Version 4.7.4

**U.S. DEPARTMENT OF EDUCATION**

Office of Postsecondary Education

Washington, DC 20006-8510

![](media/image1.png){width="2.6527777777777777in"
height="2.678472222222222in"}

**Fiscal Year 2006**

**APPLICATION FOR GRANTS**

**UNDER THE**

**MINORITY SCIENCE & ENGINEERING IMPROVEMENT PROGRAM**

**(CFDA NUMBER: 84.120A)**

**Form Approved**

**OMB No. 1840 - 0109, Exp. Date:**

**CLOSING DATE: TBD**

#### Table of Contents

Page

**Dear Applicant Letter** [4](#DrApp)

**Competition Highlights** 5

**Grants.gov Submission Procedures and Tips for Applicants** 7

**Application Transmittal Instructions** 10

::: Definition-Term
**Federal Register Notice Inviting Applications for**
:::

::: Definition-Term
**New Awards for Fiscal Year (FY) 2006** 13
:::

**Authorizing Legislation** 40

**Code of Federal Regulations** 47

**Intergovernmental Review State Single Point of Contact** 62

**General Education Provisions Act (GEPA) Section 427** 66

**Government Performance and Results Act (GPRA)** 67

**Performance Indicators for MSEIP** 68

# INSTRUCTIONS

**Instructions for Completing the Application Package** 69

**Instructions for Standard Forms** 71

Instructions for the SF-424 72

Instructions for Department of Education Supplemental Information for SF
424 74

Definitions for Department of Education Supplemental Information for SF
424 76

Instructions for ED 524 80

Instructions for Completion of SF-LLL, Disclosure of Lobbying Activities
82

**Supplemental Information** 84

**Instructions for Program Narrative** 86

**Instructions for Budget Summary Form** 90

**Instructions for Completing the MSEIP Eligibility Certification Form**
93

Minority Science and Engineering Improvement Program

Eligibility Certification Form 94

# FORMS (found on Grants.gov) 97

Application for Federal Assistance (SF 242) 98

Supplemental Information Required for Department of Education 99

Assurance -- Non-Construction Programs (SF 424B) 100

U. S. Department of Education Budget Information Non-Construction
Programs

Section A -- Budget Summary (ED 524) 102

Section B -- Budget Summary Non-Federal Funds (ED 524) 103

Certification Regarding Lobbying 104

Survey on Ensuring Equal Opportunity for Applicants 105

Survey Instructions on Ensuring Equal Opportunity for Applicants 106

**Application Checklist** 107

> **UNITED STATES DEPARTMENT OF EDUCATION**

# 

# Office of Postsecondary Education

[]{#DrApp .anchor}Dear Applicant:

Thank you for your interest in applying for a grant in the Fiscal Year
(FY) 2006 competition for new awards under the Minority Science and
Engineering Improvement Program (MSEIP). The MSEIP supports the Federal
Government's effort to improve and expand the scientific and
technological capacity of the United States by increasing the number of
better prepared scientists, engineers, and technical experts from
underrepresented ethnic minorities, particularly minority women. The
program provides grants to minority institutions and organization that
provide services to minority institution for fostering long-range
improvement in science and engineering education.

The Department requires applicants to use an Internet-based electronic
system for submitting applications. We are requiring that MSEIP
applications for FY 2006 grants be submitted electronically using
Grants.gov. You are urged to acquaint yourself with the requirements of
Grants.gov early. A more thorough discussion is included in the
application package. Grants.gov is accessible through its portal page
at:

[http://www.grants.gov](http://www.grants.gov/)

The Notice Inviting Applications for New Awards published in the
[Federal Register]{.underline} is the official document describing the
requirements for participating in the program and provides application
submission procedures. You should not rely upon any information that is
inconsistent with the guidance contained within the official document.
This package contains a section entitled, "Competition Highlights that
will be important to you in applying for grants under this program.
[Please review the entire application package carefully before preparing
and submitting your application]{.underline}. Information on the MSEIP
Program is accessible at the U. S. Department of Education (Department)
Web site: <http://www.ed.gov/programs/iduesmsi/index.html>

If you have questions or require additional information, please email
[OPE.MSEIP@ED.GOV](mailto:OPE_MSEIP@ed.gov) or contact Carolyn Proctor
by phone at (202) 502-7777.

I appreciate your interest in, and support of, the Minority Science and
Engineering Improvement Program and look forward to receiving your
application.

Sincerely,

## 

## James Manning

Acting Assistant Secretary

for Postsecondary Education

#### 

#### Competition Highlights 

1.  We are implementing a change in the electronic submission process.
    **MSEIP Applications submitted for FY 2006 must be submitted
    electronically using Grants.gov**. You are urged to acquaint
    yourself with the requirements of Grants.gov early as the
    [registration procedures may require 5 or more days to
    complete]{.underline}. A more thorough discussion is included later
    in this application package. Grants.gov is accessible through its
    portal page at:

[**http://www.grants.gov**](http://www.grants.gov/)

2.  It is important to know that the Grants.gov site works differently
    than the Department's e-Application system, used in past
    competitions.

> Grants.gov does not allow applicants to "un-submit" applications.
> Therefore, if you discover that changes or additions are needed once
> your application has been accepted and validated by the Department,
> you must "re-submit" the application. You should know that if the
> Department receives duplicate applications, proposing to serve the
> same target schools, we will accept and process the application with
> the latest "date/time received" validation.

3.  New MSEIP grants will be awarded on a competitive basis for the
    following three types of grants: institutional, cooperative, and
    special projects. We do not plan to award new grants in the 'design
    project' category.

4.  We are implementing a change in the assignment of points for the
    selection criteria categories. Field readers will assess the
    grantee's ability to address the selection criteria. The point
    distribution for FY 2006 is included in the [Federal
    Register]{.underline} notice.

5.  An additional five competitive points will be given to applicant
    that have not received a MSEIP grant within the five years prior to
    this competition. Refer to the [Federal Register]{.underline} notice
    for additional details explaining the competitive priorities and
    competitive priority points.

6.  The application must be submitted on or before the deadline date and
    time. Late applications [will not be accepted]{.underline}. **We
    suggest that you submit your application several days before the
    deadline.** The Department is required to enforce the established
    deadline to ensure fairness to all applicants. No changes or
    additions to an application will be accepted after the deadline
    date.

7.  Electronic submission of applications is required; therefore, you
    must submit an electronic application unless you follow the
    procedures outlined in the [Federal Register]{.underline} notice and
    qualify for one of the exceptions to the electronic submission
    requirement. If you think you may need an exception you are urged to
    review the requirement promptly.

8.  All applicants are required to adhere to the page limit for the
    Program Narrative portion of the application. The Notice, published
    in the [Federal Register]{.underline}, contains specific information
    governing page limits for each grant type, and formatting
    instructions.

Please note, once you download an application from Grants.gov, you will
be working offline and saving data on your computer. Please be sure to
note where you are saving the Grants.gov file on your computer. You will
need to logon to Grants.gov to upload and submit the application. (This
is different from e-Application, where you are working online and saving
data to the Department's database.) You must provide the DUNS number
that was used when your organization registered with the Central
Contractor Registry (CCR) on your application.

Please go to <http://www.grants.gov/ForApplicants> for help with
Grants.gov and click on the links in the lower right corner of the
screen under Applicant Tips and Tools. For additional tips related to
submitting grant applications, please refer to the Grants.gov Submit
Application Tips found on the Grants.gov homepage
[http://www.grants.gov](http://www.grants.gov/).

You are reminded that the document published in the [Federal
Register]{.underline} is the official document, and that you should not
rely upon any information that is inconsistent with the guidance
contained within the official document. If you have questions or require
additional information, please email
[OPE.MSEIP@ED.GOV](mailto:OPE_MSEIP@ed.gov) or contact Carolyn Proctor
by phone at (202) 502-7777.

**IMPORTANT -- PLEASE READ**

**U.S. Department of Education**

#### 

#### Grants.gov Submission Procedures and

####  Tips for Applicants 

Please note that the Grants.gov site works differently than the U.S.
Department of Education's (Department) e-Application system. To
facilitate your use of Grants.gov, this document includes important
submission procedures you need to be aware of to ensure your application
is received in a timely manner and accepted by the Department of
Education.

1)  **REGISTER EARLY** -- Grants.gov registration is a one-time process
    that may take five or more days to complete. You may begin working
    on your application while completing the registration process, but
    you cannot submit an application until all of the Get Started steps
    are complete. For detailed information on the Get Started Steps,
    please go to: <http://www.grants.gov/GetStarted>.

2)  **SUBMIT EARLY** -- **We strongly recommend that you do not wait
    until the last day to submit your application. Grants.gov will put a
    date/time stamp on your application after it is fully uploaded.**
    The time it takes to upload an application will vary depending on a
    number of factors including the size of the application and the
    speed of your Internet connection. If you start uploading your
    application before 4:30 p.m. Washington, D.C. time on the
    application deadline date, and it does not finish uploading until
    after 4:30 p.m., your application will be marked late. If that
    happens, please see the section below on submission problems.

Note: To submit successfully, you must provide the DUNS number on your
application that was used when your organization registered with the CCR
(Central Contractor Registry).

3)  **VERIFY SUBMISSION IS OK** -- You will want to verify that
    Grants.gov and the Department receive your Grants.gov submission
    timely and that it was validated successfully. To see the date/time
    your application was received, login to Grants.gov and click on the
    Check Application Status link. For a successful submission, the
    date/time received should be earlier than 4:30 p.m. on the deadline
    date, AND the application status should be: Validated, Received by
    Agency, or Agency Tracking Number Assigned.

> If the date/time received is later than 4:30 p.m. Washington, D.C.
> time, on the closing date, your application is late. If your
> application has a status of "Received" it is still awaiting validation
> by Grants.gov. Once validation is complete, the status will either
> change to "Validated" or "Rejected with Errors." If the status is
> "Rejected with Errors," your application has not been received
> successfully. Some of the reasons Grants.gov may reject an application
> can be found on the Grants.gov site:
> <http://www.grants.gov/assets/ApplicationErrorTips.doc>.
>
> If you discover your application is late or has been rejected, please
> see the instructions below. Note: You will receive a series of
> confirmations both online and via e-mail about the status of your
> application. Please do not rely solely on e-mail to confirm whether
> your application has been received timely and validated successfully.

# Submission Problems -- What should you do?

If you have problems submitting to Grants.gov before the closing date,
please contact Grants.gov Customer Support at 1-800-518-4726 or use the
customer support available on the Web site:
<http://www.grants.gov/CustomerSupport>.

Electronic submission is [required]{.underline}, you must submit an
electronic application before 4:30 p.m., unless you follow the
procedures in the Federal Register notice and qualify for one of the
exceptions to the electronic submission requirement [and]{.underline}
submit, no later than two weeks before the application deadline date, a
written statement to the Department that you qualify for one of these
exceptions. (See the [Federal Register]{.underline} notice for detailed
instructions.)

# 

# Helpful Hints When Working with Grants.gov

Please note, once you download an application from Grants.gov, you will
be working offline and saving data on your computer. Please be sure to
note where you are saving the Grants.gov file on your computer. You will
need to logon to Grants.gov to upload and submit the application. (This
is different from e-Application, where you are working online and saving
data to the Department's database.) You must provide the DUNS number
that was used when your organization registered with the Central
Contractor Registry (CCR) on your application.

Please go to <http://www.grants.gov/ForApplicants> for help with
Grants.gov and click on the links in the lower right corner of the
screen under Applicant Tips and Tools. For additional tips related to
submitting grant applications, please refer to the Grants.gov Submit
Application Tips found on the Grants.gov homepage
[http://www.grants.gov](http://www.grants.gov/).

# 

# Dial-Up Internet Connections

When using a dial-up connection to upload and submit your application,
it can take significantly longer than when you are connected to the
Internet with a high-speed connection, e.g. cable modem/DSL/T1. While
times will vary depending upon the size of your application, it can take
a few minutes to a few hours to complete your grant submission using a
dial up connection.

**If you do not have access to a high-speed connection and electronic
submission is required, you may want to consider following the
instructions in the Federal Register notice to obtain an exception to
the electronic submission requirement [no later than two weeks before
the application deadline date]{.underline}.** (Refer to the [Federal
Register]{.underline} notice for detailed instructions.)

# 

# MAC Users

If you do not have a Windows operating System, you will need to use a
Windows Emulation program to submit an application using Grants.gov. For
additional information, review the [PureEdge Support for
Macintosh](http://www.grants.gov/GrantsGov_UST_Grantee/!SSL!/WebHelp/MacSupportforPureEdge.pdf)
white paper published by Pure Edge:
<http://www.grants.gov/GrantsGov_UST_Grantee/!SSL!/WebHelp/MacSupportforPureEdge.pdf>,
and/or contact Grants.gov Customer Support
(<http://www.grants.gov/CustomerSupport>) for more information.

**If you do not have a Windows emulation program and electronic
submission is required, please follow instructions in the Federal
Register notice to obtain an exception to the electronic submission
requirement [no later than two weeks before the application deadline
date.]{.underline}** (Refer to the [Federal Register]{.underline} notice
for detailed instructions.)

#### Application Transmittal Instructions

##### **ATTENTION ELECTRONIC APPLICANTS: Please note that you must follow the Application Procedures as described in the [Federal Register]{.underline} notice announcing the grant competition.** 

##### **[This program requires the electronic submission of]{.underline} applications; specific requirements and waiver instructions can be found in the [Federal]{.underline} [Register]{.underline} notice.** 

**According to the instructions found in the [Federal
Register]{.underline} notice, those requesting and qualifying for an
Exception to the electronic submission requirement may submit an
application via mail, commercial carrier or by hand delivery.**

### 

If you want to apply for a grant and be considered for funding, you must
meet the following deadline requirements:

### **[Applications Submitted Electronically]{.underline}**

**You must submit your grant application through the Internet using the
software provided on the Grants.gov Web site
([http://www.grants.gov](http://www.grants.gov/)) by 4:30 p.m.
(Washington, D.C. time) on or before the application deadline date**.

If you submit your application through the Internet via the Grants.gov
Web site, you will receive an automatic acknowledgment when we receive
your application.

For more information on using Grants.gov, please refer to the "Notice
Inviting Applications" that was published in the [Federal
Register]{.underline}, or visit http://www.grants.gov.

### **[Applications Delivered by Mail]{.underline}**

You must mail the original and two copies of your application on or
before the application deadline date to:

## 

## **U.S. Department of Education** 

**Application Control Center**

**[Attention: (CFDA Number 84.120A)]{.underline}**

**400 Maryland Avenue, S.W.**

**Washington, DC 20202 -- 4260**

You must show one of the following as proof of mailing:

1.  A legibly dated U. S. Postal Service Postmark

2.  A legible mail receipt with the date of mailing stamped by the U. S.
    Postal Service

3.  A dated shipping label, invoice, or receipt from a commercial
    carrier

4.  Any other proof of mailing acceptable to the U. S. Secretary of
    Education

If you mail an application through the U.S. Postal Service, we do not
accept either of the following as proof of mailing:

1.  A private metered postmark, or

2.  A mail receipt that is not dated by the U.S. Postal Services

An applicant should note that the U.S. Postal Service does not uniformly
provide a dated postmark. Before relying on this method, an applicant
should check with its local post office.

Special Note: Due to potential disruptions to normal mail delivery, the
Department encourages you to consider using an alternative delivery
method (for example, a commercial carrier, such as Federal Express or
United Parcel Service; U. S. Postal Service Express Mail; or a courier
service) to transmit your application for this competition to the
Department. If you use an alternative delivery method, please obtain the
appropriate proof of mailing under "Applications Delivered by Mail,"
then follow the instructions for "Applications Delivered by Hand."

**[Applications Delivered by Commercial Carrier:]{.underline}**

If you use an alternative delivery method, please obtain the appropriate
proof of mailing under "Applications Sent by Mail," then follow the
instructions under the appropriate delivery method.

You must mail the original and two copies of your application on or
before the application deadline date to:

**U.S. Department of Education**

##### **Application Control Center -- Stop 4260**

**Attention: CDFA# (84.120A)**

**7100 Old Landover Road**

**Landover, MD 20785-1506**

### **[Applications Delivered by Hand]{.underline}**

You or your courier must hand deliver the original and two copies of the
application by 4:30 p.m. (Washington, D.C. time) on or before the
deadline date to the following address:

**U.S. Department of Education**

##### **Application Control Center** 

**Attention: CFDA Number - 84.120A**

**550 12^th^ Street, SW**

**Potomac Center Plaza -- Room 7067**

**Washington, D.C. 20202 - 4260**

####### Application Control Center Hours of Operation

The Application Control Center accepts application deliveries daily
between 8:00 a.m. and 4:30 p.m. (Washington, D.C. time), except
Saturdays, Sundays and Federal holidays.

