Aside) OCS intends in this priority area to provide funds to organizations who received grants from OCS in Fiscal Years 1994 and 1995 under the Pre-Developmental grant program. These organizations will compete only among themselves. Such projects must conform to the purposes, requirements and prohibitions applicable to those submitted under Priority Area 1.1. Applications which are not funded within this set- aside due to the limited amount of funds available will also be considered competitively within the larger pool of eligible applicants under Sub-Priority Area 1.1. Sub-Priority Area 1.5 Administrative and Management Expertise OCS believes that one of the most effective means of assuring the successful operation of a project under the Discretionary Grants Program area is through the sharing amongst CDCs of their experiences in dealing with the day to day issues and challenges presented in promoting community economic development. Accordingly, OCS strongly encourages more experienced CDCs to share their administrative and management expertise with less experienced CDCs or with those who have encountered difficulties in operationalizing their work programs. In order to facilitate this, OCS will provide funds to one or more community development corporations (as defined in Part A.3) to assist with their efforts to enhance the management and operational capacities of the less experienced CDCs or those having difficulties. We anticipate that the grant(s) would be for a maximum of $500,000 with a project period not to exceed 17 months. OCS will share with the grantee(s) information on other grantees seeking to benefit from such assistance. Such formal requests could also be initiated by a grantee with the concurrence of OCS. These contacts may occur on-site, by telephone, or by other methods of communication. Costs incurred in connection with participating in such activities will be borne by the recipient(s) of the OCS grant under this sub-priority area. Sub-Priority Area 1.6 Training and Technical Assistance Funds will be awarded to one organization under this priority area for the purpose of providing training and technical assistance to strengthen the network of CDCs. We anticipate that the grant will be for $210,000 with a grant period not to exceed 17 months. Applicant must have the ability to collect and analyze data nationally that may benefit CDCs and be able to disseminate information to all of OCS funded grantees; publish a national directory of funding sources for CDCs (public, corporate, foundation, religious); publish research papers on specific aspects of job creation by CDCs; design and provide information on successful projects and economic niches that CDCs can target. The applicant will also be responsible for the development of instructional programs, national conferences, seminars, and other activities to assist community development corporations. Eligible applicants are private non-profit organizations. Applicants must operate on a national basis and have significant and relevant experiences in working with community development corporations. Priority Area 2.0 Rural Community Development Activities Sub-Priority Area 2.1 Rural Community Facilities Development (Water and Waste Water Treatment Systems Development) Funds will be provided under this priority area to help low-income rural communities develop the capability and expertise to establish and/or maintain affordable, adequate and safe water and waste water treatment facilities. Funds provided under this priority area may not be used for construction of water and waste water treatment systems or for operating subsidies for such systems, but other mobilized funds may be used for these activities. Therefore, it is suggested that applicants coordinate projects with the Farmers Home Administration (FmHA) and other Federal and State agencies to ensure that funds for hardware for local community projects are available. Eligible applicants are multi-state, regional private non-profit organizations that can provide training and technical assistance to small, rural communities in meeting their community facility needs. See Part F, 7, d, for special instructions on developing a work program for this priority area. Part C--Application Prerequisites 1. Eligible Applicants Priority areas included in this Program Announcement have differing eligibility requirements. Therefore, eligible applicants are identified in the [[Page 16322]] individual priority area descriptions found in Part B, above. 2. Availability of Funds a. FY 1996 Funds The approximate amount of funds anticipated to be available for each Priority Area is summarized below: ------------------------------------------------------------------------ Fiscal year 1996 Priority area funds ------------------------------------------------------------------------ 1.0 Urban and Rural Community Economic Development: 1.1 Urban and Rural Community Economic Development (Operational)........................ $14,000,000 1.2 Urban and Rural Community Economic Development (HBCU Set-Aside)..................... 2,100,000 1.3 Urban and Rural Community Economic Development (Pre-Developmental Set-Aside)........ 750,000 1.4 Urban and Rural Community Economic Development (Developmental Set-Aside)............ 2,500,000 1.5 Grantee Assistance (Set-side)................ 500,000 1.6 Training & Technical Assistance (Set-Aside).. 210,000 2.1 Rural Community Facilities Development (Water and Waste Water Treatment Systems Development)... 3,009,000 ------------------------------------------------------------------------ b. Grant Amounts The approximate amounts to be granted for projects under the Priority Areas are indicated below: ------------------------------------------------------------------------ Sub-priority area Funding limit ------------------------------------------------------------------------ 1.1.............................. Approximately 10 at $700,000. Approximately 20 at $350,000. 1.2.............................. Approximately 6 at $350,000. 1.3.............................. Approximately 10 at $75,000. 1.4.............................. Approximately 10 at $250,000. 1.5.............................. Approximately 1 at $500,000. 1.6.............................. Approximately 1 at $210,000. 2.1.............................. Approximately 7 from $221,000- $425,000. ------------------------------------------------------------------------ 3. Project and Budget Periods For Sub-Priority Areas 1.1, 1.2, and 1.4, applicants with projects involving construction only, may request project and budget periods up to 36 months. Applicants for non-construction under these priority areas may request project periods up to 36 months and budget periods up to 17 months. Sub-Priority Areas 1.5, and 1.6 may request project and budget periods of up to 17 months. For Sub-Priority Area 2.1, grantees will be funded for a 12 month project period. For Sub-Priority Area 1.3, applicants may request project and budget periods of up to 12 months. 4. Mobilization of Resources OCS encourages and strongly supports mobilization of resources through public/private partnerships which can mobilize cash and/or third-party in-kind contributions. 5. Program Beneficiaries Projects proposed for funding under this Announcement must result in direct benefits to low-income people as defined in the most recent Annual Revision of Poverty Income Guidelines published by DHHS. Attachment A to this Announcement is an excerpt from the Poverty Income Guidelines currently in effect. Annual revisions of these guidelines are normally published in the Federal Register in February or early March of each year. Grantees will be required to apply the most recent guidelines throughout the project period. These revised guidelines may be obtained by accessing the OCS Electronic Bulletin Board (see ``For Further Information Contact'' at the beginning of this Announcement), at public libraries, Congressional offices, or by writing the Superintendent of Documents, U.S. Government Printing Office, Washington, D.C. 20402. No other government agency or privately-defined poverty guidelines are applicable for the determination of low-income eligibility for these OCS programs. Note, however, that low-income individuals granted lawful temporary resident status under Sections 245A or 210A of the Immigration and Nationality Act, as amended by the Immigration Reform and Control Act of 1986 (Public Law 99-603) may not be eligible for direct or indirect assistance based on financial need under this program for a period of five years from the date such status was granted. 6. Number of Projects in Application An application may contain only one project (except for Sub- Priority Areas 1.3, 1.5, and 1.6) where applicants are researching various opportunities, are sharing administrative and management expertise with current OCS grantees, or are providing training and/or technical assistance for current OCS grantees, including the organization of seminars and other activities in assisting Community Development Corporations. Applications which are not in compliance with this requirement will be ineligible for funding. 7. Multiple Submittals There is no limit to the number of applications that can be submitted under a specific program priority area as long as each application contains a proposal for a different project. However, an applicant can receive only one grant in each Priority Area. 8. Sub-Contracting or Delegating Projects OCS does not fund projects where the role of the applicant is primarily to serve as a conduit for funds to organizations other than the applicant. The applicant must have a substantive role in the implementation of the project for which funding is requested. 9. Previous Performance and Current Grants Previous performance of applicants will be considered an important determining factor in the grant award decisions. Any applicant which has three or more active OCS grants may only be funded under exceptional circumstances. Part D--Application Procedures 1. Availability of Forms Attachments B, C, and D contain all of the standard forms necessary for the application for awards under these OCS programs. These forms may be photocopied for the application. Copies of the Federal Register containing this announcement are available at most local libraries and Congressional District Offices for reproduction. If copies are not available at these sources, they may be obtained by writing or telephoning the office listed under the section entitled FOR FURTHER INFORMATION CONTACT at the beginning of this announcement. For purposes of this announcement, all applicants will use the following forms: [[Page 16323]] SF 424 SF 424A SF 424B Applications proposing construction projects will also present all required financial data using SF-424A. Instructions for completing the SF-424, SF-424A, and SF-424B are found in Attachments B, C, and D. Part F contains instructions for the project narrative and project abstract. They will be submitted on plain bond paper along with the SF- 424 and related forms. Attachment K provides a checklist to aid applicants in preparing a complete application package for OCS. The applicant must be aware that in signing and submitting the application for this award, it is certifying that it will comply with the Federal requirements concerning the drug-free workplace and debarment regulations set forth in Attachments E and F. 2. Application Submission The closing time and date for receipt of applications are 4:30 p.m. (Eastern Standard Time) on June 11, 1996. Applications received after 4:30 p.m. will be classified as late. Deadline: Mailed applications shall be considered as meeting an announced deadline if they are received on or before the deadline time and date at the U. S. Department of Health and Human Services, Administration for Children and Families, Division of Discretionary Grants, 370 L'Enfant Promenade, S. W., Mail Stop 6C-462, Washington, D. C. 20447, Attention: Application for Discretionary Grants Program. Applicants are responsible for mailing applications well in advance, when using all mail services, to ensure that the applications are received on or before the deadline time and date. Applications handcarried by applicants, applicant couriers, or by overnight/express mail couriers shall be considered as meeting an announced deadline if they are received on or before the deadline date, between the hours of 8:00 a.m. and 4:30 p.m., at the U. S. Department of Health and Human Services, Administration for Children and Families, Division of Discretionary Grants, ACF Mailroom, 2nd Floor Loading Dock, Aerospace Center, 901 D Street, S. W., Washington, D. C. 20024, between Monday and Friday (excluding 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 date or time of submission and time of receipt. Late applications: Applications which do not meet the criteria above are considered late applications. ACF shall notify each late applicant that its application will not be considered in the current competition. Extension of deadlines: ACF may extend the deadline for all applicants because of acts of God such as floods, hurricanes, etc., or when there is widespread disruption of the mails. However, if ACF does not extend the deadline for all applicants, it may not waive or extend the deadline for any applicants. One signed original application and four copies are required. The first page of the SF-424 must contain in the lower right-hand corner, a designation indicating under which sub-priority area funds are being requested (for example, 1.1, 1.2, 1.3, 1.4, 1.5, 1.6, or 2.1). See Part F, section 1, subsection 11 for details. 3. Intergovernmental Review This program is covered under Executive Order 12372, ``Intergovernmental Review of Federal Programs,'' and 45 CFR Part 100, ``Intergovernmental Review of Department of Health and Human Services Programs and Activities.'' Under the Order, States may design their own processes for reviewing and commenting on proposed Federal assistance under covered programs. All States and Territories except Alaska, Colorado, Connecticut, Hawaii, Idaho, Kansas, Louisiana, Massachusetts, Minnesota, Montana, Nebraska, Oklahoma, Oregon, Pennsylvania, South Dakota, Tennessee, Virginia, Washington, American Samoa, and Palau have elected to participate in the Executive Order process and have established Single Points 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 the program office can obtain and review SPOC comments as part of the award process. It is imperative that the applicant submit all required materials, if any, to the SPOC and indicate the date of this submittal (or the date of contact if no submittal is required) on the Standard Form 424, item 16a. Under 45 CFR 100.8(a)(2), a SPOC has 60 days from the application deadline date to comment on proposed new or competing continuation awards. SPOCs are encouraged to eliminate the submission of routine endorsements as official recommendations. Additionally, SPOCs are requested to clearly differentiate between mere advisory comments and those official State process recommendations which they intend to trigger the ``accommodate or explain'' rule. When comments are submitted directly to ACF, they should be addressed to: Department of Health and Human Services, Administration for Children and Families, Division of Discretionary Grants, 370 L'Enfant Promenade, S.W., 6th Floor, Washington, D.C. 20447. A list of the Single Points of Contact for each State and Territory is included as Attachment G of this announcement. 