[Federal Register Volume 61, Number 156 (Monday, August 12, 1996)] [Notices] [Pages 41896-41922] From the Federal Register Online via the Government Publishing Office [www.gpo.gov] [FR Doc No: 96-20365] [[Page 41895]] _______________________________________________________________________ Part III Department of Health and Human Services _______________________________________________________________________ Administration for Children and Families _______________________________________________________________________ Developmental Disabilities: Availability of Financial Assistance for Projects of National Significance for Fiscal Year 1996; Notice Federal Register / Vol. 61, No. 156 / Monday, August 12, 1996 / Notices [[Page 41896]] DEPARTMENT OF HEALTH AND HUMAN SERVICES Administration for Children and Families [Program Announcement No. 93631-96-03] Developmental Disabilities: Availability of Financial Assistance for Projects of National Significance for Fiscal Year 1996 AGENCY: Administration on Developmental Disabilities (ADD), Administration for Children and Families (ACF). ACTION: Announcement of availability of financial assistance for Projects of National Significance for fiscal year 1996. ----------------------------------------------------------------------- SUMMARY: The Administration on Developmental Disabilities, Administration for Children and Families, announces that applications are being accepted for funding of Fiscal Year 1996 Projects of National Significance. This program announcement consists of five parts. Part I, the Introduction, discusses the goals and objectives of ACF and ADD. Part II provides the necessary background information on ADD for applicants. Part III describes the review process. Part IV describes the priority under which ADD solicits applications for Fiscal Year 1996 funding of projects. Part V describes in detail how to prepare and submit an application. All of the forms and instructions necessary to submit an application are published as part of this announcement following Part V. No separate application kit is either necessary or available for submitting an application. If you have a copy of this announcement, you have all the information and forms required to submit an application. Grants will be awarded under this program announcement subject to the availability of funds for support of these activities. DATE: The closing date for submittal of applications under this announcement is September 11, 1996. ADDRESSES: Applications should be mailed to: Department of Health and Human Services, ACF/Division of Discretionary Grants, Sixth Floor, 370 L'Enfant Promenade SW, Washington, DC 20447, Attn: 93.631 ADD--Projects of National Significance. 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 weekends and Federal holidays). Any applications received after 4:30 p.m. on the deadline date will not be considered for competition. Applicants using express/overnight services should allow two working days prior to the deadline date for receipt of applications. (Applicants are cautioned that express/overnight mail services do not always deliver as agreed.) FOR FURTHER INFORMATION CONTACT: Adele Gorelick, Program Development Division, Administration on Developmental Disabilities, (202) 690-5982. SUPPLEMENTARY INFORMATION: Part I. General Information A. Goals of the Administration on Developmental Disabilities The Administration on Developmental Disabilities (ADD) is located within the Administration for Children and Families (ACF), Department of Health and Human Services (DHHS). Although different from the other ACF program administrations in the specific populations it serves, ADD shares a common set of goals that promote the economic and social well- being of families, children, individuals and communities. Through national leadership, ACF and ADD envision:Families and individuals empowered to increase their own economic independence and productivity; Strong, healthy, supportive communities having a positive impact on the quality of life and the development of children; Partnerships with individuals, front-line service providers, communities, States and Congress that enable solutions which transcend traditional agency boundaries; Services planned and integrated to improve client access; A strong commitment to working with Native Americans, persons with developmental disabilities, refugees and migrants to address their needs, strengths and abilities; and A community-based approach that recognizes and expands on the resources and benefits of diversity. Emphasis on these goals and progress toward them will help more individuals, including people with developmental disabilities, to live productive and independent lives integrated into their communities. The Projects of National Significance Program is one means through which ADD promotes the achievement of these goals. B. Purpose of the Administration on Developmental Disabilities The Administration on Developmental Disabilities (ADD) is the lead agency within ACF and DHHS responsible for planning and administering programs which promote the self-sufficiency and protect the rights of persons with developmental disabilities. The Developmental Disabilities Assistance and Bill of Rights Act (42 U.S.C. 6000, et seq.) (the Act) supports and provides assistance to States and public and private nonprofit agencies and organizations to assure that individuals with developmental disabilities and their families participate in the design of and have access to culturally competent services, supports, and other assistance and opportunities that promote independence, productivity, integration and inclusion into the community. In the Act, Congress expressly found that: Disability is a natural part of the human experience that does not diminish the right of individuals with developmental disabilities to enjoy the opportunity for independence, productivity, integration and inclusion into the community; Individuals whose disabilities occur during their developmental period frequently have severe disabilities that are likely to continue indefinitely; Individuals with developmental disabilities often require lifelong specialized services and assistance, provided in a coordinated and culturally competent manner by many agencies, professionals, advocates, community representatives, and others to eliminate barriers and to meet the needs of such individuals and their families; The Act further established as the policy of the United States: Individuals with developmental disabilities, including those with the most severe developmental disabilities, are capable of achieving independence, productivity, integration and inclusion into the community, and often require the provision of services, supports and other assistance to achieve such; Individuals with developmental disabilities have competencies, capabilities and personal goals that [[Page 41897]] should be recognized, supported, and encouraged, and any assistance to such individuals should be provided in an individualized manner, consistent with the unique strengths, resources, priorities, concerns, abilities, and capabilities of the individual; Individuals with developmental disabilities and their families are the primary decision makers regarding the services and supports such individuals and their families receive; and play decision making roles in policies and programs that affect the lives of such individuals and their families; and It is in the nation's interest for people with developmental disabilities to be employed, and to live conventional and independent lives as a part of families and communities. Toward these ends, ADD seeks to enhance the capabilities of families in assisting people with developmental disabilities to achieve their maximum potential to support the increasing ability of people with developmental disabilities to exercise greater choice and self- determination; to engage in leadership activities in their communities; as well as to ensure the protection of their legal and human rights. The four programs funded under the Act are: Federal assistance to State developmental disabilities councils; State system for the protection and advocacy of individual rights; Grants to University Affiliated Programs for interdisciplinary training, exemplary services, technical assistance, and information dissemination; and Grants for Projects of National Significance. C. Statutory Authorities Covered Under This Announcement The Developmental Disabilities Assistance and Bill of Rights Act of 1994, 42 U.S.C. 6000, et seq. The Projects of National Significance is Part E of the Developmental Disabilities Assistance and Bill of Rights Act of 1994, 42 U.S.C. 6081, et seq. Part II. Background Information For Applicants A. Description of Projects of National Significance Under Part E of the Act, grants and contracts are awarded for projects of national significance that support the development of national and State policy to enhance the independence, productivity, and integration and inclusion of individuals with developmental disabilities through: Data collection and analysis; Technical assistance to enhance the quality of State developmental disabilities councils, protection and advocacy systems, and university affiliated programs; and Other projects of sufficient size and scope that hold promise to expand or improve opportunities for people with developmental disabilities, including: --Technical assistance for the development of information and referral systems; --Educating policy makers; --Federal interagency initiatives; --The enhancement of participation of minority and ethnic groups in public and private sector initiatives in developmental disabilities; --Transition of youth with developmental disabilities from school to adult life; and --Special pilots and evaluation studies to explore the expansion of programs under part B (State developmental disabilities councils) to individuals with severe disabilities other than developmental disabilities. B. Comments on FY 1996 Proposed Priority Areas The notice soliciting comments on the FY 1996 proposed priority areas was published in the Federal Register on April 12, 1996 (60 FR 2760). A 60-day period was required to allow the public to comment on the proposed areas. After review and analysis of these comments, ADD is publishing its final priority in this announcement. The public comment notice requested specific comments and suggestions on the proposed funding priority and recommendations for additional priority areas to help bring about the increased independence, productivity, and integration into the community of people with developmental disabilities. ADD received 105 letters by the closing date in response to the public comment notice. Commentary was from the following sources: Advocacy agencies, including national organizations and associations, national advocacy groups and State/local advocacy groups; Service organizations, including agencies that provide services for individuals with developmental disabilities as well as providing advocacy services on behalf of a particular disability, including developmental disabilities councils; Educational systems, including schools, colleges, and universities, programs located within a university setting and University Affiliated Programs; Private agencies, including national, State, and local nonprofit organizations; Government agencies, including Federal, State, county, and local government agencies; Private individuals; and Foundations. Comments ranged from requests for copies of the final application solicitation, to general support, to substantive, insightful responses for this year's proposed funding priority and recommendations for other priority areas. The vast majority supported and expanded upon what we proposed in the announcement, in addition to relating specifically to the program goals and priorities of the particular agencies submitting the comments. The comments helped highlight the concerns of the developmental disabilities field and have been used in refining the final priority area. Comment: Twenty-two letters recommended additional funding priorities for FY 1996. Suggestions included projects addressing: the need for best practices in service delivery as related to direct care/ supports and the development of curriculum; inclusion activities in the adult