[Federal Register Volume 62, Number 103 (Thursday, May 29, 1997)] [Notices] [Pages 29244-29269] From the Federal Register Online via the Government Publishing Office [www.gpo.gov] [FR Doc No: 97-14074] [[Page 29243]] _______________________________________________________________________ Part IV Department of Health and Human Services _______________________________________________________________________ Administration for Children and Families _______________________________________________________________________ Fiscal Year 1997 Family Violence Prevention and Services Discretionary Funds Program; Availability of Funds and Request for Applications; Notice Federal Register / Vol. 62, No. 103 / Thursday, May 29, 1997 / Notices [[Page 29244]] ----------------------------------------------------------------------- DEPARTMENT OF HEALTH AND HUMAN SERVICES Administration for Children and Families [Program Announcement No. OCS 97-07] Fiscal Year 1997 Family Violence Prevention and Services Discretionary Funds Program; Availability of Funds and Request for Applications AGENCY: Office of Community Services, ACF, DHHS. ACTION: Announcement of the availability of funds and request for applications under the Office of Community Services Family Violence Prevention and Services Discretionary Funds Program. ----------------------------------------------------------------------- SUMMARY: The Office of Community Services (OCS) announces its Family Violence Prevention and Services discretionary funds program for fiscal year (FY) 1997. Funding for grants under this announcement is authorized by the Family Violence Prevention and Services Act, Public Law 102-295, as amended, governing discretionary programs for family violence prevention and services. Applicants should note that the award of grants and cooperative agreements under this program announcement is subject to the availability of funds. This announcement contains all forms and instructions for submitting an application. CLOSING DATE: The closing date for submission of applications is July 28, 1997. Applications postmarked after the closing date will be classified as late. Applicants are cautioned to request a legibly dated U.S. Postal Service postmark or to obtain a legibly dated receipt from a commercial carrier or U.S. Postal Service. Private metered postmarks shall not be accepted as proof of timely mailing. Detailed application submission instructions, including the addresses where applications must be received, are found in Part IV of this announcement. ADDRESSES: Applications may be mailed to Department of Health and Human Services, Administration for Children and Families/Division of Discretionary Grants, (OCS-97-07), 370 L'Enfant Promenade, S.W., Mail Stop 6C-462, Washington, D.C. 20447. Hand delivered applications are accepted during the normal working hours of 8:00 a.m. to 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, DC 20447, between Monday and Friday (excluding Federal holidays). (Applicants are cautioned that express/overnight mail services do not always deliver as agreed.) FOR FURTHER INFORMATION CONTACT: Administration for Children and Families, Office of Community Services, Division of State Assistance, 370 L'Enfant Promenade, S.W., Washington, D.C. 20447. Telephone Trudy Hairston, (202) 401-5319, James Gray, (202) 401-5705, or William Riley (202) 401-5529. SUPPLEMENTARY INFORMATION: The Office of Community Services, Administration for Children and Families, announces that applications are being accepted for funding for FY 1997 projects on:FV-01-97, Developing and Enhancing Services for Immigrant and Migrant Battered Women; FV-02-97, Domestic Violence/Temporary Assistance for Needy Families (Welfare Reform); FV-03-97, A Special Issue Resource Center to Aid Indian Tribes and Tribal Organizations in Preventing Domestic Violence; and FV-04-97, Training Grant Stipends in Domestic Violence for Historically Black, Hispanic-serving and Tribal Colleges and Universities. This program announcement consists of four parts. Part I provides information on the family violence prevention and services program and the statutory funding authority applicable to this announcement. Part II describes the priority areas under which applications for FY 1997 family violence funding are being requested. Part III describes the review process. Part IV provides information and instructions for the development and submission of applications. The forms to be used for submitting an application follow Part IV. Please copy and use these forms in submitting an application under this announcement. No additional application materials are available or needed to submit an application. Part I. Introduction Title III of the Child Abuse Amendments of 1984, (Pub. L. 98-457, 42 U.S.C. 10401, et seq.) is entitled the Family Violence Prevention and Services Act (the Act). The Act was first implemented in FY 1986, was reauthorized and amended in 1992 by Pub. L. 102-295, and was amended and reauthorized for fiscal years 1996 through 2000 by Pub. L. 103-322, the Violent Crime Control and Law Enforcement Act of 1994 (the Crime Bill), signed into law on September 13, 1994. The Act was most recently amended by Pub. L. 104-235, the ``Child Abuse Prevention and Treatment Act Amendment of 1996.'' The purpose of this legislation is to assist States in supporting the establishment, maintenance, and expansion of programs and projects to prevent incidents of family violence and provide immediate shelter and related assistance for victims of family violence and their dependents. We expect to fund four priority areas in FY 1997. (These include three new areas in which OCS will seek interested applicants for this fiscal year.) 1. To develop and enhance the services and supports available to immigrant and migrant battered victims of domestic violence by supporting collaborations between domestic violence, immigration, and migrant-serving organizations by providing organizations an opportunity to jointly design, develop, and implement collaborative projects addressing key issues or areas of concern facing immigrant and/or migrant battered women and their families. 2. The implementation of the Personal Responsibility and Work Opportunity Reconciliation Act of 1996, also known as ``welfare reform,'' has provided an opportunity for creative and challenging collaborations regarding the work requirements and penalties under the law and the policy and operational implications for domestic violence victims. The OCS will invite interested agencies and advocacy organizations to identify and initiate collaborations in these areas; 3. The establishment of a special issue resource center for Indian Tribes and Tribal organizations. The proposed resource center is predicated on the unique government-to-government relationship between the U.S. Federal government and the Federally recognized Indian Tribes as well as the need for increased support for the work that is being initiated by Indian advocates in their communities; and 4. The provision of training grant stipends to Historically Black, Hispanic-Serving and Tribal Colleges and Universities will assist in generating skill-building and training opportunities particularly responsive to issues of cultural content and the extent to which some minority groups participate in the domestic violence system. [[Page 29245]] Part II. Fiscal Year 1997 Family Violence Projects 1. Priority Area Number FV-01-97: Developing and Enhancing Services for Immigrant and Migrant Battered Women Background Today the numbers of battered immigrant and migrant women who receive services from domestic violence programs is extremely small. Immigrant and migrant women may feel alienated by mainstream shelters and domestic violence programs where food and customs are completely foreign and where staff and other program participants do not speak their language. Traditional public education efforts conducted by domestic violence programs often fail to adequately reach immigrant and migrant communities due to language and other barriers. Immigrant battered women have great difficulty accessing services to assist them in escaping domestic violence. They encounter numerous barriers in the legal system that makes accessing services even more difficult than for other abuse victims. Few police officers are bilingual; few court systems have multi-lingual staff or interpreters; and few culturally sensitive programs provide services to immigrant domestic violence victims. Battered immigrant women often need creative legal remedies that redress the effects of their abusers' control over their immigration status or that prevent international child snatching. In other cases, battered women will have to fight the abuser's attempts to wrongly introduce immigration concerns into their family law cases in an attempt to shift the focus of the case away from his violent behavior. A number of unique issues face migrant families dealing with domestic violence: continuity of critical social services, enforcement of protection orders, securing shelter and support services for battered women and their children, and intervention services for batterers. Systems that link migrant health services with the domestic violence program network are almost non-existent. Purpose To develop and enhance the services and supports available to immigrant and migrant victims of domestic violence by supporting collaborations between domestic violence, immigration, and migrant- serving organizations. To offer the applicant organizations an opportunity to jointly design, develop, and implement collaborative projects addressing key issues or areas of concern facing immigrant and/or migrant battered women and their families. Efforts are to be focused on the joint development of model protocols and programs, training curricula and materials, models of cross-training, and the conduct of training for staff at agencies working in immigrant and migrant communities and with domestic violence victims. Training would focus on ensuring that those coming into contact with immigrant or migrant victims of domestic violence understand how both domestic violence and immigrant or migrant status affect an individual's need for services. Of particular importance, also, is cultural sensitivity, which may make it more difficult for an individual to access or respond to particular services. The development of model protocols and programs and the training of immigrant and migrant-serving agency representatives and domestic violence advocates will enable the most efficient and effective response to the often complex concerns arising when an immigrant or migrant worker is facing domestic violence. These activities may include outreach to and the identification, assessment, and referral of potential victims of domestic violence to appropriate culturally- sensitive crisis intervention, legal representation, support and other related services and programs. Moreover, to be effective, these activities should demonstrate culturally-sensitive case coordination by all the agencies and advocates involved that respond to the safety, confidentiality, and services needs of immigrant and migrant domestic violence victims. The design, development and implementation of protocols for effective strategies are needed to: (1) Ensure confidentiality of client information at every stage of the process; (2) Enlighten domestic violence advocates and agencies regarding the impact of immigrant or migrant status on the victim's needs, access, and response to services; (3) Advise immigration and migrant advocates and agencies of the impact of domestic violence on their immigrant or migrant clients' needs, access, and response to services; (4) Ensure the safety of domestic violence victims who are involved in immigration proceedings, family law proceedings, or interstate or intrastate migrant farmworker networks; and (5) Promote collaborations that bring together the expertise and services of domestic violence programs and agencies working with immigrant and migrant communities to enhance and coordinate services delivery. Applicants may propose to do one or more of the following: (a) Plan and implement the training of domestic violence advocates, immigration rights organizations, migrant health and social services agencies, and/or social services providers on the relationship of domestic violence and immigration and migrant status, including the development of reproducible training curricula and materials; (b) Develop and implement a system of recruiting, training, and providing backup expert support to pro bono immigration attorneys and shelter advocates, as well as peer advocates, to work with immigrant battered women to secure culturally sensitive and responsive services and enhance safety; (c) Develop effective outreach strategies for domestic violence programs to recruit and train culturally sensitive staff, develop culturally sensitive and responsive materials, and more effectively reach immigrant and migrant communities, including the design and pilot testing of radio and television PSAs targeted to reach isolated domestic violence victims; (d) Develop a model of intrastate and interstate networks of domestic violence services to meet the unique needs of migrant farmworker families dealing with domestic violence, including links with migrant health centers and legal services; and (e) Gather and submit data on the types of interventions and the effects of those interventions on helping immigrant and migrant battered women receive adequate services. Products should include reproducible materials, and replicable models of programs, curricula, policies, and protocols. Eligible Applicants State and local public agencies, erritories, Federally recognized American Indian Tribes and Tribal Organizations, and Native American communities; public and private nonprofit agencies providing services to immigrant or migrant communities; domestic violence advocacy organizations; and State and local domestic violence coalitions. The applicant organization must submit a Memorandum of Understanding (MOU) between and among the collaborating organizations. The MOU must identify the projected role and responsibilities of each proposed participant organization in the implementation of the project and the level of commitment in providing [[Page 29246]] training, assistance, and or services to victims of domestic violence and migrant advocacy organizations working in their behalf. Project Period The length of the project will not exceed 17 months. Federal Share of the Project The maximum Federal share of the project is not to exceed $50,000 for the 17 month project period. Applications for lesser amounts also will be considered for this project. Matching Requirement Successful grantees must provide at least 25 percent of the total cost of the project. The total cost of the project is the sum of the ACF share and the non-Federal share. The non-Federal share may be met by cash or in-kind contributions, although applicants are encouraged to meet their match requirements through cash contributions. Therefore, a project requesting $50,000 in Federal funds (based on an award of $50,000 per budget period) must include a match of at least $16,666 (25% of total project cost) for a total budget of $66,666. Anticipated Number of Projects to be Funded It is anticipated that four projects may be funded at the maximum level; more than four projects may be funded depending on the number of acceptable applications for lesser amounts which are received. CFDA: 93.592 Family Violence Prevention and Services: Family Violence Prevention and Services Act, as amended. 