4. Application Consideration Applications which meet the screening requirements in sections 5a and b below may be reviewed competitively. Such applications will be referred to reviewers for a numerical score and explanatory comments based solely on responsiveness to program priority area guidelines and evaluation criteria published in this announcement. Applications submitted under all priority areas (with the exception of Sub-Priority Area 1.6) will be reviewed by persons outside of the OCS unit which will be directly responsible for programmatic management of the grant. The results of these reviews will assist the Director and OCS program staff in considering competing applications. Reviewers' scores will weigh heavily in funding decisions but will not be the only factors considered. Applications generally will be considered in order of the average scores assigned by reviewers. However, highly ranked applications are not guaranteed funding since the Director may also consider other factors deemed relevant including, but not limited to, the timely and proper completion of projects funded with OCS funds granted in the last five (5) years; comments of reviewers and government officials; staff evaluation and input; geographic distribution; previous program performance of applicants; compliance with grant terms under previous DHHS grants; audit reports; investigative reports; and applicant's progress in resolving any final audit disallowances on previous OCS or other Federal agency grants. Applicants with [[Page 16324]] three or more active OCS grants at the time of review may be denied funding. In addition, for applications received under 1.0, OCS will consider the relative proportion of funding among rural and urban areas in accordance with Section 681(b)(1)(D) of the Act. OCS reserves the right to discuss applications with other Federal or non-Federal funding sources to ascertain the applicant's performance record. 5. Criteria for Screening Applicants a. Initial Screening All applications that meet the published deadline for submission will be screened to determine completeness and conformity to the requirements of this announcement. Only those applications meeting the following requirements will be reviewed and evaluated competitively. Others will be returned to the applicants with a notation that they were unacceptable. (1) The application must contain a Standard Form 424 ``Application for Federal Assistance'' (SF-424), a budget (SF-424A), and signed ``Assurances'' (SF 424B) completed according to instructions published in Part F and Attachments B, C, and D of this Program Announcement. (2) An Executive Summary and a project abstract must also accompany the standard forms. (3) The SF-424 and the SF-424B must be signed by an official of the organization applying for the grant who has authority to obligate the organization legally. (4) The application must be submitted for consideration under one priority area only. b. Pre-Rating Review Applications which pass the initial screening will be forwarded to reviewers and/or OCS staff prior to the programmatic review to verify that the applications comply with this Program Announcement in the following areas: (1) Eligibility: Applicant meets the eligibility requirements for the priority area under which funds are being requested. Proof of non- profit status must be included in the Appendices of the Project Narrative where applicable. Applicants must also be aware that the applicant's legal name as required in SF-424 (Item 5) must match that listed as corresponding to the Employer Identification Number (Item 6). (2) Number of Projects: An application may contain only one project (except for Sub-Priority Areas 1.3, 1.5, and 1.6) where applicants are researching various opportunities, sharing administrative and management expertise with current OCS grantees, or are providing assistance to current OCS grantees, or providing training and/or technical assistance for current OCS grantees, including the organization of seminars and other activities to assist Community Development Corporations and this project must be identified as responding to one of the program priority areas stated in this Announcement. Applicants which are not in compliance with this requirement will be ineligible for funding. (3) Grant amount: The amount of funds requested does not exceed the limits indicated in Part C, 2, b for the appropriate priority area. (4) Written Agreement When Applicant Proposes to Make Equity Investment, Loan, or Sub-Grant: (Sub-Priority Areas 1.1, 1.2 and 1.4); The application contains a written agreement signed by the applicant and the third party which includes all of the elements required in Part B. An application may be disqualified from the competition and returned if it does not conform to one or more of the above requirements. c. Evaluation Criteria Applications which pass the pre-rating review will be assessed and scored by reviewers. Each reviewer will give a numerical score for each application reviewed. These numerical scores will be supported by explanatory statements on a formal rating form describing major strengths and weaknesses under each applicable criterion published in the announcement. The in-depth evaluation and review process will use the following criteria coupled with the specific requirements contained under each program priority area as described in Part B. d. Paperwork Reduction Under the Paperwork Reduction Act of 1980, Public Law 96-511, the Department is required to submit to OMB for review and approval any reporting and record keeping 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. 6. Criteria for Review and Evaluation of All Applications Sub-Priority Areas 1.1, 1.2, and 1.4 (a) Criterion I: Analysis of Need (Maximum: 5 Points) The application documents that the project addresses a vital need in a distressed community. (0-3 points) Statistics and other data and information are provided in support of its contention. (0-2 points) (b) Criterion II: Organizational Experience in Program Area and Staff Responsibilities (Maximum: 25 Points) (i) Organizational Experience in Program Area (Sub-rating: 0-15 Points) Documentation provided indicates that projects previously undertaken have been relevant and effective and have provided permanent benefits to the low-income population. (0-5 Points) The applicant has demonstrated the ability to implement major activities in such areas as business development, commercial development, physical development, or financial services; the ability to mobilize dollars from sources such as the private sector (corporations, banks, etc.), foundations, the public sector, including State and local governments, or individuals; that it has a sound organizational structure and proven organizational capability; and an ability to develop and maintain a stable program in terms of business, physical or community development activities that will provide needed permanent jobs, services, business development opportunities, and other benefits to community residents. (0-10 points) (ii) Staff Skills, Resources and Responsibilities (Sub-rating 0-10 Points) The application describes in brief resume form the experience and skills of the project director who is not only well qualified, but his/ her professional capabilities are relevant to the successful implementation of the project. If the key staff person has not yet been identified, the application contains a comprehensive position description which indicates that the responsibilities to be assigned to the project director are relevant to the successful implementation of the project. (0-5 points) The applicant has adequate facilities and resources (i.e. space and equipment) to successfully carry out the work plan. (0-2 points) The assigned responsibilities of the staff are appropriate to the tasks identified for the project and sufficient time of senior staff will be budgeted to [[Page 16325]] assure timely implementation and cost effective management of the project. (0-3 points) (c) Criterion III: Project Implementation (Maximum: 20 Points) The Work Plan, or Business Plan where appropriate, is both sound and feasible. The project is responsive to the needs identified in the Analysis of Need. (0-5 points) It sets forth realistic quarterly time targets by which the various work tasks will be completed. (0-5 points) Critical issues or potential problems that might impact negatively on the project are defined and the project objectives can be reasonably attained despite such potential problems. (0-5 points) The following financials must be included for the first three years of the business' operations: (Profit and Loss Forecasts; Cash Flow Projections; Proforma balance sheet); and Sources and Uses of Fund Statement. (0-5 points) (d) Criterion IV: Significant and Beneficial Impact (Maximum: 25 Points) (i) Significant and Beneficial Impact (Sub-rating: Maximum: 0-10 Points) The application contains a full and accurate description of the proposed use of the requested financial assistance. (0-5 points) The proposed project will produce permanent and measurable results that will reduce the incidence of poverty in the community. (0-3 points) The OCS grant funds, in combination with private and/or other public resources, are targeted into low-income communities, distressed communities, and/or designated enterprise zones and enterprise communities. (0-2 points) (ii) Community Empowerment Consideration (Maximum: 0-5 Points) Special consideration will be given to applicants who are located in areas which are characterized by poverty and other indicators of socio-economic distress such as a poverty rate of at least 20%, designation as an Empowerment Zone or Enterprise Community, high levels of unemployment, and high levels of incidences of violence, gang activity, crime, or drug use. (0-3 points) Applicants should document that they were involved in the preparation and planned implementation of a comprehensive community- based strategic plan to achieve both economic and human development in an integrated manner. (0-2 points) (iii) Cost-per-Job (Sub-rating: 0-5 Points) During the project period the proposed project will create new, permanent jobs or maintain permanent jobs for low-income residents at a cost-per-job below $15,000 in OCS funds unless there are extenuating circumstances, i.e., Alaska where the cost of living is much higher. (Note: The maximum number of points will be given to those applicants proposing cost-per-job estimates of $10,000 or less of OCS requested funds. Higher cost-per-job estimates will receive correspondingly fewer points unless adequately justified by extenuating circumstances.) (iv) Career Development Opportunities (Sub-rating: 0-5 Points) The application documents that the jobs to be created for low- income people have career development opportunities which will promote self-sufficiency. (e) Criterion V: Public-Private Partnerships (Maximum: 20 Points) (i) Mobilization of Resources: (Sub-rating: 15 Points) The application documents that the applicant will mobilize from public and/or private sources cash and/or in-kind contributions valued at an amount equal to the OCS funds requested. Applicants documenting that the value of such contributions will be at least equal to the OCS funds requested will receive the maximum number of points for this Criterion. Lesser contributions will be given consideration based upon the value documented. Note: Applicants under Sub-Priority Area 1.2 who are proposing to enter into a partnership with Historically Black Colleges and Universities are deemed to have fully met this criterion and will receive the maximum number of points if they document the participation of the HBCU. (ii) Integration/Coordination of Services: (Sub-rating: 5 Points) The applicant demonstrates a commitment to or agreements with local agencies responsible for administering employment, education and training programs (such as JTPA) to ensure that welfare recipients, at- risk youth, displaced workers, public housing tenants, homeless and low-income individuals will be trained and placed in the newly created jobs. The applicant provides a written agreement from the local JOBS or other employment education and training office indicating what actions will be taken to integrate/coordinate services that relate directly to the project for which funds are being requested. (0-2 points) Specifically, the agreement should include: (1) The goals and objectives that the applicant and the JOBS or other employment education and training office expect to achieve through their collaboration; (2) the specific activities/actions that will be taken to integrate/coordinate services on an on-going basis; (3) the target population that this collaboration will serve; (4) the mechanism(s) to be used in integrating/coordinating activities; (5) how those activities will be significant in relation to the goals and objectives to be achieved through the collaboration; and (6) how those activities will be significant in relation to their impact on the success of the OCS-funded project. (0-2 points) The applicant should also provide documentation that illustrates the organizational experience related to the employment education and training program (refer to Criterion II for guidelines). (0-1 point) (f) Criterion VI: Budget Appropriateness and Reasonableness (Maximum: 5 Points) Funds requested are commensurate with the level of effort necessary to accomplish the goals and objectives of the project. (0-2 points) The application includes a detailed budget break-down for each of the budget categories in the SF-424A. The applicant presents a reasonable administrative cost. (0-2 points) The estimated cost to the government of the project also is reasonable in relation to the anticipated results. (0-1 point) 7. Criteria for Review and Evaluation of Applications Submitted Under Sub-Priority Area 1.3 a. Criterion I: Organizational Capability and Capacity (Maximum: 20 Points) (1) Organizational experience in program area (Sub-rating: 5 Points). Where the applicant has a history of prior achievement in economic development, the documentation must address the relevance and effectiveness of projects undertaken, especially their cost effectiveness and the relevance and effectiveness of any services and the permanent benefits provided to the targeted population. Applicants must also indicate why they feel that they can successfully implement the project for which they are requesting funds. (2) Management capacity (Sub-rating: 5 Points). Applicants must fully detail their ability to implement sound and effective management practices and if they have been recipients of other Federal or other governmental grants, they must also detail that they have consistently complied with financial [[Page 16326]] and program progress reporting and audit requirements. Applicants should submit any available documentation on their management practices and progress reporting procedures along with a statement by a Certified or Licensed Public Accountant as to the sufficiency of the applicant's financial management system to protect adequately any Federal funds awarded under