population that empower adults and family members; information on the impact of creative arts experiences on children and adults with developmental disabilities; effective models of community-based support or community building; data collection and analysis on the employment and economic status of adults with mental retardation who participate in sheltered workshop programs; providing on-going support services to individuals who don't need intensive services; the use of personal futures planning with youths with developmental disabilities in juvenile institutions; exploring inclusion within generic community development; support to the rehabilitation, training, and service delivery networks which serve children at-risk and with special needs; exploring the applicability of the Baldridge principles to Developmental Disabilities Councils; developing a system to identify clinical guidelines/pathways/protocols appropriate to the long-term health needs of persons with disabilities who receive medicaid managed care services; collecting consumer input on major topics through electronic town meetings; interdisciplinary training and coordination of medical and educational professionals to promote early and accurate diagnosis and treatment of individuals with learning disabilities; consumers and families having access to information on services and programs at [[Page 41898]] the local, state, and federal levels; studying the characteristics of successful systems change activities; studies on rare disorders and orphan diseases; and pilot testing and further development of outcome measures model for ADD's component programs. Response: Inclusion and integration of individuals with developmental disabilities is a key element in the mission and purpose of ADD. ADD funding priorities have always required projects to be implemented in an inclusive manner and inclusiveness is a thread that runs through all facets of ADD. The comments on the need for continued efforts to promote and achieve inclusiveness whether in building bridges with generic community resources, assisting those to return to their communities after incarceration, or exploring total quality management principles to improve our programs and services represent the gauges/measures that indicate directions for change. Our commitment to inclusiveness is reflected in ADD's existing PNS projects in child care, criminal justice, first jobs and others. Managed care is an emerging trend that is rapidly becoming the major means to secure health care services for low-income, publicly assisted individuals. ADD is very much aware of the issues and problems encountered by people with developmental disabilities and their families. We share the concerns of many people in the field of developmental disabilities and will explore ways for ADD to play a role in assisting States and others to ensure that managed care plans are equitable and appropriate for all. There were a few inquiries about the technical assistance projects for the three developmental disabilities programs not being included in this announcement. These contracts are not expiring this year; thus they do not need to be competed. ADD appreciates the suggestions for additional priority areas. It is a valuable process that allows ADD to gain insight into the strengths and weaknesses of programs and services at the community level, and identify avenues to explore for improvement. These comments are a reminder that the goals of independence, integration, productivity, and integration of individuals with developmental disabilities have not been fulfilled and that we must be vigilant in their pursuit. We hope that the next fiscal year will allow us to offer an array of project possibilities and at that time your suggestions for new priority areas will be most helpful. Comment: ADD received 83 comments on the Proposed Priority Area, Ongoing Data Collection and Information Dissemination. There was strong support for the data collection projects; especially the National Study of Public Spending. Many letters cited the usefulness of the data in comparing progress with other States; as a benchmark for measuring effectiveness; in preparing legislative budget requests; and in analyzing trends and project future needs and service costs. One commenter noted, ``The current projects funded under this priority area are essential to policy makers, state planning agencies, advocates, educational institutions and service providers.'' Others stated that the information isn't available from any other source, no one State or organization has the capability to collect and assess such data, and it's vital for developing of both State and national policy. A common concern expressed by many was that the current effort to curtail spending makes it more critical to keep track of where money is going and how it's being used. Another reported that the ``Data is particularly important as we try to address cultural competence and service equity within our state.'' The need to develop employment models involving trends and analyses that accurately predict employment outcomes of persons with developmental disabilities was a suggested addition to the employment data study. Systemic factors that both impede and motivate organizations and agencies to restructure in order to provide integrated employment should be studied. Dissemination is a critical piece of these data collection projects and the importance of making this information available and accessible to a broader community via the internet or by some other means was suggested as a focus for these projects. New data bases were suggested; one that would study the use by young families of generic community resources versus the existing special delivery system; another on the outcomes experienced by individuals with disabilities who receive publicly funded residential services; and a third that would examine the impact of managed care and changes in Federal-State partnerships. The comprehensiveness and comparability of the data bases to capture such information as the environments where people receive services and how much is spent per person served and how one State compares with other States was expressed as a needed change. Response: ADD was very pleased to receive such positive comments about its three data collection projects. At this time when we are moving toward outcome measurements that indicate impact and quality we can look toward the work of these projects as examples. Yet we know we must continue striving to improve the lives of persons with developmental disabilities and their families; your suggestions have given ADD ideas for doing so. Because the Internet has enormous potential for accessing and sharing information, we would expect these projects, along with newly funded PNS initiatives, to explore this and other forms of effective, accessible, and affordable communication and technical assistance to those who may have an interest. Part III. The Review Process A. Eligible Applicants Before applications are reviewed, each will be screened to determine that the applicant is eligible for funding as specified under the selected priority area. Applications from organizations which do not meet the eligibility requirements for the priority area will not be considered or reviewed in the competition, and the applicant will be so informed. Only public or non-profit private entities, not individuals, are eligible to apply under any of the priority areas. All applications developed jointly by more than one agency or organization must identify only one organization as the lead organization and official applicant. The other participating agencies and organizations can be included as co-participants, subgrantees or subcontractors. Nonprofit organizations must submit proof of nonprofit status in their applications at the time of submission. One means of accomplishing this is by providing a copy of the applicant's listing in the Internal Revenue Service's most recent list of tax-exempt organizations described in section 501 (c)(3) of the IRS code or by providing a copy of the currently valid IRS tax exemption certificate, or by providing a copy of the articles of incorporation bearing the seal of the State in which the corporation or association is domiciled. ADD cannot fund a nonprofit applicant without acceptable proof of its nonprofit status. B. Review Process and Funding Decisions Timely applications from eligible applicants received by the deadline date [[Page 41899]] will be reviewed and scored competitively. Experts in the field, generally persons from outside of the Federal government, will use the appropriate evaluation criteria listed later in this Part to review and score the applications. The results of this review are a primary factor in making funding decisions. ADD reserves the option of discussing applications with, or referring them to, other Federal or non-Federal funding sources when this is determined to be in the best interest of the Federal government or the applicant. It may also solicit comments from ADD Regional Office staff, other Federal agencies, interested foundations, national organizations, specialists, experts, States and the general public. These comments, along with those of the expert reviewers, will be considered by ADD in making funding decisions. In making decisions on awards, ADD will consider whether applications focus on or feature: services to culturally diverse or ethnic populations among others; a substantially innovative strategy with the potential to improve theory or practice in the field of human services; a model practice or set of procedures that holds the potential for replication by organizations administering or delivering of human services; substantial involvement of volunteers; substantial involvement (either financial or programmatic) of the private sector; a favorable balance between Federal and non-Federal funds available for the proposed project; the potential for high benefit for low Federal investment; a programmatic focus on those most in need; and/or substantial involvement in the proposed project by national or community foundations. To the greatest extent possible, efforts will be made to ensure that funding decisions reflect an equitable distribution of assistance among the States and geographical regions of the country, rural and urban areas, and ethnic populations. In making these decisions, ADD may also take into account the need to avoid unnecessary duplication of effort. C. Evaluation Criteria Using the evaluation criteria below, a panel of at least three reviewers (primarily experts from outside the Federal government) will review the applications. To facilitate this review, applicants should ensure that they address each minimum requirement in the priority area description under the appropriate section of the Program Narrative Statement. Reviewers will determine the strengths and weaknesses of each application in terms of the evaluation criteria, provide comments, and assign numerical scores. The point value following each criterion heading indicates the maximum numerical weight that each section may be given in the review process. All applications will be evaluated against the following criteria: 1. Objectives and Need for Assistance (20 points) The extent to which the application pinpoints any relevant physical, economic, social, financial, institutional or other problems requiring a solution; demonstrates the need for the assistance; states the principal and subordinate objectives of the project; provides supporting documentation or other testimonies from concerned interests other than the applicant; and includes and/or footnotes relevant data based on the results of planning studies. The application must identify the precise location of the project and area to be served by the proposed project. Maps and other graphic aids should be attached. 2. Results or Benefits Expected (20 points) The extent to which the application identifies the results and benefits to be derived, the extent to which they are consistent with the objectives of the application, and the extent to which the application indicates the anticipated contributions to policy, practice, theory and/or research. The extent to which the proposed project costs are reasonable in view of the expected results. 