####### Grant Application Receipt from the Application Control Center

If you send your application by mail or if you or your courier delivers
it by hand, the Application Control Center will mail a Grant Application
Receipt Acknowledgment to you.

If you do not receive the notification of application receipt within 5
days from the mailing of the application, you should call the U.S.
Department of Education Application Control Center at (202) 245-6288.

**[Late Applications]{.underline}**

If your application is late, we will notify you that we will not
consider the application.

4000-01-U

DEPARTMENT OF EDUCATION

Office of Postsecondary Education

Overview Information

Minority Science and Engineering Improvement Program (MSEIP)

Notice inviting applications for new awards for Fiscal Year (FY)
2006**.**

[Catalog of Federal Domestic Assistance (CFDA) Number]{.underline}:
84.120A

[Dates:]{.underline}

Applications Available: (INSERT DATE OF PUBLICATION IN THE FEDERAL
REGISTER).

Deadline for Transmittal of Applications: (INSERT DATE 45 DAYS AFTER
DATE OF PUBLICATION IN THE FEDERAL REGISTER).

Deadline for Intergovernmental Review: (INSERT DATE 105 DAYS AFTER DATE
OF PUBLICATION IN THE FEDERAL REGISTER).

[Eligible Applicants]{.underline}: The eligibility of an applicant is
dependent on the type of MSEIP project. There are four types of MSEIP
projects: institutional, design, special projects, and cooperative. We
will not award design grants in the FY 2006 competition.

A. For institutional, design, and special projects described in 34 CFR
637.12 through 637.14, eligible applicants include public and private
nonprofit minority institutions of higher education as defined in
section 361(1) and (2) of the Higher Education Act of 1965, as amended
(HEA).

B. For special projects described in 34 CFR 637.14(b) and (c), eligible
applicants are, in addition to those described in paragraph A, nonprofit
science-oriented organizations, professional scientific societies, and
institutions of higher education that award baccalaureate degrees and
meet the requirements of section 361(3) of the HEA, and consortia of
organizations that meet the requirements of section 361(4) of the HEA.

C. For cooperative projects described in 34 CFR 637.15, eligible
applicants are groups of nonprofit accredited colleges and universities
whose primary fiscal agent is an eligible minority institution as
defined in 34 CFR 637.4(b).

[Note]{.underline}: As defined in 34 CFR 637.4(b), a minority
institution means an accredited college or university whose enrollment
of a single minority group or combination of minority groups exceeds 50
percent of the total enrollment.

[Estimated Available Funds]{.underline}: \$3,273,443.

[Estimated Range of Awards]{.underline}: Institutional Project Grant:
\$25,000 - \$200,000. Special Project Grant: \$25,000 - \$100,000.
Cooperative Project Grant: \$100,000 -- \$300,000.

[Estimated Number of Awards]{.underline}: Institutional Project Grant:
14. Special Project Grant: 14. Cooperative Project Grant: 4.

[Estimated Average Size of Awards]{.underline}: Institutional Project
Grant: \$120,000. Special Project Grant: \$50,000. Cooperative Project
Grant: \$200,000.

[Maximum Awards]{.underline}: Institutional Project Grant: \$200,000.
Special Project Grant: \$100,000. Cooperative Project Grant: \$300,000.
We will not fund any application at an amount exceeding the maximum
amounts specified above for a single budget period of 12 months. We may
choose not to further consider or review applications with budgets that
exceed the maximum amounts specified above, if we conclude, during our
initial review of the application, that the proposed goals and
objectives cannot be obtained with the specified maximum amount.

[Note]{.underline}: The Department is not bound by any estimates in this
notice. Applicants should periodically check the MSEIP Web site for
further information on this program. The address is:
<http://www.ed.gov/programs/iduesmsi/index.html>

[Project Period]{.underline}: Up to 36 months.

Full Text of Announcement

I. Funding Opportunity Description

[Purpose of Program]{.underline}: The MSEIP is designed to effect
long-range improvement in science and engineering education at
predominantly minority institutions and to increase the flow of
underrepresented ethnic minorities, particularly minority women, into
scientific and technological careers.

[Priorities]{.underline}: In accordance with 34 CFR 75.105(b)(2)(iv),
these priorities are from allowable activities specified in section 352
of the HEA (20 U.S.C. 1067b(b)).

[Competitive Preference Priorities]{.underline}: For FY 2006 these
priorities are competitive preference priorities. Under 34 CFR
75.105(c)(2)(i), we award an additional 5 points to an applications that
meets Competitive Preference Priority 1. Under 34 CFR 75.105(c)(2)(ii),
we give preference to an application that meets Competitive Preference
Priority 2 and Competitive Preference Priority 3 over an application of
comparable merit that does not meet these priorities.

These priorities are:

[Competitive Preference Priority 1]{.underline}. Applications from
institutions that have not previously received funding from the Minority
Science and Engineering Improvement Program.

[Competitive Preference Priority 2]{.underline}. Applications from
previous grantees with a proven record of success.

[Competitive Preference Priority 3]{.underline}. Applications that
contribute to achieving balance among funded projects with respect to
--- (a) geographic region; (b) academic discipline; and (c) project
type.

[Invitational Priorities]{.underline}: For FY 2006 these priorities are
invitational priorities. Under 34 CFR 75.105(c)(1) we do not give an
application that meets these invitational priorities a competitive or
absolute preference over other applications.

These priorities are:

[Invitational Priority 1]{.underline}. Applications that focus on the
development of bridge programs that target pre-freshmen entering into
science, technology, engineering, or mathematics (STEM) fields.

[Invitational Priority 2]{.underline}. Applications that focus directly
on student learning that encourage and facilitate implementation of new
pedagogical approaches such as web-based course strategies or
interactive course modules to increase student retention in STEM fields.

[Invitational Priority 3]{.underline}. Applications that focus on
mentoring programs designed to increase the number of underrepresented
student graduates with STEM undergraduate majors.

[Program Authority]{.underline}: 20 U.S.C. 1067-1067k.

[Applicable Regulations]{.underline}: (a) The Education Department
General Administrative Regulations (EDGAR) in 34 CFR parts 74, 75, 77,
79, 82, 84, 85, 86, 97, 98, and 99. (b) The regulations for this program
in 34 CFR part 637.

[Note]{.underline}: The regulations in 34 CFR part 86 apply to
institutions of higher education only.

II\. Award Information

[Type of Award]{.underline}: Discretionary grant.

[Estimated Available Funds]{.underline}: \$3,273,443.

[Estimated Range of Awards]{.underline}: Institutional Project Grant:
\$25,000 - \$200,000. Special Project Grant: \$25,000 - \$100,000.
Cooperative Project Grant: \$100,000 -- \$300,000.

[Estimated Number of Awards]{.underline}: Institutional Project Grant:
14. Special Project Grant: 14. Cooperative Project Grant: 4.

[Estimated Average Size of Awards]{.underline}: Institutional Project
Grant: \$120,000. Special Project Grant: \$50,000. Cooperative Project
Grant: \$200,000.

[Maximum Awards]{.underline}: Institutional Project Grant: \$200,000.
Special Project Grant: \$100,000. Cooperative Project Grant: \$300,000.
We will not fund any application at an amount exceeding the maximum
amounts specified above for a single budget period of 12 months. We may
choose not to further consider or review applications with budgets that
exceed the maximum amounts specified above, if we conclude, during our
initial review of the application, that the proposed goals and
objectives cannot be obtained with the specified maximum amount.

[Note]{.underline}: The Department is not bound by any estimates in this
notice. Applicants should periodically check the MSEIP Web site for
further information on this program. The address is:
<http://www.ed.gov/programs/iduesmsi/index.html>

[Project Period]{.underline}: Up to 36 months.

III\. Eligibility Information

1\. [Eligible Applicants]{.underline}: The eligibility of an applicant
is dependent on the type of MSEIP project. There are four types of MSEIP
projects: institutional, design, special projects, and cooperative. We
will not award design grants in the FY 2006 competition.

A. For institutional, design, and special projects described in 34 CFR
637.12 through 637.14, eligible applicants include public and private
nonprofit minority institutions of higher education as defined in
section 361(1) and (2) of the HEA.

B. For special projects described in 34 CFR 637.14(b) and (c), eligible
applicants are, in addition to those described in paragraph A, nonprofit
science-oriented organizations, professional scientific societies,
institutions of higher education that award baccalaureate degrees and
meet the requirement of section 361(3) of the HEA, and consortia of
organizations that meet the requirements of section 361(4) of the HEA.
C. For cooperative projects described in 34 CFR 637.15, eligible
applicants are groups of nonprofit accredited colleges and universities
whose primary fiscal agent is an eligible minority institution as
defined in 34 CFR 637.4(b).

[Note]{.underline}: As defined in 34 CFR 637.4(b), a minority
institution means an accredited college or university whose enrollment
of a single minority group or combination of minority groups (as defined
in 34 CFR 637.4 (b)) exceeds 50 percent of the total enrollment.

2\. [Cost Sharing or Matching]{.underline}: This program has no cost
sharing or matching requirements.

IV\. Application and Submission Information

1\. [Address to Request Application Package]{.underline}: Ms. Carolyn
Proctor, Institutional Development and Undergraduate Education Service,
U.S. Department of Education, 1990 K Street, NW., 6^th^ floor, Room
6048, Washington, DC 20006-8517. Telephone: (202) 502-7567, by fax (202)
502-7861 or by e-mail: <Carolyn.Proctor@ed.gov> or OPE.MSEIP.ED.GOV.

If you use a telecommunications device for the deaf (TDD), you may call
the Federal Relay Service (FRS) at 1-800-877-8339.

Individuals with disabilities may obtain a copy of the application
package in an alternative format (e.g., Braille, large print, audiotape,
or computer diskette) by contacting the program contact person listed in
this section.

2\. [Content and Form of Application Submission]{.underline}:
Requirements concerning the content of an application, together with the
forms you must submit, are in the application package and instructions
for this program.

Page Limit: The application narrative (Part III of the application) is
where you, the applicant, address the criteria that reviewers use to
evaluate your application. We have established a mandatory page limit
for the narrative portion for each type of project application. The page
limits are as follows: Institutional Project Application: 40 pages.
Special Projects Application: 35 pages. Cooperative Project Application:
50 pages. You must use the following standards:

-   A "page" is 8.5\" x 11\", on one side only, with 1\" margins at the
    top, bottom, and both sides. Page numbers and a document identifier
    may be within the 1" margin.

-   Double space (no more than three lines per vertical inch) all text
    in the application narrative, [except]{.underline} titles, headings,
    footnotes, quotations, references, captions and all text in charts,
    tables, and graphs.

-   Use one of the following fonts: Times New Roman, Courier, Courier
    New, or Arial. Applications submitted in any other font (including
    Times Roman and Arial Narrow) will not be accepted.

-   Use not less than a 12-point font.

The page limit does not apply to the following forms required by the
Department: Application for Federal Assistance (SF 424); Department of
Education Supplemental Information Form for SF 424; U.S. Department of
Education Budget Information for Non-Construction Programs (ED 524); ED
Abstract Form; Other Attachment Form; ED GEPA 427 Form; Assurances for
Non-Construction Programs (SF 424B); Grants.gov Lobbying Form (formerly
Certification Regarding Lobbying (ED 80-0013)); Disclosure of Lobbying
Activities (SF-LLL); Certification Regarding Debarment, Suspension,
Ineligibility and Voluntary Exclusion -- Lower Tier Covered Transactions
(ED 80-0014), and Survey on Ensuring Equal Opportunity for Applicants.

The page limit also does not apply to the program abstract or should you
decide to include one, a table of contents. If you include any
attachments or appendices, these items will be counted as part of the
Program Narrative (Part III of the application) for purposes of the page
limit requirement. You must include your complete response to the
selection criteria in the program narrative.

We will reject your application if-

-   You apply these standards and exceed the page limit;

or

-   You apply other standards and exceed the equivalent of the page
    limit.

3\. [Submission Dates and Times]{.underline}:

Applications Available: (INSERT DATE OF PUBLICATION IN THE FEDERAL
REGISTER).

Deadline for Transmittal of Applications: (INSERT DATE 45 DAYS AFTER
DATE OF PUBLICATION IN THE FEDERAL REGISTER).

Deadline for Intergovernmental Review: (INSERT DATE 105 DAYS AFTER DATE
OF PUBLICATION IN THE FEDERAL REGISTER).

Applications for grants under this program competition must be submitted
electronically using the Grants.gov Apply site (Grants.gov). For
information (including dates and times) about how to submit your
application electronically or by mail or hand delivery if you qualify
for an exception to the electronic submission requirement**,** please
refer to section IV. 6. [Other Submission Requirements]{.underline} in
this notice.

We do not consider an application that does not comply with the deadline
requirements.

Deadline for Intergovernmental Review: (INSERT DATE 105 DAYS AFTER DATE
OF PUBLICATION IN THE FEDERAL REGISTER).

4\. [Intergovernmental Review]{.underline}: This program is subject to
Executive Order 12372 and the regulations in 34 CFR Part 79. Information
about Intergovernmental Review of Federal Programs under Executive Order
12372 is in the application package for this program.

5\. [Funding Restrictions]{.underline}: We reference the regulations
outlining funding restrictions in the [Applicable
Regulations]{.underline} section of this notice.

6\. [Other Submission Requirements]{.underline}: Applications for grants
under this program must be submitted electronically unless you qualify
for an exception to this requirement in accordance with the instructions
in this section.

a\. [Electronic Submission of Applications]{.underline}.

Applications for grants under the Minority Science and Engineering
Improvement Program (MSEIP) --- CFDA Number 84.120A must be submitted
electronically using the Grants.gov Apply site at:
[http://www.grants.gov](http://www.grants.gov/) Through this site, you
will be able to download a copy of the application package, complete it
offline, and then upload and submit your application. You may not e-mail
an electronic copy of a grant application to us.

We will reject your application if you submit it in paper format unless,
as described elsewhere in this section, you qualify for one of the
exceptions to the electronic submission requirement [and]{.underline}
submit, no later than two weeks before the application deadline date, a
written statement to the Department that you qualify for one of these
exceptions. Further information regarding calculation of the date that
is two weeks before the application deadline date is provided later in
this section under [Exception to Electronic Submission
Requirement]{.underline}.

You may access the electronic grant application for the MSEIP at:
http://www.grants.gov. You must search for the downloadable application
package for this program by the CFDA number. Do not include the CFDA
number's alpha suffix in your search.

Please note the following:

• When you enter the Grants.gov site, you will find information about
submitting an application electronically through the site, as well as
the hours of operation.

• Applications received by Grants.gov are time and date stamped. Your
application must be fully uploaded and submitted, and must be date/time
stamped by the Grants.gov system no later than 4:30 p.m., Washington, DC
time, on the application deadline date. Except as otherwise noted in
this section, we will not consider your application if it is date/time
stamped by the Grants.gov system later than 4:30 p.m., Washington, DC
time, on the application deadline date. When we retrieve your
application from Grants.gov, we will notify you if we are rejecting your
application because it was date/time stamped by the Grants.gov system
after 4:30 p.m., Washington, DC time on the application deadline date.

• The amount of time it can take to upload an application will vary
depending on a variety of factors including the size of the application
and the speed of your Internet connection. Therefore, we strongly
recommend that you do not wait until the application deadline date to
begin the submission process through Grants.gov.

• You should review and follow the Education Submission Procedures for
submitting an application through Grants.gov that are included in the
application package for this program competition to ensure that you
submit your application in a timely manner to the Grants.gov system. You
can also find the Education Submission Procedures pertaining to
Grants.gov at
<http://e-grants.ed.gov/help/GrantsgovSubmissionProcedures.pdf>

• To submit your application via Grants.gov, you must complete all the
steps in the Grants.gov registration process (see
<http://www.grants.gov/GetStarted>). These steps include (1) registering
your organization, (2) registering yourself as an Authorized
Organization Representative (AOR), and (3) getting authorized as an AOR
by your organization. Details on these steps are outlined in the
Grants.gov 3-Step Registration Guide (see
<http://www.grants.gov/assets/GrantsgovCoBrandBrochure8X11.pdf>). You
must also provide on your application the same D-U-N-S Number used with
this registration. Please note that the registration process may take
five or more business days to complete and you must have completed all
registration steps to allow you to successfully submit an application
via Grants.gov.