the application submitted. (3) Staffing (Sub-rating: 5 Points). The application must fully describe (e.g., resumes) the experience and skills of key staff showing that they are not only well qualified but that their professional capabilities are relevant to the successful implementation of the project. (4) Staffing responsibilities (Sub-rating: 5 Points). The application must describe how the assigned responsibilities of the staff are appropriate to the tasks identified for the project. b. Criterion II: Significant and Beneficial Impact (Maximum: 35 Points) The work plan funded under this announcement must show that there is a clearly identified need in a low-income area which is not being effectively addressed currently. (0-10 points) Project funds under this announcement must be used to develop a Business Plan for a project which would produce permanent and measurable results that will reduce the incidence of poverty in the areas targeted and mobilize non-discretionary program dollars from private sector individuals, public resources, corporations, and foundations if the project is implemented. (0-10 points) The project around which the Business Plan is developed with the use of OCS grant funds must be targeted to low-income communities, and/ or designated empowerment zones or enterprise communities with the goals of increasing the economic conditions and social self-sufficiency of residents. (0-10 points) Activities must be designed to achieve the specific Program Priority Area 1.3 objectives as defined in this program announcement. (0-5 points) c. Criterion III: Project Implementation and Evaluation (Maximum: 30 Points) (1) Project implementation component (sub-rating: 25 points). The application must contain a detailed and specific work plan that is both sound and feasible. (0-10 points) It must set forth realistic quarterly time targets by which the various work tasks will be completed. Because quarterly time schedules are used by OCS as a key instrument to monitor progress, failure to include these time targets will seriously reduce an applicant's point score in this criterion. (0-10 points) It must define critical issues or potential problems that might impact negatively on the project and it must indicate how the project objectives will be attained notwithstanding any such potential problems. (0-5 points) (2) Evaluation component (sub-rating: 5 points). All proposals should include a self-evaluation component. The evaluation data collection and analysis procedures should be specifically oriented to assess the degree to which the stated goals and objectives are achieved. (0-3 points) Qualitative and quantitative measures reflective of the scheduling and task delineation in (1) above should be used to the maximum extent possible. This component should indicate the ways in which the potential grantee would integrate qualitative and quantitative measures of accomplishment and specific data into its program progress reports that are required by OCS from all grantees. (0-2 points) d. Criterion IV: Budget Appropriateness and Reasonableness (Maximum: 15 Points) Each applicant should carefully review the requirements of Program Sub-Priority Area 1.3 and the budget submitted must coincide with those requirements. (0-10 points) The proposal's request for funds must include a detailed budget breakout for each of the pertinent budget categories in part III, section B of the SF-424. (Please identify any positions for which less than full-time funding is requested.) (0-5 points) 8. Criteria for Review and Evaluation of Applications Submitted Under Sub-Priority Area 1.5 (a) Criterion I: Organizational Experience in Program Area and Staff Responsibilities (Maximum: 20 Points) (i) Organizational Experience in Program Area (sub-rating: 0-10 Points) Applicant has documented the capability to provide leadership in solving long-term and immediate problems locally and/or nationally in such areas as business development, commercial development, organizational and staff development, board training, and micro- entrepreneurship development. (0-2 points) Applicant must document a capability (including access to a network of skilled individuals and/or organizations) in two or more of the following areas: Business Management, including strategic planning and fiscal management; Finance, including development of financial packages and provision of financial/accounting services; and Regulatory Compliance, including assistance with zoning and permit compliance. (0- 2 points) Further, the applicant has the demonstrated ability to mobilize dollars from sources such as the private sector (corporations, banks, foundations, etc.) and the public sector, including state and local governments. (0-2 points) Applicant also demonstrates that it has a sound organizational structure and proven organizational capability as well as an ability to develop and maintain a stable program in terms of business, physical or community development activities that have provided permanent jobs, services, business development opportunities, and other benefits to poverty community residents. (0-2 points) Applicants must indicate why they feel that their successful experiences would be of assistance to existing grantees which are experiencing difficulties in implementing their projects. (0-2 points) (ii) Staff Skills, Resources and Responsibilities (Sub-rating 0-10 Points) The application describes in brief resume form the experience and skills of the project director who is not only well qualified, but who has professional capabilities relevant to the successful implementation of the project. If the key staff person has not yet been identified, the application contains a comprehensive position description which indicates that the responsibilities to be assigned to the project director are relevant to the successful implementation of the project. (0-5 points) The applicant has adequate facilities and resources (i.e. space and equipment) to successfully carry out the work plan. (0-3 points) The assigned responsibilities of the staff are appropriate to the tasks identified for the project and sufficient time of senior staff will be budgeted to assure timely implementation and cost effective management of the project. (0-2 points) (b) Criterion II: Work Program (Maximum: 30 Points) Based upon the applicant's knowledge and experience related to OCS's Discretionary Grants Program (particularly community economic [[Page 16327]] development), the application should demonstrate in some specificity a thorough understanding of the problems a grantee may encounter in implementing a successful project. (0-15 points) The application should include a strategy for assessing the specific nature of the problems, outlining a course of action and identifying the resources required to resolve the problems. (0-15 points) (c) Criterion III: Significant and Beneficial Impact (Maximum: 30 Points) Project funds under this sub-priority area must be used for the purposes of transferring expertise directly, or by a contract with a third party, to other OCS funded grantees. Applicants must document how the success or failure of collaboration with these grantees will be documented. (0-15 points) Applicants must demonstrate an ability to disseminate results on the kinds of programmatic and administrative expertise transfer efforts in which they participated and successful strategies that they may have developed to share expertise with grantees during the grant period. (0- 10 points) Applicants must also state whether the results of the project will be included in a handbook, a progress paper, an evaluation report or a general manual and why the particular methodology chosen would be most effective. (0-5 points) d. Criterion IV: Public-Private Partnerships (15 Points) The applicant demonstrates that it has worked with local, regional, state or national offices to ensure that welfare recipients, at-risk youth, displaced workers, public housing tenants, homeless and low- income individuals have been trained and placed in newly created jobs. (0-10 points) Applicant should demonstrate how it will design a comprehensive strategy which makes use of other available resources to resolve typical and recurrent grantee problems. (0-5 points) e. Criterion V: Budget Appropriateness and Reasonableness (Maximum: 5 Points) Applicant documents that the funds requested are commensurate with the level of effort necessary to accomplish the goals and objectives of the project. The application includes a detailed budget break-down for each of the appropriate budget categories in the SF-424A. (0-3 points) The estimated cost to the government of the project also is reasonable in relation to the anticipated results. (0-2 points) 9. Criteria for Review and Evaluation of Applications Submitted Under Sub-Priority Area 1.6 (a) Criterion I: Need for Assistance (Maximum: 10 Points) The application documents that the project addresses a vital nationwide need related to the purposes of Priority Area 1.0 and provides data and information in support of its contention. (b) Criterion II: Organizational Experience in Program Area and Staff Responsibilities (Maximum: 20 Points) (i) Organizational Experience Applicant has documented the capability to provide leadership in solving long-term and immediate problems locally and/or nationally in such areas as business development, commercial development, organizational and staff development, board training, and micro- entrepreneurship development. Applicant must document a capability (including access to a network of skilled individuals and/or organizations) in two or more of the following areas: Business Management, including strategic planning and fiscal management; Finance, including development of financial packages and provision of financial/accounting services; and Regulatory Compliance, including assistance with zoning and permit compliance. (0-10 points) (ii) Staff Skills The applicants's proposed project director and primary staff are well qualified and their professional experiences are relevant to the successful implementation of the proposed project. (0-10 points) (c) Criterion III: Work Plan (Maximum 35 Points) Based upon the applicant's knowledge and experience related to OCS's Discretionary Grants Program (particularly community economic development), the applicant must develop and submit a detailed and specific work plan that is both sound and feasible. The work plan should-- (i) Demonstrate that all activities are comprehensive and nationwide in scope, and adequately described and appropriately related to the goals of the program. (0-10 points) (ii) Demonstrate in some specificity a thorough understanding of the kinds of training and technical assistance that can be provided to the network of Community Development Corporations. (0-10 points) (iii) Delineate the tasks and sub-tasks involved in the areas necessary to carry out the responsibilities to include training, technical assistance, research, outreach, seminars, etc. (0-5 points) (iv) State the intermediate and end products to be developed by task and sub-task. (0-5 points) (v) Provide realistic time frames and chronology of key activities for the goals and objectives. (0-5 points) (d) Criterion IV: Significant and Beneficial Impact (Maximum: 25 Points) Project funds under this sub-priority area must be used for the purpose of providing training and technical assistance on a national basis to the network of Community Development Corporations. Applicant must document how the success or failure of the assistance provided will be documented. (i) Application should adequately describe how the project will assure long-term program and management improvements for Community Development Corporations; (0-10 points) (ii) The project will impact on a significant number of Community Development Corporations; (0-10 points) (iii) Applicant should document how the project will leverage or mobilize significant other non-federal resources for the direct benefit of the project; (0-5 points) (e) Criteria V: Budget Reasonableness (Maximum 10 Points) (i) The resources requested are reasonable and adequate to accomplish the project. (0-5 points) (ii) Total costs are reasonable and consistent with anticipated results. (0-5 points) 10. Criteria for Review and Evaluation of All Applications Under Priority Areas 2.1 (a) Criterion I: Analysis of Need (Maximum: 5 Points) The application documents that the project addresses a vital need in a distressed community and provides statistics and other data and information in support of its contention. (b) Criterion II: Organizational Experience in Program Area and Staff Responsibilities (Maximum: 15 Points) (i) Organizational Experience in Program Area (Sub-rating: 0-5 Points) Documentation provided indicates that projects previously undertaken [[Page 16328]] have been relevant and effective and have provided permanent benefits to the low-income population. Organizations which propose providing training and technical assistance have detailed competence in the specific program priority area and as a deliverer with expertise in the fields of training and technical assistance. If applicable, information provided by these applicants also addresses related achievements and competence of each cooperating or sponsoring organization. (ii) Staff Skills, Resources and Responsibilities (Sub-rating 0-10 Points) The application describes in brief resume form the experience and skills of the project director who is not only well qualified, but his/ her professional capabilities are relevant to the successful implementation of the project. If the key staff person has not yet been identified, the application contains a comprehensive position description which indicates that the responsibilities to be assigned to the project director are relevant to the successful implementation of the project. The applicant has adequate facilities and resources (i.e. space and equipment) to successfully carry out the work plan. The assigned responsibilities of the staff are appropriate to the tasks identified for the project and sufficient time of senior staff will be budgeted to assure timely implementation and cost effective management of the project. (c) Criterion III: Project Implementation (Maximum: 25 Points) The Business Plan is both sound and feasible. The project is responsive to the needs identified in the Analysis of Need. It sets forth realistic quarterly time targets by which the various tasks will be completed. Critical issues or potential problems that might impact negatively on the project are defined and the project objectives can be reasonably attained despite such potential problems. (d) Criterion IV: Significant and Beneficial Impact (Maximum: 30 Points) The application contains a full and accurate description of the proposed use of the requested financial assistance. The proposed project will produce permanent and measurable results that will reduce the incidence of poverty in the areas targeted and significantly enhance the self sufficiency of program participants. Results are quantifiable in terms of program area expectations, e.g., number of units of housing rehabilitated, agricultural and non-agricultural job placements, etc. The OCS grant funds, in combination with private and/ or other public resources, are targeted into low-income and/or distressed