2. Priority Area Number FV-02-97: Domestic Violence/Temporary Assistance for Needy Families (TANF) Program (welfare reform) Background On August 22, 1997, Pub. L. 104-193, the Personal Responsibility and Work Opportunities Reconciliation Act of 1996 (PRWORA) was enacted. Also known as ``welfare reform,'' it abolishes the Aid to Families with Dependent Children (AFDC) and the Job Opportunities and Basic Skills (JOBS) Training programs and replaces them with the Temporary Assistance for Needy Families (TANF) State block grant program. The TANF program includes specific work participation requirements and penalizes States if these standards are not met. The Family Violence Amendment, section 402(a)(7) of the Social Security Act, also known as the Wellstone/Murray Amendment, is an optional certification for States to develop a three-pronged strategy for helping victims of domestic violence applying for, or receiving welfare move successfully into the work force. The strategy includes: (1) Identifying a victim of domestic violence as that person enters the assistance system; (2) waiving certain program requirements if compliance would put the victim at risk of further violence, make it more difficult for the victim to escape violence, or unfairly penalize the victim; and (3) providing referrals for supportive services. The goal of this grant is to promote services to victims of domestic violence who are TANF applicants or recipients regardless of whether a State has chosen to implement the Family Violence Amendment. Purpose To develop effective strategies for integrating domestic violence services into State/local or Tribal welfare service systems to promote services, including crisis intervention and other domestic violence services, to victims of domestic violence, while assisting victims towards employment and self-sufficiency. Moreover, to offer the applicant organizations an opportunity to jointly design, develop, and implement collaborative projects addressing several issues or areas of concern among State and local TANF and Tribal TANF programs and the domestic violence community and other community-based organizations providing services to victims of domestic violence. Minimum Requirements for Project Design Efforts are to be focused on the joint development of model protocols and programs, training curricula and materials, models of cross-training, training of front-line staff in welfare offices and the training of domestic violence advocates and service providers. The public agency staff trained would include anyone in the local welfare office or related offices (such as child support enforcement or job training programs) who has direct contact with TANF applicants/ recipients. Domestic violence advocates would be trained in State/local and Tribal TANF office procedures, child support enforcement, paternity establishment, and job training and work activity issues to the extent that the procedures and programs impact upon victims of domestic violence. Protocols for effective strategies of intervention should be considered to: (1) Ensure confidentiality of client information at every stage of the process; (2) Enlighten TANF eligibility workers and case workers, job training and employment personnel, and child support enforcement staff about the possible effects of domestic violence on a victim's ability to work; and (3) Allow job training and employment staff as well as child support enforcement workers to ensure the safety of domestic violence victims who are involved in their system. The services and activities affected by these strategies would include the identification, screening, assessment and referral of victims or potential victims of domestic violence during the course of eligibility transactions (including Food Stamps and Medicaid) to appropriate crisis intervention and support services. The intervention and support services may be job training and other related services and programs, case management by TANF, child support enforcement, employment service and agencies that respond to the safety, confidentiality, and service needs of domestic violence victims. Applicants may propose to do one or more of the following: (a) Develop a plan for and implement the training of TANF eligibility and case workers, child support enforcement workers and supervisors, on the relationship of domestic violence, poverty and work activity as it relates to TANF recipients, and related cross-training of domestic violence programs staff; (b) Design, pilot test and implement domestic violence-appropriate model approaches to screening, notification, safety planning, employability planning and referral systems to be adopted by the State or Tribal TANF program including eligibility, case maintenance, and child support enforcement; (c) Develop and implement through the TANF structure, a domestic violence-specific curriculum which will become part of a mandatory training program; and (d) Gather and submit data on the types of interventions and the effects of those interventions on helping recipients, identified as domestic violence victims or potential victims, achieve self- sufficiency. Eligible Applicants State and local public agencies, Territories, and Federally recognized American Indian Tribes and Tribal Organizations; State and local welfare agencies; child support enforcement [[Page 29247]] agencies; private nonprofit agencies providing services to TANF recipients; domestic violence advocacy organizations; and State and local domestic violence coalitions. The applicants must submit a Memorandum of Understanding between and among the TANF systems, the domestic violence state/local systems and community-based service providers, specifically identifying the role each participant organization has in the implementation of the proposed project and the level of commitment to providing training to staff, and services to victims of domestic abuse. The Memorandum of Understanding is necessary because the successful implementation of a proposed project would have implications for systemic/procedural change in the TANF and/or the domestic violence community. In addition to the Memorandum of Understanding, applicants must submit signed Letters of Support from the State or Tribal TANF agency or from the appropriate public agency that is the collaborative partner and from the state domestic violence coalition or the specific domestic violence advocacy organization. These letters should identify the specific commitment that each collaborative partner will bring to the implementation of the project. If the Memorandum of Agreement and Letters of Support are not included as part of the application, then the application will be considered as non-responsive, declared ineligible, and will be excluded from competition. Project Period The length of the project will not exceed 17 months. Federal Share of the Project The maximum Federal share of the project is not to exceed $75,000 for the 17 month project period. Applications for lesser amounts also will be considered for this project. Matching Requirement Successful grantees must provide at least 25 percent of the total cost of the project. The total cost of the project is the sum of the ACF share and the non-federal share. The non-Federal share may be met by cash or in-kind contributions, although applicants are encouraged to meet their match requirements through cash contributions. Therefore, a project requesting $75,000 in Federal funds (based on an award of $75,000 per budget period) must include a match of at least $25,000 (25% of total project cost). Therefore, a total project cost of $100,000 would be comprised of $75,000 Federal funds and $25,000 non- Federal funds. If approved for funding, grantees will be held accountable for commitments of non-Federal resources and failure to provide the required amount will result in a disallowance of unmatched Federal funds. Anticipated Number of Projects To Be Funded It is anticipated that four projects may be funded at the maximum level; more than four projects may be funded depending on the number of acceptable applications for lesser amounts which are received. CFDA: 93.592 Family Violence Prevention and Services: Family Violence Prevention and Services Act, as amended. 3. Priority Area Number FV-03-97: The Establishment and Implementation of a Special Issue Resource Center (SIRC) To Aid Indian Tribes and Tribal Organizations Purpose The purpose of the SIRC To Aid Indian Tribes and Tribal Organizations is to provide specific leadership in the prevention of domestic violence, resource information and materials, technical assistance and professional consultation to Tribes, Tribal organizations, individuals, and other persons and entities seeking to assist Tribes and Tribal organizations. Background The Office of Community Services seeks to support a nationwide effort that is staffed by an expert and multi-disciplinary team that responds to requests for resource information, policy analysis, technical assistance and training. These requests would be from individuals, agencies, and organizations at the Tribal, Federal, State and local levels. The current Domestic Violence Resource Network--a network of four domestic violence resource centers and the national hotline: (1) National Resource Center on Domestic Violence; (2) Resource Center on Civil and Criminal Law, aka the Battered Women's Justice Project; (3) Health Resource Center on Domestic Violence; (4) Resource Center on Child Protection and Custody; and (5) the National Domestic Violence Hotline--serves to strengthen the existing support systems servicing battered women, their dependents and other victims of domestic violence. The Resource Network provides nationally recognized comprehensive program information and information on resources, policy development, and technical assistance designed to enhance community resources for the prevention of domestic violence. The Office of Community Services will consider applications for an additional resource center to work as part of this network in partnership with Indian Tribes and Tribal organizations, community-based domestic violence programs, State domestic violence coalitions, Federal, State and local governmental agencies, policy makers and individuals involved in assisting programs for victims of domestic violence. In addition to providing information and technical assistance, the SIRC to Aid Indian Tribes and Tribal organizations must provide in relation to Indian Tribes, issues, and population: Comprehensive statistics, fact sheets, and specialized information packets addressing a range of domestic violence issues; Materials to support the development and replication of model programs, legislation and exemplary practices; Technical assistance and training to assist organizations, programs and communities to adapt available resources to meet local needs; A toll-free information line which allows the public to access the latest developments in research, policy, and practice; and A customized service reachable by fax or mail whereby programs, agencies, and professionals may receive packets, newsletters, bibliographies, policy papers and fact sheets. The proposed SIRC must have the ability to deliver highly individualized technical assistance which enables an Indian Tribe or Tribal organization to solve a specific problem. In addition to facilitating on-site assistance, the SIRC shall: Identify, develop, and disseminate research and evaluation findings pertinent to Indian Tribes and Tribal organizations; Prepare and distribute technical assistance packages to aid in the replication of effective services, prevention efforts and training programs that have been found effective and are culturally relevant to the Indian Tribes and Tribal organizations; And identify new areas for demonstration activities that address domestic violence issues. Eligible Applicants Private nonprofit organizations that have focused primarily on domestic violence prevention and intervention activities and have extensive experience in the field with Indian Tribes and Tribal organizations in training [[Page 29248]] activities, direct technical assistance, program and services design, implementation and administration. Form of Award The Office of Community Services (OCS) intends to support the SIRC to Aid Indian Tribes and Tribal organizations with a Cooperative Agreement. A Cooperative Agreement is Federal financial aid in which substantial Federal involvement is anticipated. The respective responsibilities of OCS and of the successful applicant will be identified and incorporated into the cooperative agreement during pre- award negotiations. The grantee will outline a plan of interaction with OCS for implementation under a cooperative agreement including, as appropriate, activities involving Federal staff. The plan under the cooperative agreement will describe the general and specific responsibilities of the grantee and the grantor as well as foreseeable joint responsibilities. A schedule of tasks will be developed and agreed upon in addition to any special conditions relating to the implementation of the project. Minimum Requirements for Project Design In order to successfully compete under this announcement, the applicant must: (a) Describe the immediacy of the need(s) to be addressed and provide information on the specific services your organization currently provides to Tribes or Tribal Organizations and what information, specific training, and technical assistance would be provided as an SIRC; (b) Demonstrate an in-depth understanding of the program/service and access/response issues of the Indian Tribes and Tribal organizations and the problems associated with them; (c) Present the technical approach and the specific workplans for the provision of training and technical assistance to Tribes and Tribal Organizations that is nationwide in scope and utilizes the support and facilitating efforts of the National Resource Center (NRC) and the Resource Center Network; describe a plan for continuous contact with the field, an 800 telephone number and direct mailings; and a plan for the development and use of a network of experts for the provision of direct training and consultation, including fees for service, if necessary; (d) Describe the efforts that you currently make or would implement, and the relationships that you currently have or will form, to coordinate activities with other appropriate resource centers, domestic violence advocacy organizations, State domestic violence coalitions, public agencies, the NRC, and affiliated SIRCs in a national domestic violence network to enhance the Center's activities and to avoid duplication; (e) Provide a plan to determine the need to implement special projects related to training curricula, service