• You will not receive additional point value because you submit your
application in electronic format, nor will we penalize you if you
qualify for an exception to the electronic submission requirement, as
described elsewhere in this section, and submit your application in
paper format.

• You must submit all documents electronically, including all
information typically included on the Application for Federal Education
Assistance (SF 424), Budget Information\--Non-Construction Programs (ED
524), and all necessary assurances and certifications. You must attach
any narrative sections of your application as files in a .DOC
(document), .RTF (rich text), or .PDF (Portable Document) format. If you
upload a file type other than the three file types specified above or
submit a password protected file, we will not review that material.

• Your electronic application must comply with any page limit
requirements described in this notice.

• After you electronically submit your application, you will receive an
automatic acknowledgment from Grants.gov that contains a Grants.gov
tracking number. The Department will retrieve your application from
Grants.gov and send you a second confirmation by e-mail that will
include a PR/Award number (an ED-specified identifying number unique to
your application).

• We may request that you provide us original signatures on forms at a
later date.

[Application Deadline Date Extension in Case of Technical Issues with
the Grants.gov System]{.underline}: If you are prevented from
electronically submitting your application on the application deadline
date because of technical problems with the Grants.gov system, we will
grant you an extension until 4:30 p.m., Washington, DC time, the
following business day to enable you to transmit your application
electronically, or by hand delivery. You also may mail your application
by following the mailing instructions as described elsewhere in this
notice. If you submit an application after 4:30 p.m., Washington, DC
time, on the deadline date, please contact either of the persons listed
elsewhere in this notice under [For Further Information
Contact]{.underline}, and provide an explanation of the technical
problem you experienced with Grants.gov, along with the Grants.gov
Support Desk Case Number (if available). We will accept your application
if we can confirm that a technical problem occurred with the Grants.gov
system and that that problem affected your ability to submit your
application by 4:30 p.m., Washington, DC time, on the application
deadline date. The Department will contact you after a determination is
made on whether your application will be accepted.

[Note]{.underline}: Extensions referred to in this section apply only to
the unavailability of or technical problems with the Grants.gov system.
We will not grant you an extension if you failed to fully register to
submit your application to Grants.gov before the deadline date and time
or if the technical problem you experienced is unrelated to the
Grants.gov system.

[Exception to Electronic Submission Requirement]{.underline}: You
qualify for an exception to the electronic submission requirement, and
may submit your application in paper format, if you are unable to submit
an application through the Grants.gov system because----

> • You do not have access to the Internet; or

• You do not have the capacity to upload large documents to the
Grants.gov system;

> [and]{.underline}

• No later than two weeks before the application deadline date (14
calendar days or, if the fourteenth calendar day before the application
deadline date falls on a federal holiday, the next business day
following the federal holiday), you mail or fax a written statement to
the Department, explaining which of the two grounds for an exception
prevent you from using the Internet to submit your application. If you
mail your written statement to the Department, it must be postmarked no
later than two weeks before the application deadline date. If you fax
your written statement to the Department, we must receive the faxed
statement no later than two weeks before the application deadline date.

Address and mail or fax your statement to: Dr. Bernadette Hence, U.S.
Department of Education, 1990 K Street, NW., Room 6071, Washington, DC
20006--8513. FAX: (202) 502-7861.

Your paper application must be submitted in accordance with the mail or
hand delivery instructions described in this notice.

b\. [Submission of Paper Applications by Mail]{.underline}.

If you qualify for an exception to the electronic submission
requirement, you may mail (through the U.S. Postal Service or a
commercial carrier) your application to the Department. You must mail
the original and two copies of your application, on or before the
application deadline date, to the Department at the applicable following
address:

[By mail through the U.S. Postal Service]{.underline}:

U.S. Department of Education

Application Control Center

Attention: (CFDA Number 84.120A)

400 Maryland Avenue, SW.

Washington, DC 20202-4260

> or

[By mail through a commercial carrier]{.underline}:

U.S. Department of Education

Application Control Center -- Stop 4260

Attention: (CFDA Number 84.120A)

7100 Old Landover Road

Landover, MD 20785-1506

Regardless of which address you use, you must show proof of mailing
consisting of one of the following:

\(1\) A legibly dated U.S. Postal Service postmark,

\(2\) A legible mail receipt with the date of mailing stamped by the
U.S. Postal Service,

\(3\) A dated shipping label, invoice, or receipt from a commercial
carrier, or

\(4\) Any other proof of mailing acceptable to the Secretary of the U.S.
Department of Education.

If you mail your application through the U.S. Postal Service, we do not
accept either of the following as proof of mailing:

\(1\) A private metered postmark, or

\(2\) A mail receipt that is not dated by the U.S. Postal Service.

If your application is postmarked after the application deadline date,
we will not consider your application.

[Note]{.underline}: The U.S. Postal Service does not uniformly provide a
dated postmark. Before relying on this method, you should check with
your local post office.

c\. [Submission of Paper Applications by Hand Delivery]{.underline}.

If you qualify for an exception to electronic submission requirement,
you (or a courier service) may deliver your paper application to the
Department by hand. You must deliver the original and two copies of your
application, by hand, on or before the application deadline date, to the
Department at the following address:

U.S. Department of Education

Application Control Center

Attention: (CFDA Number 84.120A)

550 12th Street, SW.

Room 7067, Potomac Center Plaza

Washington, DC 20202-4260

The Application Control Center accepts hand deliveries daily between
8:00 a.m. and 4:30 p.m., Washington, DC time, except Saturdays, Sundays,
and Federal holidays.

[Note for Mail or Hand Delivery of Paper Applications]{.underline}: If
you mail or hand deliver your application to the Department:

\(1\) You must indicate on the envelope and --- if not provided by the
Department --- in Item 4 of the Application for Federal Education
Assistance (SF 424) the CFDA number -- and suffix letter, if any -- of
the competition under which you are submitting your application.

\(2\) The Application Control Center will mail a grant application
receipt acknowledgment to you. If you do not receive the grant
application receipt acknowledgment within 15 business days from the
application deadline date, you should call the U.S. Department of
Education Application Control Center at (202) 245-6288.

V. Application Review Information

1\. [Selection Criteria]{.underline}: The selection criteria for this
program competition are from 34 CFR 637.32 (a) through (j), and are
listed below. Applicants must address each of the section criteria. The
total weight of the selection criteria is 100 points; the weight of each
criterion is noted in parentheses.

\(a\) Plan of operation (Total 15 points).

\(b\) Quality of key personnel (Total 5 points).

\(c\) Budget and cost effectiveness (Total 5 points).

\(d\) Evaluation plan (Total 10 points).

\(e\) Adequacy of resources (Total 5 points).

\(f\) Identification of need for the project (Total 20 points).

\(g\) Potential institutional impact of the project (Total 10 points).

\(h\) Institutional commitment to the project (Total 10 points).

\(i\) Expected Outcomes (Total 15 points).

\(j\) Scientific and educational value of the proposed project (Total 5
points).

2\. [Review and Selection Process]{.underline}: Additional factors we
consider in selecting an application for an award are in 34 CFR 75.217.

Tiebreaker for Institutional, Special Project, and Cooperative Grants.
If there are insufficient funds for all applications with the same total
scores, applications described in Competitive Preference Priority 2,
will receive preference, in the following order. First, applications
that satisfy the requirement of Competitive Preference Priority 1;
second, the applications that satisfy the requirements of both
Competitive Preference Priorities 2 and 3; and third, applications that
satisfy the requirements of Competitive Preference Priority 2.

VI\. Award Administration Information

1\. [Award Notices]{.underline}: If your application is successful, we
will notify your U.S. Representative and U.S. Senators and send you a
Grant Award Notice (GAN). We may also notify you informally.

If your application is not evaluated or not selected for funding, we
will notify you.

2\. [Administrative and National Policy Requirements]{.underline}:

We identify administrative and national policy requirements in the
application package and reference these and other requirements in the
[Applicable Regulations]{.underline} section of this notice.

We reference the regulations outlining the terms and conditions of an
award in the [Applicable Regulations]{.underline} section of this notice
and include these and other specific conditions in the GAN. The GAN also
incorporates your approved application as part of your binding
commitments under the grant.

3\. [Reporting]{.underline}: At the end of your project period, you must
submit a final performance report including financial information as
directed by the Secretary. If you receive a multi-year award, you must
provide an annual performance report that provides the most current
performance and financial expenditure information as specified by the
Secretary in 34 CFR 75.118 and 34 CFR 75.720.

4\. [Performance Measures]{.underline}: The Secretary has established
the following key performance measures for assessing the effectiveness
of the MSEIP program: 1) the percentage change in the number of
full-time, degree-seeking minority undergraduate students at grantee
institutions enrolled in the fields of engineering or physical or
biological sciences, compared to the average minority enrollment in the
same fields in the three-year period immediately prior to the beginning
of the current grant; 2) the percentage of minority students at grantee
institutions enrolled in the fields of engineering or physical or
biological sciences at the beginning of the previous school year, who
are still enrolled at the same institution at the beginning of the
current school year; and 3) a) in four-year grantee institutions, the
percentage of the minority students who enrolled in engineering or
physical or biological sciences in the school year that was six years
prior to the current school year, who graduated by the current year with
a major in those fields; or b) in two-year grantee institutions, the
percentage of the minority students who enrolled in engineering or
physical or biological sciences in the school year that was three years
prior to the current school year, who graduated by the current year with
a major in those fields, or transferred to a four-year institution.

VII\. Agency Contact

[For Further Information Contact]{.underline}: Dr. Bernadette Hence,
U.S. Department of Education, 1990 K Street, NW., 6^th^ Floor, Room
6071, Washington, DC 20006-8517. Telephone: (202) 219-7038, by fax (202)
502-7861, or by e-mail: <Bernadette.Hence@ed.gov> or <OPE.MSEIP@ED.GOV>;
or

Carolyn Proctor, Telephone: (202) 502-7567, by fax (202) 502-7861, or by
e-mail: <Carolyn.Proctor@ed.gov> or <OPE.MSEIP@ED.GOV>.

If you use a telecommunication device for the deaf (TDD), you may call
the Federal Relay Services (FRS) at 1-800-877-8339.

Individuals with disabilities may obtain this document in an alternative
format (e.g., Braille, large print, audiotape, or computer diskette) on
request to the program contact persons listed in this section.

VIII\. Other Information

[Electronic Access to This Document]{.underline}: You may view this
document, as well as all other documents of this Department published in
the [Federal Register]{.underline}, in text or Adobe Portable Document
Format (PDF) on the Internet at the following site:
www.ed.gov/news/fedregister

To use PDF you must have Adobe Acrobat Reader, which is available free
at this site. If you have questions about using PDF, call the U.S.
Government Printing Office (GPO), toll free, at 1-888-293-6498; or in
the Washington, DC, area at (202) 512-1530.

[Note]{.underline}: The official version of this document is the
document published in the [Federal Register]{.underline}. Free Internet
access to the official edition of the [Federal Register]{.underline} and
the Code of Federal Regulations is available on GPO Access at:
[www.gpoaccess.gov/nara/index.html](http://www.gpoaccess.gov/nara/index.html).

Dated:

James Manning,

Acting Assistant Secretary

[for Postsecondary Education]{.underline}.

#### 

#### Authorizing Legislation 

**Authorizing Legislation:**

# Title III, Part E, of the Higher Education Act of 1965, as amended:

## **PART E---MINORITY SCIENCE AND ENGINEERING IMPROVEMENT PROGRAM**

SUBPART 1---MINORITY SCIENCE AND ENGINEERING IMPROVEMENT PROGRAM

SEC. 350. \[20 U.S.C. 1067\] FINDINGS.

Congress makes the following findings:

> \(1\) It is incumbent on the Federal Government to support the
> technological and economic competitiveness of the United States by
> improving and expanding the scientific and technological capacity of
> the United States. More and better prepared scientists, engineers, and
> technical experts are needed to improve and expand such capacity.
>
> \(2\) As the Nation's population becomes more diverse, it is important
> that the educational and training needs of all Americans are met.
> Underrepresentation of minorities in science and technological fields
> diminishes our Nation's competitiveness by impairing the quantity of
> well prepared scientists, engineers, and technical experts in these
> fields.
>
> \(3\) Despite significant limitations in resources, minority
> institutions provide an important educational opportunity for minority
> students, particularly in science and engineering fields. Aid to
> minority institutions is a good way to address the underrepresentation
> of minorities in science and technological fields.
>
> \(4\) There is a strong Federal interest in improving science and
> engineering programs at minority institutions as such programs lag
> behind in program offerings and in student enrollment compared to such
> programs at other institutions of higher education.

SEC. 351. \[20 U.S.C. 1067a\] PURPOSE; AUTHORITY.

\(a\) It is the purpose of this subpart to continue the authority of the
Department to operate the Minority Institutions Science Improvement
Program created under section 3(a)(1) of the National Science Foundation
Act of 1950 and transferred to the Department by section 304(a)(1) of
the Department of Education Organization Act of 1979.

\(b\) The Secretary shall, in accordance with the provisions of this
subpart, carry out a program of making grants to institutions of higher
education that are designed to effect long-range improvement in science
and engineering education at predominantly minority institutions and to
increase the participation of underrepresented ethnic minorities,
particularly minority women, in scientific and technological careers.

SEC. 352. \[20 U.S.C. 1067b\] GRANT RECIPIENT SELECTION.

(a) ESTABLISHMENT OF CRITERIA .-Grants under this subpart shall be
    awarded on the basis of criteria established by the Secretary by
    regulations.

\(b\) PRIORITIES TO BE GIVEN IN CRITERIA.---In establishing criteria
under subsection (a), the Secretary shall give priority to applicants
which have not previously received funding from the Minority
Institutions Science Improvement Program and to previous grantees with a
proven record of success, as well as to applications that contribute to
achieving balance among projects with respect to geographic region,
academic discipline, and project type.

\(c\) REQUIRED CRITERIA.---In establishing criteria under subsection
(a), the Secretary may consider the following selection criteria in
making grants:

\(1\) plan of operation;

> \(2\) quality of key personnel;
>
> \(3\) budget and cost effectiveness;
>
> \(4\) evaluation plan;
>
> \(5\) adequacy of resources;
>
> \(6\) identification of need for the project;
>
> \(7\) potential institutional impact of the project;
>
> \(8\) institutional commitment to the project;
>
> \(9\) expected outcomes; and
>
> \(10\) scientific and educational value of the proposed project.

SEC. 353. \[20 U.S.C. 1067c\] USE OF FUNDS.

\(a\) TYPES OF GRANTS.---Funds appropriated to carry out this subpart
may be made available as---

(1) institutional grants (as defined in section 365(6));

> \(2\) cooperative grants (as defined in section 365(7));

\(3\) design projects (as defined in section 365(8)); or

> \(4\) special projects (as defined in section 365(9)).
>
> \(b\) AUTHORIZED USES FOR EACH TYPE OF GRANT.---(1) The authorized
> uses of funds made available as institutional grants include (but are
> not limited to)---
>
> \(A\) faculty development programs; or
>
> \(B\) development of curriculum materials.
>
> \(2\) The authorized uses of funds made available as cooperative
> grants include (but are not limited to)---
>
> \(A\) assisting institutions in sharing facilities and personnel;
>
> \(B\) disseminating information about established programs in science
> and engineering;
>
> \(C\) supporting cooperative efforts to strengthen the institutions'
> science and engineering programs; or
>
> \(D\) carrying out a combination of any of the activities in
>
> subparagraphs (A) through (C).
>
> \(3\) The authorized uses of funds made available as design projects
> include (but are not limited to)---
>
> \(A\) developing planning, management, and evaluation systems; or
>
> \(B\) developing plans for initiating scientific research and for
> improving institutions' capabilities for such activities.

Funds used for design project grants may not be used to pay more than 50
percent of the salaries during any academic year of faculty members
involved in the project.

> \(4\) The authorized uses of funds made available as special projects
> include (but are not limited to)---
>
> \(A\) advanced science seminars;
>
> \(B\) science faculty workshops and conferences;
>
> \(C\) faculty training to develop specific science research or
> education skills;
>
> \(D\) research in science education;
>
> \(E\) programs for visiting scientists;
>
> \(F\) preparation of films or audio-visual materials in science;
>
> \(G\) development of learning experiences in science beyond those
> normally available to minority undergraduate students;
>
> \(H\) development of pre-college enrichment activities in science; or
>
> \(I\) any other activities designed to address specific barriers to
> the entry of minorities into science.