communities and/or designated empowerment zones and enterprise communities. (e) Criterion V: Public-Private Partnerships (Maximum: 20 Points) The application documents that the applicant will mobilize from public and/or private sources cash and/or in-kind contributions valued at an amount equal to the OCS funds requested. Applicants documenting that the value of such contributions will be at least equal to the OCS funds requested will receive the maximum number of points for this Criterion. Lesser contributions will be given consideration based upon the value documented. (f) Criterion VI: Budget Appropriateness and Reasonableness (Maximum: 5 Points) Funds requested are commensurate with the level of effort necessary to accomplish the goals and objectives of the project. The application includes a detailed budget break-down for each of the budget categories in the SF-424A. The applicant presents a reasonable administrative cost. The estimated cost to the government of the project also is reasonable in relation to the anticipated results. Part E--Contents of Application and Receipt Process 1. Contents of Application Each application, whether involving construction or not, should include one original and four additional copies of the following: I. A signed ``Application for Federal Assistance'' (SF-424); II. ``Budget Information-Non-Construction Programs'' (SF-424A); III. A signed ``Assurances-Non-Construction Programs'' (SF-424B); IV. A Project Abstract (a paragraph which succinctly describes the project (in500 characters or less)); V. A Project Narrative consisting of the following elements preceded by a consecutively numbered Table of Contents that will describe the project in the following order: A. Eligibility Confirmation B. Analysis of Need (except for Sub-Priorities 1.5, and 1.6) C. Organizational Experience in Program Area and Staff Responsibilities 1. Organizational experience in program area a. Grantee b. HBCU (if applicable) 2. Staff Skills, Resources and Responsibilities D. Project Implementation (Business/Work Plan) 1. The Business and Its Industry (except for Priority Areas 1.5 and 1.6) 2. Products and Services 3. Financial Plans E. Significant and Beneficial Impacts 1. Significant and Beneficial Impacts 2. Cost Per Job 3. Career Development Opportunities F. Public/Private Partnership Agreements G. Budget Appropriateness and Reasonableness VI. Appendices, including By-Laws and/or Articles of Incorporation which confirm eligibility of organization as a CDC (relevant sections); proof of non-profit status where applicable; resumes; written agreements re: grants, coordination with JOBS, etc.; Single Point of Contact comments, where applicable; certification regarding anti- lobbying activities; smokefree workplace assurance; and a disclosure of lobbying activities. The application package should not exceed 65 pages for applications submitted under sub-priority areas 1.1, 1.2 and 1.4, and 30 pages for all applications submitted under the other sub-priority areas. Applications should be two hole punched at the top center and fastened with a compressor slide paper fastener or a binder clip. The submission of bound applications, or applications enclosed in binders, is especially discouraged. Applications must be uniform in composition since OCS may find it necessary to duplicate them for review purposes. Therefore, applications must be submitted on white 8\1/2\ x 11 inch paper only. They must not include colored, oversized or folded materials. Do not include organizational brochures or other promotional materials, slides, films, clips, etc. in the proposal. They will be discarded, if included. 2. Acknowledgement of Receipt All applicants will receive an acknowledgement notice with an assigned identification number. Applicants are requested to supply a self-addressed mailing label with their application which can be attached to this acknowledgement notice. The identification number and the program priority area letter code must be referred to in all subsequent communications with OCS concerning the application. If an acknowledgement is not received within three weeks after the deadline [[Page 16329]] date, please notify ACF by telephone (202) 401-9365. Part F--Instructions for Completing Application Package It is suggested that you reproduce the SF-424 and SF-424A, and type your application on the copies. If an item on the SF-424 cannot be answered or does not appear to be related or relevant to the assistance requested, write ``NA'' for ``Not Applicable.'' Prepare your application in accordance with the standard instructions given in Attachments B and C corresponding to the forms, as well as the OCS specific instructions set forth below: 1. SF-424 ``Application for Federal Assistance'' Item 1. For the purposes of this announcement, all proposals are considered ``Applications''; there are no ``Pre-Applications.'' Also for the purposes of this announcement, construction projects are those which involve major renovations or new construction. All others are considered non-construction. Check the appropriate box under ``Application.'' 5. and 6. The legal name of the applicant must match that listed as corresponding to the Employer Identification Number. Where the applicant is a previous Department of Health and Human Services grantee, enter the Central Registry System Employee Identification Number (EIN) and the Payment Identifying Number (PIN), if one has been assigned, in the Block entitled ``Federal Identifier'' located at the top right hand corner of the form. 7. If the applicant is a non-profit corporation, enter ``N'' in the box and specify ``non-profit corporation'' in the space marked ``Other.'' Proof of non-profit status, such as IRS determination or appropriate sections of the Articles of Incorporation, or By-laws, must be included as an appendix to the project narrative. 8. For the purposes of this announcement, all applications are ``New''. 9. Enter DHHS-ACF/OCS. 10. The Catalog of Federal Domestic Assistance number for OCS programs covered under this announcement is 93.570. The title is ``CSBG Discretionary Awards.'' 11. The following letter program priority area designations must be used: UR--for Sub-Priority Area 1.1. Urban and Rural Community Economic Development (Operational) HB--for Sub-Priority Area 1.2. Urban and Rural Community Economic Development (HBCU Set-Aside) PD--for Sub-Priority Area 1.3. Urban and Rural Community Economic Development (Pre-Developmental Set-Aside) DD--for Sub-Priority Area 1.4. Urban and Rural Community Economic Development (Developmental Set-Aside) AM--for Sub-Priority Area 1.5. Administrative and Management (Set- Aside) UT--for Sub-Priority Area 1.6. Technical Assistance (Set-Aside) RF--for Sub-Priority Area 2.1. Rural Community Facilities Development (Water and Waste Water Treatment Systems Development) 2. SF-424A ``Budget Information-Non-Construction Programs'' See Instructions accompanying this form as well as the instructions set forth below: In completing these sections, the ``Federal Funds'' budget entries will relate to the requested OCS discretionary funds only, and ``Non- Federal'' will include mobilized funds from all other sources-- applicant, state, local, and other. Federal funds other than requested OCS discretionary funding should be included in ``Non-Federal'' entries. The budget forms in SF-424A are only to be used to present grant administrative costs and major budget categories. Financial data that is generated as part of a project Business Plan or other internal project cost data must be separate and should appear as part of the project Business Plan or other project implementation data. Sections A and D of SF-424A must contain entries for both Federal (OCS) and non-Federal (mobilized) funds. Section B contains entries for Federal (OCS) funds only. Clearly identified continuation sheets in SF- 424A format should be used as necessary. Section A--Budget Summary Lines 1-4 Col. (a): Line 1 Enter ``CSBG Discretionary''; Col. (b): Line 1 Enter ``93.570''; Col. (c) and (d): Applicants should leave columns (c) and (d) blank. Col. (e)-(g): For line 1, enter in columns (e), (f) and (g) the appropriate amounts needed to support the project for the budget period. Line 5 Enter the figures from Line 1 for all columns completed as required, (c), (d), (e), (f), and (g). Section B Budget Categories Allowability of costs are governed by applicable cost principles set forth in 45 CFR Parts 74 and 92. A budget narrative must be submitted that includes the appropriate justifications as stated. Columns (1) and (5): In OCS applications, it is only necessary to complete Columns (1) and (5). Column 1: Enter the total requirements for OCS Federal funds by the Object Class Categories of this section: Personnel--Line 6a: Enter the total costs of salaries and wages of applicant/grantee staff only. A breakdown of amounts and percentage of time that comprises the salary must be noted. Do not include costs of consultants or personnel costs of delegate agencies or of specific project(s) or businesses to be financed by the applicant. Fringe Benefits--Line 6b: Enter the total costs of fringe benefits unless treated as part of an approved indirect cost rate which is entered on line 6j. Provide a breakdown of amounts and percentages that comprise fringe benefit costs. Travel--Line 6c: Enter total estimated costs of all travel by employees of the project. The purpose, traveler, number of days, airfare and per diem rates must be stated. Travel costs for the Executive Director or Project Director to attend a two day national workshop in Washington, DC should be included. Do not enter costs for consultant's travel. Provide justification for requested travel costs. Equipment--Line 6d: Enter the total estimated costs of all non- expendable personal property to be acquired by the project. ``Non- expendable personal property'' means 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. Supplies--Line 6e: Enter the total estimated costs of all tangible personal property (supplies) other than that included on line 6d. Identify the item, unit cost and quantity to be purchased. Contractual-Line 6f: Enter the total estimated costs of all contracts, including (1) procurement contracts (except those which belong on other lines such as equipment, supplies, etc.) and (2) contracts with secondary recipient organizations including delegate agencies and specific project(s) or businesses to be financed by the applicant. Identify the purpose and costs associated. Also include any contracts with organizations for the provision of technical assistance. Do not [[Page 16330]] include payments to individual service contractors on this line. If available at the time of application, attach a list of contractors indicating the name of the organization, the purpose of the contract and the estimated dollar amount of the award. Note: Whenever the applicant/grantee intends to delegate part of the program to another agency, the applicant/grantee must submit Sections A and B of this form (SF-424A), completed for each delegate agency by agency title, along with the required supporting information referenced in the applicable instructions. The total costs of all such agencies will be part of the amount shown on Line 6f. Provide back-up documentation identifying name of contractor, purpose of contract and major cost elements. Construction-Line 6g: Enter the estimated costs of renovation, repair, or new construction. Identify the type of construction activity and costs associated, i.e., concrete, HVAC, electrical, etc. Provide narrative justification and breakdown of costs. Other-Line 6h: Enter the total of all other costs. Such costs, where applicable, may include but are not limited to insurance, food, medical and dental costs (noncontractual), fees and travel paid directly to individual consultants, 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. Total Direct Charges-Line 6i: Show the total of Lines 6a through 6h. Indirect Charges-Line 6j: Enter the total amount of indirect costs. This line should be used only when the applicant currently has an indirect cost rate approved by the Department of Health and Human Services or another Federal agency or is awaiting such approval. With the exception of local governments and State agencies, applicants should enclose a copy of the current rate agreement if it was negotiated with a Federal agency other than the Department of Health and Human Services. If the applicant organization is in the process of initially developing or renegotiating a rate, it should immediately, upon notification that an award will be made, develop a tentative indirect cost rate proposal based on its most recently completed fiscal year in accordance with the principles set forth in the pertinent DHHS Guide for Establishing Indirect Cost Rates, and submit it to the appropriate DHHS Regional Office. It should be noted that when an indirect cost rate is requested, those costs included in the indirect cost pool should not be also charged as direct costs to the grant. Totals-Line 6k: Enter the total amounts of Lines 6i and 6j. The total amount shown in Section B, Column (5), Line 6k, should be the same as the amount shown in Section A, Line 5, Column (e). Program Income-Line 7: Enter the estimated amount of income, if any, expected to be generated from this project. Separately show expected program income generated from OCS support and income generated from other mobilized funds. Do not add or subtract this amount from the budget total. Show the nature and source of income in the program narrative statement. Column 5: Carry totals from Column 1 to Column 5 for all line items. Section C--Non-Federal Resources This section is to record the amounts of ``non-Federal'' resources that will be used to support the project. ``Non-Federal'' resources mean other than OCS funds for which the applicant is applying. Therefore, mobilized funds from other Federal programs, such as the Job Training Partnership Act program, should be entered on these lines. Provide a brief listing of the non-Federal resources on a separate sheet and describe whether it is a grantee-incurred cost or a third- party in-kind contribution. The firm commitment of these resources must be documented and submitted with the application in order to be given credit in the Public-Private Partnerships criterion. Except in unusual situations, this documentation must be in the form of letters of commitment from the organization(s)/individuals from which funds will be received. Line 8 Column (a): Enter the project title. Column (b): Enter the amount of contributions to be made by the applicant to the project. Column (c): Enter the State contribution. If the applicant is a State agency, enter the non-Federal funds to be contributed by the State other than the applicant. Column (d): Enter the amount of cash and in-kind contributions to be made from all other sources. Column (e): Enter the total of columns (b), (c), and (d). Lines 9, 10, and 11 should be left blank. Line 12: Carry the total of each column of Line 8, (b) through (e). The amount in Column (e) should be equal to the amount on Section A, Line 5, column (f). Section D--Forecasted Cash Needs Line 13: Enter the amount of Federal (OCS) cash needed for this grant by quarter. During the budget period for grants which are more than twelve (12) months, submit a separate sheet for each additional twelve (12) months or portion thereof. Line 14: Enter the amount of cash from all other sources needed by quarter during the budget period. Line 15: Enter the total of Lines 13 and 14. Section E--Budget Estimates of Federal Funds Needed for Balance of Project(s) Completion not required. Section F--Other Budget Information Line 21--Use this space and continuation sheets as necessary to fully explain and justify the major items included in the budget categories shown in Section B. Include sufficient detail to facilitate determination of allowability, relevance to the project, and cost benefits. Particular attention must be given to the explanation of any requested direct cost budget item which requires explicit approval by the Federal agency. Budget items which require identification and justification shall include, but not be limited to, the following: A. Salary amounts and percentage of time worked for those key individuals who are identified in the project narrative; B. Any foreign travel; C. A list of all equipment and estimated cost of each item to be purchased wholly or in part with grant funds which meet the definition of nonexpendable personal property provided on Line 6d, Section B. The need for equipment must be supported in program the narrative. D. Contractual: Major items or groups of smaller items; and E. Other: group into major categories all costs for consultants, local transportation, space, rental, training allowances, staff training, computer equipment, etc. Provide a complete breakdown of all costs that make up this category. Line 22--Enter the type of HHS or other Federal agency approved indirect cost rate (provisional, predetermined, final or fixed) that will be in effect during the funding period, the estimated amount of the base to which the rate is applied and the total indirect expense. Also, enter the date the rate was approved, where applicable. Attach a [[Page 16331]] copy of the rate agreement if it was negotiated with a Federal agency other than the Department of Health and Human Services. Line 23--Provide any other explanations and continuation sheets required or deemed necessary to justify or explain the budget information. 