delivery models or other aspects of the proposed SIRC to Aid Indian Tribes and Tribal organizations; (f) Provide a plan to evaluate the effectiveness of the proposed project activities within one year of the effective date of the grant; (g) Describe the proposed SIRC staff with appropriate expertise; and (h) Describe the administrative and organizational structure, the management plan, the cost structure within which the project would operate; and describe the operational and programmatic relationships to be formed with the affiliated SIRCs and the NRC. Charts depicting the organizational structures and the ensuing relationships must be included. Project Period The length of the project for the SIRC will not exceed 48 months. The award, on a competitive basis, will be for an initial 12-month budget period, although the project period may be for 4 years. Applications for continuation grants funded under this award beyond the 12-month budget period but within the 4-year project period will be considered in subsequent years on a non-competitive basis, subject to the availability of funds, satisfactory progress of the grantee and a determination that continued funding would be in the best interest of the government. Budget Period and Federal Share The fiscal year 1997 Federal share for the SIRC to Aid Indian Tribes and Tribal organizations is $600,000 for the first 12-month budget period subject to the availability of funds. Applications for lesser amounts also will be considered for this project. The estimated Federal share for the second, third, and fourth budget period is $600,000 per 12-month period. Matching Requirement SUCCESSFUL GRANTEES MUST PROVIDE AT LEAST 25 PERCENT OF THE TOTAL COST OF THE PROJECT. THE TOTAL COST OF THE PROJECT IS THE SUM OF THE ACF SHARE AND THE NON-FEDERAL SHARE. The non-Federal share may be met by cash or in-kind contributions, although applicants are encouraged to meet their match requirements through cash contributions. Therefore, a project requesting $600,000 in Federal funds (based on an award of $600,000 per budget period) must include a match of at least $200,000 (25% of total project cost). Therefore, a total project cost of $800,000 would be comprised of $600,000 in Federal funds and $200,000 in non-Federal funds. If approved for funding, grantees will be held accountable for commitments of non-Federal resources and failure to provide the required amount will result in a disallowance of unmatched Federal funds. Anticipated Number of Projects To Be Funded It is anticipated that one (1) project may be funded. CFDA: 93.592 Family Violence Prevention and Services: Family Violence Prevention and Services Act, as amended. 4. Priority Area Number FV-04-97: Training Grant Stipends in Domestic Violence for Historically Black, Hispanic-Serving and Tribal Colleges and Universities Background Media coverage, court records, and crime statistics suggest that a substantial proportion of the domestic violence which occurs in the general population involves underserved populations, including populations that are underserved because of ethnic, racial, cultural, language diversity or geographic isolation (Brachman & Saltzman, 1995). Official statistics on child abuse and spouse abuse indicate that women, minorities, and the poor are over-represented among victims of domestic violence (Straus, Gelles & Steinmetz, 1980). The scholars and practitioners who are responding to violence in underserved communities are currently few in number and work in isolation. The purpose of this effort and priority area is to increase the capacity for advocates and allies to do the work that is needed to prevent domestic violence. There are three Executive Orders that support the provision of training grants to the educational institutions targeted in this priority area: --Executive Order 13021 of October 19, 1969, Tribal Colleges and Universities; --Executive Order 12900 of December 5, 1994, Educational Excellence for Hispanic Americans; and [[Page 29249]] --Executive Order 12876 of November 1, 1993, Historically Black Colleges and Universities. Executive Order 13021 reaffirms the special relationship of the Federal Government to the American Indians and identifies several purposes that support access to opportunities, resources, and that support educational opportunities for economically disadvantaged students; Executive Order 12900 requires the provision of quality education and increased educational opportunities for Hispanic Americans; and Executive Order 12876 requires strengthening the capacity of Historical Black Colleges and Universities to provide quality education and increased opportunities to participate in and benefit from Federal programs. Purpose (a) To provide support for graduate and undergraduate students who show promise and demonstrate serious interest and commitment to issues of domestic violence in underserved populations. Historically Black, Hispanic and American Indian colleges and universities will be given special consideration in order to generate skill building and training opportunities particularly responsive to issues of cultural content. (b) To support the growth of college and university-based practice knowledge about domestic violence and encourage social work students and faculty to pursue careers which address the issue of domestic violence experiences and underscore the need to draw new social workers. (c) To identify best practices regarding critical issues in domestic violence prevention, identification, and treatment efforts in under-served domestic violence populations. These grants will include an institutional payment, to cover the individual student's tuition and fees, and a stipend for the student. Minimum Requirements for Project Design Field Placement: The grant will provide stipends for qualified individuals pursuing degrees in social work with a special interest in domestic violence. It will provide one year graduate and undergraduate stipends to support skill building and training of students interested in domestic violence treatment and intervention services to underserved racial and ethnic minority populations. Placements must provide a structured learning environment that enables students to compare their field placement experiences, integrate knowledge from the classroom, and expand knowledge beyond the scope of the practicum setting (Council on Social Work Education [CSWE], {1994}. Baccalaureate and Master's Program Evaluative Standards, Interpretive Guidelines, Curriculum Policy Statement, and Self-Study Guide. The Accreditation Standards and Self-Study Guides). Proposals must include content about differences and similarities in the experiences, needs, and beliefs of the people being served. The proposals must also include content about differential assessment and intervention skills that will enable practitioners to serve diverse populations. The field placements must focus on the general and specific topic areas as indicated in this announcement. The applicant student must indicate the area of interest, objectives, and goals of the placement/study. Field placements will be at a minimum of 900 hours per semester. Faculty Involvement: Faculty must indicate the use of professional supervision to enhance the learning of students and must coordinate and monitor practicum placements of student selected for stipends. Proposals must define the social work setting and practice, field instructor assignments and activities, and student learning expectations and responsibilities. Individual faculty may organize their practicum-placements in different ways but must ensure educationally directed, coordinated, and monitored practicum experiences are maintained for students and related to domestic violence. Faculty must articulate clear practice and evaluation goals for the field practicum and for each student and faculty proposals must provide an orientation plan for the student to the practicum placement and the agency's policy. Final Products/Results and Benefits Expected: Practicum proposal/contract between the student, the organization (agency), and the college or university indicating defined objectives, goals, students performance, benefits to student, lessons learned, and recommendations for future placement at agency; A report focusing on agency population served, difficulties encountered, outcomes, implications and recommendations for future placements. The report should be prepared and submitted to the Office of Community Services; and One mid-semester student performance evaluation. Eligible Applicants Historically Black Colleges and Universities; Hispanic-serving Colleges and Universities; and Tribal Colleges and Universities. Hispanic-serving Colleges and Universities are defined as those whose student population is more than 25% Hispanic. Tribal Colleges and Universities are those institutions cited in section 532 of the Equity in Educational Land-Grant Status Act of 1994 (7 U.S.C. 301 note), any other institution that qualifies for funding under the Tribally Controlled Community College Assistance Act of 1978 (25 U.S.C. 1801 et seq.) and Navajo Community College, authorized in the Navajo Community College Assistance Act of 1978, Pub. L. 95-471, title II (25 U.S.C. 640a note.) Applicant institutions must be fully accredited by one of the regional institutional accrediting commissions recognized by the U.S. Secretary of Education and the Council on Social Work Education. Participants would include: qualified undergraduate or graduate social work students. All individuals seeking student stipends must be enrolled in the institution. Recipients of student stipends must maintain satisfactory academic records and be full-time students. Awards will be made only to eligible institutions on behalf of their qualified candidates. Project Period Stipends are awarded for one year, not to exceed 12 months. Federal Share of the Project Cost This competitive program provides stipends for a maximum amount not to exceed $75,000 (includes direct and indirect costs) per college or university. The Federal share will fund up to four student candidates at a maximum of $11,250 each and will fund one faculty coordinator of the project at $30,000. Anticipated Number of Projects to be Funded It is anticipated that 4 projects will be funded at $75,000 each. Applications for lesser amounts will also be considered for this priority area. CDFA: 93.592 Family Violence Prevention and Services: Family Violence Prevention and Services Act as amended. Part III. The Review Process A. Eligible Applicants Before applications are reviewed, each application will be screened to determine that the applicant organization is an eligible applicant as [[Page 29250]] 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. Each priority area description contains information about the types of agencies and organizations which are eligible to apply under that priority area. Since eligibility varies among priority areas, it is critical that the ``Eligible Applicants'' section under each specific priority area be read carefully. Only agencies and organizations, not individuals, are eligible to apply under any of the priority areas. On all applications developed jointly by more than one agency or organization, the applications 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. Any non-profit agency submitting an application must submit proof of non-profit status with its grant application. The non-profit agency can accomplish this by providing a copy of the applicant's listing in the Internal Revenue Service's (IRS) 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. ACF cannot fund a non-profit applicant without acceptable proof of its non-profit status. B. Review Process and Funding Decisions 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. ACF reserves the option of discussing applications with, or referring them to, other Federal or non-Federal funding sources when this is determined to be in the best interest of the Federal government or the applicant. It may also solicit comments from ACF Regional Office staff, other Federal agencies, interested foundations, national organizations, specialists, experts, States and the general public. These comments, along with those of the expert reviewers, will be considered by OCS in making funding decisions. In making decisions on awards, OCS may give preference to applications which focus on or feature: a substantially innovative strategy with the potential to improve theory or practice in the field of human services; a model practice or set of procedures that holds the potential for replication by organizations involved in the administration or delivery of human services; substantial involvement of volunteers; substantial involvement (either financial or programmatic) of the private sector; a favorable balance between Federal and non-Federal funds available for the proposed project; the potential for high benefit for low Federal investment; a programmatic focus on those most in need; and/or substantial involvement in the proposed project by national or community foundations. To encourage increased collaboration and coordination among existing programs and related initiatives, OCS will give additional consideration to applications from organizations and/ or agencies that are documented participants in Empowerment Zone and/or Enterprise Community plans and applications. Applicants citing participation with Empowerment Zones and/or Enterprise Communities should document that they were involved in the preparation and proposed implementation of the plan and how their proposed family violence project supports the goal of the Empowerment or Enterprise plans (0-5 points). C. Evaluation Criteria Using the appropriate evaluation criteria below, a panel of at least three reviewers (primarily experts from outside the Federal government) will review each application. Applicants should ensure that they address each minimum requirement in the priority area description under the appropriate section of the Program Narrative Statement. Reviewers will determine the strengths and weaknesses of each application in terms of the appropriate evaluation criteria listed below, 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. Evaluation Criteria for Priority Areas Applications submitted under priority areas: FV-01-97, Developing and Enhancing Services for Immigrant and Migrant Battered Women; FV-02-97, Domestic Violence/Temporary Assistance for Needy Families (TANF) Program; and FV-04-97, Minority Training Grant Stipends in Domestic Violence, will be evaluated against the following criteria. 1. Need for the Project (10 Points) The extent to which the need for the project and the problems it will address have national and local significance; the applicability of the project to coordination efforts by national, Tribal, State and local governmental and non-profit agencies, and its ultimate impact on domestic violence prevention services and intervention efforts, policies and practice; the relevance of other documentation as it relates to the applicant's knowledge of the need for the project; and the identification of the specific topic or program area to be served by the project. Maps and other graphic aids may be attached. 