3. Approach (35 points) The extent to which the application outlines a sound and workable plan of action pertaining to the scope of the project, and details how the proposed work will be accomplished; cites factors which might accelerate or decelerate the work, giving acceptable reasons for taking this approach as opposed to others; describes and supports any unusual features of the project, such as design or technological innovations, reductions in cost or time, or extraordinary social and community involvements; and provides for projections of the accomplishments to be achieved. Activities to be carried out should be listed in chronological order, showing a reasonable schedule of accomplishments and target dates. The extent to which, when applicable, the application identifies the kinds of data to be collected and maintained, and discusses the criteria to be used to evaluate the results and successes of the project. The extent to which the application describes the evaluation methodology that will be used to determine if the needs identified and discussed are being met and if the results and benefits identified are being achieved. The application also lists each organization, agency, consultant, or other key individuals or groups who will work on the project, along with a description of the activities and nature of their effort or contribution. 4. Staff Background and Organization's Experience (25 points) The application identifies the background of the project director/ principal investigator and key project staff (including name, address, training, educational background and other qualifying experience) and the experience of the organization to demonstrate the applicant's ability to effectively and efficiently administer this project. The application describes the relationship between this project and other work planned, anticipated or under way by the applicant which is being supported by Federal assistance. D. Structure of Priority Area Descriptions The priority area description is composed of the following sections: Eligible Applicants: This section specifies the type of organization which is eligible to apply under the particular priority area. Specific restrictions are also noted, where applicable. Purpose: This section presents the basic focus and/or broad goal(s) of the priority area. Background Information: This section briefly discusses the legislative background as well as the current state-of-the-art and/or current state-of-practice that supports the need for the particular priority area activity. Relevant information on projects previously funded by ACF and/or other State models are noted, where applicable. Minimum Requirements for Project Design: This section presents the basic set of issues that must be addressed in the application. Typically, they relate to project design, evaluation, and community involvement. This section also asks for specific information on the proposed project. Inclusion and discussion of these items is important since they will be used by the reviewers to evaluate the applications against the evaluation criteria. Project products, continuation of the project after Federal support ceases, and dissemination/utilization activities, if appropriate, are also addressed. [[Page 41900]] Project Duration: This section specifies the maximum allowable length of the project period; it refers to the amount of time for which Federal funding is available. Federal Share of Project Costs: This section specifies the maximum amount of Federal support for the project. Matching Requirement: This section specifies the minimum non-Federal contribution, either cash or in-kind match, required. Anticipated Number of Projects To Be Funded: This section specifies the number of projects ADD anticipates funding under the priority area. CFDA: This section identifies the Catalog of Federal Domestic Assistance (CFDA) number and title of the program under which applications in this priority area will be funded. This information is needed to complete item 10 on the SF 424. Please note that applications that do not comply with the specific priority area requirements in the section on ``Eligible Applicants'' will not be reviewed. Applicants must clearly identify the specific priority area under which they wish to have their applications considered, and tailor their applications accordingly. Experience has shown that an application which is broader and more general in concept than outlined in the priority area description is less likely to score as well as an application more clearly focused on, and directly responsive to, the concerns of that specific priority area. E. Available Funds ADD intends to award new grants resulting from this announcement during the fourth quarter of fiscal year 1996, subject to the availability of funding. The size of the awards will vary. Each priority area description includes information on the maximum Federal share of the project costs and the anticipated number of projects to be funded. The term ``budget period'' refers to the interval of time (usually 12 months) into which a multi-year period of assistance (project period) is divided for budgetary and funding purposes. The term ``project period'' refers to the total time a project is approved for support, including any extensions. Where appropriate, applicants may propose shorter project periods than the maximums specified in the various priority areas. Non-Federal share contributions may exceed the minimums specified in the various priority areas. For multi-year projects, continued Federal funding beyond the first budget period, but within the approved project period, is subject to the availability of funds, satisfactory progress of the grantee and a determination that continued funding would be in the best interest of the Government. F. Grantee Share of Project Costs Grantees must provide at least 25% of the total approved cost of the project. The total approved cost of the project is the sum of the ACF share and the non-Federal share. The non-Federal share may be met by cash or in-kind contributions, although applicants are encouraged to meet their match requirements through cash contributions. Therefore, a project requesting $100,000 in Federal funds (based on an award of $100,000 per budget period) must include a match of at least $33,333 (25% total project cost). Applications originating from American Samoa, Guam, the Virgin Islands, and the Commonwealth of the Northern Mariana Islands are exempted from the grantee cost-sharing requirements. Applications from these jurisdictions are covered under Section 501(d) of Public Law 95- 134, which requires that the Department waive ``any requirement for local matching funds for grants under $200,000.'' The applicant contribution must generally be secured from non- Federal sources. Except as provided by Federal statute, a cost-sharing or matching requirement may not be met by costs borne by another Federal grant. However, funds from some Federal programs benefitting Tribes and Native American organizations have been used to provide valid sources of matching funds. If this is the case for a Tribe or Native American organization submitting an application to ADD, that organization should identify the programs which will be providing the funds for the match in its application. If the application successfully competes for PNS grant funds, ADD will determine whether there is statutory authority for this use of the funds. The Administration for Native Americans and the DHHS Office of General Counsel will assist ADD in making this determination. G. Cooperation in Evaluation Efforts Grantees funded by ADD may be requested to cooperate in evaluation efforts funded by ADD. The purpose of these evaluation activities is to learn from the combined experience of multiple projects funded under a particular priority area. H. Closed Captioning for Audiovisual Efforts Applicants are encouraged to include ``closed captioning'' in the development of any audiovisual products. Part IV. Fiscal Year 1996 Priority Area for Projects of National Significance--Description and Requirements The following section presents the final priority area for Fiscal Year 1996 Projects of National Significance (PNS) and solicits the appropriate applications. Fiscal Year 1996 Priority Area: Ongoing Data Collection and Information Dissemination Eligible Applicants: State agencies, public or private nonprofit organizations, institutions or agencies. Purpose: Under this priority area, ADD will award grant funds through a cooperative agreement which will collect data on public expenditures, employment and economic status, residential services, and other factors as they impact the independence, productivity, integration and inclusion into the community of persons with developmental disabilities. ADD is particularly interested in the maximum use of existing data bases and in fostering the broadest dissemination to, and use of, the data by consumers, families and advocacy audiences. Examples of successful projects that ADD has funded include: University of Minnesota: National Recurring Data Set Project on Residential Services--Ongoing National and State-by-State Data Collection and Policy/Impact Analysis on Residential Services for Persons with Developmental Disabilities (Charles Lakin: 612/624-2097) University of Illinois at Chicago: Fourth National Study of Public Mental Retardation/Developmental Disabilities Spending (David Braddock: 312/413-1647) Boston Children's Hospital: Ongoing National Collection on Data and Employment Services for Citizens with Developmental Disabilities (Bill Kiernan: 617/735-6506) Examples of projects include activities which would: Identify, collect and disseminate new data bases. Modify, expand and/or reformulate existing data bases. Connect, integrate or analyze available data bases. Project and model the cost-benefit impact of alternative future decisions based on the analysis of discrete programmatic options in the areas of residential services and employment. [[Page 41901]] Allow for the comprehensiveness and comparability of data bases. Minimum Requirements for Project Design: Given its interest in promoting the increased independence, productivity, integration and inclusion of people with developmental disabilities in a cost-beneficial manner, ADD is open to applications that address additional quantitative and qualitative analysis in the following areas: Trends in the movement of people with developmental disabilities from institutional to community settings (especially domiciles of their own) and the outcomes experienced by individuals with disabilities who receive publicly funded residential services. The impact of managed care plans on the delivery and efficacy of residential and support services to individuals with developmental disabilities, and on the relationship between Federal and State governments. The efficacy of various approaches to the full inclusion of people with developmental disabilities in local community activities where the majority of participants do not have a disability. The employment status of people with developmental disabilities on a state and national basis. Employment models that accurately predict employment outcomes of persons with developmental disabilities, and the systemic factors that lead to integrated employment. The use of generic community resources versus the existing special delivery system by people with developmental disabilities and their families. Any sampling techniques used as part of this analysis should be broadly representative of persons with developmental disabilities of employment age on a national basis, including people with severe disabilities. Quantitative data should provide statistical information on current placement patterns and their cost as well as projections regarding future placement options and associated costs. It is also recognized that certain areas may be more appropriate for qualitative analysis, although a summary of any quantitative data (if available) should be included in the proposal. All projects funded under this priority area must provide evidence of the soundness of their proposed research methods and analytic techniques. In addition, proposals should clearly delineate (via a comprehensive literature review) existing data sets, how these data sets will be incorporated into the research design, and what new