3. SF-424B ``Assurances-Non-Construction'' All applicants, whether or not project involves construction, must file the Standard Form 424B, ``Assurances: Non-Construction Programs.'' Applicants must sign and return the Standard Form 424B, found at Attachment D, with their applications. 4. Restrictions on Lobbying Activities Applicants must provide a certification concerning Lobbying. Prior to receiving an award in excess of $100,000, applicants shall furnish an executed copy of the lobbying certification. Applicants must sign and return the certification, found at Attachment H, with their applications. 5. Disclosure of Lobbying Activities SF-LLL: Fill out, sign and date form found at Attachment H, if applicable. 6. Certification Regarding Environmental Tobacco Smoke Applicants must sign and return the certification, found at Attachment J, with their applications. 7. Project Abstract The project abstract is a brief summary of the project to include specific benefits such as number of jobs to be created, especially jobs for low-income individuals. The abstract must not exceed 500 characters (including words, spaces and punctuation) on a separate sheet of plain paper headed by the applicant's name as shown in item 5 of the SF 424 and the priority area number as shown by you at the bottom of the SF 424. 8. Project Narrative The project narrative must address the specific concerns mentioned under the relevant priority area description in Part B. The narrative should provide information on how the application meets the evaluation criteria in Part D, Section 5c of this Program Announcement and should follow the format below: a. Eligibility Confirmation This section must explain how the applicant has complied with each of the basic requirements listed in Part D, 5b(1)-(5), i.e., (1) that the applicant meets the eligibility requirements for the sub-priority area under which funds are being requested; (2) an application submitted under sub-priority areas 1.1, 1.2, 1.4, or 2.1, contains only one project; (3) the amount of funds requested does not exceed the limits indicated in Part C, Section 2b for the appropriate sub-priority area; (4) (Sub-Priority Areas 1.1, 1.2, and 1.4) if an applicant proposes to use OCS funds for an equity investment, a loan, or a sub- grant, the application contains a written agreement signed by the applicant and the third party which includes all of the elements required in Part B. An application may be disqualified from the competition and returned if it does not conform to one or more of the above requirements. b. Analysis of Need The application should include a description of the target area and population to be served as well as a discussion of the nature and extent of the problem to be solved. It should also include documentation supportive of its needs assessment such as employment statistics, housing statistics, etc. c. Organizational Experience and Staff Responsibilities (i) Organizational Experience Each applicant must document competence in the specific program priority area under which an application is submitted. Documentation must be provided which addresses the relevance and effectiveness of projects previously undertaken in the specific priority area for which funds are being requested and especially their cost effectiveness, the relevance and effectiveness of any services provided, and the permanent benefits provided to the low-income population. Organizations which propose providing training and technical assistance must detail their competence in the specific program priority area and as a deliverer with expertise in the fields of training and technical assistance. If applicable, information provided by these applicants must also address related achievements and competence of each cooperating or sponsoring organization. Applicable to Sub-Priority Areas 1.1, 1.2, 1.4 and 1.5 Applicants in these priority areas must also document a firmly established and quantifiable performance record that shows the following: --The ability to implement major activities such as business development, commercial development, physical development, or financial services; --Successful working relationships within the community including public officials, financial institutions, corporations, other community organizations and residents; --A sound asset base and organizational structure in terms of (a) net worth, (b) management stability, and (c) organizational capability; --An ability to develop and maintain a stable program in terms of business, physical or community development activities that will provide needed permanent jobs, services, business development opportunities and other benefits to community residents, and impact on community-wide economic problems and needs; --Sound administrative and fiscal systems and controls, and the ability to establish and maintain partnerships with the private sector in such forms as financial support, volunteerism or executives on loan. (ii) Staff Skills, Resources and Responsibilities The application must fully describe (e.g. a resume or position description) the experience and skills of the proposed project director showing that the individual is not only well qualified but that his/her professional capabilities are relevant to the successful implementation of the project. The application must include statements regarding who will have the responsibilities of the chief executive officer, who will be responsible for grant coordination with OCS, and how the assigned responsibilities of the staff are appropriate to the tasks identified for the project. It must show clearly that sufficient time of senior staff will be budgeted to assure timely implementation and cost effective management of the project. d. Business Plan The application must contain a detailed and specific Business Plan (to include an Executive Summary) that is both sound and feasible. (For those applicants submitting proposals under Sub-Priority Areas 1.5, and 1.6, a Work Plan will be accepted in lieu of the Business Plan.) The Executive Summary should not exceed five pages. This summary must address the program principles within this announcement and document that the proposed project will have national or regional significance. The business plan will be evaluated according to Criteria III, IV, and V set forth in Part D of this announcement: Project Implementation, [[Page 16332]] Significant and Beneficial Impact, and Public-Private Partnerships. Projects funded under this announcement must be designed to produce permanent and measurable results. The OCS grant funds, in combination with private and/or other public resources, must be targeted into low-income, distressed communities, and/or designated empowerment zones or enterprise communities. Projects must be designed to achieve the specific program priority area objectives defined in this Program Announcement. It must set forth realistic quarterly time targets by which the various work tasks will be completed. It must identify critical issues or potential problems that might impact negatively on the project and it must indicate how the project objectives will be attained despite such potential problems. If an applicant is proposing a project which will affect a property listed in, or eligible for inclusion in the National Register of Historic Places, it must identify this property in the narrative and explain how it has complied with the provisions of Section 106 of the National Historic Preservation Act of 1966 as amended. If there is any question as to whether the property is listed in or eligible for inclusion in the National Register of Historic Places, the applicant should consult with the State Historic Preservation Officer. (See Attachment D: SF-424B, Item 13 for additional guidance.) The applicant should contact OCS early in the development of its application for instructions regarding compliance with the Act and data required to be submitted to the Department of Health and Human Services. Failure to comply with the cited Act may result in the application being ineligible for funding consideration. Applicable to Sub-Priority Areas 1.1, 1.2, and 1.4 Applications submitted under Sub-Priority Areas 1.1, 1.2 and 1.4 which propose to use the requested OCS funds to make an equity investment or a loan to a business concern, including a wholly-owned subsidiary, or to make a sub-grant with a portion of the OCS funds, must include a written agreement between the community development corporation and the recipient of the grant funds which contains all of the elements listed in Part B under the appropriate Priority Area. Applications submitted under Sub-Priority Areas 1.1, 1.2, and 1.4 must include a complete Business Plan where it is appropriate to the project/venture. An application that does not include a Business Plan where one is appropriate may be disqualified and returned to the applicant. In some cases a Business Plan may not be required under the Priority Areas. All applicants under the Priority Areas, however, must nevertheless submit the information which is required in Sections 7 through 10, as set forth below. The Business Plan is one of the major components that will be evaluated by OCS to determine the feasibility of an economic development project. It must be well prepared and address all the major issues noted herein. The following guidelines show what should be included in order to produce a complete and professional Business Plan which makes an orderly presentation of the facts necessary to be judged responsive to the program announcement. Because the guidelines were written to cover a variety of possibilities, rigid adherence to them is not possible nor even desirable for all projects. For example, a plan for a service business would not require a discussion of manufacturing nor product design. The Business Plan should include the following: 1. The business and its industry. This section should describe the nature and history of the business and provide some background on its industry. a. The Business: as a legal entity; the general business category; b. Description and Discussion of Industry: Current status and prospects for the industry; 2. Products and Services: This section deals with the following: a. Description: Describe in detail the products or services to be sold; b. Proprietary Position: Describe proprietary features if any of the product, e.g. patents, trade secrets; c. Potential: Features of the product or service that may give it an advantage over the competition; 3. Market Research and Evaluation: This section should present sufficient information to show that the product or service has a substantial market and can achieve sales in the face of competition; a. Customers: Describe the actual and potential purchasers for the product or service by market segment. b. Market Size and Trends: State the size of the current total market for the product or service offered; c. Competition: An assessment of the strengths and weaknesses of competitive products and services; d. Estimated Market Share and Sales: Describe the characteristics of the product or service that will make it competitive in the current market; 4. Marketing Plan: The marketing plan should detail the product, pricing, distribution, and promotion strategies that will be used to achieve the estimated market share and sales projections. The marketing plan must describe what is to be done, how it will be done and who will do it. The plan should address the following topics--Overall Marketing Strategy, Packaging, Service and Warranty, Pricing, Distribution and Promotion. 5. Design and Development Plans: If the product, process or service of the proposed venture requires any design and development before it is ready to be placed on the market, the nature and extent and cost of this work should be fully discussed. The section should cover items such as Development Status and Tasks, Difficulties and Risks, Product Improvement and New Products, and Costs. 6. Manufacturing and Operations Plan: A manufacturing and operations plan should describe the kind of facilities, plant location, space, capital equipment and labor force (part and/or full time and wage structure) that are required to provide the company's product or service. 7. Management Team: The management team is the key in starting and operating a successful business. The management team should be committed with a proper balance of technical, managerial and business skills, and experience in doing what is proposed. This section must include a description of: the key management personnel and their primary duties; compensation and/or ownership; the organizational structure; Board of Directors; management assistance and training needs; and supporting professional services. 8. Overall Schedule: A schedule that shows the timing and interrelationships of the major events necessary to launch the venture and realize its objectives. Prepare, as part of this section, a month- by-month schedule that shows the timing of such activities as product development, market planning, sales programs, and production and operations. Sufficient detail should be included to show the timing of the primary tasks required to accomplish each activity. 