2. Goals and Objectives (10 Points) The extent to which the specific goals and objectives have national or local significance, the clarity of the goals and objectives as they relate to the identified need for and the overall purpose of the project, and their applicability to policy and practice. The provision of a detailed discussion of the objectives and the extent to which the objectives are realistic, specific, and achievable. 3. Approach (30 Points) The extent to which the application outlines a sound and workable plan of action pertaining to the scope of the project, and details how the proposed work will be accomplished; relates each task to the objectives and identifies the key staff member who will be the lead person; provides a chart indicating the timetable for completing each task, the lead person, and the time committed; cites factors which might accelerate or decelerate the work, giving acceptable reasons for taking this approach as opposed to others; describes and supports any unusual features of the project, such as design or technological innovations, reductions in cost or time, or extraordinary social and community involvements; and provides for projections of the accomplishments to be achieved. The extent to which, when applicable, the application describes the evaluation methodology that will be used to determine if the needs identified and discussed are being met and if the results and benefits identified are being achieved. [[Page 29251]] 4. Results and Benefits (20 Points) The extent to which the application identifies the results and benefits to be derived, the extent to which they are consistent with the objectives of the application, the extent to which the application indicates the anticipated contributions to policy, practice, and theory, and the extent to which the proposed project costs are reasonable in view of the expected results. Identify, in specific terms, the results and benefits, for target groups and human service providers, to be derived from implementing the proposed project. Describe how the expected results and benefits will relate to previous demonstration efforts. 5. Level of Effort: (30 Points) Staffing pattern--Describe the staffing pattern for the proposed project, clearly linking responsibilities to project tasks and specifying the contributions to be made by key staff. Competence of staff--Describe the qualifications of the project team including any experiences working on similar projects. Also, describe the variety of skills to be used, relevant educational background and the demonstrated ability to produce final results that are comprehensible and usable. One or two pertinent paragraphs on each key member are preferred to resumes. However, resumes may be included in the ten pages allowed for attachments/appendices. Adequacy of resources--Specify the adequacy of the available facilities, resources and organizational experience with regard to the tasks of the proposed project. List the financial, physical and other resources to be provided by other profit and nonprofit organizations. Explain how these organizations will participate in the day to day operations of the project. Budget--Relate the proposed budget to the level of effort required to obtain project objectives and provide a cost/benefit analysis. Demonstrate that the project's costs are reasonable in view of the anticipated results. Collaborative efforts--Discuss in detail and provide documentation for any collaborative or coordinated efforts with other agencies or organizations. Identify these agencies or organizations and explain how their participation will enhance the project. Letters from these agencies and organizations discussing the specifics of their commitment must be included in the application. Authorship--The authors of the application must be clearly identified together with their current relationship to the applicant organization and any future project role they may have if the project is funded. Applications submitted under priority area: FV-03-97, The Establishment and Implementation of a Special Issue Resource Center to Aid Indian Tribes and Tribal Organizations; will be evaluated against the following criteria. 1. Need for the Project (10 Points) The extent to which the need for the project and the problems it will address have national and local significance; the applicability of the project to coordination efforts by national, Tribal, State and local governmental and non-profit agencies, and its ultimate impact on domestic violence prevention services and intervention efforts, policies and practice on Tribal Trust lands and reservations; the relevance of other documentation as it relates to the applicants knowledge of the need for the project; and the identification, understanding and knowledge of the specific topic or program area to be served by the project. Maps and other graphic aids may be attached. 2. Goals and Objectives (10 Points) The extent to which the specific goals and objectives have national or local significance, the clarity of the goals and objectives as they relate to the identified need for and the overall purpose of the project, and their applicability to policy and practice. The provision of a detailed discussion of the objectives and the extent to which the objectives are realistic, specific, and achievable. 3. Approach (30 Points) The extent to which the application outlines a sound and workable plan of action pertaining to the scope of the project, and details how the proposed work will be accomplished; relates each task to the objectives and identifies the key staff member who will be the lead person; provides a chart indicating the timetable for completing each task, the lead person, and the time committed; cites factors which might accelerate or decelerate the work, giving acceptable reasons for taking this approach as opposed to others; describes and supports any unusual features of the project, such as design or technological innovations, reductions in cost or time, or extraordinary social and community involvements; and provides for projections of the accomplishments to be achieved. The extent to which the application describes the evaluation methodology that will be used to determine if the needs identified and discussed are being met and if the results and benefits identified are being achieved. 4. Results and Benefits (20 Points) The extent to which the application identifies the results and benefits to be derived, the extent to which they are consistent with the objectives of the application, the extent to which the application indicates the anticipated contributions to policy, practice, and theory, and the extent to which the proposed project costs are reasonable in view of the expected results. The applicant should identify, in specific terms, the results and benefits, for target groups and human service providers, to be derived from implementing the proposed project. Applicant should also describe how the expected results and benefits will relate to previous demonstration efforts. 5. Level of Effort: (30 Points) Expertise, Commitment, and Support (a) Applicants must have documented individual and organizational experience in the area of domestic violence prevention and services with Indian Tribes and Tribal organizations. Each applicant organization must have an advisory board. (b) The extent to which the applicant has nationally recognized expertise in the area of domestic violence and a record of high quality service to victims of domestic violence, including a demonstration of support from advocacy groups, such as State Domestic Violence Coalitions or recognized national domestic violence advocacy groups; the extent of the applicant's commitment to diversity, and to the provision of services to Indian Tribes and Tribal organizations. Staff Background, Organizational Experience, and Competence of Staff (c) The adequacy of the staffing pattern for the proposed project, how the individual responsibilities are linked to project tasks, and the contributions to be made by key staff. Each collaborating or cooperative organization, individual consultant, or other key individuals who will work on the project should be listed along with a description of the nature of their effort or contribution. The background and experience of the project director and key project staff and the history and accomplishments of the organization; the qualifications of the project team including any experience with similar projects; the variety of skills, relevant educational background, and the ability to effectively manage the project and to coordinate with other agencies. One or two pertinent [[Page 29252]] paragraphs on each key member are preferred to vitae/resumes. However, resumes may be included. Adequacy of Resources and the Budget (d) The adequacy of the available resources and organizational experience with regard to the scope of the tasks of the proposed project. A list of the financial, physical, and other resources already committed by other private and public institutions and agencies, if any, and the explanation of how these organizations will participate in the day-to-day operations of the project. Letters from these agencies and organizations identifying and discussing the specifics of their commitment and participation must be included in the application. The extent to which the proposed budget is related to the level of effort required to obtain the project's objectives; demonstration that the project's costs are reasonable in view of the anticipated results. Collaborative Effort (e) The extent of the additional private sector resources that may be available to support or enhance the overall program. A discussion in detail and the provision of documentation for any proposed collaborative or coordinated efforts with other public or private agencies or organizations. Letters from these agencies and organizations must be included discussing their interest and/or commitment in supporting the proposed project, stating at what juncture they would become involved and the expected level of resource commitment. Applicants should note that non-responsiveness to the section designated as ``Minimum Requirements for Project Design,'' in the applicable priority areas, will result in a low evaluation score by the panel of expert reviewers. Applicants must clearly identify the specific priority area under which they wish to have their applications considered, and tailor their applications accordingly. Previous experience has shown that an application which is broad and more general in concept than outlined in the priority area description is less likely to score as well as one which is more clearly focused and directly responsive to the concerns of that specific priority area. D. Available Funds ACF intends to award grants resulting from this announcement during the fourth quarter of FY 1997. The size of the actual 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 or 17 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 project periods which are shorter than the maximums specified in the various priority areas. Non- Federal share contributions may exceed the minimums specified in the various priority areas when the applicant is able to do so. E. Grantee Share of Project Costs Federal funds will be provided to cover up to 75% of the total allowable project costs. Therefore, the non-Federal share must amount to at least 25% of the total (Federal plus non-Federal) project cost. This means that, for every $3 in Federal funds received, up to the maximum amount allowable under each priority area, applicants must contribute at least $1. For example, the cost breakout for a project with a total cost of $66,666 to implement would be: ------------------------------------------------------------------------ Non-Federal Federal request share Total cost ------------------------------------------------------------------------ $50,000....................................... $16,666 $66,666 75%........................................... 25% 100% ------------------------------------------------------------------------ Part IV--Instructions for the Development and Submission of Applications This Part contains information and instructions for submitting applications in response to this announcement. Application forms are provided as part of this publication along with a checklist for assembling an application package. Please copy and use these forms in submitting an application. Potential applicants should read this section carefully in conjunction with the information contained within the specific priority area under which the application is to be submitted. The priority area descriptions are in Part II. A. Required Notification of the State Single Point of Contact This program is covered under Executive Order 12372, (E.O.) ``Intergovernmental Review of Federal Programs,'' and 45 CFR Part 100, ``Intergovernmental Review of Department of Health and Human Services Program and Activities.'' Under the E.O., States may design their own processes for reviewing and commenting on proposed Federal assistance under covered programs. All States and territories, except Alabama, Alaska, Colorado, Connecticut, Hawaii, Idaho, Kansas, Louisiana, Massachusetts, Minnesota, Montana, Nebraska, New Jersey, Oklahoma, Oregon, Pennsylvania, South Dakota, Tennessee, Vermont, Virginia, Washington, American Samoa and Palau, have elected to participate in the E.O. process and have established a Single Point of Contact (SPOCs). Applicants from these twenty-three jurisdictions need take no action regarding E.O. 12372. Applicants for projects to be administered by Federally-recognized Indian Tribes are also exempt from the requirements of E.O. 12372. Otherwise, applicants should contact their SPOCs as soon as possible to alert them of the prospective applications and receive any necessary instructions. Applicants must submit any required material to the SPOCs as soon as possible so that OCS can obtain and review SPOC comments as part of the award process. It is imperative that the applicant submit all required materials, if any, to the SPOC and indicate the date of this submittal (or the date of contact if no submittal is required) on the Standard Form 424, item 16a. Under 45 CFR 100.8(a)(2), a SPOC has 60 days from application deadline to comment on proposed new or competing continuation awards. SPOCs are encouraged to eliminate the submission of routine endorsements as official recommendations. Additionally, SPOCs are requested to differentiate clearly between mere advisory comments and those official State process recommendations which may trigger the ``accommodate or explain'' rule. When comments are submitted directly to ACF, they should be addressed to: Department of Health and Human Services, Administration for Children and Families, Division of Discretionary Grants, (OCS-97- 07) 370 L'Enfant Promenade, SW., 6th Floor East, Washington, DC 20447. A list of the Single Point of Contact for each State and Territory is included at the end of this announcement. B. Paperwork Reduction Act of 1995 Under the Paperwork Reduction Act of 1995, Public Law 104-13, the Department is required to submit to the Office of Management and Budget (OMB) for review and approval any reporting and recordkeeping requirements in regulations, including program announcements. This program announcement does not contain [[Page 29253]] information requirements beyond those approved for ACF grant applications under OMB Control Number 0970-0062 which will expire 09/ 30/98. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. C. Deadline for Submittal of Applications The closing date and time for submittal of applications under this program announcement is found at the beginning of this program announcement under CLOSING DATE. Mailed applications shall be considered as meeting an announced deadline if they are either received on or before the deadline date or sent on or before the deadline date and received by ACF in time for the independent review to: U.S. Department of Health and Human Services, Administration for Children and Families, Division of Discretionary Grants, 370 L'Enfant Promenade, SW., Mail Stop 6C-462, Washington, DC 20447, Attention: Application for Family Violence Prevention and Services Program. Applications handcarried by applicants, applicant couriers, or overnight/express mail couriers shall be considered as meeting an announced deadline if they are received on or before the deadline date, between the hours of 8:00 a.m. and 4:30 p.m., at the U.S. Department of Health and Human Services, Administration for Children and Families, Division of Discretionary Grants, ACF Mailroom, 2nd Floor Loading Dock, Aerospace Center, 901 D Street, SW., Washington, DC 20024, between Monday and Friday, (excluding Federal holidays). (Applicants are cautioned that express/overnight mail services do not always deliver as agreed.) ACF cannot accommodate transmission of applications by fax or through other electronic media. Therefore, applications transmitted to ACF electronically will not be accepted regardless of the date or time of submission and time of receipt. Late applications Applications which do not meet the criteria above are considered late applications. The ACF shall notify each late applicant that its application will not be considered in the current competition. Extension of Deadlines ACF may extend the deadline for all applicants due to acts of God, such as floods, hurricanes or earthquakes; widespread disruption of the mails; or if ACF determines a deadline extension to be in the best interest of the Government. However, if ACF does not extend the deadline for all applicants, it may not waive or extend the deadline for any applicant. D. Instructions for Preparing the Application and Completing Application Forms The SF 424, Page 2; and certifications have been reprinted for your convenience in preparing the application. You should reproduce single- sided copies of these forms from the reprinted forms in the announcement, typing your information onto the copies. Please do not use forms directly from the Federal Register announcement, as they are printed on both sides of the page. In order to assist applicants in correctly completing the SF 424 and SF 424A, instructions for these forms have been included at the end of Part IV of this announcement. Where specific information is not required under this program, NA (not applicable) has been preprinted on the form. Please prepare your application in accordance with the following instructions: 1. SF 424 Page 1, Application Cover Sheet Please read the following instructions before completing the application cover sheet. An explanation of each item is included. Complete only the items specified. Top of Page. Enter the single priority area number under which the application is being submitted. An application should be submitted under only one priority area. Item 1. ``Type of Submission''--Preprinted on the form. Item 2. ``Date Submitted'' and ``Applicant Identifier''--Date application is submitted to ACF and applicant's own internal control number, if applicable. Item 3. ``Date Received By State''--State use only (if applicable). Item 4. ``Date Received by Federal Agency''--Leave blank. Item 5. ``Applicant Information.'' ``Legal Name''--Enter the legal name of applicant organization. For applications developed jointly, enter the name of the lead organization only. There must be a single applicant for each application. ``Organizational Unit''--Enter the name of the primary unit within the applicant organization which will actually carry out the project activity. Do not use the name of an individual as the applicant. If this is the same as the applicant organization, leave the organizational unit blank. ``Address''--Enter the complete address that the organization actually uses to receive mail, since this is the address to which all correspondence will be sent. Do not include both street address and P.O. box number unless both must be used in mailing. ``Name and telephone number of the person to be contacted on matters involving this application (give area code)''--Enter the full name (including academic degree, if applicable) and telephone number of a person who can respond to questions about the application. This person should be accessible at the address given here and will receive all correspondence regarding the application. Item 6. ``Employer Identification Number (EIN)''--Enter the employer identification number of the applicant organization, as assigned by the Internal Revenue Service, including, if known, the Central Registry System suffix. Item 7. ``Type of Applicant''--Self-explanatory. Item 8. ``Type of Application''--Preprinted on the form. Item 9. ``Name of Federal Agency''--Preprinted on the form. Item 10. ``Catalog of Federal Domestic Assistance Number and Title''--Enter the Catalog of Federal Domestic Assistance (CFDA) number assigned to the program under which assistance is requested and its title, as indicated in the relevant priority area description. Item 11. ``Descriptive Title of Applicant's Project''--Enter the project title. The title is generally short and is descriptive of the project, not the priority area title. Item 12. ``Areas Affected by Project''--Enter the governmental unit where significant and meaningful impact could be observed. List only the largest unit or units affected, such as State, county, or city. If an entire unit is affected, list it rather than subunits. Item 13. ``Proposed Project''--Enter the desired start date for the project and projected completion date. Item 14. ``Congressional District of Applicant/Project''--Enter the number of the Congressional district where the applicant's principal office is located and the number of the Congressional district(s) where the project will be located. If statewide, a multi-State effort, or nationwide, enter ``00.'' Items 15. ``Estimated Funding Levels''--In completing 15a through 15f, the dollar amounts entered should reflect, for a 17 month or less project period, the total amount requested. [[Page 29254]] 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 15 b-e Enter the amount(s) of funds from non-Federal sources that will be contributed to the proposed project. Items b-e are considered cost-sharing or ``matching funds.'' The value of third party in-kind contributions should be included on appropriate lines as applicable. For more information regarding funding as well as exceptions to these rules, see Part III, Sections E and F, and the specific priority area description. Item 15f. Enter the estimated amount of income, if any, expected to be generated from the proposed project. Do not add to or subtract this amount from the total project amount entered under item 15g. Describe the nature, source and anticipated use of this income in the Project Narrative Statement. Item 15g. Enter the sum of items 15a-15e. Item 16a. ``Is Application Subject to Review By State Executive Order 12372 Process? Yes.''--Enter the date the applicant contacted the SPOC regarding this application. Select the appropriate SPOC from the listing provided at the end of Part IV. The review of the application is at the discretion of the SPOC. The SPOC will verify the date noted on the application. If there is a discrepancy in dates, the SPOC may request that the Federal agency delay any proposed funding until September 30, 1997. 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 18 a-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 the total project period of 17 months or less. It should relate to item 15g, total funding, on the SF 424. Under column (5), enter the total requirements for funds (Federal and non-Federal) by object class category. A separate budget justification should be included to explain fully and justify major items, as indicated below. The types of information to be included in the justification are indicated under each category. For multiple year projects, it is desirable to provide this information for each year of the project. The budget justification should immediately follow the second page of the SF 424A. Personnel--Line 6a. Enter the total costs of salaries and wages of applicant/grantee staff. Do not include the costs of consultants, which should be included on line 6h, ``Other.'' Justification: Identify the project director, if known. Specify by title or name the percentage of time allocated to the project, the individual annual salaries, and the cost to the project (both Federal and non-Federal) of the organization's staff who will be working on the project. Fringe Benefits--Line 6b. Enter the total costs of fringe benefits, unless treated as part of an approved indirect cost rate. Justification: Provide a break-down of amounts and percentages that comprise fringe benefit costs, such as health insurance, FICA, retirement insurance, etc. Travel--6c. Enter total costs of out-of-town travel (travel requiring per diem) for staff of the project. Do not enter costs for consultant's travel or local transportation, which should be included on Line 6h, ``Other.'' Justification: Include the name(s) of traveler(s), total number of trips, destinations, length of stay, transportation costs and subsistence allowances. Equipment--Line 6d. Enter the total costs of all equipment to be acquired by the project. Equipment is defined as non-expendable tangible personal property having a useful life of more than one year and an acquisition cost of $5,000 or more per unit. Justification: Equipment to be purchased with Federal funds must be justified. The equipment must be required to conduct the project, and the applicant organization or its subgrantees must not have the equipment or a reasonable facsimile available to the project. The justification also must contain plans for future use or disposal of the equipment after the project ends. Supplies--Line 6e. Enter the total costs of all tangible expendable personal property (supplies) other than those included on Line 6d. Justification: Specify general categories of supplies and their costs. Contractual--Line 6f. Enter the total costs of all contracts, including procurement contracts (except those which belong on other lines such as equipment, supplies, etc.) and contracts with secondary recipient organizations. Also include any contracts with organizations for the provision of technical assistance. Do not include payments to individuals on this line. Justification: Attach a list of contractors, indicating the names of the organizations, the purposes of the contracts, and the estimated dollar amounts of the awards as part of the budget justification. Whenever the applicant/grantee intends to delegate part or all of the program to another agency, the applicant/grantee must complete this section (Section B, Budget [[Page 29255]] 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 State and local governments) has a current indirect cost rate agreement approved by the Department of Health and Human Services or another Federal agency. Note percentage for indirect cost rate and include a copy of the indirect cost rate with the application. 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 if it was negotiated with a Federal agency other than DHHS. Applicants subject to the limitation on the Federal reimbursement of indirect costs for training grants should specify this. Total--Line 6k. Enter the total amounts of lines 6i and 6j. Program Income--Line 7. Enter the estimated amount of income, if any, expected to be generated from this project. Do not add or subtract this amount from the total project amount. Justification: Describe the nature, source, and anticipated use of program income in the Program Narrative Statement. Section C--Non-Federal Resources. This section summarizes the amounts of non-Federal resources that will be applied to the grant. Enter this information on line 12 entitled ``Totals.'' In-kind contributions are defined in title 45 of the Code of Federal Regulations, Part 74.2, as the value of non-cash contributions provided by non-Federal third parties. Third party in-kind contributions may be in the form of real property, equipment, supplies, and other expendable property, and the value of goods and services directly benefiting and specifically identifiable to the project or program. Justification: Describe third party in-kind contributions, if included. Section D--Forecasted Cash Needs. Not applicable. Section E--Budget Estimate of Federal Funds Needed For Balance of the Project. Not applicable. Totals--Line 20. For projects that will have more than one budget period, enter the estimated required Federal funds for the second budget period (months 13 through 24) under column ``(b) First.'' If a third budget period will be necessary, enter the Federal funds needed for months 25 through 36 under ``(c) Second.'' Columns (d) and (e) are not applicable in most instances, since ACF funding is almost always limited to a three-year maximum project period. They should remain blank. Section F--Other Budget Information. Direct Charges--Line 21. Not applicable. Indirect Charges--Line 22. Enter the type of indirect rate (provisional, predetermined, final or fixed) that will be in effect during the funding period, the estimated amount of the base to which the rate is applied, and the total indirect expense. Remarks--Line 23. If the total project period exceeds 17 months, you must enter your proposed non-Federal share of the project budget for each of the remaining years of the project. 3. Project Summary Description Clearly mark this separate page with the applicant name as shown in item 5 of the SF 424, and the title of the project as shown in item 11 of the SF 424. The summary description should not exceed 300 words. These 300 words become part of the computer database on each project. Care should be taken to produce a summary description which accurately and concisely reflects the application. It should describe the objectives of the project, the approaches to be used and the outcomes expected. The description should also include a list of major products that will result from the proposed project, such as software packages, materials, management procedures, data collection instruments, training packages, or videos (please note that audiovisuals should be closed captioned). The project summary description, together with the information on the SF 424, will constitute the project ``abstract.'' It is the major source of information about the proposed project and is usually the first part of the application that the reviewers read in evaluating the application. 