SEC. 1024.^1^ \[20 U.S.C. 1135b--3\] MULTIAGENCY STUDY OF MINORITY
SCIENCE PROGRAMS.

The Secretary, in cooperation with the heads of other departments and
agencies that operate programs similar in purposes to the Minority
Science Improvement Program which seek to increase minority
participation and representation in scientific fields, shall submit a
report to the President and Congress summarizing and evaluating such
programs by January 1, 1996.

#### SUBPART 2---ADMINISTRATIVE AND GENERAL PROVISIONS

SEC. 361. \[20 U.S.C. 1067g\] ELIGIBILITY FOR GRANTS.

Eligibility to receive grants under this part is limited to---

\(1\) public and private nonprofit institutions of higher education
that---

> \(A\) award baccalaureate degrees; and
>
> \(B\) are minority institutions;

\(2\) public or private nonprofit institutions of higher education
that---

> \(A\) award associate degrees; and
>
> \(B\) are minority institutions that---
>
> \(i\) have a curriculum that includes science or engineering subjects;
> and
>
> \(ii\) enter into a partnership with public or private nonprofit
> institutions of higher education that award baccalaureate degrees in
> science and engineering;

^1^ Section 1024 was transferred by section 301(a)(5) of the Higher
Education Amendments of 1998, but was not redesignated by section
301(a)(7) of that Act. Section 1024 may have been intended to have been
repealed by section 702 of that Act.

> \(3\) ^2^ nonprofit science-oriented organizations, professional
> scientific societies, and institutions of higher education that award
> baccalaureate degrees, that---
>
> \(A\) provide a needed service to a group of minority institutions; or
>
> \(B\) provide in-service training for project directors, scientists,
> and engineers from minority institutions; or

\(4\) consortia of organizations, that provide needed services to one or
more minority institutions, the membership of which may include---

> \(A\) institutions of higher education which have a curriculum in
> science or engineering;
>
> \(B\) institutions of higher education that have a graduate or
> professional program in science or engineering;
>
> \(C\) research laboratories of, or under contract with, the Department
> of Energy;
>
> \(D\) private organizations that have science or engineering
> facilities; or
>
> \(E\) quasi-governmental entities that have a significant scientific
> or engineering mission.

SEC. 362. \[20 U.S.C. 1067h\] GRANT APPLICATION.

\(a\) SUBMISSION AND CONTENTS OF APPLICATIONS.---An eligible applicant
(as determined under section 361) that desires to receive a grant under
this part shall submit to the Secretary an application therefore at such
time or times, in such manner, and containing such information as the
Secretary may prescribe by regulation. Such application shall set
forth---

> \(1\) a program of activities for carrying out one or more of the
> purposes described in section 351(b) in such detail as will enable the
> Secretary to determine the degree to which such program will
> accomplish such purpose or purposes; and (2) such other policies,
> procedures, and assurances as the Secretary may require by regulation.

\(b\) APPROVAL BASED ON LIKELIHOOD OF PROGRESS.---The Secretary shall
approve an application only if the Secretary determines that the
application sets forth a program of activities which are likely to make
substantial progress toward achieving the purposes of this part.

SEC. 363. \[20 U.S.C. 1067I\] CROSS PROGRAM AND CROSS AGENCY
CO-OPERATION.

The Minority Science and Engineering Improvement Programs shall
cooperate and consult with other programs within the Department and
within Federal, State, and private agencies which carry out programs to
improve the quality of science, mathematics, and engineering education.

^2^ This paragraph does not reflect amendments made by section 301(b) or
301(c)(9) of the Higher Education Amendments of 1998 (P.L. 105--244) as
those amendments were superseded by the amendment made by section 307(b)
of that Act.

SEC. 364. \[20 U.S.C. 1067j\] ADMINISTRATIVE PROVISIONS.

\(a\) TECHNICAL STAFF.---The Secretary shall appoint, without regard to
the provisions of title 5 of the United States Code governing
appointments in the competitive

service, not less than 2 technical employees with appropriate scientific
and educational background to administer the programs under this part
who may be paid without regard to the provisions of chapter 51 and
subchapter III of chapter 53 of such title relating to classification
and General Schedule pay rates.

\(b\) PROCEDURES FOR GRANT REVIEW.---The Secretary shall establish
procedures for reviewing and evaluating grants and contracts made or
entered into under such programs. Procedures for reviewing grant
applications, based on the peer review system, or contracts for
financial assistance under this title may not be subject to any review
outside of officials responsible for the administration of the Minority
Science and Engineering Improvement Programs.

SEC. 365. \[20 U.S.C. 1067k\] DEFINITIONS.

For the purpose of this part---

\(1\) The term ''accredited'' means currently certified by a nationally
recognized accrediting agency or making satisfactory progress toward
achieving accreditation.

\(2\) The term ''minority'' means American Indian, Alaskan Native, Black
(not of Hispanic origin), Hispanic (including per-sons of Mexican,
Puerto Rican, Cuban, and Central or South American origin), Pacific
Islander or other ethnic group under-represented in science and
engineering.

\(3\) The term ''minority institution'' means an institution of higher
education whose enrollment of a single minority or a combination of
minorities (as defined in paragraph (2)) exceeds 50 percent of the total
enrollment. The Secretary shall verify this information from the data on
enrollments in the higher education general information surveys (HEGIS)
furnished by the institution to the Office for Civil Rights, Department
of Education.

\(4\) The term ''science'' means, for the purpose of this pro-gram, the
biological, engineering, mathematical, physical, behavioral, and social
sciences, and history and philosophy of science; also included are
interdisciplinary fields which are comprised of overlapping areas among
two or more sciences.

\(5\) The term ''underrepresented in science and engineering'' means a
minority group whose number of scientists and engineers per 10,000
population of that group is substantially below the comparable figure
for scientists and engineers who are white and not of Hispanic origin.

\(6\) The term ''institutional grant'' means a grant that supports the
implementation of a comprehensive science improvement plan, which may
include any combination of activities for improving the preparation of
minority students for careers in science.

\(7\) The term ''cooperative grant'' means a grant that assists groups
of nonprofit accredited colleges and universities to work together to
conduct a science improvement program.

\(8\) The term ''design projects'' means projects that assist minority
institutions that do not have their own appropriate resources or
personnel to plan and develop long-range science improvement programs.

\(9\) The term ''special projects'' means---

> \(A\) a special project grant to a minority institution which support
> activities that---
>
> \(i\) improve the quality of training in science and engineering at
> minority institutions; or
>
> \(ii\) enhance the minority institutions' general scientific research
> capabilities; or
>
> \(B\) a special project grant to any eligible applicant which supports
> activities that---
>
> \(i\) provide a needed service to a group of eligible minority
> institutions; or
>
> \(ii\) provide in-service training for project directors, scientists,
> and engineers from eligible minority institutions.

\[Code of Federal Regulations\]

\[Title 34, Volume 3\]

\[Revised as of July 1, 2005\]

From the U.S. Government Printing Office via GPO Access

\[CITE: 34CFR637.1\]

\[Page 285-286\]

TITLE 34\--EDUCATION

CHAPTER VI\--OFFICE OF POSTSECONDARY EDUCATION, DEPARTMENT OF EDUCATION

PART 637_MINORITY SCIENCE AND ENGINEERING IMPROVEMENT PROGRAM\--Table of

Contents

Subpart A_General

Sec. 637.1 What is the Minority Science and Engineering Improvement

Program (MSEIP)?

637.2 Who is eligible to receive a grant?

637.3 What regulations apply to the Minority Science and Engineering

Improvement Program?

637.4 What definitions apply to the Minority Science and Engineering

Improvement Program?

Subpart B_What Kinds of Projects Does the Secretary Assist Under This

Program?

637.11 What kinds of projects are supported by this program?

637.12 What are institutional projects?

637.13 What are design projects?

637.14 What are special projects?

637.15 What are cooperative projects?

\[\[Page 286\]\]

Subpart C_How Does One Apply for a Grant?

637.21 Application procedures.

Subpart D_How Does the Secretary Make a Grant?

637.31 How does the Secretary evaluate an application?

637.32 What selection criteria does the Secretary use?

Subpart E_What Conditions Must Be Met by a Grantee?

637.41 What are the cost restrictions on design project grants?

Authority: 20 U.S.C. 1067-1067c, 1067g-1067k, 1068, 1068b, unless

otherwise noted.

Source: 46 FR 51204, Oct. 16, 1981, unless otherwise noted.

The Minority Science and Engineering Improvement Program (MSEIP) is

designed to effect long-range improvement in science and engineering

education at predominantly minority institutions, and to increase the

flow of underrepresented ethnic minorities, particularly minority women,
into scientific and technological careers.

(Authority: 20 U.S.C. 1067-1067c, 1067g-1067k, 1068, and 1068b, unless

otherwise noted)

\[65 FR 7674, Feb. 15, 2000\]

Sec. 637.2 Who is eligible to receive a grant?

The following are eligible to receive a grant under this part:

\(a\) Public and private nonprofit institutions of higher education

that\--

\(1\) Award baccalaureate degrees; and

\(2\) Qualify as minority institutions as defined in Sec. 637.4.

\(b\) Public or private nonprofit institutions of higher education

that\--

\(1\) Award associate degrees;

\(2\) Qualify as minority institutions as defined in Sec. 637.4;

\(3\) Have a curriculum that includes science or engineering subjects;
and

\(4\) Enter into a partnership with public or private nonprofit

institutions of higher education that award baccalaureate degrees in

science and engineering.

\(c\) Nonprofit science-oriented organizations, professional

scientific societies, and institutions of higher education that award

baccalaureate degrees that\--

\(1\) Provide a needed service to a group of minority institutions; or

\(2\) Provide in-service training to project directors, scientists,

and engineers from minority institutions; or

\(d\) A consortia of organizations, that provide needed services to

one or more minority institutions. The consortia membership may

include\--

\(1\) Institutions of higher education which have a curriculum in

science or engineering;

\(2\) Institutions of higher education that have a graduate or

professional program in science or engineering;

\(3\) Research laboratories of, or under the contract with, the

Department of Energy;

\(4\) Private organizations that have science or engineering

facilities; or

\(5\) Quasi-governmental entities that have a significant scientific

or engineering mission.

(Authority: 20 U.S.C. 1067g)

\[65 FR 7674, Feb. 15, 2000\]

Sec. 637.3 What regulations apply to the Minority Science and

Engineering Improvement Program?

The following regulations apply to the Minority Science and

Engineering Improvement Program:

\(a\) The Education Department General Administrative Regulations

(EDGAR) as follows:

\(1\) 34 CFR part 74 (Administration of Grants to Institutions of

Higher Education, Hospitals, and Nonprofit Organizations).

\(2\) 34 CFR part 75 (Direct Grant Programs).

\(3\) 34 CFR part 77 (Definitions that Apply to Department

Regulations).

\(4\) 34 CFR part 79 (Intergovernmental Review of Department of

Education Programs and Activities).

\(5\) 34 CFR part 82 (New Restrictions on Lobbying).

\[\[Page 287\]\]

\(6\) 34 CFR part 85 (Governmentwide Debarment and Suspension

(Nonprocurement) and Governmentwide Requirements for Drug-Free Workplace
(Grants)).

\(7\) 34 CFR part 86 (Drug-Free Schools and Campuses).

\(b\) The regulations in this part 637.

(Authority: 20 U.S.C. 1067-1067c, 1067g-1067k, 1068, and 1068b, unless

otherwise noted)

\[46 FR 51204, Oct. 16, 1981, as amended at 52 FR 43544, Nov. 12, 1987;

57 FR 54302, Nov. 18, 1992; 65 FR 7675, Feb. 15, 2000\]

Sec. 637.4 What definitions apply to the Minority Science and

Engineering Improvement Program?

\(a\) Definitions in EDGAR. The following terms used in this part are

defined in 34 CFR part 77.

Applicant

Application

Department

EDGAR

Grants

Grantee

Nonprofit

Private

Project

Project period

Secretary

\(b\) Definitions that apply to this part:

Accredited means currently certified by a nationally recognized

accrediting agency or making satisfactory progress toward achieving

accreditation.

Act means the Higher Education Act of 1965, as amended.

Minority means American Indian, Alaskan Native, black (not of

Hispanic origin), Hispanic (including persons of Mexican, Puerto Rican,

Cuban, and Central or South American origin), Pacific Islander or other

ethnic group underrepresented in science and engineering.

Minority institution means an accredited college or university whose
enrollment of a single minority group or a combination of minority
groups as defined in this section exceeds fifty percent of the total
enrollment. The Secretary verifies this information from the data on
enrollments (Higher Education General Information Surveys HEGIS XIII)
furnished by the institution to the Office for Civil Rights, Department
of Education.

Science means, for the purposes of this program, the biological,

engineering, mathematical, physical, behavioral and social sciences, and
the history and philosophy of science; also included are

interdisciplinary fields which are comprised of overlapping areas among

two or more sciences.

Underrepresented in science and engineering means a minority group

whose number of scientists and engineers per 10,000 population of that

group is substantially below the comparable figure for scientists and

engineers who are white and not of Hispanic origin.

(Authority: 20 U.S.C. 1067-1067c, 1067g-1067k, 1068, 1068b)

(Authority: 20 U.S.C. 1135b-1135b-3 and 1135d-5)

\[46 FR 51204, Oct. 16, 1981, as amended at 52 FR 43544, Nov. 12, 1987;

65 FR 7675, Feb. 15, 2000\]

Subpart B_What Kinds of Projects Does the Secretary Assist Under This

Program?

Sec. 637.11 What kinds of projects are supported by this program?

The Secretary awards grants under this program for all or some of the
following categories of projects:

\(a\) Institutional projects for implementing a comprehensive science

improvement plan as described in Sec. 637.12.

\(b\) Design projects for developing a long-range science improvement

plan as described in Sec. 637.13.

\(c\) Special projects to support activities as described in Sec.

637.14.

\(d\) Cooperative projects to share facilities and personnel and

disseminate information as described in Sec. 637.15.

(Authority: 20 U.S.C. 1135b-2)

(Authority: 20 U.S.C. 1067-1067c, 1067g-1067k, 1068, and 1068b)

Sec. 637.12 What are institutional projects?

\(a\) Institutional project grants support the implementation of a

comprehensive science improvement plan, which may include any

combination of activities for improving the preparation of minority

students, particularly minority women, for careers in science.

\[\[Page 288\]\]

\(b\) Activities that the Secretary may assist under an institutional

project include, but are not limited to, the following:

\(1\) Faculty development programs; or

\(2\) Development of curriculum materials.

(Authority: 20 U.S.C. 1067-1067c, 1067g-1067k, 1068, and 1068b)

\[46 FR 51204, Oct. 16, 1981, as amended at 52 FR 43545, Nov. 12, 1987;

57 FR 54302, Nov. 18, 1992\]

Sec. 637.13 What are design projects?

\(a\) Design project grants assist minority institutions that do not

have their own appropriate resources or personnel to plan and develop

long-range science improvement programs.

\(b\) Activities that the Secretary may assist under a design project

include, but are not limited to, the following:

\(1\) Development of planning, management, and evaluation systems; and

\(2\) Improvement of institutional research or development offices.

(Authority: 20 U.S.C. 1067-1067c, 1067g-1067k, 1068, and 1068b)

\[46 FR 51204, Oct. 16, 1981, as amended at 52 FR 43545, Nov. 12, 1987\]

Sec. 637.14 What are special projects?

There are two types of special projects grants\--

\(a\) Special project grants for which minority institutions are

eligible which support activities that\--

\(1\) Improve quality training in science and engineering at minority

institutions; or

\(2\) Enhance the minority institutions\' general scientific research

capabilities.

\(b\) Special project grants for which all applicants are eligible

which support activities that\--

\(1\) Provide a needed service to a group of eligible minority

institutions; or

\(2\) Provide in-service training for project directors, scientists,

and engineers from eligible minority institutions.

\(c\) Activities that the Secretary may assist under a special project
include, but are not limited to, the following:

\(1\) Advanced science seminars;

\(2\) Science faculty workshops and conferences;

\(3\) Faculty training to develop specific science research or

education skills;

\(4\) Research in science education;

\(5\) Programs for visiting scientists;

\(6\) Preparation of films or audio-visual materials in science;

\(7\) Development of learning experiences in science beyond those

normally available to minority undergraduate students, particularly

minority women;

\(8\) Development of pre-college enrichment activities in science; and

\(9\) Any other activities designed to address specific barriers to

the entry of minorities, particularly minority women, into science.