9. Critical Risks and Assumptions: The development of a business has risks and problems and the Business Plan should contain some explicit assumptions about them. Accordingly, identify and discuss the critical assumptions in the Business Plan and the major problems that will have to be solved to develop the venture. This should include a description of the risks [[Page 16333]] and critical assumptions relating to the industry, the venture, its personnel, the product's market appeal, and the timing and financing of the venture. 10. Community Benefits: The proposed project must contribute to economic, community and human development within the project's target area. A section that describes and discusses the potential economic and non-economic benefits to low-income members of the community must be included as well as a description of the strategy that will be used to identify and hire individuals being served by public assistance programs and how linkages with community agencies/organizations administering the JOBS program will be developed. The following project benefits must be described: Economic --Number of permanent jobs that will be created especially those for low-income people during the grant period; --Number of jobs that will have career development opportunities and a description of those jobs --Number of jobs that will be filled by individuals on public assistance; --Ownership opportunities created for poverty-level project area residents; --Specific steps to be taken to promote the self-sufficiency of program participants. Other benefits which might be discussed are: Human Development --New technical skills development and associated career opportunities for community residents; --Management development and training. Community Development --Development of community's physical assets; --Provision of needed, but currently unsupplied, services or products to community; --Improvement in the living environment. 11. The Financial Plan: The Financial Plan is basic to the development of a Business Plan. Its purpose is to indicate the project's potential and the timetable for financial self-sufficiency. In developing the Financial Plan, the following exhibits must be prepared for the first three years of the business' operation: a. Profit and Loss Forecasts-quarterly for each year; b. Cash Flow Projections-quarterly for each year; c. Pro forma balance sheets-quarterly for each year; d. Initial sources of project funds; e. Initial uses of project funds; and f. Any future capital requirements and sources. Applicable to Sub-Priority Area 1.5 Only An applicant in this priority area must document its experience and capability in several of the following areas: --Business/Development; --Micro-Entrepreneurship Development; --Commercial Development; --Organizational and Staff Development; --Board Training; --Business Management, including Strategic Planning and Fiscal Management; --Finance, including Business Packaging and Financial/Accounting Services, and/or --Regulatory Compliance including Zoning and Permit Compliance --Incubator Development --Tax Credits and Bond Financing --Marketing The applicant must document staff competence or the accessibility of third party resources with proven competence. If the work program requires the significant use of third party (consultant/contractor) resources, those resources should be identified and resumes of the individuals or key organizational staff provided. Resumes of the applicant's staff, who are to be directly involved in programmatic and administrative expertise sharing, should also be included. The applicant must document successful experience in the mobilization of resources (both cash and in-kind) from private and public sources. The applicant must also clearly state how the information learned from this project may be disseminated to other interested grantees. Applicable to Sub-Priority Area 1.6 Only An applicant in this priority area must document its experience and capability in implementing projects national in scope and have significant and relative experiences in working with Community Development Corporations. The applicant must have the ability to collect and analyze data nationally that may benefit CDCs and be able to disseminate information to all of OCS funded grantees; publish a national directory of funding sources for CDCs (public, corporate, foundation, religious); publish research papers on specific aspects of job creation by CDCs; design and provide information on successful projects and economic niches that CDCs can target. The applicant will also be responsible for the development of instructional programs, national conferences, seminars, and other activities to assist community development corporations; and provide peer-to-peer technical assistance to OCS funded CDCs. Applicable to Sub-Priority Area 2.1 Each applicant must include a full discussion of how the proposed use of funds will enable low-income rural communities to develop the capability and expertise to establish and maintain affordable, adequate and safe water and waste water systems. Applicants must also discuss how they will disseminate information about water and waste water programs serving rural communities, and how they will better coordinate Federal, State, and local water and waste water program financing and development to assure improved service to rural communities. Among the benefits that merit discussion under this sub-priority area are: The number of rural communities to be provided with technical and advisory services; the number of rural poor individuals who are expected to be directly served by applicant-supported improved water and waste water systems; the decrease in the number of inadequate water systems related to applicant activity; the number of newly-established and applicant-supported treatment systems (all of the above may be expressed in terms of equivalent connection units); the increase in local capacity in engineering and other areas of expertise; and the amount of non-discretionary program dollars expected to be mobilized. Part 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 budget period for which support is provided, the terms and conditions of the award, the total project period for which support is contemplated, and the total financial participation from the award recipient. General Conditions and Special Conditions (where the latter are warranted) which will be applicable to grants, are subject to the provisions of 45 CFR Parts 74 and 92. Grantees will be required to submit semi-annual progress and financial [[Page 16334]] reports (SF-269) as well as a final progress and financial report. Grantees are subject to the audit requirements in 45 CFR Parts 74 and 92 and OMB Circular A-128 or A-133. If an applicant will not be requesting 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 limited exemptions for Indian tribes and tribal organizations. Current and prospective recipients (and their subtier contractors and/or grantees) are prohibited from using appropriated funds 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 submit a declaration setting forth whether payments to lobbyists have been or will be made out of nonappropriated funds and, if so, the name, address, payment details, and purpose of any agreements with such lobbyists whom recipients or their subtier contractors or subgrantees will pay with the nonappropriated funds and (3) to file quarterly up-dates about the use of lobbyists if an event occurs that materially affects the accuracy of the information submitted by way of declaration and certification. The law establishes civil penalties for noncompliance and is effective with respect to contracts, grants, cooperative agreements and loans entered into or made on or after December 23, 1989. See Attachment H for certification and disclosure forms to be submitted with the applications for this program. Attachment I indicates the regulations which apply to all applicants/grantees under the Discretionary Grants Program. Dated: April 1, 1996. Donald Sykes, Director, Office of Community Services. Attachment A.--1996 Poverty Income Guidelines for All States (Except Alaska and Hawaii) and the District of Columbia ------------------------------------------------------------------------ Poverty Size of family unit guideline ------------------------------------------------------------------------ 1............................................................ $7,470 2............................................................ 10,030 3............................................................ 12,590 4............................................................ 15,150 5............................................................ 17,710 6............................................................ 20,270 7............................................................ 22,830 8............................................................ 25,390 For family units with more than 8 members add $2,580 for each additional member. (The same increment applies to smaller family sizes also, as can be seen in the figures above.) ------------------------------------------------------------------------ Poverty Income Guidelines for Alaska ------------------------------------------------------------------------ 1............................................................ 9,340 2............................................................ 12,540 3............................................................ 15,740 4............................................................ 18,940 5............................................................ 22,140 6............................................................ 25,340 7............................................................ 28,540 8............................................................ 31,740 For family units with more than 8 members, add $3,200 for each additional member. (The same increment applies to smaller family sizes also, as can be seen in figures above.) ------------------------------------------------------------------------ Poverty Guidelines for Hawaii ------------------------------------------------------------------------ 1............................................................ 8,610 2............................................................ 11,550 3............................................................ 14,490 4............................................................ 17,430 5............................................................ 20,370 6............................................................ 23,310 7............................................................ 26,250 8............................................................ 29,190 For family units with more than 8 members add $2,940 for each additional member. (The same increment applies to smaller family sizes also, as can be seen in the figures above.) ------------------------------------------------------------------------ BILLING CODE 4184-01-P [[Page 16335]] [GRAPHIC] [TIFF OMITTED] TN12AP96.000 BILLING CODE 4184-01-C [[Page 16336]] 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) and 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. Entry 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 for contingent liability from an existing obligation. 9. Name of Federal agency from which assistance is being requested with this application. 10. Use the Catalog of Federal Domestic Assistance number and title of the program under which assistance is requested. 11. Enter a brief descriptive title of the project, if more than one program is involved, you should append an explanation on a separate sheet. If appropriate (e.g., construction or real property projects), attach a map showing project location. For preapplications, use a separate sheet to provide a summary description of this project. 12. List only the largest political entities affected (e.g., State, counties, cities). 13. Self-explanatory. 14. List the applicant's Congressional District and any District(s) affected by the program or project. 15. Amount requested or to be contributed during the first funding/budget period by each contributor. Value of in-kind contributions should be included on appropriate lines as applicable. If the action will result in a dollar change to an existing award, indicate only the amount of the change. For decreases, enclose the amounts in parentheses. If both basic and supplemental amounts are included, show breakdown on an attached sheet. For multiple program funding, use totals and show breakdown using same categories as item 15. 16. Applicants should contact the State Single Point of Contact (SPOC) for Federal Executive Order 12372 to determine whether the application is subject to the State intergovernmental review process. 17. This question applies to the applicant organization, not the person who signs as the authorized representative. Categories of debt include delinquent audit disallowances, loans and taxes. 