4. Program Narrative Statement The Program Narrative Statement is a very important part of an application. It should be clear, concise, and address the specific requirements mentioned under the priority area description in Part II. The narrative should also provide information concerning how the application meets the evaluation criteria using the following headings: (a) Need for the Project; (b) Goals and Objectives; (c) Approach; (d) Results and Benefits; and (e) Level of Effort. The specific information to be included under each of these headings [[Page 29256]] is described in Section C of Part III, Evaluation Criteria. The narrative should be typed double-spaced on a single-side of an 8\1/2\'' x 11'' plain white paper, with 1'' margins on all sides. All pages of the narrative (including charts, references/footnotes, tables, maps, exhibits, etc.) must be sequentially numbered, beginning with ``Objectives and Need for the Project'' as page number one. Applicants should not submit reproductions of larger size paper, reduced to meet the size requirement. The length of the application, including the application forms and all attachments, should not exceed 60 pages. A page is a single side of an 8\1/2\ x 11'' sheet of paper. Applicants are requested not to send pamphlets, maps, brochures or other printed material along with their application as these pose photocopy difficulties. These materials, if submitted, will not be included in the review process if they exceed the 60-page limit. Each page of the application will be counted to determine the total length. 5. Organizational Capability Statement The Organizational Capability Statement should consist of a brief (two to three pages) background description of how the applicant organization (or the unit within the organization that will have responsibility for the project) is organized, the types and quantity of services it provides, and/or the research and management capabilities it possesses. This description should cover capabilities not included in the Program Narrative Statement. It may include descriptions of any current or previous relevant experience, or describe the competence of the project team and its demonstrated ability to produce a final product that is readily comprehensible and usable. An organization chart showing the relationship of the project to the current organization should be included. 6. Assurances/Certifications Applicants are required to file an SF 424B, Assurances-- Non-Construction Programs, and the Certification Regarding Lobbying. Both must be signed and returned with the application. In addition, applicants must certify their compliance with: (1) Drug-Free Workplace Requirements; and (2) Debarment and Other Responsibilities; and (3) Certification Regarding Environmental Tobacco Smoke. These certifications are self-explanatory. Copies of these assurances/ certifications are reprinted at the end of this announcement and should be reproduced, as necessary. A duly authorized representative of the applicant organization must certify that the applicant is in compliance with these assurances/certifications. A signature on the SF 424 indicates compliance with the Drug Free Workplace Requirements, and Debarment and Other Responsibilities, and Environmental Tobacco Smoke certifications. E. Checklist for a Complete Application The checklist below is for your use to ensure that your application package has been properly prepared. ____One original, signed and dated application, plus two copies. Applications for different priority areas are packaged separately; ____Application is from an organization which is eligible under the eligibility requirements defined in the priority area description (screening requirement); ____Application length does not exceed 60 pages, unless otherwise specified in the priority area description. ____A complete application consists of the following items in this order: ____Application for Federal Assistance (SF 424A, REV 4-92); ____A completed SPOC certification with the date of SPOC contact entered in line 16, page 1 of the SF 424A if applicable. ____Budget Information--Non-Construction Programs (SF 424A, REV 4- 92); ____Budget justification for Section B--Budget Categories; ____Cable of Contents; ____Letter from the Internal Revenue Service to prove non-profit status, if necessary; ____Copy of the applicant's approved indirect cost rate agreement, if appropriate; ____Project summary description and listing of key words; ____Program Narrative Statement (See Part III, Section C); ____Organizational capability statement, including an organization chart; ____Any appendices/attachments; ____Assurances--Non-Construction Programs (Standard Form 424B, REV 4-92); ____Certification Regarding Lobbying; ____Certification Regarding Drug-Free Workplace Requirements; and ____Certification Regarding Environmental Tobacco Smoke. 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. Applicant should include a self-addressed, stamped acknowledgment card. All applicants will be notified automatically about the receipt of their application. If acknowledgment of receipt of your application is not received within eight weeks after the deadline date, please notify ACF by telephone at (202) 401-5529. G. Post-Award Information and Reporting Requirements Following approval of the applications selected for funding, notice of project approval and authority to draw down project funds will be made in writing. The official award document is the Financial Assistance Award which provides the amount of Federal funds approved for use in the project, the project and budget periods for which support is provided, the terms and conditions of the award, the total project period for which support is contemplated, and the total required financial grantee participation. General Conditions and Special Conditions (where the latter are warranted) which will be applicable to grants, grantees will be subject to the provisions of 45 CFR part 74 or 92. Grantees will be required to submit quarterly progress and semi- annual financial reports (SF 269) throughout the project period, as well as a final progress and financial report within 90 days of the termination of the project. Grantees are subject to the audit requirements in 45 CFR Parts 74 (non-governmental), 92 (governmental), OMB Circular A-133 and OMB Circular A-128. If an applicant does not request indirect costs, it should anticipate in its budget request the cost of having an audit performed at the end of the grant period. Section 319 of Public Law 101-121, signed into law on October 23, 1989, imposes prohibitions and requirements for disclosure and certification related to lobbying on recipients of Federal contracts, grants, cooperative agreements, and loans. It provides exemptions for Indian Tribes and Tribal organizations. Current and prospective recipients (and their subtier contractors [[Page 29257]] and/or grantees) are prohibited from using Federal funds, other than profits from a Federal contract, for lobbying Congress or any Federal agency in connection with the award of a contract, grant, cooperative agreement or loan. In addition, for each award action in excess of $100,000 (or $150,000 for loans) the law requires recipients and their subtier contractors and/or subgrantees (1) To certify that they have neither used nor will use any appropriated funds for payment to lobbyists; (2) to disclose the name, address, payment details, and purpose of any agreements with lobbyists whom recipients or their subtier contractors or subgrantees will pay with profits or nonappropriated funds on or after December 22, 1989 and (3) to file quarterly up-dates about the use of lobbyists if material changes occur in their use. The law establishes civil penalties for noncompliance. (Catalog of Federal Domestic Assistance number 93.592, Family Violence Prevention and Services) Dated: May 14, 1997. Donald Sykes, Director, Office of Community Services. BILLING CODE 4184-01-P [[Page 29258]] [GRAPHIC] [TIFF OMITTED] TN29MY97.007 BILLING CODE 4184-01-C [[Page 29259]] Instructions for the SF 424 Public reporting burden for this collection of information is estimated to average 45 minutes per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Office of Management and Budget. Paperwork Reduction Project (0348-0043), Washington, DC 20503. Please do not return your completed form to the Office of Management and Budget, send it to the address provided by the sponsoring agency. This is a standard form used by applicants as a required facesheet for preapplications and applications submitted for Federal assistance. It will be used by Federal agencies to obtain applicant certification that States which have established a review and comment procedure in response to Executive Order 12372 and have selected the program to be included in their process, have been given an opportunity to review the applicant's submission. Item and Entry 1. Self-explanatory. 2. Date application submitted to Federal agency (or State, if applicable) & applicant's control number (if applicable). 3. State use only (if applicable). 4. If this application is to continue or revise an existing award, enter present Federal identifier number. If for a new project, leave blank. 5. Legal name of applicant, name of primary organizational unit which will undertake the assistance activity, complete address of the applicant, and name and telephone number of the person to contact on matters related to this application. 6. Enter Employer Identification Number (EIN) as assigned by the Internal Revenue Service. 7. Enter the appropriate letter in the space provided. 8. Check appropriate box and enter appropriate letter(s) in the space(s) provided: --``New'' means a new assistance award. --``Continuation'' means an extension for an additional funding/ budget period for a project with a projected completion date. --``Revision'' means any change in the Federal Government's financial obligation or contingent liability from an existing obligation. 9. Name of Federal agency 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 inkind 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 allowances, loans and taxes. 18. To be signed by the authorized representative of the applicant. A copy of the governing body's authorization for you to sign this application as official representative must be on file in the applicant's office. (Certain Federal agencies may require that this authorization be submitted as part of the application.) BILLING CODE 4184-01-P [[Page 29260]] [GRAPHIC] [TIFF OMITTED] TN29MY97.008 [[Page 29261]] [GRAPHIC] [TIFF OMITTED] TN29MY97.009 BILLING CODE 4184-01-C [[Page 29262]] Instructions for the SF 424F Public reporting burden for this collection of information is estimated to average 180 minutes per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestion for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project (0348-0043), Washington, DC 20530. Please do not return your completed form to the Office of Paperwork and Budget, send it to the address provided by the sponsoring agency. 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. Section A, B, C, and D should include budget estimates for the whole project except when applying for assistance which required Federal authorization in annual or other funding period increments. In the latter case Sections A, B, C, and D should provide the budget for the first budget period (usually a year) and Section E should present the need for Federal assistance in the subsequent budget periods. All applications should contain a breakdown by the object class categories shown in lines a-k of Section B. Section A. Budget Summary Lines 1-4, Columns (a) and (b) For applications pertaining to a single Federal grant program (Federal Domestic Assistance Catalog number) and not requiring a functional or activity breakdown, enter on Line 1 under Column (a) the catalog program title and the catalog number in Column (b). For applications pertaining to a single program requiring budget amounts by multiple function 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 of 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 programs, leave Columns (c) and (d) blank. For each line in Columns (a) and (b), enter in Columns (e), (f), and (g) the appropriate amounts of funds needed to support the project for the first funding period (usually a year). For continuing grant program applications, submit these forms before the end of each funding period as required by the grantor agency. Enter in Columns (c) and (d) the estimated amounts of funds which will remain unobligated at the end of the grant funding period only if the Federal grantor agency instructions provide for this. Otherwise, leave these columns blank. Enter in Columns (e) and (f) the amounts of funds needed for the upcoming period. The amount(s) in Column (g) should be the sum of amounts in Columns (e) and (f). For supplemental grants and changes to existing grants, do not use Columns (c) and (d). Enter in Column (e) the amount of the increase or decrease of Federal funds and enter in Column (f) the amount of the increase or decrease or 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 in Columns (e) and (f). Line 5--Shown the total for all columns used. Section B. Budget Categories In the column headings (1) through (4), enter the titles of the same programs, functions, and activities shown on Lines 1-4, Column (a), Section A. When additional sheets are prepared for Section A, provide similar column headings on each sheet. For each program, function or activity, fill in the total requirements for funds (both Federal and non-Federal) by object class categories. Lines 6a-i--Show the totals of Lines 6a to 6h in each column. Line 6j--Show the amount of indirect cost. Line 6k--Enter the total of amounts on Lines 6i and 6j. For all applications for new grants and continuation grants the total amount in column (5), Line 6k, should be the same as the total amount shown in Section A, Column (g), Lines 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 in determining the total amount of the grant. Section. 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 in 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 total of amounts on Lines 13 and 14. Section E. Budget Estimates of Federal Funds Needed for Balance of the Project Lines 16-19--Enter in Column (a) the same grant program titles shown in Column (a), Section A. A breakdown by function or activity is not necessary. For new applications and continuation grant applications, enter in the proper columns amounts of Federal funds which will be needed to complete the program or project over the succeeding funding periods (usually in years). This section need not be completed for revisions (amendments, changes, or supplements) to funds for the current year of existing grants. If more than four lines are needed to list the program titles, submit additional schedules as necessary. Line 20--Enter the total for each of the Columns (b)-(e). When additional schedules are prepared for this Section, annotate accordingly and who 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 Public reporting burden for this collection of information is estimated to average 15 minutes per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send [[Page 29263]] comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project (0348-0043), Washington, DC 20503. Please do not return your completed form to the Office of Management and Budget, send it to the address provided by the Sponsoring agency. 