\(d\) Minority institutions are eligible to apply for special projects
of the type listed in paragraph (a) of this section. All applicants
eligible for assistance under this program may apply for special
projects of the type listed in paragraphs (b) and (c) of this section.

(Authority: 20 U.S.C. 1067-1067c, 1067g-1067k, 1068, and 1068b)

\[46 FR 51204, Oct. 16, 1981, as amended at 52 FR 43545, Nov. 12, 1987;

57 FR 54302, Nov. 18, 1992\]

Sec. 637.15 What are cooperative projects?

\(a\) Cooperative project grants assist groups of nonprofit accredited

colleges and universities to work together to conduct a science

improvement project.

\(b\) Activities that the Secretary may fund under cooperative

projects include, but are not limited to, the following:

\(1\) Assisting institutions in sharing facilities and personnel;

\(2\) Disseminating information about established programs in science

and engineering;

\(3\) Supporting cooperative efforts to strengthen the institutions\'

science and engineering programs; and

\(4\) Carrying out a combination of any of the activities in

paragraphs (c)(1)-(3) of this section.

\(c\) Eligible applicants for cooperative projects are groups of

nonprofit accredited colleges and universities whose

\[\[Page 289\]\]

primary fiscal agent is an eligible minority institution as defined in

Sec. 637.4(b).

(Authority: 20 U.S.C. 1067-1067c, 1067g-1067k, 1068, and 1068b)

Subpart C_How Does One Apply for a Grant?

Sec. 637.21 Application procedures.

One applies for a grant under the procedures of EDGAR Sec. Sec.

75.100 through 75.129.

Subpart D_How Does the Secretary Make a Grant?

Sec. 637.31 How does the Secretary evaluate an application?

\(a\) The Secretary evaluates an application on the basis of the

criteria in Sec. 637.32.

\(b\) The Secretary informs applicants of the maximum possible score

for each criterion in the application package or in a notice published

in the Federal Register.

\(c\) The Secretary gives priority to applicants which have not

previously received funding from the program and to previous grantees

with a proven record of success, as well as to applications that

contribute to achieving balance among funded projects with respect to:

\(1\) Geographic region;

\(2\) Academic discipline; and

\(3\) Project type.

(Authority: 20 U.S.C. 1067-1067c, 1067g-1067k, 1068, and 1068b)

\[46 FR 51204, Oct. 16, 1981, as amended at 52 FR 43545, Nov. 12, 1987;

70 FR 13374, Mar. 21, 2005\]

Sec. 637.32 What selection criteria does the Secretary use?

The Secretary evaluates applications on the basis of the criteria in
this section.

\(a\) Plan of operation. (1) The Secretary reviews each application

for information that shows the quality of the plan of operation for the

project.

\(2\) The Secretary looks for information that shows\--

\(i\) Higher quality in the design of the project;

\(ii\) An effective plan of management that insures proper and

efficient administration of the project;

\(iii\) A clear description of how the objectives of the project

relate to the purpose of the program;

\(iv\) The way the applicant plans to use its resources and personnel

to achieve each objective; and

\(v\) Methods of coordination. (See 34 CFR 75.580)

\(b\) Quality of key personnel. (1) The Secretary reviews each

application for information that shows the quality of the key personnel

the applicant plans to use on the project.

\(2\) The Secretary looks for information that shows\--

\(i\) The qualifications of the project director (if one is to be

used);

\(ii\) The qualifications of each of the other key personnel to be

used in the project;

\(iii\) The time that each person referred to in paragraphs (b)(2) (i)

and (ii) of this section plans to commit to the project.

\(iv\) The extent to which the applicant, as part of its

nondiscriminatory emloyment practices, encourages applications for

employment from persons who are members of groups that have been

traditionally underrepresented, such as members of a racial or ethnic

minority group, women, handicapped persons, and the elderly.

\(3\) To determine the qualifications of a person, the Secretary

considers evidence of past experience and training, in fields related to
the objectives of the project, as well as other information that the

applicant provides.

\(c\) Budget and cost effectiveness. (1) The Secretary reviews each

application for information that shows that the project has an adequate

budget and is cost effective.

\(2\) The Secretary looks for information that shows\--

\(i\) The budget for the project is adequate to support the project

activities; and

\(ii\) Costs are reasonable in relation to the objective of the

project.

\(d\) Evaluation plan. (1) The Secretary reviews each application for

information that shows the quality of the evaluation plan for the

project. (See 34 CFR 75.590)

\[\[Page 290\]\]

\(2\) The Secretary looks for information that shows methods of

evaluation that are appropriate for the project and, to the extent

possible, are objective and produce data that are quantifiable.

\(e\) Adequacy of resources. (1) The Secretary reviews each

application for information that shows that the applicant plans to

devote adequate resources to the project.

\(2\) The Secretary looks for information that shows\--

\(i\) The facilities that the applicant plans to use are adequate; and

\(ii\) The equipment and supplies that the applicant plans to use are

adequate.

\(f\) Identification of need for the project. (1) The Secretary

reviews each application for information that shows the identification

of need for the project.

\(2\) The Secretary looks for information that shows\--

\(i\) An adequate needs assessment;

\(ii\) An identification of specific needs in science; and

\(iii\) Involvement of appropriate individuals, especially science

faculty, in identifying the institutional needs.

\(g\) Potential institutional impact of the project. (1) The Secretary
reviews each application to determine the extent to which the proposed
project gives evidence of potential for enhancing the institution\'s
capacity for improving and maintaining quality science education for its
minority students, particularly minority women.

\(2\) The Secretary looks for information that shows\--

\(i\) For an institutional or cooperative project, the extent to which
both the established science education program(s) and the proposed
project will expand or strengthen the established program(s) in relation
to the identified needs; or

\(ii\) For a design project, the extent to which realistic long-range

science education improvement plans will be developed with the technical
assistance provided under the project; or

\(iii\) For a special project, the extent to which it addresses needs

that have not been adequately addressed by an existing institutional

science program or takes a particularly new and exemplary approach that

has not been taken by any existing institutional science program.

\(h\) Institutional commitment to the project. (1) The Secretary

reviews each application for information that shows that the applicant

plans to continue the project activities when funding ceases.

\(2\) The Secretary looks for information that shows\--

\(i\) Adequate institutional commitment to absorb any after-the-grant

burden initiated by the project;

\(ii\) Adequate plans for continuation of project activities when

funding ceases;

\(iii\) Clear evidence of past institutional commitment to the

provision of quality science programs for its minority students; and

\(iv\) A local review statement signed by the chief executive officer

of the institution endorsing the project and indicating how the project

will accelerate the attainment of the institutional goals in science.

\(i\) Expected outcomes. (1) The Secretary reviews each application to
determine the extent to which minority students, particularly minority
women, will benefit from the project.

\(2\) The Secretary looks for information that shows\--

\(i\) Expected outcomes likely to result in the accomplishment of the

program goal;

\(ii\) Educational value for science students; and

\(iii\) Possibility of long-term benefits to minority students,

faculty, or the institution.

\(j\) Scientific and educational value of the proposed project. (1)

The Secretary reviews each application for information that shows its

potential for contributions to science education.

\(2\) The Secretary looks for information that shows\--

\(i\) The relationship of the proposed project to the present state of
science education;

\(ii\) The use or development of effective techniques and approaches

in science education; and

\[\[Page 291\]\]

\(iii\) Potential use of some aspects of the project at other

institutions.

(Approved by the Office of Management and Budget under control number

1840-0109)

(Authority: 20 U.S.C. 1067-1067c, 1067g-1067k, 1068, and 1068b)

\[46 FR 51204, Oct. 16, 1981, as amended at 53 FR 49146, Dec. 6, 1988;
57

FR 54302, Nov. 18, 1992; 70 FR 13374, Mar. 21, 2005\]

Subpart E_What Conditions Must be Met by a Grantee?

Sec. 637.41 What are the cost restrictions on design project grants?

For design project grants funds may not be used to pay more than

fifty percent of the academic year salaries of faculty members involved

in the project.

(Authority: 20 U.S.C. 1067-1067c, 1067g-1067k, 1068, and 1068b)

#### 

#### Intergovernmental Review 

#### State Single Points Of Contact 

It is estimated that in 2004 the federal government will outlay \$400
billion in grants to state and local governments. Executive Order 12372,
\"Intergovernmental Review of Federal Programs,\" was issued with the
desire to foster the intergovernmental partnership and strengthen
federalism by relying on state and local processes for the coordination
and review of proposed federal financial assistance and direct federal
development. The Order allows each state to designate an entity to
perform this function. Below is the official list of those entities. For
those states that have a home page for their designated entity, a direct
link has been provided on the official version:
[http://www.whitehouse.gov/omb/grants/spoc.html]{.underline}

**States that are not listed on this page have chosen not to participate
in the intergovernmental review process, and therefore do not have a
SPOC. If you are located within one of these states, you may still send
application materials directly to a federal awarding agency.**

Contact information for federal agencies that award grants can be found
in [The Catalog of Federal Domestic Assistance Catalog Contents
Page](http://12.46.245.173/pls/portal30/CATALOG.BROWSE_CATALOG_DYN.show).
You can access Appendix IV by Agency
\[http://12.46.245.173/CFDA/appx4_web.pdf\] or by State
\[http://12.46.245.173/CFDA/appx4_web_state.pdf\].