knowledge will be gained through the proposed project. All projects shall provide for the widespread distribution of their products (reports, summary documents, audio-visual materials, and the like) in accessible formats to a national audience consisting of, at a minimum, people with developmental disabilities and their families, advocacy groups, State Developmental Disabilities Councils, Protection and Advocacy Systems, University Affiliated Programs, State Mental Retardation/ Developmental Disabilities Directors, State Governor's Offices, Federal agencies represented on the Interagency Committee on Developmental Disabilities, as well as the Secretaries of Health and Human Services and Education at the federal level. Applications should also include provisions for the travel of two key personnel during the first and last years of the project to Washington, DC for a one-day meeting with ADD staff. The application must also respond to the following: Describe the physical setting, the administrative and organizational structure within which the program will function, and internal and external organizational relationships relevant to this project. Include charts outlining these relationships, and any formal agreements defining them in the appendices. Describe staff, space, equipment, research facilities, and other supports available to carry out the project. Describe briefly how the additional resources sought to accomplish the purposes of this effort will be integrated into, and augmented by, other resources available to, or accessible by, the applicant. Develop and implement an evaluation process to ensure that systematic, objective information is available about the utilization and effectiveness of the products of this project. Specific outcomes must be built into the project for evaluation. The evaluation should be performed by an independent evaluator. As noted earlier, the award will be made as a cooperative agreement. While an organization receiving an award will not be conducting its project on behalf of ADD, ADD and the awardee will work cooperatively in developing and implementing the project's agenda as described below. Under the cooperative agreement mechanism, ADD and the awardees will share responsibility for planning the objectives of the projects. Awardees will have the primary responsibility for developing and implementing the activities of the project. ADD will jointly participate with awardees in such activities as: clarifying the specific issue areas to be addressed through periodic briefings and ongoing consultation; sharing with awardees its knowledge of the issues addressed by past and current projects; and providing feedback to awardees about the usefulness to the field of written products and information sharing activities. Details of the relationship between ADD and awardees will be set forth in the cooperative agreement to be developed and signed prior to issuance of the award. Project Duration: This announcement solicits applications for project periods up to three years. Awards, on a competitive basis, will be for a one-year budget period, although project periods may be for three years. Applications for continuation grants funded under this priority area beyond the one-year budget period, but within the three year project period, will be entertained in subsequent years on a non- competitive basis, subject to the availability of funds, satisfactory progress of the grantee and determination that continued funding would be in the best interest of the Government. Federal Share of Project Costs: The maximum Federal share is not to exceed $200,000 for the first 12-month budget period or a maximum of $600,000 for a 3-year project period. Matching Requirement: The minimum non-Federal matching requirement in proportion to the maximum Federal share of $600,000 is $200,000 for a 3-year project period. This constitutes 25 percent of the total project budget. Anticipated Number of Projects to be Funded: It is anticipated that at least three data collection projects will be funded. CFDA: ADD's CFDA (Code of Federal Domestic Assistance) number is 93.631--Developmental Disabilities--Projects of National Significance. This information is needed to complete item 10 on the SF 424. Part V. Instructions for the Development and Submission of Applications This Part contains information and instructions for submitting applications in response to this announcement. Application forms are provided along with a checklist for assembling an application package. Please copy and use these forms in submitting an application. [[Page 41902]] Potential applicants should read this section carefully in conjunction with the information contained within the specific priority area under which the application is to be submitted. The priority area descriptions are in Part IV. A. Required Notification of the State Single Point of Contact All applications under the ADD priority areas are required to follow the Executive Order (E.O.) 12372 process, ``Intergovernmental Review of Federal Programs,'' and 45 CFR Part 100, ``Intergovernmental Review of Department of Health and Human Services Program and Activities.'' Under the Order, States may design their own processes for reviewing and commenting on proposed Federal assistance under covered programs. All States and territories, except 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 a State Single Point of Contact (SPOC). Applicants from these 19 jurisdictions need take no action regarding E.O. 12372. Applications 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 all required materials to the SPOC 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 and indicate the date of this submittal (or date SPOC was contacted, if no submittal is required) on the SF 424, item 16a. Under 45 CFR 100.8(a), a SPOC has 60 days from the application due date to comment on proposed new or competing continuation awards. However, there is insufficient time to allow for a complete SPOC comment period. Therefore under 45 CFR 100.8(a), we have reduced the comment period to 45 days from the closing date for applications. These comments are reviewed as part of the award process. Failure to notify the SPOC can result in delays in awarding grants. SPOCs are encouraged to eliminate the submission of routine endorsements as official recommendations. Additionally, SPOCs are requested to clearly differentiate between mere advisory comments and those official State process recommendations which may trigger the ``accommodate or explain'' rule. When comments are submitted directly to ACF, they should be addressed to: Department of Health and Human Services, Administration for Children and Families, Division of Discretionary Grants, Sixth Floor, 370 L'Enfant Promenade, SW, Washington, DC 20447, Attn: 93.631 ADD--Projects of National Significance. Contact information for each State's SPOC is found at the end of this Part. B. Notification of State Developmental Disabilities Planning Councils A copy of the application must also be submitted for review and comment to the State Developmental Disabilities Council in each State in which the applicant's project will be conducted. A list of the State Developmental Disabilities Councils is included at the end of this announcement. C. Deadline for Submittal of Applications 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 [insert Program Name]. 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 weekends and Federal holidays). Any applications received after 4:30 p.m. on the deadline date will not be considered for competition. Applicants using express/overnight services should allow two working days prior to the deadline date for receipt of applications. (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 criterion stated above are considered late applications. ACF/ADD 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 a 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. D. Instructions for Preparing the Application and Completing Application Forms The SF 424, SF 424A, SF 424A, Page 2 and Certifications have been reprinted for your convenience in preparing the application. You should reproduce single-sided copies of these forms from the reprinted forms in the announcement, typing your information onto the copies. Please do not use forms directly from the Federal Register announcement, as they are printed on both sides of the page. Please prepare your application in accordance with the following instructions: 1. SF 424 Page 1, Application Cover Sheet Please read the following instructions before completing the application cover sheet. An explanation of each item is included. Complete only the items specified. Top of Page. Enter the single priority area number under which the application is being submitted. An application should be submitted under only one priority area. Item 1. ``Type of Submission''--Preprinted on the form. Item 2. ``Date Submitted'' and ``Applicant Identifier'' --Date application is submitted to ACF and applicant's own internal control number, if applicable. Item 3. ``Date Received By State''--State use only (if applicable). Item 4. ``Date Received by Federal Agency''--Leave blank. Item 5. ``Applicant Information''. ``Legal Name''--Enter the legal name of applicant organization. For applications developed jointly, enter the name of the lead organization only. [[Page 41903]] There must be a single applicant for each application. ``Organizational Unit''--Enter the name of the primary unit within the applicant organization which will actually carry out the project activity. Do not use the name of an individual as the applicant. If this is the same as the applicant organization, leave the organizational unit blank. ``Address''--Enter the complete address that the organization actually uses to receive mail, since this is the address to which all correspondence will be sent. Do not include both street address and P.O. box number unless both must be used in mailing. ``Name and telephone number of the person to be contacted on matters involving this application (give area code)''--Enter the full name (including academic degree, if applicable) and telephone number of a person who can respond to questions about the application. This person should be accessible at the address given here and will receive all correspondence regarding the application. Item 6. ``Employer Identification Number (EIN)''--Enter the employer identification number of the applicant organization, as assigned by the Internal Revenue Service, including, if known, the Central Registry System suffix. Item 7. ``Type of Applicant''--Self-explanatory. Item 8. ``Type of Application''--Preprinted on the form. Item 9. ``Name of Federal Agency''--Preprinted on the form. Item 10. ``Catalog of Federal Domestic Assistance Number and Title''--Enter the Catalog of Federal Domestic Assistance (CFDA) number assigned to the program under which assistance is requested and its title. For all of ADD's priority areas, the following should be entered, ``93.631--Developmental Disabilities: Projects of National Significance.'' Item 11. ``Descriptive Title of Applicant's Project''--Enter the project title. The title is generally short and is descriptive of the project, not the priority area title. Item 12. ``Areas Affected by Project''--Enter the governmental unit where significant and meaningful impact could be observed. List only the largest unit or units affected, such as State, county, or city. If an entire unit is affected, list it rather than subunits. Item 13. ``Proposed Project''--Enter the desired start date for the project and projected completion date. Item 14. ``Congressional District of Applicant/Project''--Enter the number of the Congressional district where the applicant's principal office is located and the number of the Congressional district(s) where the project will be located. If Statewide, a multi-State effort, or nationwide, enter ``00.'' Items 15. Estimated Funding Levels. In completing 15a through 15f, the dollar amounts entered should reflect, for a 17-month or less project period, the total amount requested. If the proposed project period exceeds 17 months, enter only those dollar amounts needed for the first 12 months of the proposed project. Item 15a. Enter the amount of Federal funds requested in accordance with the preceding paragraph. This amount should be no greater than the maximum amount specified in the priority area description. Items 15b-e. Enter the amount(s) of funds from non-Federal sources that will be contributed to the proposed project. Items b-e are considered cost-sharing or ``matching funds.'' The value of third party in-kind contributions should be included on appropriate lines as applicable. For more information regarding funding as well as exceptions to these rules, see Part III, Sections E and F, and the specific priority area description. Item 15f. Enter the estimated amount of program income, if any, expected to be generated from the proposed project. Do not add or subtract this amount from the total project amount entered under item 15g. Describe the nature, source and anticipated use of this program income in the Project Narrative Statement. Item 15g. Enter the sum of items 15a-15e. Item 16a. ``Is Application Subject to Review By State Executive Order 12372 Process? Yes.''