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 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. Sec. 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 290ee-3), as amended, relating to confidentiality of alcohol and drug abuse patient records; (h) Title VIII of the Civil Rights Act of 1968 (42 U.S.C. Sec. 3601 et seq.), as amended, relating to non- discrimination in the sale, rental or financing of housing; (i) any other nondiscrimination provisions in the specific statute(s) under which application for Federal assistance is being made; and (j) the requirements of any other nondiscrimination statute(s) which may apply to the application. 7. Will comply, or has already complied, with the requirements of Title 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, as applicable, with the provisions of the Health 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. Secs. 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. Secs. 7401 et seq.); (g) protection of underground sources of drinking water under the Safe Drinking Water Act of 1974, as amended, (P.L. 93-523); and (h) protection of endangered species under the Endangered Species Act of 1973, as amended, (P.L. 93-205). 12. Will comply with the Wild and Scenic Rivers Act of 1968 (16 U.S.C. Secs. 1271 et seq.) related to protecting components or potential components of the national wild and scenic rivers system. 13. Will assist the awarding agency in assuring compliance with Section 106 of the National Historic Preservation Act of 1966, as amended (16 U.S.C. 470), EO 11593 (identification and protection of historic properties), and the Archaeological and Historic Preservation Act of 1974 (16 U.S.C. 469a-1 et seq.). 14. Will comply with P.L. 93-348 regarding the protection of human subjects involved in research, development, and related activities supported by this award of assistance. 15. Will comply with the Laboratory Animal Welfare Act of 1966 (P.L. 89-544, as amended, 7 U.S.C. 2131 et seq.) pertaining to the care, handling, and treatment of warm blooded animals held for research, teaching, or other activities supported by this award of assistance. 16. Will comply with the Lead-Based Paint Poisoning Prevention Act (42 U.S.C. Secs. 4801 et seq.) which prohibits the use of lead based paint in construction or rehabilitation of residence structures. 17. Will cause to be performed the required financial and compliance audits in accordance with the Single Audit Act of 1984 or OMB Circular No. A-133, Audits of Institutions of Higher Learning and other Non-profit Institutions. 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 Certification Regarding Lobbying Certification for Contracts, Grants, Loans, and Cooperative Agreements The undersigned certifies, to the best of his or her knowledge and belief, that: (1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of an agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement. (2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, [[Page 29264]] loan, or cooperative agreement, the undersigned shall complete and submit Standard Form-LLL, ``Disclosure Form to Report Lobbying,'' in accordance with its instructions. (3) The undersigned shall require that the language of this certification be included in the award documents for all subawards at all tiers (including subcontracts, subgrants, and contracts under grants, loans, and cooperative agreements) and that all subrecipients shall certify and disclose accordingly. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. Statement for Loan Guarantees and Loan Insurance The undersigned states, to the best of his or her knowledge and belief, that: If any funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this commitment providing for the United States to insure or guarantee a loan, the undersigned shall complete and submit Standard Form-LLL, ``Disclosure Form to Report Lobbying,'' in accordance with its instructions. Submission of this statement is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required statement shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. ---------------------------------------------------------------------- Signature ---------------------------------------------------------------------- Title ---------------------------------------------------------------------- Organziation ---------------------------------------------------------------------- Date BILLING CODE 4184-01-P [[Page 29265]] [GRAPHIC] [TIFF OMITTED] TN29MY97.010 BILLING CODE 4184-01-C [[Page 29266]] This certification is required by the regulations implementing the Drug-Free Workplace Act of 1988: 45 CFR Part 76, Subpart, F. Sections 76.630 (c) and (d)(2) and 76.645 (a)(1) and (b) provide that a Federal agency may designate a central receipt point for STATE-WIDE AND STATE AGENCY-WIDE certifications, and for notification of criminal drug convictions. For the Department of Health and Human Services, the central pint is: Division of Grants Management and Oversight, Office of Management and Acquisition, Department of Health and Human Services, Room 517-D, 200 Independence Avenue, SW, Washington, DC 20201. Certification Regarding Drug-Free Workplace Requirements (Instructions for Certification) 1. By signing and/or submitting this application or grant agreement, the grantee is providing the certification set out below. 2. The certification set out below is a material representation of fact upon which reliance is placed when the agency awards the grant. If it is later determined that the grantee knowingly rendered a false certification, or otherwise violates the requirements of the Drug-Free Workplace Act, the agency, in addition to any other remedies available to the Federal Government, may take action authorized under the Drug-Free Workplace Act. 3. For grantees other than individuals, Alternate I applies. 4. For grantees who are individuals, Alternate II applies. 5. Workplaces under grants, for grantees other than individuals, need not be identified on the certification. If known, they may be identified in the grant application. If the grantee does not identify the workplaces at the time of application, or upon award, if there is no application, the grantee must keep the identity of the workplace(s) on file in its office and make the information available for Federal inspection. Failure to identify all known workplaces constitutes a violation of the grantee's drug-free workplace requirements. 6. Workplace identifications must include the actual address of buildings (or parts of buildings) or other sites where work under the grant takes place. Categorical descriptions may be used (e.g., all vehicles of a mass transit authority or State highway department while in operation, State employees in each local unemployment office, performers in concert halls or radio studios). 7. If the workplace identified to the agency changes during the performance of the grant, the grantee shall inform the agency of the change(s), if it previously identified the workplaces in question (see paragraph five). 8. Definitions of terms in the Nonprocurement Suspension and Debarment common rule and Drug-Free Workplace common rule apply to this certification. Grantees' attention is called, in particular, to the following definitions from these rules: Controlled substances means a controlled substance in Schedules I through V of the Controlled Substances Act (21 U.S.C. 812) and as further defined by regulation (21 CFR 1308.11 through 1308.15); Conviction means a finding of guilt (including a plea of nolo contendere) or imposition of sentence, or both, by any judicial body charged with the responsibility to determine violations of the Federal or State criminal drug statutes; Criminal drug statute means a Federal or non-Federal criminal statute involving the manufacture, distribution, dispensing, use, or possession of any controlled substance; Employee means the employee of a grantee directly engaged in the performance of work under a grant, including: (i) All direct charge employees; (ii) All indirect charge employees unless their impact or involvement is insignificant to the performance of the grant; and, (iii) Temporary personnel and consultants who are directly engaged in the performance of work under the grant and who are on the grantee's payroll. This definition does not include workers not on the payroll of the grantee (e.g., volunteers, even if used to meet a matching requirement; consultants or independent contractors not on the grantee's payroll; or employees of subrecipients or subcontractors in covered workplaces). Certification Regarding Drug-Free Workplace Requirements Alternate I. (Grantees Other Than Individuals) The grantee certifies that it will or will continue to provide a drug-free workplace by: (a) Publishing a statement notifying employees that the unlawful manufacture, distribution, dispensing, possession, or use of a controlled substance is prohibited in the grantee's workplace and specifying the actions that will be taken against employees for violation of such prohibition; (b) Establishing an ongoing drug-free awareness program to inform employees about-- (1) The dangers of drug abuse in the workplace; (2) The grantee's policy of maintaining a drug-free workplace; (3) Any available drug counseling, rehabilitation, and employee assistance programs; and (4) The penalties that may be imposed upon employees for drug abuse violations occurring in the workplace; (c) Making it a requirement that each employee to be engaged in the performance of the grant be given a copy of the statement required by paragraph (a); (d) Notifying the employee in the statement required by paragraph (a) that, as a condition of employment under the grant, the employee will-- (1) Abide by the terms of the statement; and (2) Notify the employer in writing of his or her conviction for a violation of a criminal drug statute occurring in the workplace no later than five calendar days after such conviction; (e) Notifying the agency in writing, within ten calendar days after receiving notice under paragraph (d)(2) from an employee or otherwise receiving actual notice of such conviction. Employers of convicted employees must provide notice, including position title, to every grant officer or other designee on whose grant activity the convicted employee was working, unless the Federal agency has designated a central point for the receipt of such notices. Notice shall include the identification number(s) of each affected grant; (f) Taking one of the following actions, within 30 calendar days of receiving notice under paragraph (d)(2), with respect to any employee who is so convicted-- (1) Taking appropriate personnel action against such an employee, up to and including termination, consistent with the requirements of the Rehabilitation Act of 1973, as amended; or (2) Requiring such employee to participate satisfactorily in a drug abuse assistance or rehabilitation program approved for such purposes by a Federal, State, or local health, law enforcement, or other appropriate agency; (g) Making a good faith effort to continue to maintain a drug- free workplace through implementation of paragraphs (a), (b), (c), (d), (e) and (f). (B) The grantee may insert in the space provided below the site(s) for the performance of work done in connection with the specific grant: Place of Performance (Street address, city, county, state, zip code) ---------------------------------------------------------------------- ---------------------------------------------------------------------- Check {time} if there are workplaces on file that are not identified here. Alternate II. (Grantees Who Are Individuals) (a) The grantee certifies that, as a condition of the grant, he or she will not engage in the unlawful manufacture, distribution, dispensing, possession, or use of a controlled substance in conducting any activity with the grant; (b) If convicted of a criminal drug offense resulting from a violation occurring during the conduct of any grant activity, he or she will report the conviction, in writing, within 10 calendar days of the conviction, to every grant officer or other designee, unless the Federal agency designates a central point for the receipt of such notices. When notice is made to such a central point, it shall include the identification number(s) of each affected grant. [55 FR 21690, 21702, May 25, 1990] Certification Regarding Debarment, Suspension, and Other Responsibility Matters--Primary Covered Transactions Instructions for Certification 1. By signing and submitting this proposal, the prospective primary participant is providing the certification set out below. 2. The inability of a person to provide the certification required below will not necessarily result in denial of participation in this covered transaction. The prospective participant shall submit an explanation of why it cannot provide the certification set out below. The certification or explanation will be considered in connection with the department or agency's determination whether to enter into this transaction. However, failure of the prospective primary participant to furnish a certification or an [[Page 29267]] explanation shall disqualify such person from participation in this transaction. 3. The certification in this clause is a material representation of fact upon which reliance was placed when the department or agency determined to enter into this transaction. If it is later determined that the prospective primary participant knowingly rendered an erroneous certification, in addition to other remedies available to the Federal Government, the department or agency may terminate this transaction for cause or default. 4. The prospective primary participant shall provide immediate written notice to the department or agency to which this proposal is submitted if at any time the prospective primary participant learns that its certification was erroneous when submitted or has become erroneous by reason of changed circumstances. 5. The terms covered transaction, debarred, suspended, ineligible, lower tier covered transaction, participant, person, primary covered transaction, principal, proposal, and voluntarily excluded, as used in this clause, have the meanings set out in the Definitions and Coverage sections of the rules implementing Executive Order 12549. You may contact the department or agency to which this proposal is being submitted for assistance in obtaining a copy of those regulations. 