+-----------------------------------+----------------------------------+
| [**ARKANSAS**](http://www.whit    | [*                               |
| ehouse.gov/goodbye/45b34a17bcc01d | *CALIFORNIA**](http://www.whiteh |
| 55a678350a2eedaddd1856d98d.html)\ | ouse.gov/goodbye/cf1a58b969f7b06 |
| Tracy L. Copeland\                | 470a7931ed7e9581c5e8fab5c.html)\ |
| Manager, State Clearinghouse\     | Grants Coordination\             |
| Office of Intergovernmental       | State Clearinghouse\             |
| Services\                         | Office of Planning and Research\ |
| Department of Finance and Admin.\ | P.O. Box 3044, Room 222\         |
| 1515 W. 7th St., Room 412\        | Sacramento, California           |
| Little Rock, Arkansas 72203\      | 95812-3044\                      |
| Telephone: (501) 682-1074\        | Telephone: (916) 445-0613\       |
| Fax: (501) 682-5206\              | Fax: (916) 323-3018\             |
| [tlcopeland@dfa.state.ar.us](ma   | <state.clearinghouse@opr.ca.gov> |
| ilto:tlcopeland@dfa.state.ar.us ) |                                  |
+-----------------------------------+----------------------------------+
| [**DELAWARE**](http://www.whit    | [**DISTRICT OF                   |
| ehouse.gov/goodbye/6933b8af48e27a | COLUMBIA**](http://www.whiteh    |
| 67ce4a28e97c0c66e0dc7d9e4d.html)\ | ouse.gov/goodbye/cd10d790887e7f4 |
| Sandra R. Stump\                  | a2796ea8d1b5efeb46b979ca1.html)\ |
| Executive Department\             | Marlene Jefferson\               |
| Office of the Budget\             | DC Government Office of          |
| 540 S. Dupont Highway, 3rd Floor\ | Partnerships                     |
| Dover, Delaware 19901\            |                                  |
| Telephone: (302) 739-3323\        | And Grants Development\          |
| Fax: (302) 739-5661\              | 441 4th Street, NW\              |
| [sandy.stump@state.de.us]         | Washington, DC 20001\            |
| (mailto:sandy.stump@state.de.us ) | Telephone: (202) 727-6518\       |
|                                   | Fax: (202) 727-1652\             |
|                                   | [marle                           |
|                                   | ne.Jefferson@dc.gov]{.underline} |
+-----------------------------------+----------------------------------+
| [**FLORIDA**](http://www.whit     | [**GEORGIA**](http://www.whiteh  |
| ehouse.gov/goodbye/63b38d2041cfd8 | ouse.gov/goodbye/898508bd9ea5e42 |
| b0b37935b1583b944fd8efc98f.html)\ | 9192b9f78d3792fca2fc79701.html)\ |
| Lauren P. Milligan\               | Barbara Jackson\                 |
| Florida State Clearinghouse\      | Georgia State Clearinghouse\     |
| Florida Dept. of Environmental    | 270 Washington Street, SW, 8^th^ |
| Protection\                       | Floor\                           |
| 3900 Commonwealth Blvd., Mail     | Atlanta, Georgia 30334\          |
| Station 47\                       | Telephone: (404) 656-3855\       |
| Tallahassee, Florida 32399-3000\  | Fax: (404) 656-7901\             |
| Telephone: (850) 245-2161\        | <gach@mail.opb.state.ga.us>      |
| Fax: (850) 245-2190\              |                                  |
| <Lauren.Milligan@dep.state.fl.us> |                                  |
+-----------------------------------+----------------------------------+
| [**ILLINOIS**](http://www.whit    | **IOWA**\                        |
| ehouse.gov/goodbye/4ca59f3262146f | Kathy Mable\                     |
| 0bf55304cd9d98d8b5485a0dd8.html)\ | Iowa Department of Management    |
| Roukaya McCaffrey\                |                                  |
| Department of Commerce and\       | State Capitol Building Room G    |
|    Economic Opportunities\        | 12\                              |
| 620 East Adams, 6th Floor\        | 1007 E Grand Avenue\             |
| Springfield, Illinois 62701\      | Des Moines, Iowa 50319\          |
| Telephone: (217) 524-0188\        | Telephone: (515) 242-8834\       |
| Fax: (217) 558-0473\              | Fax: (515) 242-5897\             |
| [roukaya_mcc                      | <Kathy.Mable@iowa.gov>           |
| affrey@illinoisbiz.biz](mailto:ro |                                  |
| ukaya_mccaffrey@illinoisbiz.biz ) |                                  |
+-----------------------------------+----------------------------------+
| **KENTUCKY**\                     | **MAINE**\                       |
| Ron Cook\                         | Joyce Benson\                    |
| The Govenor's Office for Local    | State Planning Office\           |
| Development\                      | 184 State Street\                |
| 1024 Capital Center Drive, Suite  | 38 State House Station\          |
| 340\                              | Augusta, Maine 04333\            |
| Frankfort, Kentucky 40601\        | Telephone: (207) 287-3261\       |
| Telephone: (502) 573-2382/(800)   | (direct): (207) 287-1461\        |
| 346-5606\                         | Fax: (207) 287-6489\             |
| Fax: (502) 573-2512\              | <joyce.benson@state.me.us>       |
| [R]{.underli                      |                                  |
| ne}<on.cook@Ky.>[Gov]{.underline} |                                  |
+-----------------------------------+----------------------------------+
| [**MARYLAND**](http://www.whit    | **MICHIGAN**\                    |
| ehouse.gov/goodbye/53cef4f1cabeea | Richard Pfaff\                   |
| f32421c742009c1247dcd9e156.html)\ | Southeast Michigan Council of    |
| Linda C. Janey, J.D.\             | Governments\                     |
| Director, Capital Planning and    | 535 Griswold, Suite 300\         |
|                                   | Detroit, Michigan 48226\         |
| Development Review\               | Telephone: (313) 961-4266\       |
| Maryland Department of Planning\  | Fax: (313) 961-4869\             |
| 301 West Preston Street, Room     | <pfaff@semcog.org>               |
| 1104\                             |                                  |
| Baltimore, Maryland 21201-2305\   |                                  |
| Telephone: (410) 767-4490\        |                                  |
| Fax: (410) 767-4480\              |                                  |
| <linda@mail.op.state.md.us>       |                                  |
+-----------------------------------+----------------------------------+
| **MISSISSIPPI**\                  | [**MISSOURI**](http://www.whiteh |
| Mildred Tharpe\                   | ouse.gov/goodbye/d151d8f3a7c159b |
| Clearinghouse Officer\            | 03c222c07d79e8d0b1fdccdc4.html)\ |
| Department of Finance and         | Federal Assistance               |
| Administration\                   | Clearinghouse\                   |
| 1301 Woolfolk Building, Suite E\  | Office of Administration\        |
| 501 North West Street\            | P.O. Box 809\                    |
| Jackson, Mississippi 39201\       | Truman Building, Room 840\       |
| Telephone: (601) 359-6762\        | Jefferson City, Missouri 65102\  |
| Fax: (601) 359-6758               | Telephone: (573) 751-4834\       |
|                                   | Fax: (573) 522-4395\             |
|                                   | <igr@mail.oa.state.mo.us>        |
+-----------------------------------+----------------------------------+
| [**NEVADA**](http://www.whit      | [**NEW                           |
| ehouse.gov/goodbye/be5d3d8b9b3d12 | HAMPSHIRE**](http://www.whiteh   |
| 8ba076ed34765f8c725f24e1c0.html)\ | ouse.gov/goodbye/95d4995c7e38920 |
| Michael Stafford\                 | 287f0ac19b85a5e4a6511a151.html)\ |
| Department of Administration\     | MaryAnn Manoogian\               |
| State Clearinghouse\              | Director, New Hampshire Office   |
| 209 E. Musser Street, Room 200\   | of                               |
| Carson City, Nevada 89701\        |                                  |
| Telephone: (775) 684-0209\        | Energy and Planning\             |
| Fax: (775) 684-0260\              | Attn: Intergovernmental Review   |
| [                                 | Process\                         |
| mstafford@budget.state.nv.us](mai | Benjamin Frost\                  |
| lto:helliott@govmail.state.nv.us) | 57 Regional Drive\               |
|                                   | Concord, New Hampshire           |
|                                   | 03301-8519\                      |
|                                   | Telephone: (603) 271-2155\       |
|                                   | Fax: (603) 271-2615\             |
|                                   | <irp@nh.gov>                     |
+-----------------------------------+----------------------------------+
| **NEW YORK**\                     | [**NORTH                         |
| Linda Shkreli\                    | DAKOTA**](http://www.whiteh      |
| Office of Public Security\        | ouse.gov/goodbye/f549674d3662fba |
| Homeland Security Grants          | f55ea74f5a14640c0d79867c0.html)\ |
| Coordination\                     | Jim Boyd\                        |
| 633 3rd Avenue\                   | ND Department of Commerce\       |
| New York, New York 10017\         | 1600 East Century Avenue, Suite  |
| Telephone: (212) 867-1289\        | 2\                               |
| Fax: (212) 867-1725               | P.O. Box 2057\                   |
|                                   | Bismarck, North Dakota           |
|                                   | 58505-2057\                      |
|                                   | Telephone: (701) 328-2676\       |
|                                   | Fax: (701) 328-2308\             |
|                                   | <jboyd@state.nd.us>              |
+-----------------------------------+----------------------------------+
| **RHODE ISLAND**\                 | [**SOUTH                         |
| Joyce Karger\                     | CAROLINA**](http://www.whiteh    |
| Department of Administration\     | ouse.gov/goodbye/b0ee3f975f4f84c |
| Statewide Planning Program\       | e8709d07322dafd8d901fdcfc.html)\ |
| One Capitol Hill\                 | SC Clearinghouse\                |
| Providence, Rhode Island          | Budget and Control Board\        |
| 02908-5870\                       | Office of State Budget\          |
| Telephone: (401) 222-6181\        | 1201 Main Street, Suite 950\     |
| Fax: (401) 222-2083\              | Columbia, South Carolina 29201\  |
| [jkarger@doa.state.ri.us          | Telephone: (803) 734-0494\       |
| ](mailto:knelson@doa.state.ri.us) | Fax: (803) 734-0645\             |
|                                   | <c                               |
|                                   | learinghouse@budget.state.sc.us> |
+-----------------------------------+----------------------------------+
| [**TEXAS**](http://www.whit       | [**UTAH**](http://www.whiteh     |
| ehouse.gov/goodbye/aa749e01ac5965 | ouse.gov/goodbye/955fd5813088bc1 |
| 0d5f83ef05c0fb91e650483c90.html)\ | 5036d64297f09fbe699bf1ca2.html)\ |
| Denise S. Francis\                | Sophia DiCaro\                   |
| Director, State Grants Team\      | Utah State Clearinghouse\        |
| Governor\'s Office of Budget and  | Governor\'s Office of Planning   |
| Planning\                         | and Budget Utah\                 |
| P.O. Box 12428\                   | Capitol Complex\                 |
| Austin, Texas 78711\              | Suite E210, P.O. Box 142210\     |
| Telephone: (512) 305-9415\        | Salt Lake City, Utah 84114-2210\ |
| Fax: (512) 936-2681\              | Telephone: (801) 538-1027\       |
| <dfrancis@governor.state.tx.us>   | Fax: (801) 538-1547\             |
|                                   | [ddicaro@uta                     |
|                                   | h.gov](mailto:cwalters@utah.gov) |
+-----------------------------------+----------------------------------+
| **WEST VIRGINIA**\                | [                                |
| Fred Cutlip, Director\            | **WISCONSIN**](http://www.whiteh |
| Community Development Division\   | ouse.gov/goodbye/27884c4e1a60681 |
| West Virginia Development Office\ | 000394e1dbb08817fbc688148.html)\ |
| Building #6, Room 553\            | Jeff Smith\                      |
| Charleston, West Virginia 25305\  | Section Chief, Federal/State     |
| Telephone: (304) 558-4010\        | Relations\                       |
| Fax: (304) 558-3248\              | Wisconsin Department of          |
| <fcutlip@wvdo.org>                | Administration\                  |
|                                   | 101 East Wilson Street, 6th      |
|                                   | Floor\                           |
|                                   | P.O. Box 7868\                   |
|                                   | Madison, Wisconsin 53707\        |
|                                   | Telephone: (608) 266-0267\       |
|                                   | Fax: (608) 267-6931\             |
|                                   | <jeffrey.smith@doa.state.wi.us>  |
+-----------------------------------+----------------------------------+
| **AMERICAN SAMOA**\               | **GUAM**\                        |
| Pat M. Galea\'i\                  | Director\                        |
| Federal Grants/Programs           | Bureau of Budget and Mgmt.       |
| Coordinator\                      | Research\                        |
| Office of Federal Programs/Office | Office of the Governor\          |
| of the Governor\                  | P.O. Box 2950\                   |
| Department of Commerce\           | Agana, Guam 96910\               |
| American Samoa Government\        | Telephone: 011-671-472-2285\     |
| Pago Pago, American Samoa 96799\  | Fax: 011-671-472-2825\           |
| Telephone: (684) 633-5155\        | <jer@ns.gov.gu>                  |
| Fax: (684) 633-4195\              |                                  |
| <pmgaleai@samoatelco.com>         |                                  |
+-----------------------------------+----------------------------------+
| **NORTH MARIANA ISLANDS**\        | **PUERTO RICO**\                 |
| Ms. Jacoba T. Seman\              | Jose Caballero / Mayra Silva\    |
| Federal Programs Coordinator\     | Puerto Rico Planning Board\      |
| Office of Management and Budget\  | Federal Proposals Review Office\ |
| Office of the Governor\           | Minillas Government Center\      |
| Saipan, MP 96950\                 | P.O. Box 41119\                  |
| Telephone: (670) 664-2289\        | San Juan, Puerto Rico            |
| Fax: (670) 664-2272\              | 00940-1119\                      |
| <omb.jseman@saipan.com>           | Telephone: (787) 723-6190\       |
|                                   | Fax: (787) 722-6783              |
+-----------------------------------+----------------------------------+
| **VIRGIN ISLANDS**\               |                                  |
| Ira Mills\                        |                                  |
| Director, Office of Management    |                                  |
| and Budget\                       |                                  |
| #41 Norre Gade Emancipation       |                                  |
| Garden Station,\                  |                                  |
| Second Floor\                     |                                  |
| Saint Thomas, Virgin Islands      |                                  |
| 00802\                            |                                  |
| Telephone: (340) 774-0750\        |                                  |
| Fax: (340) 776-0069               |                                  |
+-----------------------------------+----------------------------------+

Changes to this list can be made only after OMB is notified by a
state\'s officially designated representative. E-mail messages can be
sent to **ephillips@omb.eop.gov.** If you prefer, you may send
correspondence to the following postal address:

> Attn: Grants Management\
> Office of Management and Budget\
> New Executive Office Building, Suite 6025\
> 725 17th Street, N.W.\
> Washington, DC 20503

**Please note:** Inquiries about obtaining a federal grant should not be
sent to the OMB e-mail or postal address shown above. The best source
for this information is the Catalog of Federal Domestic Assistance or
[CFDA](http://www.whitehouse.gov/cgi-bin/good-bye.cgi?url=http://www.cfda.gov)
[http://www.cfda.gov](http://www.cfda.gov/) and the Grants.gov Web site
([http://www.grants.gov]{.underline}).

#### General Education Provisions Act (GEPA)

#### Section 427

**\*ALL APPLICANTS [MUST]{.underline} INCLUDE INFORMATION IN THEIR
APPLICATIONS TO ADDRESS THIS PROVISION IN ORDER TO RECEIVE FUNDING UNDER
THIS PROGRAM.**

**Section 427 requires each applicant to include in its application a
description of the steps the applicant proposes to take to ensure
equitable access to, and participation in, its federally-assisted
program for students, teachers, and other program beneficiaries with
special needs.**

**This section allows applicants discretion in developing the required
description. The statute highlights six barriers that can impede
equitable access or participation that you may address: *gender, race,
national origin, color disability,* or *age.***

**A general statement of an applicant's nondiscriminatory hiring policy
is not sufficient to meet this requirement. Applicants must identify
potential barriers and explain steps they will take to overcome these
barriers.**

**\*Note: [Applicants are required to address this provision by
attaching a statement to the ED GEPA 427 Form that must be downloaded
from Grants.gov. ]{.underline}**

#### Government Performance and Results Act (GPRA)

**What is GPRA?**

The Government Performance and Results Act of 1993 (GPRA) is a
straightforward statute that requires all federal agencies to manage
their activities with attention to the consequences of those activities.
Each agency is to clearly state what it intends to accomplish, identify
the resources required, and periodically report their progress to the
Congress. In so doing, it is expected that the GPRA will contribute to
improvements in accountability for the expenditures of public funds,
improve Congressional decision-making through more objective information
on the effectiveness of federal programs, and promote a new government
focus on results, service delivery, and customer satisfaction.

**How has the Department of Education Responded to the GPRA
Requirements?**

As required by GPRA, the Department of Education has prepared a
strategic plan for 2002-2007. This plan reflects the Department's
priorities and integrates them with its mission and program authorities
and describes how the Department will work to improve education for all
children and adults in the U.S. The Department's goals, as listed in the
plan, are:

*Goal 1: Create a Culture of Achievement*.

*Goal 2: Improve Student Achievement*

*Goal 3: Develop Safe Schools and Strong Character*

*Goal 4: Transform Education into an Evidence-based Field*

*Goal 5: Enhance the Quality of and Access to Postsecondary and Adult
Education*

*Goal 6: Establish Management Excellence*

The performance indicators for the Minority Science and Engineering
Improvement Program (MSEIP) are part of the Department's plan for
meeting Goal 5: Enhance the Quality of and Access to Postsecondary and
Adult Education. Among the stated objectives under Goal 5 are Objective
5.1\-- to \"reduce the gaps in college access and completion among
student populations differing by race/ethnicity, socioeconomic status,
and disability while increasing the educational attainment of all\" and
Objective 5.4 to \"Strengthen Historically Black Colleges and
Universities, Hispanic Serving Institutions, and Tribal Colleges and
Universities."

#### Performance Indicators for MSEIP 

1)  **Minority Enrollment in Science and Engineering**: the percentage
    change in the number of full-time, degree-seeking minority
    undergraduate students at grantee institutions enrolled in the
    fields of engineering or physical or biological sciences, compared
    to the average minority enrollment in the same fields in the
    three-year period immediately prior to the beginning of the current
    grant. (Source: IPEDS)

2)  **Persistence of Minority Science and Engineering Undergraduates**:
    the percentage of full-time undergraduate minority students at
    grantee institutions enrolled in the fields of engineering or
    physical or biological sciences who were in their first year of
    postsecondary enrollment in the previous year, at the beginning of
    the previous school year, who are still enrolled at the same
    institution at the beginning of the current school year. (Source:
    APR)

3)  **Graduation of Minority Science and Engineering
    Undergraduates**: a) at four-year grantee institutions, the
    percentage of the minority students enrolled in the fields of
    engineering or physical or biological sciences, who graduate within
    six years of enrollment; or b) at two-year grantee institutions, the
    percentage of the minority students enrolled in the fields of
    engineering or physical or biological sciences, who graduate within
    three years of enrollment. (Source: IPDES)

#### Instructions for Completing the Application Package 

**[The MSEIP program application consist of four parts. These parts are
organized in the same manner that the submitted application should be
organized. The parts are as follows:]{.underline}**

**[Part I]{.underline}: Application for Federal Assistance (SF 424)**

**Department of Education Supplemental Information for SF 424**

**[Part II]{.underline}: U. S. Department of Education Budget
Information for Non-Construction Programs (Section A- Budget Summary
U.S. Department of Education Funds and Section B -- Budget Summary
Non-Federal Funds) (ED 524)**

> The "**U. S. Department of Education Budget Information for
> Non-Construction Programs"** (found in the Grants.gov application
> package) is where applicants provide budget information for Section A
> -- Budget Summary U.S. Department of Education Funds and Section B --
> Budget Summary Non-Federal Funds Applicants should include costs for
> all project years. As noted below, Section C -- Budget Narrative
> should be included in "Program Narrative Attachment Form," located in
> Part III.

**[Part III]{.underline}: ED Abstract Form**

###### Project Narrative Attachment Form 

**Other Attachment Form**

The "**ED Abstract Form**" (found in the Grants.gov application) is
where applicants will attach a one page abstract narrative that will
provide an overview of your proposed project.

The "**Project Narrative Attachment Form**" (found in the Grants.gov
application) is where applicants will attach their narrative responses
to the selection criteria that will be used to evaluate applications
submitted for this competition. The Table of Contents should also be
included in this section. (Applicants are not required to include a
Table of Contents with their application.) The "Budget Narrative" is
part of the selection criteria and should be included in the "Program
Narrative Attachment Form."

The "**Other Attachments Form**" (found in the Grants.gov application
package) is where applicants will attach the "MSEIP Eligibility
Certification Form."

######## [Part IV]{.underline}: Assurances, Certifications, and Survey Forms

All "**Assurances, Certifications, and Survey Forms**" **[must be
completed]{.underline}** and can be downloaded from the following
website: <http://www.ed.gov/fund/grant/apply/appforms/appforms.html>.

> **ED GEPA 427 Form**
>
> Assurances for Non-Construction Programs (SF 424B)
>
> **Grants.gov Lobbying Form (formerly Certification Regarding Lobbying
> (ED 80-0013))**
>
> **Disclosure of Lobbying Activities (SF-LLL)**
>
> **Certification Regarding Debarment, Suspension, Ineligibility and
> Voluntary Exclusion -- Lower Tier Covered Transactions (ED 80-0014)**
>
> **Survey on Ensuring Equal Opportunity for Applicants**

#### 

#### Instructions 

#### for 

#### STANDARD FORMS

> 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 face sheet
> for pre-applications 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.