--Enter the date the applicant contacted the SPOC regarding this application. Select the appropriate SPOC from the listing provided at the end of Part IV. The review of the application is at the discretion of the SPOC. The SPOC will verify the date noted on the application. Item 16b. ``Is Application Subject to Review By State Executive Order 12372 Process? No.''--Check the appropriate box if the application is not covered by E.O. 12372 or if the program has not been selected by the State for review. Item 17. ``Is the Applicant Delinquent on any Federal Debt?''-- Check the appropriate box. This question applies to the applicant organization, not the person who signs as the authorized representative. Categories of debt include audit disallowances, loans and taxes. Item 18. ``To the best of my knowledge and belief, all data in this application/preapplication are true and correct. The document has been duly authorized by the governing body of the applicant and the applicant will comply with the attached assurances if the assistance is awarded.''--To be signed by the authorized representative of the applicant. A copy of the governing body's authorization for signature of this application by this individual as the official representative must be on file in the applicant's office, and may be requested from the applicant. Item 18a-c. ``Typed Name of Authorized Representative, Title, Telephone Number''--Enter the name, title and telephone number of the authorized representative of the applicant organization. Item 18d. ``Signature of Authorized Representative'' --Signature of the authorized representative named in Item 18a. At least one copy of the application must have an original signature. Use colored ink (not black) so that the original signature is easily identified. Item 18e. ``Date Signed''--Enter the date the application was signed by the authorized representative. 2. SF 424A--Budget Information--Non-Construction Programs This is a form used by many Federal agencies. For this application, Sections A, B, C, E and F are to be completed. Section D does not need to be completed. Sections A and B should include the Federal as well as the non- Federal funding for the proposed project covering (1) the total project period of 17 months or less or (2) the first year budget period, if the proposed project period exceeds 17 months. Section A--Budget Summary. This section includes a summary of the budget. On line 5, enter total Federal costs in column (e) and total non-Federal costs, including third party in-kind contributions, but not program income, in column (f). Enter the total of (e) and (f) in column (g). Section B--Budget Categories. This budget, which includes the Federal as well as non-Federal funding for the proposed project, covers (1) the total project period of 17 months or less or (2) the first-year budget period if the proposed project period exceeds 17 months. It should relate to item 15g, total funding, on the SF 424. Under column (5), enter the total requirements for funds (Federal and non-Federal) by object class category. A separate budget justification should be included to explain fully and justify major items, as indicated below. The types of information to be included in the justification are indicated under each category. For multiple year [[Page 41904]] projects, it is desirable to provide this information for each year of the project. The budget justification should immediately follow the second page of the SF 424A. Personnel--Line 6a. Enter the total costs of salaries and wages of applicant/grantee staff. Do not include the costs of consultants, which should be included on line 6h, ``Other.'' Justification: Identify the principal investigator or project director, if known. Specify by title or name the percentage of time allocated to the project, the individual annual salaries, and the cost to the project (both Federal and non-Federal) of the organization's staff who will be working on the project. Fringe Benefits--Line 6b. Enter the total costs of fringe benefits, unless treated as part of an approved indirect cost rate. Justification: Provide a break-down of amounts and percentages that comprise fringe benefit costs, such as health insurance, FICA, retirement insurance, etc. Travel--6c. Enter total costs of out-of-town travel (travel requiring per diem) for staff of the project. Do not enter costs for consultant's travel or local transportation, which should be included on Line 6h, ``Other.'' Justification: Include the name(s) of traveler(s), total number of trips, destinations, length of stay, transportation costs and subsistence allowances. Equipment--Line 6d. Enter the total costs of all equipment to be acquired by the project. For State and local governments, including Federally recognized Indian Tribes, ``equipment'' is tangible, non- expendable personal property having a useful life of more than one year and acquisition cost of $5,000 or more per unit. Justification: Equipment to be purchased with Federal funds must be justified. The equipment must be required to conduct the project, and the applicant organization or its subgrantees must not have the equipment or a reasonable facsimile available to the project. The justification also must contain plans for future use or disposal of the equipment after the project ends. Supplies--Line 6e. Enter the total costs of all tangible expendable personal property (supplies) other than those included on Line 6d. Justification: Specify general categories of supplies and their costs. Contractual--Line 6f. Enter the total costs of all contracts, including (1) procurement contracts (except those which belong on other lines such as equipment, supplies, etc.) and (2) contracts with secondary recipient organizations, including delegate agencies. Also include any contracts with organizations for the provision of technical assistance. Do not include payments to individuals on this line. If the name of the contractor, scope of work, and estimated total costs are not available or have not been negotiated, include on Line 6h, ``Other.'' Justification: Attach a list of contractors, indicating the names of the organizations, the purposes of the contracts, and the estimated dollar amounts of the awards as part of the budget justification. Whenever the applicant/grantee intends to delegate part or all of the program to another agency, the applicant/grantee must complete this section (Section B, Budget Categories) for each delegate agency by agency title, along with the supporting information. The total cost of all such agencies will be part of the amount shown on Line 6f. Provide backup documentation identifying the name of contractor, purpose of contract, and major cost elements. Construction--Line 6g. Not applicable. New construction is not allowable. Other--Line 6h. Enter the total of all other costs. Where applicable, such costs may include, but are not limited to: insurance; medical and dental costs; noncontractual fees and travel paid directly to individual consultants; local transportation (all travel which does not require per diem is considered local travel); space and equipment rentals; printing and publication; computer use; training costs, including tuition and stipends; training service costs, including wage payments to individuals and supportive service payments; and staff development costs. Note that costs identified as ``miscellaneous'' and ``honoraria'' are not allowable. Justification: Specify the costs included. Total Direct Charges--Line 6i. Enter the total of Lines 6a through 6h. Indirect Charges--6j. Enter the total amount of indirect charges (costs). If no indirect costs are requested, enter ``none.'' Generally, this line should be used when the applicant (except local governments) has a current indirect cost rate agreement approved by the Department of Health and Human Services or another Federal agency. Local and State governments should enter the amount of indirect costs determined in accordance with HHS requirements. When an indirect cost rate is requested, these costs are included in the indirect cost pool and should not be charged again as direct costs to the grant. In the case of training grants to other than State or local governments (as defined in title 45, Code of Federal Regulations, part 74), the Federal reimbursement of indirect costs will be limited to the lesser of the negotiated (or actual) indirect cost rate or 8 percent of the amount allowed for direct costs, exclusive of any equipment charges, rental of space, tuition and fees, post-doctoral training allowances, contractual items, and alterations and renovations. For training grant applications, the entry under line 6j should be the total indirect costs being charged to the project. The Federal share of indirect costs is calculated as shown above. The applicant's share is calculated as follows: (a) Calculate total project indirect costs (a*) by applying the applicant's approved indirect cost rate to the total project (Federal and non-Federal) direct costs. (b) Calculate the Federal share of indirect costs (b*) at 8 percent of the amount allowed for total project (Federal and non-Federal) direct costs exclusive of any equipment charges, rental of space, tuition and fees, post-doctoral training allowances, contractual items, and alterations and renovations. (c) Subtract (b*) from (a*). The remainder is what the applicant can claim as part of its matching cost contribution. Justification: Enclose a copy of the indirect cost rate agreement. Applicants subject to the limitation on the Federal reimbursement of indirect costs for training grants should specify this. Total--Line 6k. Enter the total amounts of lines 6i and 6j. Program Income--Line 7. Enter the estimated amount of income, if any, expected to be generated from this project. Do not add or subtract this amount from the total project amount. Justification: Describe the nature, source, and anticipated use of program income in the Program Narrative Statement. Section C--Non-Federal Resources. This section summarizes the amounts of non-Federal resources that will be applied to the grant. Enter this information on line 12 entitled ``Totals.'' In-kind contributions are defined in title 45 of the Code of Federal Regulations, Parts 74.51 and 92.24, as ``property or services which benefit a grant- supported project or program and which are contributed by non-Federal third parties without charge to the grantee, the subgrantee, or a cost-type contractor under the grant or subgrant.'' [[Page 41905]] Justification: Describe third party in-kind contributions, if included. Section D--Forecasted Cash Needs. Not applicable. Section E--Budget Estimate of Federal Funds Needed For Balance of the Project. This section should only be completed if the total project period exceeds 17 months. Totals--Line 20. For projects that will have more than one budget period, enter the estimated required Federal funds for the second budget period (months 13 through 24) under column ``(b) First.'' If a third budget period will be necessary, enter the Federal funds needed for months 25 through 36 under ``(c) Second.'' Columns (d) and (e) are not applicable in most instances, since ACF funding is almost always limited to a three-year maximum project period. They should remain blank. Section F--Other Budget Information. Direct Charges--Line 21. Not applicable. Indirect Charges--Line 22. Enter the type of indirect rate (provisional, predetermined, final or fixed) that will be in effect during the funding period, the estimated amount of the base to which the rate is applied, and the total indirect expense. Remarks--Line 23. If the total project period exceeds 17 months, you must enter your proposed non-Federal share of the project budget for each of the remaining years of the project. 