6. The prospective primary participant agrees by submitting this proposal that, should the proposed covered transaction by entered into, it shall not knowingly enter into any lower tier covered transaction with a person who is proposed for debarment under 48 CFR part 9, subpart 9.4, debarred, suspended, declared ineligible, or voluntarily excluded from participation in this covered transaction, unless authorized by the department or agency entering into this transaction. 7. The prospective primary participant further agrees by submitting this proposal that it will include the clause titled ``Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion-Lower Tier Covered Transaction,'' provided by the department or agency entering into this covered transaction, without modification, in all lower tier covered transactions and in all solicitations for lower tier covered transactions. 8. A participant in a covered transaction may rely upon a certification of a prospective participant in a lower tier covered transaction that it is not proposed for debarment under 48 CFR part 9, subpart 9.4, debarred, suspended, ineligible, or voluntarily excluded from the covered transaction, unless it knows that the certification is erroneous. A participant may decide the method and frequency by which it determines the eligibility of its principals. Each participant may, but is not required to, check the List of Parties Excluded from Federal Procurement and Nonprocurement Programs. 9. Nothing contained in the foregoing shall be construed to require establishment of a system of records in order to render in good faith the certification required by this clause. The knowledge and information of a participant is not required to exceed that which is normally possessed by a prudent person in the ordinary course of business dealings. 10. Except for transactions authorized under paragraph 6 of these instructions, if a participant in a covered transaction knowingly enters into a lower tier covered transaction with a person who is proposed for debarment under 48 CFR part 9, subpart 9.4, suspended, debarred, ineligible, or voluntarily excluded from participation in this transaction, in addition to other remedies available to the Federal Government, the department or agency may terminate this transaction for cause or default. * * * * * Certification Regarding Debarment, Suspension, and Other Responsibility Matters--Primary Covered Transactions (1) The prospective primary participant certifies to the best of its knowledge and belief, that it and its principals: (a) Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded by any Federal department or agency; (b) Have not within a three-year period preceding this proposal been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (Federal, State or local) transaction or contract under a public transaction; violation of Federal or State antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; (c) Are not presently indicted for or otherwise criminally or civilly charged by a governmental entity (Federal, State or local) with commission of any of the offenses enumerated in paragraph (1)(b) of this certification; and (d) Have not within a three-year period preceding this application/proposal had one or more public transactions (Federal, State or local) terminated for cause or default. (2) Where the prospective primary participant is unable to certify to any of the statements in this certification, such prospective participant shall attach an explanation to this proposal. Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion--Lower Tier Covered Transactions Instructions for Certification 1. By signing and submitting this proposal, the prospective lower tier participant is providing the certification set out below. 2. The certification in this clause is a material representation of fact upon which reliance was placed when this transaction was entered into. If it is later determined that the prospective lower tier participant knowingly rendered an erroneous certification, in addition to other remedies available to the Federal Government the department or agency with which this transaction originated may pursue available remedies, including suspension and/or debarment. 3. The prospective lower tier participant shall provide immediate written notice to the person to which this proposal is submitted if at any time the prospective lower tier participant learns that its certification was erroneous when submitted or had become erroneous by reason of changed circumstances. 4. The terms covered transaction, debarred, suspended, ineligible, lower tier covered transaction, participant, person, primary covered transaction, principal, proposal, and voluntarily excluded, as used in this clause, have the meaning set out in the Definitions and Coverage sections of rules implementing Executive Order 12549. You may contact the person to which this proposal is submitted for assistance in obtaining a copy of those regulations. 5. The prospective lower tier participant agrees by submitting this proposal that, [[Page 33043]] should the proposed covered transaction be entered into, it shall not knowingly enter into any lower tier transaction with a person who is proposed for debarment under 48 CFR part 9, subpart 9.4, debarred, suspended, declared ineligible, or voluntarily excluded from participation in this covered transaction, unless authorized by the department or agency with which this transaction originated. 6. The prospective lower tier participant further agrees by submitting this proposal that it will include this clause titled ``Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion-Lower Tier Covered Transaction,'' without modification, in all lower tier covered transactions and in all solicitations for lower tier covered transactions. 7. A participant in a covered transaction may rely upon a certification of a prospective participant in a lower tier covered transaction that it is not proposed for debarment under 48 CFR part 9, subpart 9.4, debarred, suspended, ineligible, or voluntarily excluded from covered transactions, unless it knows that the certification is erroneous. A participant may decide the method and frequency by which it determines the eligibility of its principals. Each participant may, but is not required to, check the List of Parties Excluded from Federal Procurement and Nonprocurement Programs. 8. Nothing contained in the foregoing shall be construed to require establishment of a system of records in order to render in good faith the certification required by this clause. The knowledge and information of a participant is not required to exceed that which is normally possessed by a prudent person in the ordinary course of business dealings. 9. Except for transactions authorized under paragraph 5 of these instructions, if a participant in a covered transaction knowingly enters into a lower tier covered transaction with a person who is proposed for debarment under 48 CFR part 9, subpart 9.4, debarred, suspended, ineligible, or voluntarily excluded from participation in this transaction, in addition to other remedies available to the Federal [[Page 29268]] Government, the department or agency with which this transaction originated may pursue available remedies, including suspension and/ or debarment. * * * * * Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion--Lower Tier Covered Transactions (1) The prospective lower tier participant certifies, by submission of this proposal, that neither it nor its principals is presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any Federal department or agency. (2) Where the prospective lower tier participant is unable to certify to any of the statements in this certification, such prospective participant shall attach an explanation to this proposal. Certification Regarding Environmental Tobacco Smoke Public Law 103-227, Part C--Environmental Tobacco Smoke, also known as the Pro-Children Act of 1994 (Act), requires that smoking not be permitted in any portion of any indoor routinely owned or leased or contracted for by an entity and used routinely or regularly for provision of health, day care, education, or library services to children under the age of 18, if the services are funded by Federal programs either directly or through State or local governments, by Federal grant, contract, loan, or loan guarantee. The law does not apply to children's services provided in private residences, facilities funded solely by Medicare or Medicaid funds, and portions of facilities used for inpatient drug or alcohol treatment. Failure to comply with the provisions of the law may result in the imposition of a civil monetary penalty of up to $1000 per day and/or the imposition of an administrative compliance order on the responsible entity. By signing and submitting this application the applicant/grantee certifies that it will comply with the requirements of the Act. The applicant/grantee further agrees that it will require the language of this certification be included in any subawards which contain provisions for the children's services and that all subgrantees shall certify accordingly. OMB State Single Point of Contact Listing Arizona Joni Saad, Arizona State Clearinghouse, 3800 N. Central Avenue, Fourteenth Floor, Phoenix, Arizona 85012, Telephone (602) 280-1315, FAX: (602) 280-8144 Arkansas Mr. Tracy L. Copeland, Manager, State Clearinghouse, Office of Intergovernmental Services, Department of Finance and Administration, 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 Delaware Francine Booth, State Single Point of Contact Executive Department, Thomas Collins Building, P.O. Box 1401, Dover, Delaware 19903, Telephone: (302) 739-3326, FAX: (302) 739-5661 District of Columbia Charles Nichols, State Single Point of Contact, Office of Grants Mgmt. & Dev. 717 14th Street, N.W.,--Suite 500, Washington, D.C. 20005, Telephone: (202) 727-6554, FAX: (202) 727-1617 Florida Florida State Clearinghouse, Department of Community Affairs, 2740 Centerview Drive, Tallahassee, Florida 32399-2100, Telephone: (904) 922-5438, FAX: (904) 487-2899 Georgia Tom L. Reid, III, Administrator, Georgia State Clearinghouse, 254 Washington Street, S.W.--Room 401J, Atlanta, Georgia 30334, Telephone: (404) 656-3855 or (404) 656-3829, FAX: (404) 656-7938 Illinois Virginia Bova, State Single Point of Contact, Department of Commerce and Community Affairs, James R. Thompson Center, 100 West Randolph, Suite 3-400, Chicago, Illinois 60601, Telephone: (312) 814-6028, FAX: (312) 814-1800 Indiana Frances Williams, State Budget Agency, 212 State House, Indianapolis, Indiana 46204-2796, Telephone: (317) 232-5619, FAX: (317) 233-3323 Iowa Steven R. McCann, Division for Community Assistance, Iowa Department of Economic Development, 200 East Grand Avenue, Des Moines, Iowa 50309, Telephone: (515) 242-4719, FAX: (515) 242-4859 Kentucky Ronald W. Cook, Office of the Governor, Department of Local Government, 1024 Capitol Center Drive, Frankfort, Kentucky 40601- 8204, Telephone: (502) 573-2382, FAX: (502) 573-2512 Maine Joyce Benson, State Planning Office, State House Station #38, Augusta, Maine 04333, Telephone: (207) 287-3261, FAX: (207) 287-6489 Maryland William G. Carroll, Manager, State Clearinghouse for Intergovernmental Assistance, Maryland Office of Planning, 301 W. Preston Street--Room 1104, Baltimore, Maryland 21201-2365, Staff Contact: Linda Janey, Telephone: (410) 225-4490, FAX: (410) 225-4480 Michigan Richard Pfaff, Southeast Michigan Council of Governments, 1900 Edison Plaza, 660 Plaza Drive, Detroit, Michigan 48226, Telephone: (313) 961-4266, FAX: (313) 961-4869 Mississippi Cathy Malette, Clearinghouse Officer, Department of Finance and Administration, 455 North Lamar Street, Jackson, Mississippi 39202- 3087, Telephone: (601) 359-6762, FAX: (601) 359-6764 Missouri Lois Pohl, Federal Assistance Clearinghouse, Office of Administration, P.O. Box 809, Room 760, Truman Building, Jefferson City, Missouri 65102, Telephone: (314) 751-4834, FAX: (314) 751-7819 Nevada Department of Administration, State Clearinghouse, Capitol Complex, Carson City, Nevada 89710, Telephone: (702) 687-4065, FAX: (702) 687-3983 New Hampshire Jeffrey H. Taylor, Director, New Hampshire Office of State Planning, Attn: Intergovernmental Review Process, Mike Blake, 2\1/2\ Beacon Street, Concord, New Hampshire 03301, Telephone: (603) 271-2155, FAX: (603) 271-1728 New Mexico Robert Peters, State Budget Division, Room 190 Bataan Memorial Building, Santa Fe, New Mexico 87503, Telephone: (505) 827-3640 New York New York State Clearinghouse, Division of the Budget, State Capitol, Albany, New York 12224, Telephone: (518) 474-1605, FAX: (518) 486- 5617 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, Bismark, 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 Kevin Nelson, Review Coordinator, Department of Administration, Division of Planning, One Capitol Hill, 4th Floor, Providence, Rhode Island 02908-5870, [[Page 29269]] Telephone: (401) 277-2656, FAX: (401) 277-2083 Please direct correspondence and questions to: Review Coordinator, Office of Strategic Planning South Carolina Rodney Grizzle, State Single Point of Contact, Grant Services, Office of the Governor, 1205 Pendleton Street, Room 331, Columbia, South Carolina 29201, Telephone: (803) 734-0494, FAX: (803) 734-0356 Texas Tom Adams, Governors Office, Director, Intergovernmental Coordination, P.O. Box 12428, Austin, Texas 78711, Telephone: (512) 463-1771, FAX: (512) 463-1888 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 West Virginia Fred Cutlip, Director, Community Development Division, W. Virginia Development Office, Building #6, Room 553, Charleston, West Virginia 25305, Telephone: (304) 558-4010, FAX: (304) 558-3248 Wisconsin Jeff Smith, Section Chief, State/Federal Relations, Wisconsin Department of Administration, 101 East Wilson Street, 6th Floor, P.O. Box 7868, Madison, Wisconsin 53707, Telephone: (608) 266-0267, FAX: (608) 267-6931 Wyoming Matthew Jones, State Single Point of Contact, Office of the Governor, 200 West 24th Street, State Capital, Room 124, Cheyenne, Wyoming 82002, Telephone: (307) 777-7446, FAX: (307) 632-3909 TERRITORIES Guam Mr. Giovanni T. Sgambelluri, Director, Bureau of Budget and Management Research, Office of the Governor, P.O. Box 2950, Agana, Guam 96910, Telephone: 011-671-472-2285, FAX: 011-671-472-2825 Puerto Rico Normal Burgos/Jose E. Caro, Chairwoman/Director, Puerto Rico Planning Board, Federal Proposals Review Office, Minillas Government Center, P.O. Box 41119, San Juan, Puerto Rico 00940-1119, Telephone: (809) 727-4444, (809) 723-6190, FAX: (809) 724-3270, (809) 724-3103 North Mariana Islands Mr. Alvaro A. Santos, Executive Officer, State Single Point of Contact, Office of Management and Budget, Office of the Governor, Saipan, MP, Telephone: (670) 664-2256, FAX: (670) 664-2272 Contact Person: Ms. Jacoba T. Seman, Federal Programs Coordinator, Telephone: (670) 644-2289, FAX: (670) 644-2272 Virgin Islands Nelson Bowry, Director, Office of Management and Budget, #41 Norregade Emancipation Garden Station, Second Floor, Saint Thomas, Virgin Islands 00802 Please direct all questions and correspondence about intergovernmental review to: Linda Clarke, Telephone: (809) 774- 0750, FAX: (809) 776-0069. [FR Doc. 97-14074 Filed 5-28-97; 8:45 am] BILLING CODE 4184-01-P-M