+---+---------------+----------------+---+-----------------------------+
| I | Entry:        |                | I | Entry:                      |
| t |               |                | t |                             |
| e |               |                | e |                             |
| m |               |                | m |                             |
| : |               |                | : |                             |
+---+---------------+----------------+---+-----------------------------+
| 1 | Select Type   |                | 1 | Enter a brief descriptive   |
| \ | of            |                | 1 | title of the project. If    |
| . | Submission.   |                | \ | 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.                    |
+---+---------------+----------------+---+-----------------------------+
| 2 | Date          |                | 1 | List only the largest       |
| \ | application   |                | 2 | political entities affected |
| . | submitted to  |                | \ | (e.g., state, counties,     |
|   | federal       |                | . | cities).                    |
|   | agency (or    |                |   |                             |
|   | state if      |                |   |                             |
|   | applicable)   |                |   |                             |
|   | and           |                |   |                             |
|   | applicant's   |                |   |                             |
|   | control       |                |   |                             |
|   | number (if    |                |   |                             |
|   | applicable).  |                |   |                             |
+---+---------------+----------------+---+-----------------------------+
| 3 | State use     |                | 1 | Enter the proposed start    |
| \ | State use     |                | 3 | date and end date of the    |
| . | only (if      |                |   | project.                    |
|   | applicable).  |                |   |                             |
+---+---------------+----------------+---+-----------------------------+
| 4 | Enter Date    |                | 1 | List the applicant's        |
| \ | Received by   |                | 4 | Congressional District and  |
| . | federal       |                | \ | any District(s) affected by |
|   | agency        |                | . | the program or project      |
|   |               |                |   |                             |
|   | Federal       |                |   |                             |
|   | identifier    |                |   |                             |
|   | number: If    |                |   |                             |
|   | this          |                |   |                             |
|   | application   |                |   |                             |
|   | is a          |                |   |                             |
|   | continuation  |                |   |                             |
|   | or revision   |                |   |                             |
|   | to an         |                |   |                             |
|   | existing      |                |   |                             |
|   | award, enter  |                |   |                             |
|   | the present   |                |   |                             |
|   | federal       |                |   |                             |
|   | Identifier    |                |   |                             |
|   | number. If    |                |   |                             |
|   | for a new     |                |   |                             |
|   | project,      |                |   |                             |
|   | leave blank.  |                |   |                             |
+---+---------------+----------------+---+-----------------------------+
| 5 | Enter legal   |                | 1 | Amount requested or to be   |
| \ | name of       |                | 5 | contributed during the      |
| . | applicant,    |                |   | first funding/budget period |
|   | name of       |                |   | by each contributor. Value  |
|   | primary       |                |   | of in kind contributions    |
|   | o             |                |   | should be included on       |
|   | rganizational |                |   | appropriate lines as        |
|   | unit          |                |   | applicable. If the action   |
|   | (including    |                |   | will result in a dollar     |
|   | division, if  |                |   | change to an existing       |
|   | applicable),  |                |   | award, indicate only the    |
|   | which will    |                |   | amount of the change. For   |
|   | undertake the |                |   | decreases, enclose the      |
|   | assistance    |                |   | amounts in parentheses. If  |
|   | activity,     |                |   | both basic and supplemental |
|   | enter the     |                |   | amounts are included, show  |
|   | o             |                |   | breakdown on an attached    |
|   | rganization's |                |   | sheet. For multiple program |
|   | DUNS number   |                |   | funding, use totals and     |
|   | (received     |                |   | show breakdown using same   |
|   | from Dun and  |                |   | categories as item 15.      |
|   | Bradstreet),  |                |   |                             |
|   | enter the     |                |   |                             |
|   | complete      |                |   |                             |
|   | address of    |                |   |                             |
|   | the applicant |                |   |                             |
|   | (including    |                |   |                             |
|   | country), and |                |   |                             |
|   | name,         |                |   |                             |
|   | telephone     |                |   |                             |
|   | number,       |                |   |                             |
|   | e-mail and    |                |   |                             |
|   | fax of the    |                |   |                             |
|   | person to     |                |   |                             |
|   | contact on    |                |   |                             |
|   | matters       |                |   |                             |
|   | related to    |                |   |                             |
|   | this          |                |   |                             |
|   | application.  |                |   |                             |
+---+---------------+----------------+---+-----------------------------+
| 6 | Enter         |                | 1 | Applicants should contact   |
| \ | Employer      |                | 6 | the State Single Point of   |
| . | I             |                | \ | Contact (SPOC) for Federal  |
|   | dentification |                | . | Executive Order 12372 to    |
|   | Number (EIN)  |                |   | determine whether the       |
|   | as assigned   |                |   | application is subject to   |
|   | by the        |                |   | the State intergovernmental |
|   | Internal      |                |   | review process.             |
|   | Revenue       |                |   |                             |
|   | Service.      |                |   |                             |
+---+---------------+----------------+---+-----------------------------+
| 7 | Select the    | L.  Individual | 1 | This question applies to    |
| \ | appropriate   |                | 7 | the applicant organization, |
| . | letter in the | M.  For-Profit | \ | not the person who signs as |
|   | space         |                | . | the authorized              |
|   | provided.     |   Organization |   | representative. Categories  |
|   |               |     (Other     |   | of debt include delinquent  |
|   | A.  State     |     than small |   | audit disallowances, loans  |
|   |               |     business)  |   | and taxes.                  |
|   |    Government |                |   |                             |
|   |               | N.  Other      |   |                             |
|   | B.  County    |     (Specify)  |   |                             |
|   |               |                |   |                             |
|   |    Government | O.  Nonprofit  |   |                             |
|   |               |                |   |                             |
|   | C.  Local     |   Organization |   |                             |
|   |               |     (Other     |   |                             |
|   |    Government |     than       |   |                             |
|   |               |                |   |                             |
|   | D.  City or   |    Institution |   |                             |
|   |     Township  |     of Higher  |   |                             |
|   |               |     Education) |   |                             |
|   |    Government |                |   |                             |
|   |               | P.  Native     |   |                             |
|   | ```{=html}    |     American   |   |                             |
|   | <!-- -->      |     Tribal     |   |                             |
|   | ```           |     Government |   |                             |
|   | G.  Special   |     (Other     |   |                             |
|   |     District  |     than       |   |                             |
|   |               |     Federally  |   |                             |
|   | H.            |                |   |                             |
|   |   Independent |    Recognized) |   |                             |
|   |     School    |                |   |                             |
|   |     District  | Q.             |   |                             |
|   |               |  Public/Indian |   |                             |
|   | I.            |     Housing    |   |                             |
|   |  Public/State |     Authority  |   |                             |
|   |               |                |   |                             |
|   |    Controlled | R.  Small      |   |                             |
|   |               |     Business   |   |                             |
|   |   Institution |                |   |                             |
|   |     of Higher |                |   |                             |
|   |     Education |                |   |                             |
|   |               |                |   |                             |
|   | J.  Private   |                |   |                             |
|   |               |                |   |                             |
|   |    University |                |   |                             |
|   |               |                |   |                             |
|   |   Institution |                |   |                             |
|   |     of Higher |                |   |                             |
|   |     Education |                |   |                             |
|   |               |                |   |                             |
|   | K.  Native    |                |   |                             |
|   |     American  |                |   |                             |
|   |     Tribal    |                |   |                             |
|   |               |                |   |                             |
|   |    Government |                |   |                             |
|   |               |                |   |                             |
|   |    (Federally |                |   |                             |
|   |               |                |   |                             |
|   |   Recognized) |                |   |                             |
+---+---------------+----------------+---+-----------------------------+
| 8 | Select the    |                | 1 | To be signed by the         |
| \ | type from the |                | 8 | authorized representative   |
| . | following     |                |   | of the applicant. A copy of |
|   | list:         |                |   | the governing body's        |
|   |               |                |   | authorization for you to    |
|   | -   \"New\"   |                |   | sign this application as    |
|   |     means a   |                |   | official representative     |
|   |     new       |                |   | must be on file in the      |
|   |               |                |   | applicant's office.         |
|   |    assistance |                |   | (Certain federal agencies   |
|   |     award.    |                |   | may require that this       |
|   |               |                |   | authorization be submitted  |
|   | -   "         |                |   | as part of the              |
|   | Continuation" |                |   | application.)               |
|   |     means an  |                |   |                             |
|   |     extension |                |   |                             |
|   |     for an    |                |   |                             |
|   |               |                |   |                             |
|   |    additional |                |   |                             |
|   |     f         |                |   |                             |
|   | unding/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. |                |   |                             |
|   |     If a      |                |   |                             |
|   |     revision  |                |   |                             |
|   |     enter the |                |   |                             |
|   |               |                |   |                             |
|   |   appropriate |                |   |                             |
|   |     letter:   |                |   |                             |
|   |               |                |   |                             |
|   | > A. Increase |                |   |                             |
|   | > Award B.    |                |   |                             |
|   | > Decrease    |                |   |                             |
|   | > Award       |                |   |                             |
|   |               |                |   |                             |
|   | C. Increase   |                |   |                             |
|   | Duration D.   |                |   |                             |
|   | Decrease      |                |   |                             |
|   | Duration      |                |   |                             |
+---+---------------+----------------+---+-----------------------------+
| 9 | Name of       |                |   |                             |
| \ | federal       |                |   |                             |
| . | agency from   |                |   |                             |
|   | which         |                |   |                             |
|   | assistance is |                |   |                             |
|   | being         |                |   |                             |
|   | requested     |                |   |                             |
|   | with this     |                |   |                             |
|   | application.  |                |   |                             |
+---+---------------+----------------+---+-----------------------------+
| 1 | Use the       |                |   |                             |
| 0 | Catalog of    |                |   |                             |
| \ | Federal       |                |   |                             |
| . | Domestic      |                |   |                             |
|   | Assistance    |                |   |                             |
|   | number and    |                |   |                             |
|   | title of the  |                |   |                             |
|   | program under |                |   |                             |
|   | which         |                |   |                             |
|   | assistance is |                |   |                             |
|   | requested.    |                |   |                             |
+---+---------------+----------------+---+-----------------------------+

SF-424 (Rev. x-xx) Back

# 

# INSTRUCTIONS FOR

**DEPARTMENT OF EDUCATION SUPPLEMENTAL INFORMATION FOR SF 424**

a.  **Project Director.** Name, address, telephone and fax numbers, and
    e-mail address of the person to be contacted on matters involving
    this application.

**2. Novice Applicant.** Check **"Yes"** or "**No**" only if assistance
is being requested under a program that gives special consideration to
novice applicants. Otherwise, **leave blank.**

Check "**Yes"** if you meet the requirements for novice applicants
specified in the regulations in 34 CFR 75.225 and included on the
attached page entitled "Definitions for Department of Education
Supplemental Information for SF 424." By checking "Yes" the applicant
certifies that it meets these novice applicant requirements. Check
"**No**" if you do not meet the requirements for novice applicants**.**

**3. Human Subjects Research.** (See I. A. "Definitions" in attached
page entitled "Definitions for Department of Education Supplemental
Information For SF 424.")

**If Not Human Subjects Research.** Check "**No**" if research
activities involving human subjects are not planned at any time during
the proposed project period. The remaining parts of Item 3 are then not
applicable.

**If Human Subjects Research.** Check "**Yes**" if research activities
involving human subjects are planned at any time during the proposed
project period, either at the applicant organization or at any other
performance site or collaborating institution. Check "**Yes**" even if
the research is exempt from the regulations for the protection of human
subjects. (See I. B. "Exemptions" in attached page entitled "Definitions
for Department of Education Supplemental Information For SF 424.")

**3a. If Human Subjects Research is Exempt from the Human Subjects
Regulations.** Check "**Yes**" if all the research activities proposed
are designated to be exempt from the regulations. Insert the exemption
number(s) corresponding to one or more of the six exemption categories
listed in I. B. "Exemptions." In addition, follow the instructions in
II. A. "Exempt Research Narrative" in the attached page entitled
"Definitions for Department of Education Supplemental Information For SF
424."

**3a. If Human Subjects Research is Not Exempt from Human Subjects
Regulations.** Check "**No**" if some or all of the planned research
activities are covered (not exempt). In

addition, follow the instructions in II. B. "Nonexempt Research
Narrative" in the page entitled "Definitions for Department of Education
Supplemental Information For SF 424

**3a. Human Subjects Assurance Number.** If the applicant has an
approved Federal Wide (FWA) on file with the Office for Human Research
Protections (OHRP), U.S. Department of Health and Human Services, that
covers the specific activity, insert the number in the space provided.
If the applicant does not have an approved assurance on file with OHRP,
enter "None." In this case, the applicant, by signature on the SF-424,
is declaring that it will comply with 34 CFR 97 and proceed to obtain
the human subjects assurance upon request by the designated ED official.
If the application is recommended/selected for funding, the designated
ED official will request that the applicant obtain the assurance within
30 days after the specific formal request.

**Note about Institutional Review Board Approval.** ED does not require
certification of Institutional Review Board approval with the
application. However, if an application that involves non-exempt human
subjects research is recommended/selected for funding, the designated ED
official will request that the applicant obtain and send the
certification to ED within 30 days after the formal request.

## *Paperwork Burden Statement*. ***According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless such collection displays a valid OMB control number. The valid OMB control number for this information collection is 1890-0017. The time required to complete this information collection is estimated to average between 15 and 45 minutes per response, including the time to review instructions, search existing data resources, gather the data needed, and complete and review the information collection. If you have any comments concerning the accuracy of the estimate(s) or suggestions for improving this form, please write to: U.S. Department of Education, Washington, DC 20202-4700. If you have comments or concerns regarding the status of your individual submission of this form write directly to: Joyce I. Mays, Application Control Center, U.S. Department of Education, Potomac Center Plaza, 550 12^th^ Street, S.W. Room 7076, Washington, DC 20202-4260***. 

# 

# 

# DEFINITIONS FOR

# DEPARTMENT OF EDUCATION SUPPLEMENTAL INFORMATION FOR SF 424

# (Attachment to Instructions for Supplemental Information for SF 424)

**Definitions:**

**Novice Applicant (See 34 CFR 75.225**). For discretionary grant
programs under which the Secretary gives special consideration to novice
applications, a novice applicant means any applicant for a grant from ED
that---

-   Has never received a grant or subgrant under the program from which
    it seeks funding;

-   Has never been a member of a group application, submitted in
    accordance with 34 CFR 75.127-75.129, that received a grant under
    the program from which it seeks funding; and

-   Has not had an active discretionary grant from the Federal
    government in the five years before the deadline date for
    applications under the program. For the purposes of this
    requirement, a grant is active until the end of the grant's project
    or funding period, including any extensions of those periods that
    extend the grantee's authority to obligate funds.

In the case of a group application submitted in accordance with 34 CFR
75.127-75.129, a group includes only parties that meet the requirements
listed above.

PROTECTION OF HUMAN SUBJECTS IN RESEARCH

**I. Definitions and Exemptions**

**A. Definitions.**

A research activity involves human subjects if the activity is research,
as defined in the Department's regulations, and the research activity
will involve use of human subjects, as defined in the regulations.

---**Research**

The ED Regulations for the Protection of Human Subjects, Title 34, Code
of Federal Regulations, Part 97, define research as "a systematic
investigation, including research development, testing and evaluation,
designed to develop or contribute to generalizable knowledge." *If an
activity follows a deliberate plan whose purpose is to develop or
contribute to generalizable knowledge it is research.* Activities which
meet this definition constitute research whether or not they are
conducted or supported under a program that is considered research for
other purposes. For example, some

demonstration and service programs may include research activities.

**---Human Subject**

The regulations define human subject as "a living individual about whom
an investigator (whether professional or student) conducting research
obtains (1) data through intervention or interaction with the
individual, or (2) identifiable private information." *(1) If an
activity involves obtaining information about a living person by
manipulating that person or that person's environment, as might occur
when a new instructional technique is tested, or by communicating or
interacting with the individual, as occurs with surveys and interviews,
the definition of human subject is met. (2) If an activity involves
obtaining private information about a living person in such a way that
the information can be linked to that individual (the identity of the
subject is or may be readily determined by the investigator or
associated with the information), the definition of human subject is
met.* \[Private information includes information about behavior that
occurs in a context in which an individual can reasonably expect that no
observation or recording is taking place, and information which has been
provided for specific purposes by an individual and which the individual
can reasonably expect will not be made public (for example, a school
health record).\]

**B. Exemptions.**

Research activities in which the **[only]{.underline}** involvement of
human subjects will be in one or more of the following six categories of
***exemptions*** are not covered by the regulations:

\(1\) Research conducted in established or commonly accepted educational
settings, involving normal educational practices, such as (a) research
on regular and special education instructional strategies, or (b)
research on the effectiveness of or the comparison among instructional
techniques, curricula, or classroom management methods.

\(2\) Research involving the use of educational tests (cognitive,
diagnostic, aptitude, achievement), survey procedures, interview
procedures or observation of public behavior, unless: (a) information
obtained is recorded in such a manner that human subjects can be
identified, directly or through identifiers linked to the subjects; and
(b) any disclosure of the human subjects' responses outside the research
could reasonably place the subjects at risk of criminal or civil
liability or be damaging to the subjects' financial standing,
employability, or reputation. ***If the subjects are children, exemption
2 applies only to***

***research involving educational tests and observations of public
behavior when the investigator(s) do not participate in the activities
being observed. Exemption 2 does not apply if children are surveyed or
interviewed or if the research involves observation of public behavior
and the investigator(s) participate in the activities being observed.***
\[Children are defined as persons who have not attained the legal age
for consent to treatments or procedures involved in the research, under
the applicable law or jurisdiction in which the research will be
conducted.\]

\(3\) Research involving the use of educational tests (cognitive,
diagnostic, aptitude, achievement), survey procedures, interview
procedures or observation of public behavior that is not exempt under
section (2) above, if the human subjects are elected or appointed public
officials or candidates for public office; or federal statute(s)
require(s) without exception that the confidentiality of the personally
identifiable information will be maintained throughout the research and
thereafter.

\(4\) Research involving the collection or study of existing data,
documents, records, pathological specimens, or diagnostic specimens, if
these sources are publicly available or if the information is recorded
by the investigator in a manner that subjects cannot be identified,
directly or through identifiers linked to the subjects.