18. To be signed by the authorized representative of the applicant. A copy of the governing body's authorization for you to sign this application as official representative must be on file in the applicant's office. (Certain Federal agencies may require that this authorization be submitted as part of the application.) BILLING CODE 4184-01-P [[Page 16337]] [GRAPHIC] [TIFF OMITTED] TN12AP96.001 [[Page 16338]] [GRAPHIC] [TIFF OMITTED] TN12AP96.002 BILLING CODE 4184-01-C [[Page 16339]] Instructions for the SF-424A General Instructions This form is designed so that application can be made for funds from one or more grant programs. In preparing the budget, adhere to any existing Federal grantor agency guidelines which prescribe how and whether budgeted amounts should be separately shown for different functions or activities within the program. For some programs, grantor agencies may require budgets to be separately shown by function or activity. For other programs, grantor agencies may require a breakdown by function or activity. Sections A, B, C, and D should include budget estimates for the whole project except when applying for assistance which requires Federal authorization in annual or other funding period increments. In the latter case, Sections A, B, C, and D should provide the budget for the first budget period (usually a year) and Section E should present the need for Federal assistance in the subsequent budget periods. All applications should contain a breakdown by the object class categories shown in Lines a-k of Section B. Section A. Budget Summary Lines 1-4, Columns (a) and (b) For applications pertaining to a single Federal grant program (Federal Domestic Assistance Catalog number) and not requiring a functional or activity breakdown, enter on Line 1 under Column (a) the catalog program title and the catalog number in Column (b). For applications pertaining to a single program requiring budget amounts by multiple functions or activities, enter the name of each activity or function on each line in Column (a), and enter the catalog number in Column (b). For applications pertaining to multiple programs where none of the programs require a breakdown by function or activity, enter the catalog program title on each line in Column (a) and the respective catalog number on each line in Column (b). For applications pertaining to multiple programs where one or more programs require a breakdown by function or activity, prepare a separate sheet for each program requiring the breakdown. Additional sheets should be used when one form does not provide adequate space for all breakdown of data required. However, when more than one sheet is used, the first page should provide the summary totals by programs. Lines 1-4, Columns (c) through (g.) For new applications, leave Columns (c) and (d) blank. For each line entry in Columns (a) and (b), enter in Columns (e), (f), and (g) the appropriate amounts of funds needed to support the project for the first funding period (usually a year). For continuing grant program applications, submit these forms before the end of each funding period as required by the grantor agency. Enter in Columns (c) and (d) the estimated amounts of funds which will remain unobligated at the end of the grant funding period only if the Federal grantor agency instructions provide for this. Otherwise, leave these columns blank. Enter in columns (e) and (f) the amounts of funds needed for the upcoming period. The amount(s) in Column (g) should be the sum of amounts in Columns (e) and (f). For supplemental grants and changes to existing grants, do not use Columns (c) and (d). Enter in Column (e) the amount of the increase or decrease of Federal funds and enter in Column (f) the amount of the increase or decrease of non-Federal funds. In Column (g) enter the new total budgeted amount (Federal and non-Federal) which includes the total previous authorized budgeted amounts plus or minus, as appropriate, the amounts shown in Columns (e) and (f). The amount(s) in Column (g) should not equal the sum of amounts in Columns (e) and (f). Line 5--Show the totals for all columns used. Section B. Budget Categories In the column headings (1) through (4), enter the titles of the same programs, functions, and activities shown on Lines 1-4, Column (a), Section A. When additional sheets are prepared for Section A, provide similar column headings on each sheet. For each program, function or activity, fill in the total requirements for funds (both Federal and non-Federal) by object class categories. Lines 6a-i--Show the totals of Lines 6a to 6h in each column. Line 6j--Show the amount of indirect cost. Line 6K--Enter the total of amounts on Lines 6i and 6j. For all applications for new grants and continuation grants the total amount in column (5), Line 6k, should be the same as the total amount shown in Section A, Column (g), Line 5. For supplemental grants and changes to grants, the total amount of the increase or decrease as shown in Columns (1)-(4), Line 6k should be the same as the sum of the amounts in Section A, Columns (e) and (f) on Line 5. Line 7--Enter the estimated amount of income, if any, expected to be generated from this project. Do not add or subtract this amount from the total project amount. Show under the program narrative statement the nature and source of income. The estimated amount of program income may be considered by the federal grantor agency in determining the total amount of the grant. Section C. Non-Federal-Resources Lines 8-11--Enter amounts of non-Federal resources that will be used on the grant. If in-kind contributions are included, provide a brief explanation on a separate sheet. Column (a)--Enter the program titles identical to Column (a), Section A. A breakdown by function or activity is not necessary. Column (b)--Enter the contribution to be made by the applicant. Column (c)--Enter the amount of the State's cash and in-kind contribution if the applicant is not a State or State agency. Applicants which are a State or State agencies should leave this column blank. Column (d)--Enter the amount of cash and in-kind contributions to be made from all other sources. Column (e)--Enter totals of Columns (b), (c), and (d). Line 12--Enter the total for each of Columns (b)-(e). The amount in Column (e) should be equal to the amount on Line 5, Column (f), Section A. Section D. Forecasted Cash Needs Line 13--Enter the amount of cash needed by quarter from the grantor agency during the first year. Line 14--Enter the amount of cash from all other sources needed by quarter during the first year. Line 15--Enter the totals of amounts on Lines 13 and 14. Section E. Budget Estimates of Federal Funds Needed for Balance of the Project Lines 16-19--Enter in Column (a) the same grant program titles shown in Column (a), Section A. A breakdown by function or activity is not necessary. For new applications and continuation grant applications, enter in the proper columns amounts of Federal funds which will be needed to complete the program or project over the succeeding funding periods (usually in years). This section need not be completed for revisions (amendments, changes, or supplements) to funds for the current year of existing grants. If more than four lines are needed to list the program titles, submit additional schedules as necessary. Line 20--Enter the total for each of the Columns (b)-(e). When additional schedules are prepared for this Section, annotate accordingly and show the overall totals on this line. Section F. Other Budget Information Line 21--Use this space to explain amounts for individual direct object-class cost categories that may appear to be out of the ordinary or to explain the details as required by the Federal grantor agency. Line 22--Enter the type of indirect rate (provisional, predetermined, final or fixed) that will be in effect during the funding period, the estimated amount of the base to which the rate is applied, and the total indirect expense. Line 23--Provide any other explanations or comments deemed necessary. Attachment D--Assurances--Non-Construction Programs Note: Certain of these assurances may not be applicable to your project or program. If you have questions, please contact the awarding agency. Further, certain Federal awarding agencies may require applicants to certify to additional assurances. If such is the case, you will be notified. As the duly authorized representative of the applicant I certify that the applicant: 1. Has the legal authority to apply for Federal assistance, and the institutional, managerial and financial capability (including funds sufficient to pay the non-Federal share of project costs) to ensure proper planning, management and completion of the project described in this application. 2. Will give the awarding agency, the Comptroller General of the United States, and if appropriate, the State, through any authorized representative, access to and the right to examine all records, books, papers, [[Page 16340]] or documents related to the award; and will establish a proper accounting system in accordance with generally accepted accounting standards or agency directives. 3. Will establish safeguards to prohibit employees from using their positions for a purpose that constitutes or presents the appearance of personal or organizational conflict of interest, or personal gain. 4. Will initiate and complete the work within the applicable time frame after receipt of approval of the awarding agency. 5. Will comply with the Intergovernmental Personnel Act of 1970 (42 U.S.C. Secs. 4728-4763) relating to prescribed standards for merit systems for programs funded under one of the nineteen statutes or regulations specified in Appendix A of OPM's Standards for a Merit System of Personnel Administration (5 C.F.R. 900, Subpart F). 6. Will comply with all Federal statutes relating to nondiscrimination. These include but are no limited to: (a) Title VI of the Civil Rights Act of 1964 (P.L. 88-352) which prohibits discrimination on the basis of race, color or national origin; (b) Title IX of the Education Amendments of 1972, as amended (20 U.S.C. Secs. 1681-1683, and 1685-1686), which prohibits discrimination on the basis of sex; (c) Section 504 of the Rehabilitation Act of 1973, as amended (29 U.S.C. Sec. 794), which prohibits discrimination on the basis of handicaps; (d) the Age Discrimination Act of 1975, as amended (42 U.S.C. Secs. 6101-6107), which prohibits discrimination on the basis of age; (e) the Drug Abuse Office and Treatment Act of 1972 (P.L. 92-255), as amended, relating to nondiscrimination on the basis of drug abuse; (f) the Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment and Rehabilitation Act of 1970 (P.L. 91-616), as amended, relating to nondiscrimination on the basis of alcohol abuse or alcoholism; (g) Secs. 523 and 527 of the Public Health Service Act of 1912 (42 U.S.C. 290 dd-3 and 290 ee-3), as amended, relating to confidentiality of alcohol and drug abuse patient records; (h) Title VIII of the Civil Rights Act of 1968 (42 U.S.C. Sec. 3601 et seq.), as amended, relating to nondiscrimination in the sale, rental or financing of housing; (i) any other nondiscrimination provisions in the specific statute(s) under which application for Federal assistance is being made; and (j) the requirements of any other nondiscrimination statute(s) which may apply to the application. 7. Will comply, or has already complied, with the requirements of Titles II and III of the Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970 (P.L. 91-646) which provide for fair and equitable treatment of persons displaced or whose property is acquired as a result of Federal or federally assisted programs. These requirements apply to all interests in real property acquired for project purposes regardless of Federal participation in purchases. 8. Will comply with the provisions of the Hatch Act (5 U.S.C. Secs. 1501-1508 and 7324-7328) which limit the political activities of employees whose principal employment activities are funded in whole or in part with Federal funds. 9. Will comply, as applicable, with the provisions of the Davis- Bacon Act (40 U.S.C. Secs. 276a to 276a-7), the Copeland Act (40 U.S.C. Sec. 276c and 18 U.S.C. Secs. 874), and the Contract Work Hours and Safety Standards Act (40 U.S.C. Secs. 327-333), regarding labor standards for federally assisted construction subagreements. 10. Will comply, if applicable, with flood insurance purchase requirements of Section 102(a) of the Flood Disaster Protection Act of 1973 (P.L. 93-234) which requires recipients in a special flood hazard area to participate in the program and to purchase flood insurance if the total cost of insurable construction and acquisition is $10,000 or more. 11. Will comply with environmental standards which may be prescribed pursuant to the following: (a) institution of environmental quality control measures under the National Environmental Policy Act of 1969 (P.L. 91-190) and Executive Order (EO) 11514; (b) notification of violating facilities pursuant to EO 11738; (c) protection of wetlands pursuant to EO 11990; (d) evaluation of flood hazards in floodplains in accordance with EO 11988; (e) assurance of project consistency with the approved State management program developed under the Coastal Zone Management Act of 1972 (16 U.S.C. Secs. 1451 et seq.); (f) conformity of Federal actions to State (Clear Air) Implementation Plans under Section 176(c) of the Clean Air Act of 1955, as amended (42 U.S.C. Secs. 7401 et seq.); (g) protection of underground sources of drinking water under the Safe Drinking Water Act of 1974, as amended, (P.L. 93-523); and (h) protection of endangered species under the Endangered Species Act of 1973, as amended, (P.L. 93-205). 12. Will comply with the Wild and Scenic Rivers Act of 1968 (16 U.S.C. Secs. 1271 et seq.) related to protecting components or potential components of the national wild and scenic rivers system. 13. Will assist the awarding agency in assuring compliance with Section 106 of the National Historic Preservation Act of 1966, as amended (16 U.S.C. 470), EO 11593 (identification and protection of historic properties), and the Archaeological and Historic Preservation Act of 1974 (16 U.S.C. 469a-1 et seq.). 14. Will comply with P.L. 93-348 regarding the protection of human subjects involved in research, development, and related activities supported by this award of assistance. 15. Will comply with the Laboratory Animal Welfare Act of 1966 (P.L. 89-544, as amended, 7 U.S.C. 2131 et seq.) pertaining to the care, handling, and treatment of warm blooded animals held for research, teaching, or other activities supported by this award of assistance. 16. Will comply with the Lead-Based Paint Poisoning Prevention Act (42 U.S.C. Secs. 4801 et seq.) which prohibits the use of lead based paint in construction or rehabilitation of residence structures. 17. Will cause to be performed the required financial and compliance audits in accordance with the Single Audit Act of 1984. 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 Attachment E--U.S. Department of Health and Human Services-- Certification Regarding Drug-Free Workplace Requirements Grantees Other Than Individuals By signing and/or submitting this application or grant agreement, the grantee is providing the certification set out below. This certification is required by regulations implementing the Drug-Free Workplace Act of 1988, 45 CFR Part 76, Subpart F. The regulations, published in the May 25, 1990 Federal Register, require certification by grantees that they will maintain a drug-free workplace. The certification set out below is a material representation of fact upon which reliance will be placed when the Department of Health and Human Services (HHS) determines to award the grant. If it is later determined that the grantee knowingly rendered a false certification, or otherwise violates the requirements of the Drug-Free Workplace Act, HHS, in addition to any other remedies available to the Federal Government, may take action authorized under the Drug-Free Workplace Act. False certification or violation of the certification shall be grounds for suspension of payments, suspension or termination of grants, or governmentwide suspension or debarment. Workplaces under grants, for grantees other than individuals, need not be identified on the certification. If known, they may be identified in the grant application. If the grantee does not identify the workplaces at the time of application, or upon award, if there is no application, the grantee must keep the identity of the workplace(s) on file in its office and make the information available for Federal inspection. Failure to identify all known workplaces constitutes a violation of the grantee's drug-free workplace requirements. Workplace identifications must include the actual address of buildings (or parts of buildings) or other sites where work under the grant takes place. Categorical descriptions may be used (e.g., all vehicles of a mass transit authority or State highway department while in operation, State employees in each local unemployment office, performers in concert halls or radio studios.) If the workplace identified to HHS changes during the performance of the grant, the grantee shall inform the agency of the changes(s), if it previously identified the workplaces in question (see above). Definitions of terms in the Nonprocurement Suspension and Debarment common rule and Drug-Free Workplace common rule apply to this certification. Grantees' attention is called, in particular, to the following definitions from these rules: [[Page 16341]] ``Controlled