3. Project Summary Description Clearly mark this separate page with the applicant name as shown in item 5 of the SF 424, the priority area number as shown at the top of the SF 424, and the title of the project as shown in item 11 of the SF 424. The summary description should not exceed 300 words. These 300 words become part of the computer database on each project. Care should be taken to produce a summary description which accurately and concisely reflects the proposal. It should describe the objectives of the project, the approaches to be used and the outcomes expected. The description should also include a list of major products that will result from the proposed project, such as software packages, materials, management procedures, data collection instruments, training packages, or videos (please note that audiovisuals should be closed captioned). The project summary description, together with the information on the SF 424, will constitute the project ``abstract.'' It is the major source of information about the proposed project and is usually the first part of the application that the reviewers read in evaluating the application. 4. Program Narrative Statement The Program Narrative Statement is a very important part of an application. It should be clear, concise, and address the specific requirements mentioned under the priority area description in Part IV. The narrative should also provide information concerning how the application meets the evaluation criteria, using the following headings: (a) Objectives and Need for Assistance; (b) Results and Benefits Expected; (c) Approach; and (d) Staff Background and Organization's Experience. The specific information to be included under each of these headings is described in Section C of Part III, Evaluation Criteria. The narrative should be typed double-spaced on a single-side of an 8\1/2\'' x 11'' plain white paper, with 1'' margins on all sides. All pages of the narrative (including charts, references/footnotes, tables, maps, exhibits, etc.) must be sequentially numbered, beginning with ``Objectives and Need for Assistance'' as page number one. Applicants should not submit reproductions of larger size paper, reduced to meet the size requirement. The length of the application, including the application forms and all attachments, should not exceed 60 pages. A page is a single side of an 8\1/2\'' x 11'' sheet of paper. Applicants are requested not to send pamphlets, brochures or other printed material along with their application as these pose xeroxing difficulties. These materials, if submitted, will not be included in the review process if they exceed the 60-page limit. Each page of the application will be counted to determine the total length. 5. Organizational Capability Statement The Organizational Capability Statement should consist of a brief (two to three pages) background description of how the applicant organization (or the unit within the organization that will have responsibility for the project) is organized, the types and quantity of services it provides, and/or the research and management capabilities it possesses. This description should cover capabilities not included in the Program Narrative Statement. It may include descriptions of any current or previous relevant experience, or describe the competence of the project team and its demonstrated ability to produce a final product that is readily comprehensible and usable. An organization chart showing the relationship of the project to the current organization should be included. 6. Part V--Assurances/Certifications Applicants are required to file an SF 424B, Assurances--Non- Construction Programs and the Certification Regarding Lobbying. Both must be signed and returned with the application. Applicants must also provide certifications regarding: (1) Drug-Free Workplace Requirements; and (2) Debarment and Other Responsibilities. These two certifications are self-explanatory. Copies of these assurances/certifications are reprinted at the end of this announcement and should be reproduced, as necessary. A duly authorized representative of the applicant organization must certify that the applicant is in compliance with these assurances/certifications. A signature on the SF 424 indicates compliance with the Drug Free Workplace Requirements, and Debarment and Other Responsibilities certifications, and need not be mailed back with the application. In addition, applicants are required under Section 162(c)(3) of the Act to provide assurances that the human rights of all individuals with developmental disabilities (especially those individuals without familial protection) who will receive services under projects assisted under Part E will be protected consistent with section 110 (relating to the rights of individuals with developmental disabilities). Each application must include a statement providing this assurance. For research projects in which human subjects may be at risk, a Protection of Human Subjects Assurance may be required. If there is a question regarding the applicability of this assurance, contact the Office for Research Risks of the National Institutes of Health at (301) 496-7041. E. Checklist for a Complete Application The checklist below is for your use to ensure that your application package has been properly prepared. --One original, signed and dated application, plus two copies. --Applications for different priority areas are packaged separately; --Application is from an organization which is eligible under the eligibility requirements defined in the priority area description (screening requirement); --Application length does not exceed 60 pages, unless otherwise specified in the priority area description. [[Page 41906]] --A complete application consists of the following items in this order: --Application for Federal Assistance (SF 424, REV 4-88); --A completed SPOC certification with the date of SPOC contact entered in line 16, page 1 of the SF 424 if applicable. --Budget Information--Non-Construction Programs (SF 424A, REV 4- 88); --Budget justification for Section B--Budget Categories; --Table of Contents; --Letter from the Internal Revenue Service, etc. to prove non- profit status, if necessary; --Copy of the applicant's approved indirect cost rate agreement, if appropriate; --Project summary description and listing of key words; --Program Narrative Statement (See Part III, Section C); --Organizational capability statement, including an organization chart; --Any appendices/attachments; --Assurances--Non-Construction Programs (Standard Form 424B, REV 4- 88); --Certification Regarding Lobbying; and --Certification of Protection of Human Subjects, if necessary. --Certification of the Pro-Children Act of 1994; signature on the application represents certification. F. The Application Package Each application package must include an original and two copies of the complete application. Each copy should be stapled securely (front and back if necessary) in the upper left-hand corner. All pages of the narrative (including charts, tables, maps, exhibits, etc.) must be sequentially numbered, beginning with page one. In order to facilitate handling, please do not use covers, binders or tabs. Do not include extraneous materials as attachments, such as agency promotion brochures, slides, tapes, film clips, minutes of meetings, survey instruments or articles of incorporation. G. Paper Reduction Act Under the Paperwork Reduction Act of 1995 (Pub. L. 104-13), the Department is required to submit to OMB for review and approval any reporting and record keeping requirements or program announcements. This program announcement meets all information collection requirements approved for ACF grant applications under OMB Control Number 0970-0139. (Federal Catalog of Domestic Assistance Number 93.631 Developmental Disabilities--Projects of National Significance) Dated: July 3, 1996. Bob Williams, Commissioner, Administration on Developmental Disabilities. Executive Order 12372--State Single Points of Contact Alabama John C. Strickland, Alabama Department of Economic and Community Affairs, Planning and Economic Division, 401 Adams Avenue, Montgomery, AL 36103-5690, Telephone: (205) 242-5483, FAX # (205) 242-5515. Arizona Janice Dunn, 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. California Grants Coordinator, Office of Planning & Research, 1400 Tenth Street, Room 121, Sacramento, California 95814, Telephone (916) 323- 7480, FAX # (916) 323-3018. Colorado State Single Point of Contact, State Clearinghouse, Division of Local Government, 1313 Sherman Street, Room 521, Denver, Colorado 80203, Telephone: (303) 866-2156, FAX # (303) 866-2251. Delaware Francine Booth, State Single Point of Contact, Executive Department, Thomas Collins Building, Dover, Delaware 19903, Telephone: (302) 739-3326, FAX # (302) 739-5661. District of Columbia Rodney T. Hallman, State Single Point of Contact, Office of Grants Management and Development, 717 14th Street, N.W., Suite 500, Washington, D.C. 20005, Telephone: (202) 727-6551, FAX # (202) 727- 1617. Florida Suzanne Traub-Metlay, Florida State Clearinghouse, Intergovernmental Affairs Policy Unit, Executive Office of the Governor, The Capitol (Room 1603), Tallahassee, Florida 32399-0001, Telephone: (904) 488-8114, FAX # (904) 488-9005. Georgia Charles H. Badger, 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 Steve Klokkenga, State Single Point of Contact, Office of the Governor, 107 Stratton Building, Springfield, Illinois 62706, Telephone: (217) 782-1671, FAX # (217) 782-6620. Indiana Frances E. Williams, State Budget Agency, 212 State House, Indianapolis, Indiana 46204, Telephone: (317) 232-2972. 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 Mr. Roland E. English III, Chief, State Clearinghouse for Intergovernmental Assistance, Maryland Office of Planning, 301 W. Preston Street, Room 1104, Baltimore, Maryland 21201-2365, Telephone: (410) 225-4490, FAX # (410) 225-4480. Michigan Richard S. Pastula, Director, Office of Federal Grants, Michigan Department of Commerce, P.O. Box 30225, Lansing, Michigan 48909, Telephone: (517) 373-7356, FAX # (517) 373-6683. Mississippi Cathy Malette, Clearinghouse Officer, Office of Federal Grant Management and Reporting, Department of Finance and Administration, 301 West Pearl Street, [[Page 41907]] Jackson, Mississippi 39203, Telephone: (601) 949-2174, FAX # (601) 949- 2125. 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, James E. Bieber, 2\1/ 2\ Beacon Street, Concord, New Hampshire 03301, Telephone: (603) 271- 2155, FAX # (603) 271-1728. New Jersey Gregory W. Adkins, Director, Division of Community Resources, New Jersey Department of Community Affairs. Please direct all correspondence and questions about intergovernmental review to: Andrew J. Jaskolka, State Review Process, Division of Community Resources, CN 814, Room 609, Trenton, New Jersey 08625-0814, Telephone: (609) 292-9025, FAX # (609) 984-0386. New Mexico George Elliott, Deputy Director, 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, Director, Intergovernmental Coordination, P.O. Box 13005, Austin, Texas 78711, Telephone: (512) 463-1771, FAX # (512) 463- 1984. 