substance'' means a controlled substance in Schedules I through V of the Controlled Substances Act (21 USC 812) and as further defined by regulation (21 CFR 1308.11 through 1308.15). ``Conviction'' means a finding of guilt (including a plea of nolo contendere) or imposition of sentence, or both, by any judicial body charged with the responsibility to determine violations of the Federal or State criminal drug statutes; ``Criminal drug statute'' means a Federal or non-Federal criminal statute involving the manufacture, distribution, dispensing, use, or possession of any controlled substance; ``Employee'' means the employee of a grantee directly engaged in the performance of work under a grant, including: (i) All ``direct charge'' employees; (ii) all ``indirect charge'' employees unless their impact or involvement is insignificant to the performance of the grant; and, (iii) temporary personnel and consultants who are directly engaged in the performance of work under the grant and who are on the grantee's payroll. This definition does not include workers not on the payroll of the grantee (e.g., volunteers, even if used to meet a matching requirement; consultants or independent contractors not on the grantee's payroll; or employees of subrecipients or subcontractors in covered workplaces). The grantee certifies that it will or will continue to provide a drug-free workplace by: (a) Publishing a statement notifying employees that the unlawful manufacture, distribution, dispensing, possession or use of a controlled substance is prohibited in the grantee's workplace and specifying the actions that will be taken against employees for violation of such prohibition; (b) Establishing an ongoing drug-free awareness program to inform employees about: (1) The dangers of drug abuse in the workplace; (2) The grantee's policy of maintaining a drug-free workplace; (3) Any available drug counseling, rehabilitation, and employee assistance programs; and, (4) The penalties that may be imposed upon employees for drug abuse violations occurring in the workplace. (c) Making it a requirement that each employee to be engaged in the performance of the grant be given a copy of the statement required by paragraph (a); (d) Notifying the employee in the statement required by paragraph (a) that, as a condition of employment under the grant, the employee will: (1) Abide by the terms of the statement; and, (2) Notify the employer in writing of his or her conviction for a violation of a criminal drug statute occurring in the workplace no later than five calendar days after such conviction; (e) Notifying the agency in writing, within ten calendar days after receiving notice under subparagraph (d)(2) from an employee or otherwise receiving actual notice of such conviction. Employers of convicted employees must provide notice, including position title, to every grant officer or other designee on whose grant activity the convicted employee was working, unless the Federal agency has designated a central point for the receipt of such notices. Notice shall include the identification number(s) of each affected grant; (f) Taking one of the following actions, within 30 calendar days of receiving notice under subparagraph (d)(2), with respect to any employee who is so convicted: (1) Taking appropriate personnel action against such an employee, up to and including termination, consistent with the requirements of the Rehabilitation Act of 1973, as amended; or, (2) Requiring such employee to participate satisfactorily in a drug abuse assistance or rehabilitation program approved for such purposes by a Federal, State, or local health, law enforcement, or other appropriate agency; (g) Making a good faith effort to continue to maintain a drug- free workplace through implementation of paragraphs (a), (b), (c), (d), (e) and (f). The grantee may insert in the space provided below the site(s) for the performance of work done in connection with the specific grant (use attachments, if needed): Place of Performance (Street address, City, County, State, ZIP Code ---------------------------------------------------------------------- ---------------------------------------------------------------------- Check ____ if there are workplaces on file that are not identified here. Sections 76.630(c) and (d)(2) and 76.635 (a)(1) and (b) provide that a Federal agency may designate a central receipt point for STATE-WIDE AND STATE AGENCY-WIDE certifications, and for notification of criminal drug convictions. For the Department of Health and Human Services, the central receipt point is: Division of Grants Management and Oversight, Office of Management and Acquisition, Department of Health and Human Services, Room 517-D, 200 Independence Avenue, S.W., Washington, DC 20201. Attachment F--Certification Regarding Debarment, Suspension, and Other Responsibility Matters--Primary Covered Transactions By signing and submitting this proposal, the applicant, defined as the primary participant in accordance with 45 CFR Part 76, certifies to the best of its knowledge and belief that it and its principals: (a) are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transactions by any Federal Department or agency; (b) have not within a 3-year period preceding this proposal been convicted of or had a civil judgment rendered against them for obtaining, attempting to obtain, or performing a public (Federal, State, or local) transaction or contract under a public transaction; violation of Federal or State antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property. (c) are not presently indicated or otherwise criminally or civilly charged by a governmental entity (Federal, State or local) with commission of any of the offenses enumerated in paragraph (1)(b) of this certification; and (d) have not within a 3-year period preceding this application/ proposal had one or more public transactions (Federal, State or local) terminated for cause or default. The inability of a person to provide the certification required above will not necessarily result in denial of participation in this covered transaction. If necessary, the prospective participant shall submit an explanation of why it cannot provide the certification. The certification or explanation will be considered in connection with the Department of Health and Human Services' (HHS) determination whether to enter into this transaction. However, failure of the prospective primary participant to furnish a certification or an explanation shall disqualify such person from participation in this transaction. The prospective primary participant agrees that by submitting this proposal, it will include the clause entitled ``Certification Regarding Debarment, Suspension, Ineligibility, and Voluntary Exclusion--Lower Tier Covered Transactions'' provided below without modification in all lower tier covered transactions and in all solicitations for lower tier covered transactions. Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion--Lower Tier Covered Transactions (To Be Supplied to Lower Tier Participants) By signing and submitting this lower tier proposal, the prospective lower tier participant, as defined in 45 CFR Part 76, certifies to the best of its knowledge and belief that it and its principals: (a) are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any Federal department of agency. (b) where the prospective lower tier participant is unable to certify to any of the above, such prospective participant shall attach an explanation to this proposal. The prospective lower tier participant further agrees by submitting this proposal that it will include this clause entitled ``Certification Regarding Debarment, Suspension, Ineligibility, and Voluntary Exclusion--Lower Tier Covered Transactions'' without modification in all lower tier covered transactions and in all solicitations for lower tier covered transactions. Attachment G--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 [[Page 16342]] Alabama Jon C. Strickland, Alabama Department of Economic and Community Affairs, Planning and Economic Development Division, 401 Adams Avenue, Montgomery, Alabama 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) 961-4266 Mississippi Cathy Malette, Clearinghouse Officer, Department of Finance and Administration, 455 North Lamar Street, Jackson, Mississippi 39202- 3087, Telephone: (601) 359-6762, Fax: (601) 359-6764 Missouri Lois Pohl, Federal Assistance Clearinghouse, Office of Administration, P.O. Box 809, Room 760, Truman Building, Jefferson City, Missouri 65102, Telephone: (314) 751-4834, Fax: (314) 751-7819 Nevada Department of Administration, State Clearinghouse, Capitol Complex, Carson City, Nevada 89710, Telephone: (702) 687-4065, Fax: (702) 687-3983 New Hampshire Jeffrey H. Taylor, Director, New Hampshire Office of State Planning, Attn: Intergovernmental Review Process, Mike Blake, 2\1/2\ Beacon Street, Concord, New Hampshire 03301, Telephone: (603) 271-2155, Fax: (603) 271-1728 New 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, 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 [[Page 16343]] 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 Attachment H--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 subcontractors, subgrants, and contracts under grants, loans, and cooperative agreements) and that all subrecipients shall certify and disclose accordingly. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. State for Loan Guarantee and Loan Insurance The undersigned states, to the best of his or her knowledge and belief, that: If any funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this commitment providing for the United States to insure or guarantee a loan, the undersigned shall complete and submit Standard Form-LLL ``Disclosure Form to Report Lobbying,'' in accordance with its instructions. Submission of this statement is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required statement shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. ---------------------------------------------------------------------- Signature ---------------------------------------------------------------------- Title ---------------------------------------------------------------------- Organization ---------------------------------------------------------------------- Date BILLING CODE 4184-01-P [[Page 16344]] [GRAPHIC] [TIFF OMITTED] TN12AP96.003 BILLING CODE 4184-01-C [[Page 16345]] Attachment I Optional Checklist (for Use of Applicant Only) to Verify Contents of Application ------------------------------------------------------------------------ Check ------------------------------------------------------------------------ A. Application contains: 1. Table of Contents............................... [ ] 2. A Project Abstract (no more than 200 words)..... [ ] 3. Completed SF-424, Application for Federal Assistance........................................ [ ] 4. Completed SF-424A, Budget Information--Non- construction Programs............................. [ ] 5. Signed SF 424B, Assurances--Non-Construction Programs.......................................... [ ] 6. A project narrative with the following components: a. Analysis of need............................ [ ] b. Project design.............................. [ ] c. Organizational experience in program........ [ ] d. Management history.......................... [ ] e. Staffing and resources (resume or job description).................................. [ ] f. Staff responsibilities...................... [ ] 7. Relevant portions of the organization's By-Laws or Articles of Incorporation confirming eligibility....................................... [ ] 8. A signed copy of Certification Regarding the Anti-Lobbying Provision........................... [ ] 9. A completed Disclosures of Lobbying Activities Form, if appropriate.............................. [ ] 10. A self-addressed mailing label which can be used to acknowledge receipt of application........ [ ] B. Application does not exceed a total of 30 pages..... [ ] C. Application includes one original and four copies, printed on white 8-\1/2\ by 11 inch paper............. [ ] D. Applicant is aware that in signing and submitting the application for funds under the CFN Program, it is certifying that it has read and understood the Federal Guidelines concerning a drug-free workplace, the debarment regulations, and environmental tobacco smoke, set forth in Attachments C, D and E respectively.......................................... [ ] ------------------------------------------------------------------------ Attachment J--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 $1000 per day and/or the imposition of an administrative compliance order on the responsible entity. By signing and submitting this application the applicant/grantee certifies that it will comply with the requirements of the Act. The applicant/grantee further agrees that is will require the language of the certification be included in any subawards which contain provisions for children's services and that all subgrantees shall certify accordingly. Attachment K--Checklist for Use in Submitting OCS Grant Applications (Optional) The application should contain: 1. A completed, signed SF-424, ``Application for Federal assistance''. The letter code for the priority area e.g., (UR) should be in the lower right hand corner. 2. A completed ``Budget Information--Non-Construction'' (SF- 424A); 3. A signed ``Assurances--Non-Construction'' (SF-424A); 4. A Project Abstract 5. A Project Narrative beginning with a Table of Contents that describes the project in the following order: (a) Eligibility Confirmation (b) Analysis of Need (except for Sub-Priority 1.5) (c) Organizational Experience in Program Area and Staff Responsibilities (1) Organizational experience in program area (2) Staff Skills, Resources and Responsibilities (d) Project Implementation (Business Plan) (1) The Business and Its Industry (2) Products and Services (e) Significant and Beneficial Impacts (1) Significant and Beneficial Impacts (2) Cost Per Job (3) Career Development Opportunities (f) Public/Private Partnerships (g) Budget Appropriateness and Reasonableness (h) Appendices (including relevant sections of By-Laws and/or Articles of Incorporation which confirm applicant's eligibility as a CDC; proof of non-profit status where applicable; resumes, written agreements re grants, coordination with JOBS, etc.; Single Point of Contact comments (where applicable); certification regarding anti- lobbying activities; anti-smoking assurance; and a disclosure of lobbying activities. 6. A signed copy of ``Certification Regarding Anti-Lobbying Activities.'' 7. A completed ``Disclosures of Lobbying Activities'', if appropriate; and 8. A self-addressed mailing label which can be affixed to a notice to acknowledge receipt of application. The application should not exceed a total of 65 pages for applications submitted under sub-priority areas 1.1, 1.2, and 1.4 and 30 pages for all applications submitted under the other sub- priority areas. It should include one original and four identical copies, printed on white 8\1/2\ by 11 inch paper only. Applications should be two holed punched at the top center and fastened with a compressor slide paper fastener or a binder clip. All pages should be numbered. [FR Doc. 96-8594 Filed 4-11-96; 8:45 am] BILLING CODE 4184-01-P