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 (SPOC) Guam Mr. Giovanni T. Sgambelluri, Director, Bureau of Budget and Management Research, Office of the Governor, IP.O. Box 2950, Agana, Guam 96910, Telephone: 011-671-472-2285, FAX # 011-671-472-2825. Puerto Rico Norma Burgos/Jose E. Caro, Chairwoman/Director, Puerto Rico Planning Board, Federal Proposals Review Office, Minillas Government Center, P.O. Box 41119, San Juan, Puerto Rico 00940-1119, Telephone: (809) 727-4444, (809) 723-6190, FAX # (809) 724-3270, (809) 724-3103. Northern 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. State Developmental Disabilities Planning Councils Alabama Joan B. Hannah, Ed.D., Executive Director, Alabama Developmental Disabilities, Planning Council, 200 Interstate Park Dr., P.O. Box 3710, Montgomery, Alabama 36193-5001, (205) 270-4680, 1-800-232-2158, FAX # (205) 240-3195. Alaska David Maltman, Director, Govenor's Council on Disabilities, and Special Education, P.O. Box 240249, Anchorage, Alaska 99524-0249, (907) 563-5355,FAX # (907) 563-5357. Arizona Diane Skay, Director, Governor's Council on Developmental, Disabilities, 1717 West Jefferson Street, Site Code 074Z, Phoenix, Arizona 85007, (602) 542-4049, FAX # (602) 542-5339. Arkansas Orson Berry, Executive Director, Governor's Developmental Disabilities, Planning Council, 4815 West Markham, Slot 12, Little Rock, Arkansas 72205- [[Page 41908]] 3867, (501) 661-2589, FAX # (501) 661-2399. California Roberta A. Marlowe, Ph.D., Executive Director, CA State Council on Developmental, Disabilities, 2000 ``O'' Street, Suite 100, Sacramento, California 95814, (916) 322-8481, FAX # (916) 443-4957. Colorado Donald St. Louis, Executive Director, Colorado Developmental Disabilities, Planning Council, 777 Grant Street, Suite 304, Denver, Colorado 80203, (303) 894-2345, FAX # (303) 894-2880. Connecticut Edward T. Preneta, Director, CT Council on Developmental Disabilities, 90 Pitkin Street, East Hartford, Connecticut 06108, (203) 725-3829, FAX # (203) 528-3680. Delaware James F. Linehan, Director, Developmental Disabilities Planning Council, Department of Administrative Services, Box 1401, Townsend Building, Dover, Delaware 19901, (302) 739-3333, FAX # (302) 739-6704. District of Columbia Carol Boykins, Executive Director, Developmental Disabilities, State Planning Council, 801 N. Capitol St., N.E., Suite 954, Washington, D.C. 20002, (202) 279-6085, FAX # (202) 727-6587. Florida K. Joseph Krieger, Executive Director, Florida Developmental Disabilities Planning Council, 820 East Park Avenue, Suite I-100, Tallahassee, Florida 32301, (904) 488-4180, FAX # (904) 922-6702. Georgia Zebe Schmitt, Executive Director, Governor's Council on Developmental Disabilities, 2 Peachtree St. N.E., Room 3-210, Atlanta, Georgia 30303, (404) 657-2126, FAX # (404) 657-2132, TDD 657-2133. Hawaii Diana Tizard, Director, State Planning Council on Developmental Disabilities, Five Waterfront Plaza, 500 Ala Moana Boulevard, Suite 5- 200, Honolulu, Hawaii 96813, (808) 586-8100, FAX # (808) 586-8129. Idaho John D. Watts, Director, Idaho State Council on Developmental Disabilities, 280 North 8th Street, Suite 208, Boise, Idaho 83720, (208) 334-2178, FAX # (208) 334-3417, 800-544-2433 (Idaho only). Illinois Rene Christensen-Leininger, Director, Illinois Council on Developmental Disabilities, 830 S. Spring Street, Springfield, IL 62704, (217) 782-9696, FAX # (217) 524-5339. Indiana Ms. Suellen Jackson-Boner, Director, Governor's Planning Council for People with Disabilities, 143 W. Market Street, Harrison Building, Suite 404, Indianapolis, Indiana 46204, (317) 232-7770/3. FAX # (317) 233-3712. Iowa Mr. Jay Brewer, Executive Director, Governor's Planning Council for Developmental Disabilities, Hoover State Office Building, 1st Floor, Des Moines, Iowa 50319, (515) 281-7632, FAX # (515) 281-4597. Kansas Ms. Jane Rhys, Executive Director, Kansas Planning Council on Developmental Disabilities, 915 Harrison, Room 141, Topeka, Kansas 66612, (913) 296-2608/9, FAX # (913) 296-1158. Kentucky Prudence Reilly, Executive Director, Kentucky Developmental Disabilities Planning Council, Department for Mental Health and Mental Retardation Services, 275 East Main Street, Frankfort, Kentucky 40621, (502) 564-7842, FAX # (502) 564-3844. Louisiana Clarice Eichelberger, Executive Director, Louisiana State Planning Council on Developmental Disabilities, P.O. Box 3455 Ben 14, 1201 Capitol Access, 5th Floor, DOT Edition, East Entrance, Baton Rouge, Louisiana 70821-3455, (504) 342-6804, FAX # (504) 342-4419. Maine Peter R. Stowell, Executive Director, Maine Developmental Disabilities Council, Nash Building, Station #139, Augusta, Maine 04333-0139, (207) 287-4213, FAX # (207) 287-4268. Maryland Mindy Morrell, Executive Director, Maryland State Planning Council on Developmental Disabilities, One Market Center, Box 10, 300 West Lexington Street, Baltimore, Maryland 21201-2323, (410) 333-3688, FAX # (401) 333-6674. Massachusetts Jody Williams, Executive Director, Massachusetts Developmental Disabilities Council, 600 Washington Street, Room 670, Boston, Massachusetts 02111, (617) 727-6374, FAX # (617) 727-1174, TDD 617 727- 1885. Michigan Ms. Sharon Tipton, Executive Director, Dept. of Mental Health, Michigan DD Council, Lewis Cass Building, 6th Floor, Lansing, Michigan 48913, (517) 334-6123, 7240, FAX # (517) 334-7353. Minnesota Ms. Colleen Wieck, Ph.D., Executive Director, Governor's Planning Council on Developmental Disabilities, 300 Centennial Office Building, 658 Cedar Street, St. Paul, Minnesota 55155, (612) 296-4018, FAX # (612) 296-3698. Mississippi Ed C. Bell, Staff Director, Mississippi Developmental Disabilities Planning Council, 1101 Robert E. Lee Building, Jackson, Mississippi 39201, (601) 359-6238, FAX # (601) 359-6295. Missouri Ms. Kay Conklin, Director, Missouri Planning Council for Developmental Disabilities, P.O. Box 687, 1706 East Elm Street, Jefferson City, Missouri 65102, (314) 751-8611, FAX # (314) 751-9207. Montana Greg A. Olsen, Executive Director, Developmental Disabilities Planning and Advisory Council, 111 N. Last Chance Gulch, Arcade Bldg., Unit C, Box 526, Helena, Montana 59620, (406) 444-1334, FAX # (406) 444-5999. Nebraska Ms. Mary Gordon, Director, Dept. of Health/Developmental Disabilities, 301 Centennial Mall South, P.O. Box 95007, Lincoln, Nebraska 68509, (402) 471-2330, FAX # (402) 471-0383. Nevada Donny Loux, Director, DD Council, Dept. of Rehab., 711 S. Stewart, Carson City, Nevada 89710, (702) 687-4440, FAX # (702) 687-5980. New Hampshire Thomas Flayton, (Acting) Executive Director, New Hampshire Developmental Disabilities Council, The Concord Center, Room 315, P.O. Box 315, 10 Ferry Street, Concord, New Hampshire 03301-5022, (603) 271- 3236,7,8, FAX # (603) 225-6766. [[Page 41909]] New Jersey Ethan B. Ellis, Executive Director, NJ Developmental Disabilities Planning Council, 32 W. State Street, CN 700, Trenton, New Jersey 08625-0700, (609) 292-3745, FAX # (609) 292-7114. New Mexico Chris Isengard, Executive Director, Developmental Disabilities Planning Council, State of New Mexico, 435 St. Michael's Drive, Building D, Santa Fe, New Mexico 87501, (505) 827-7590, FAX # (505) 827-7589. New York Isabel T. Mills, Executive Director, New York State Developmental Disabilities Planning Council, 155 Washington Avenue, 2nd Floor, Albany, New York 12210, (518) 432-8233, FAX # 518-432-8238. North Carolina Holly Riddle, Executive Director, North Carolina Council on Developmental Disabilities, 1508 Western Blvd., Raleigh, North Carolina 27606-1359, (919) 733-6566, FAX # (919) 733-1863. North Dakota Tom Wallner, Director, North Dakota Council on, Developmental Disabilities, c/o Department of Human Services, State Capitol, 600 E. Boulevard Avenue, Bismarck, North Dakota 58505-0250, (701) 224-3219, FAX # (701) 224-2359. Ohio Mr. Ken Campbell, Executive Director, Ohio Developmental Disabilities Planning Council, Department of Mental Retardation/ Developmental Disabilities, 8 East Long Street, 6th Floor, Columbus, Ohio 43266-0523, (614) 466-5205, FAX # (614) 466-0298. Oklahoma Ann Trudgeon, Director, Developmental Disabilities Planning Council, Department of Human Services, P.O. Box 25352, Oklahoma City, Oklahoma 73125-0352, (405) 521-4984(5), FAX # (405) 521-6684. Oregon Charlotte Duncan, Executive Director, Oregon Developmental Disabilities, Planning Council, 540 24th Place NE, Salem, Oregon 97301- 4517, (503) 373-7555, FAX # (503) 373-7172. Pennsylvania David B. Schwartz, Executive Director, Developmental Disabilities Planning Council, Forum Building, Room 569, Commonwealth Avenue, Harrisburg, Pennsylvania 17120, (717) 787-6057. Rhode Island Marie V. Citrone, Executive Director, Rhode Island Developmental Disabilities Council, State Executive Department, 600 New London Avenue, Cranston, Rhode Island 02920-3028, (401) 464-3191, FAX # (401) 464-3570. South Carolina Charles Lang, Interim Executive Director, South Carolina Developmental Disabilities Planning Council, Edgar Brown Building, Room 372, 1205 Pendleton Street, Columbia, South Carolina 29201-3731, (803) 734-0465, FAX # (803) 734-0356. South Dakota Charles A. Anderson, Director, South Dakota Governor's Planning Council on Developmental Disabilities, Hillsview Plaza, c/o 500 East Capitol, Pierre, South Dakota 57501-5070, (605) 77- 6415, FAX # (605) 773-5483. Tennessee Wanda Willis, Director, Developmental Disabilities Planning Council, Department of Mental Health and Mental Retardation, 706 Church Street, 3rd Floor, Doctor's Building, Nashville, Tennessee 37219-5393, (615) 741-9791, FAX # (615) 741-0770. Texas Roger A. Webb, Executive Director, Texas Planning Council for Developmental Disabilities, 4900 North Lamar Blvd., Austin, Texas 78751-2399, (512) 483-4080, FAX # (512) 483-4097. Utah Catherine E. Chambless, Director, Utah Governor's Council for People with Disabilities, P.O. Box 1958, Salt Lake City, Utah 84110- 1958, (801) 533-4128, FAX # (801) 533-5302. Vermont Thomas A. Pombar, Executive Secretary, Vermont Developmental Disabilities Council, Waterbury Office Complex, 103 South Main Street, Waterbury, Vermont 05671-1534, (802) 241-2612, FAX # (802) 241-2979. Virginia Sandy Reen, Director, Virginia Board for People with Disabilities, Post Office Box 613, Richmond, Virginia 23205-0613, (804) 786-0016, FAX # (804) 786-1118. Washington Edward M. Holen, Executive Director, Developmental Disabilities Planning Council, Department of Community Development, 906 Columbia St., S.W., Post Office Box 48314, Olympia, Washington 98504-8314, (206) 753-3908, 1-800-634-4473, FAX # (206) 586-2424. West Virginia Julie Pratt, Director, West Virginia Developmental Disabilities Planning Council, 1601 Kanawha Blvd., West, Suite 200, Charleston, West Virginia 25312-2500, (304) 558-0416 (Voice), (304) 558-2376 (TDD), FAX # (304) 558-0941. Wisconsin Ms. Jayn Wittenmyer, Executive Director, Council on Developmental Disabilities, State of Wisconsin, 722 Williamson Street, P.O. Box 7851, Madison, Wisconsin 53707-7851, (608) 266-7826, FAX # (608) 267-3906. Wyoming Sharron C. Kelsey, Executive Director, Governor's Planning Council on Developmental Disabilities, 122 West 25th Street, Herschler Bldg., First Floor East, Cheyenne, Wyoming 82002, (307) 777-7230, 1-800-442- 4333 (in-state-only), FAX # (307) 777-5690. Territories (DDCs) American Samoa Henry Sesepasara, Executive Director, American Samoa Developmental Disabilities Council, P.O. Box 184, Pago Pago, American Samoa 96799, (684) 633-2919, FAX # (684) 633-1139. Commonwealth of the Northern Mariana Islands Juanita S. Malone, CNMI DD Council, P.O. Box 2565, Saipan, MP 96950, (011) 670-323-3014/16, FAX # (011) 670-322-4168. Government of Federated State of Micronesia Yosiro Suta, Gov't of Federated States of Micronesia, Dept of Ed., Palikir, Pohnpei, FM 96941, (691) 320-2609, FAX # (691) 320-5500. Guam Frances Limitiaco Standing Soldier, Executive Director, Guam Developmental Disabilities Council, 122 IT&E Plazza, Rm. 201, Harmon, Guam 96911, (671) 646-9468, 9469, FAX # (671) 649-7672, TDD 671-649- 3911. Northern Mariana Islands Juanita S. Malone, Executive Director, Developmental Disabilities Council, Department of Education, P. O. Box 2565, Saipan, CM 96950, W (670) 322-3014, H (670) 322-1398. [[Page 41910]] Puerto Rico Maria Luisa Mendia, Executive Director, Puerto Rico Developmental Disabilities State Council, P.O. Box 9543, Santurce, Puerto Rico 00908, (809) 722-0595 FAX # (809) 721-3622. Virgin Islands Mark Vinzant, Director, VI Developmental Disabilities Council, P.O. Box 2671 Kings Hill, St. Croix, U.S. Virgin Islands 00850-9999, (809) 772-2133. Western Carolina Islands (Trust Territories of the Pacific) Minoru Ueki, MD, Trust Territory Health Council, MacDonald Memorial Hospital KOROR, Palau. WCI 96940. BILLING CODE 4184-01-P [[Page 41911]] [GRAPHIC] [TIFF OMITTED] TN12AU96.001 BILLING CODE 4184-01-C [[Page 41912]] 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. 1. Self-explanatory. 2. Date application submitted to Federal agency (or State if applicable) & applicant's control number (if applicable). 3. State use only (if applicable). 4. If this application is to continue or revise an existing award, enter present Federal identifier number. If for a new project, leave blank. 5. Legal name of applicant, name of primary organizational unit which will undertake the assistance activity, complete address of the applicant, and name and telephone number of the person to contact on matters related to this application. 6. Enter Employer Identification Number (EIN) as assigned by the Internal Revenue Service. 7. Enter the appropriate letter in the space provided. 8. Check appropriate box and enter appropriate letter(s) in the space(s) provided: --``New'' means a new assistance award. --``Continuation'' means an extension for an additional funding/budget period for a project with a projected completion date. --``Revision'' means any change in the Federal Government's financial obligation or contingent liability from an existing obligation. 9. Name of Federal agency from which assistance is being requested with this application. 10. Use the Catalog of Federal Domestic Assistance number and title of the program under which assistance is requested. 11. Enter a brief descriptive title of the project. If more than one program is involved, you should append an explanation on a separate sheet. If appropriate (e.g., construction or real property projects), attach a map showing project location. For preapplications, use a separate sheet to provide a summary description of this project. 12. List only the largest political entities affected (e.g., State, counties, cities). 13. Self-explanatory. 14. List the applicant's Congressional District and any District(s) affected by the program or project. 15. Amount requested or to be contributed during the first funding/ budget period by each contributor. Value of in-kind contributions should be included on appropriate lines as applicable. If the action will result in a dollar change to an existing award, indicate only the amount of the change. For decreases, enclose the amounts in parentheses. If both basic and supplemental amounts are included, show breakdown on an attached sheet. For multiple program funding, use totals and show breakdown using same categories as item 15. 16. Applicants should contact the State Single Point of Contact (SPOC) for Federal Executive Order 12372 to determine whether the application is subject to the State intergovernmental review process. 17. This question applies to the applicant organization, not the person who signs as the authorized representative. Categories of debt include delinquent audit disallowances, loans and taxes. 18. To be signed by the authorized representative of the applicant. A copy of the governing body's authorization for you to sign this application as official representative must be on file in the applicant's office. (Certain Federal agencies may require that this authorization be submitted as part of the application.) BILLING CODE 4184-01-M [[Page 41913]] [GRAPHIC] [TIFF OMITTED] TN12AU96.002 [[Page 41914]] [GRAPHIC] [TIFF OMITTED] TN12AU96.003 BILLING CODE 4184-01-C [[Page 41915]] 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 and 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 Column (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 heading (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 mount 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) for 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. [[Page 41916]] Line 20--Enter the total for each of the Columns (b)-(e). When additional schedules are prepared for this Section, annotate accordingly and show the overall totals on this line. Section F. Other Budget Information Line 21--Use this space to explain amounts for individual direct object-class cost categories that may appear to be out of the ordinary or to explain the details as required by the Federal grantor agency. Line 22--Enter the type of indirect rate (provisional, predetermined, final or fixed) that will be in effect during the funding period, the estimated amount of the base to which the rate is applied, and the total indirect expense. Line 23--Provide any other explanations or comments deemed necessary. Assurances--Non-Construction Programs Note: Certain of these assurances may not be applicable to your project or program. If you have questions, please contact the awarding agency. Further, certain Federal awarding agencies may require applicants to certify to additional assurances. If such is the case, you will be notified. As the duly authorized representative of the applicant I certify that the applicant: 1. Has the legal authority to apply for Federal assistance, and the institutional, managerial and financial capability (including funds sufficient to pay the non-Federal share of project costs) to ensure proper planning, management and completion of the project described in this application. 2. Will give the awarding agency, the Comptroller General of the United States, and if appropriate, the State, through any authorized representative, access to and the right to examine all records, books, papers, or documents related to the award; and will establish a proper accounting system in accordance with generally accepted accounting standards or agency directives. 3. Will establish safeguards to prohibit employees from using their positions for a purpose that constitutes or presents the appearance of personal or organizational conflict of interest, or personal gain. 4. Will initiate and complete the work within the applicable time frame after receipt of approval of the awarding agency. 5. Will comply with the Intergovernmental Personnel Act of 1970 (42 U.S.C. Secs. 4728-4763) relating to prescribed standards for merit systems for programs funded under one of the nineteen statutes or regulations specified in Appendix A of OPM's Standards for a Merit System of Personnel Administration (5 C.F.R. 900, Subpart F). 6. Will comply with all Federal statutes relating to nondiscrimination. These include but are not limited to: (a) Title VI of the Civil Rights Act of 1964 (P.L. 88-352) which prohibits discrimination on the basis of race, color or national origin; (b) Title IX of the Education Amendments of 1972, as amended (20 U.S.C. Secs. 1681-1683, and 1685-1686), which prohibits discrimination on the basis of sex; (c) Section 504 of the Rehabilitation Act of 1973, as amended (29 U.S.C. Sec. 794), which prohibits discrimination on the basis of handicaps; (d) the Age Discrimination Act of 1975, as amended (42 U.S.C. Secs. 6101-6107), which prohibits discrimination on the basis of age; (e) the Drug Abuse Office and Treatment Act of 1972 (P.L. 92-255), as amended, relating to nondiscrimination on the basis of drug abuse; (f) the Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment and Rehabilitation Act of 1970 (P.L. 91-616), as amended, relating to nondiscrimination on the basis of alcohol abuse or alcoholism; (g) Secs. 523 and 527 of the Public Health Service Act of 1912 (42 U.S.C. 290 dd-3 and 290 ee-3), as amended, relating to confidentiality of alcohol and drug abuse patient records; (h) Title VIII of the Civil Rights Act of 1968 (42 U.S.C. Sec. 3601 et seq.), as amended, relating to 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 Clear Air Act of 1955, as amended (42 U.S.C. Sec. 7401 et seq.); (g) protection of underground sources of drinking water under the Safe Drinking Water Act of 1974, as amended, (P.L. 93- 523); and (h) protection of endangered species under the Endangered Species Act of 1973, as amended, (P.L. 93-205). 12. Will comply with the Wild and Scenic Rivers Act of 1968 (16 U.S.C. Secs. 1271 et seq.) related to protecting components or potential components of the national wild and scenic rivers system. 13. Will assist the awarding agency in assuring compliance with Section 106 of the National Historic Preservation Act of 1966, as amended (16 U.S.C. 470), EO 11593 (identification and protection of historic properties), and the Archaeological and Historic Preservation Act of 1974 (16 U.S.C. 469a-1 et seq.). 14. Will comply with P.L. 93-348 regarding the protection of human subjects involved in research, development, and related activities supported by this award of assistance. 15. Will comply with the Laboratory Animal Welfare Act of 1966 (P.L. 89- [[Page 41917]] 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 BILLING CODE 4184-01-M [[Page 41918]] [GRAPHIC] [TIFF OMITTED] TN12AU96.004 [[Page 41919]] [GRAPHIC] [TIFF OMITTED] TN12AU96.005 BILLING CODE 4184-01-C [[Page 41920]] Attachment C 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 or agency. (b) where the prospective lower tier participant is unable to certify to any of the above, such prospective participant shall attach an explanation to this proposal. The prospective lower tier participant further agrees by submitting this proposal that it will include this clause entitled ``Certification regarding Debarment, Suspension, Ineligibility, and Voluntary Exclusion--Lower Tier Covered Transactions'' without modification in all lower tier covered transactions and in all solicitations for lower tier covered transactions. Attachment D Certification Regarding Lobbying--Certification for Contracts, Grants, Loans, and Cooperative Agreements The undersigned certifies, to the best of his or her knowledge and belief, that: (1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement. (2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan or cooperative agreement, the undersigned shall complete and submit Standard Form-LLL, ``Disclosure Form to Report Lobbying,'' in accordance with its instructions. (3) The undersigned shall require that the language of this certification be included in the award documents for all subawards at all tiers (including subcontracts, subgrants, and contracts under grants, loans, and cooperative agreements) and that all subrecipients shall certify and disclose accordingly. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. State for Loan Guarantee and Loan Insurance The undersigned states, to the best of his or her knowledge and belief, that: If any funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this commitment providing for the United States to insure or guarantee a loan, the undersigned shall complete and submit Standard Form--LLL ``Disclosure Form to Report Lobbying,'' in accordance with its instructions. Submission of this statement is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required statement shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. ---------------------------------------------------------------------- Signature ---------------------------------------------------------------------- Title ---------------------------------------------------------------------- Organization ---------------------------------------------------------------------- Date BILLING CODE 4184-01-M [[Page 41921]] [GRAPHIC] [TIFF OMITTED] TN12AU96.006 BILLING CODE 4184-01-C [[Page 41922]] Certification Regarding Environmental Tobacco Smoke Public Law 103-227, Part C--Environmental Tobacco Smoke, also known as the Pro-Children Act of 1994 (Act), requires that smoking not be permitted in any portion of any indoor facility owned or leased or contracted for by an entity and used routinely or regularly for the provision of health, day care, education, or library services to children under the age of 18, if the services are funded by Federal programs either directly or through State or local governments, by Federal grant, contract, loan, or loan guarantee. The law does not apply to children's services provided in private residences, facilities funded solely by Medicare or Medicaid funds, and portions of facilities used for inpatient drug or alcohol treatment. Failure to comply with the provisions of the law may result in the imposition of a civil monetary penalty of up to $1,000 per day and/or the imposition of an administrative compliance order on the responsible entity. By signing and submitting this application the applicant/grantee certifies that it will comply with the requirements of the Act. The applicant/grantee further agrees that it will require the language of this certification be included in any subawards which contain provisions for children's services and that all subgrantees shall certify accordingly. [FR Doc. 96-20365 Filed 8-9-96; 8:45 am] BILLING CODE 4184-01-M