\(5\) Research and demonstration projects which are conducted by or
subject to the approval of department or agency heads, and which are
designed to study, evaluate, or otherwise examine: (a) public benefit or
service programs; (b) procedures for obtaining benefits or services
under those programs; (c) possible changes in or alternatives to those
programs or procedures; or (d) possible changes in methods or levels of
payment for benefits or services under those programs.

\(6\) Taste and food quality evaluation and consumer acceptance studies,
(a) if wholesome foods without additives are consumed or (b) if a food
is consumed that contains a food ingredient at or below the level and
for a use found to be safe, or agricultural chemical or environmental
contaminant at or below the level found to be safe, by the Food and Drug
Administration or approved by the Environmental Protection Agency or the
Food Safety and Inspection Service of the U.S. Department of
Agriculture.

**II. Instructions for Exempt and Nonexempt Human Subjects Research
Narratives**

If the applicant marked "Yes" for Item 3 of Department of Education
Supplemental Information for SF 424, the applicant must provide a human
subjects "exempt research" or "nonexempt research" narrative. Insert the
narrative(s) in the space provided. If you have multiple projects and
need to provide more than one narrative, be sure to label each set of
responses as to the project they address.

**A. Exempt Research Narrative.**

If you marked "Yes" for item 3 a. and designated exemption numbers(s),
provide the "exempt research" narrative. The narrative must contain
sufficient information about the involvement of human subjects in the
proposed research to

allow a determination by ED that the designated exemption(s) are
appropriate. The narrative must be succinct.

**B. Nonexempt Research Narrative.**

If you marked "No" for item 3 a. you must provide the "nonexempt
research" narrative. The narrative must address the following seven
points. Although no specific page limitation applies to this section of
the application, be succinct.

\(1\) **Human Subjects Involvement and Characteristics**: Provide a
detailed description of the proposed involvement of human subjects.
Describe the characteristics of the subject population, including their
anticipated number, age range, and health status. Identify the criteria
for inclusion or exclusion of any subpopulation. Explain the rationale
for the involvement of special classes of subjects, such as children,
children with disabilities, adults with disabilities, persons with
mental disabilities, pregnant women, prisoners, institutionalized
individuals, or others who are likely to be vulnerable

\(2\) **Sources of Materials**: Identify the sources of research
material obtained from individually identifiable living human subjects
in the form of specimens, records, or data. Indicate whether the
material or data will be obtained specifically for research purposes or
whether use will be made of existing specimens, records, or data.

\(3\) **Recruitment and Informed Consent**: Describe plans for the
recruitment of subjects and the consent procedures to be followed.
Include the circumstances under which consent will be sought and
obtained, who will seek it, the nature of the information to be provided
to prospective subjects, and the method of documenting consent. State if
the Institutional Review Board (IRB) has authorized a modification or
waiver of the elements of consent or the requirement for documentation
of consent.

\(4\) **Potential Risks**: Describe potential risks (physical,
psychological, social, legal, or other) and assess their likelihood and
seriousness. Where appropriate, describe alternative treatments and
procedures that might be advantageous to the subjects.

\(5\) **Protection Against Risk**: Describe the procedures for
protecting against or minimizing potential risks, including risks to
confidentiality, and assess their likely effectiveness. Where
appropriate, discuss provisions for ensuring necessary medical or
professional intervention in the event of adverse effects to the
subjects. Also, where appropriate, describe the provisions for
monitoring the data collected to ensure the safety of the subjects.

\(6\) **Importance of the Knowledge to be Gained**: Discuss the
importance of the knowledge gained or to be gained as a result of the
proposed research. Discuss why the risks to subjects are reasonable in
relation to the anticipated benefits to subjects and in relation to the
importance of the knowledge that may reasonably be expected to result.

\(7\) **Collaborating Site(s)**: If research involving human subjects
will take place at collaborating site(s) or other

performance site(s), name the sites and briefly describe their
involvement or role in the research.

***Copies of the Department of Education's Regulations for the
Protection of Human Subjects, 34 CFR Part 97 and other pertinent
materials on the protection of human subjects in research are available
from the Grants Policy and Oversight Staff, Office of the Chief
Financial Officer, U.S. Department of Education, Washington, DC
20202-4250, telephone: (202) 245-6120, and on the U.S. Department of
Education's Protection of Human Subjects in Research Web Site:
http://www.ed.gov/about/offices/list/OCFO/humansub.html***

> NOTE: The **State Applicant Identifier** on the SF 424 is for State
> Use only. Please complete it on the OMB Standard 424 in the upper
> right corner of the form (if applicable).

**Instructions for ED 524**

[General Instructions]{.underline}

This form is used to apply to individual U.S. Department of Education
(ED) discretionary grant programs. Unless directed otherwise, provide
the same budget information for each year of the multi-year funding
request. Pay attention to applicable program specific instructions, if
attached. Please consult with your Business Office prior to submitting
this form.

[Section A - Budget Summary]{.underline}

[U.S. Department of Education Funds]{.underline}

All applicants must complete Section A and provide a breakdown by the
applicable budget categories shown in lines 1-11.

Lines 1-11, columns (a)-(e): For each project year for which funding is
requested, show the total amount requested for each applicable budget
category.

Lines 1-11, column (f): Show the multi-year total for each budget
category. If funding is requested for only one project year, leave this
column blank.

Line 12, columns (a)-(e): Show the total budget request for each project
year for which funding is requested.

Line 12, column (f): Show the total amount requested for all project
years. If funding is requested for only one year, leave this space
blank.

Indirect Cost Information:\
If you are requesting reimbursement for indirect costs on line 10, this
information is to be completed by your Business Office. (1): Indicate
whether or not your organization has an Indirect Cost Rate Agreement
that was approved by the federal government. (2): If you checked "yes"
in (1), indicate in (2) the beginning and ending dates covered by the
Indirect Cost Rate Agreement. In addition, indicate whether ED or
another federal agency (Other) issued the approved agreement. If you
check "Other," specify the name of the federal agency that issued the
approved agreement. (3): If you are applying for a grant under a
Restricted Rate Program (34 CFR 75.563 or 76.563), indicate whether you
are using a restricted indirect cost rate that is included on your
approved Indirect Cost Rate Agreement or whether you are using a
restricted indirect cost rate that complies with 34 CFR

76.564(c)(2). Note: State or local government agencies may not use the
provision for a restricted indirect cost rate specified in 34 CFR
76.564(c)(2). Check only one response. Leave blank, if this item is not
applicable.

[Section B - Budget Summary]{.underline}

[Non-Federal Funds]{.underline}

If you are required to provide or volunteer to provide matching funds or
other non-federal resources to the project, these should be shown for
each applicable budget category on lines 1‑11 of Section B.

Lines 1-11, columns (a)-(e): For each project year, for which matching
funds or other contributions are provided, show the total contribution
for each applicable budget category.

Lines 1-11, column (f): Show the multi-year total for each budget
category. If non-federal contributions are provided for only one year,
leave this column blank.

Line 12, columns (a)-(e): Show the total matching or other contribution
for each project year.

Line 12, column (f): Show the total amount to be contributed for all
years of the multi-year project. If non-Federal contributions are
provided for only one year, leave

[Section C - Budget Narrative \[Attach separate sheet(s)\]]{.underline}

[Pay attention to applicable program specific instructions,\
if attached.]{.underline}

1\. Provide an itemized budget breakdown, and justification by project
year, for each budget category listed in Sections A and B. For grant
projects that will be divided into two or more separately budgeted major
activities or sub-projects, show for each budget category of a project
year the breakdown of the specific expenses attributable to each
sub-project or activity.

2\. If applicable to this program, provide the rate and base on which
fringe benefits are calculated.

3\. If you are requesting reimbursement for indirect costs on line 10,
this information is to be completed by your Business Office. Specify the
estimated amount of the

base to which the indirect cost rate is applied and the total indirect
expense. Depending on the grant program to which you are applying and/or
your approved Indirect Cost Rate Agreement, some direct cost budget
categories in your grant application budget may not be included in the
base and multiplied by your indirect cost rate. For example, you must
multiply the indirect cost rates of "Training grants\" (34 CFR 75.562)
and grants under programs with "Supplement not Supplant" requirements
(\"Restricted Rate\" programs) by a "modified total direct cost" (MTDC)
base (34 CFR 75.563 or 76.563). Please indicate which costs are included
and which costs are excluded from the base to which the indirect cost
rate is applied.

> When calculating indirect costs (line 10) for \"Training grants\" or
> grants under \"Restricted Rate\" programs, you must refer to the
> information and examples on ED's website at:
> [http://www.ed.gov/fund/grant/apply/appforms/appforms.html]{.underline}.
>
> You may also contact (202) 377-3838 for additional information
> regarding calculating indirect cost rates or general indirect cost
> rate information.

4\. Provide other explanations or comments you deem necessary.

Paperwork Burden Statement

According to the Paperwork Reduction Act of 1995, no persons are
required to respond to a collection of information unless such
collection displays a valid OMB control number. The valid OMB control
number for this information collection is **1890-0004**. The time
required to complete this information collection is estimated to vary
from 13 to 22 hours per response, with an average of 17.5 hours per
response, including the time to review instructions, search existing
data sources, gather the data needed, and complete and review the
information collection. If you have any comments concerning the accuracy
of the time estimate(s) or suggestions for improving this form, please
write to: U.S. Department of Education, Washington, DC 20202-4651. If
you have comments or concerns regarding the status of your individual
submission of this form, write directly to (insert program office), U.S.
Department of Education, 400 Maryland Avenue, S.W., Washington, DC
20202.

**INSTRUCTIONS FOR COMPLETION OF SF-LLL, DISCLOSURE OF LOBBYING
ACTIVITIES**

This disclosure form shall be completed by the reporting entity, whether
subawardee or prime Federal recipient, at the initiation or receipt of a
covered Federal action, or a material change to a previous filing,
pursuant to title 31 U.S.C. section 1352. The filing of a form is
required for each payment or agreement to make payment to any lobbying
entity 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 a covered
Federal action. Complete all items that apply for both the initial
filing and material change report. Refer to the implementing guidance
published by the Office of Management and Budget for additional
information.

1\. Identify the type of covered Federal action for which lobbying
activity is and/or has been secured to influence the outcome of a
covered Federal action.

2\. Identify the status of the covered Federal action.

3\. Identify the appropriate classification of this report. If this is a
followup report caused by a material change to the information
previously reported, enter the year and quarter in which the change
occurred. Enter the date of the last previously submitted report by this
reporting entity for this covered Federal action.

4\. Enter the full name, address, city, State and zip code of the
reporting entity. Include Congressional District, if known. Check the
appropriate classification of the reporting entity that designates if it
is, or expects to be, a prime or subaward recipient. Identify the tier
of the subawardee, e.g., the first subawardee of the prime is the 1st
tier. Subawards include but are not limited to subcontracts, subgrants
and contract awards under grants.

5\. If the organization filing the report in item 4 checks "Subawardee,"
then enter the full name, address, city, State and zip code of the prime
Federal recipient. Include Congressional District, if known.

6\. Enter the name of the federal agency making the award or loan
commitment. Include at least one organizational level below agency name,
if known. For example, Department of Transportation, United States Coast
Guard.

7\. Enter the Federal program name or description for the covered
Federal action (item 1). If known, enter the full Catalog of Federal
Domestic Assistance (CFDA) number for grants, cooperative agreements,
loans, and loan commitments.

8\. Enter the most appropriate Federal identifying number available for
the Federal action identified in item 1 (e.g., Request for Proposal
(RFP) number; Invitations for Bid (IFB) number; grant announcement
number; the contract, grant, or loan award number; the
application/proposal control number assigned by the Federal agency).
Included prefixes, e.g., "RFP-DE-90-001."

9\. For a covered Federal action where there has been an award or loan
commitment by the Federal agency, enter the Federal amount of the
award/loan commitment for the prime entity identified in item 4 or 5.

10\. (a) Enter the full name, address, city, State and zip code of the
lobbying registrant under the Lobbying Disclosure Act of 1995 engaged by
the reporting entity identified in item 4 to influence the covered
Federal action.

> \(b\) Enter the full names of the individual(s) performing services,
> and include full address if different from 10(a). Enter Last Name,
> First Name, and Middle Initial (MI).

11\. The certifying official shall sign and date the form, print his/her
name, title, and telephone number.

According to the Paperwork Reduction Act, as amended, no persons are
required to respond to a collection of information unless it displays a
valid OMB control Number. The valid OMB control number for this
information collection is OMB No. 0348-0046. Public reporting burden for
this collection of information is estimated to average 10 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 (0348-0046),
Washington, DC 20503

#### Supplemental Information 

**[General Information]{.underline}**

The following information supplements the information provided in the
"Dear Applicant" letter and the [Notice]{.underline}.

**A. Criteria for Funding**

> All applications for grants under the Minority Science and Engineering
> Improvement Program (MSEIP) must complete the MSEIP Eligibility
> Certification in order to be considered for funding. All applications
> are considered new submissions and evaluated using the selection
> criteria listed in the program regulations (34 CFR 637.32) and
> discussed in the next section of instructions.

**B. Length of New Award**

> Applicants may apply for a maximum grant performance period up to 36
> months in duration. Funding for the second and third performance
> periods are contingent on additional funds being appropriated by
> Congress.

**C. Evaluation of Applications for Awards**

> A three-member panel of non-federal reviewers reviews each
> application. Each reviewer will prepare a written evaluation of the
> application and assign points for each selection criterion.

# D. Selection of Grantees

> The Secretary will select an application for funding in rank order,
> based on the application's total score for the selection criteria and
> competitive priority points. If there are insufficient funds to fund
> all applications with the same total score, the Secretary will choose
> among the tied applications so as to serve geographical areas and
> eligible populations that have been underserved by the MSEIP (34 CFR
> 637.31).

# E. Applicant Funding

> The Department is often unable to award the full amount of funds
> requested. Applicants should pay close attention to the "Maximum
> Award" section of the Notice. The Department will not fund any
> application at an amount exceeding the applicable maximum award level.

**F. Notice to Successful Applicants**

> The Department\'s Office of Legislation and Congressional Affairs will
> inform the Congress regarding applicants approved for new MSEIP
> grants. Successful applicants will receive award notices by mail
> shortly after the Congress is notified. No funding information will be
> released before the Congress is notified.

**G. Notice to Unsuccessful Applicants**

> Unsuccessful applicants will be notified in writing following the
> notice to successful applicants.

#### Instructions for Program Narrative 

Applicants will attach the program narrative to the "Project Narrative
Attachment Form."

**Formatting**

> A "page" is 8.5\" x 11\", on one side only, with 1\" margins at the
> top, bottom, and both sides. Page numbers and an identifier may be
> within the 1" margin. Double space (no more than three lines per
> vertical inch) all text in the application narrative, except titles,
> headings, footnotes, quotations, references, captions and all text in
> charts, tables, and graphs. Use one of the following fonts: Times New
> Roman, Courier, Courier New, or Arial. Applications submitted in any
> other font (including Times Roman and Arial Narrow) will not be
> accepted.
>
> Use not less than a 12-point font.

**Program Narrative Attachment form and Page Limit**

> The page limit for the "Program Narrative Attachment Form" for each
> grant type is specified in the Federal Register notice.

**The page limit does not apply to:**

> Application for Federal Assistance (SF 424)
>
> Department of Education Supplemental Information for SF 424
>
> U. S. Department of Education Budget Information for Non-Construction
> Programs (ED 524)
>
> Abstract
>
> Table of Contents (optional)
>
> MSEIP Eligibility Certification Form
>
> ED GEPA 427 Form
>
> Assurance for Non-construction Programs (SF 424B)
>
> Grants.gov Lobbying Form (formerly Certification Regarding Lobbying
> (ED 90-0013))
>
> Disclosure of Lobbying Activities (SF-LLL)
>
> Certification Regarding Debarment, Suspension, Ineligibility and
> Voluntary Exclusion --
>
> Lower Tier Covered Transactions (ED 80-0014)

Survey on Ensuring Equal Opportunity for Applicants

Before preparing the Program Narrative, applicants should review the
Dear Applicant Letter, the [Federal Register]{.underline} Notice,
program statute, and program regulations for specific guidance and
requirements. Note that applications will be evaluated according to the
specific selection criteria specified in the [Federal
Register]{.underline} Notice and this package.

The Secretary evaluates an application on the basis of the broad
criteria in 34 CFR 637.32 of the MSEIP regulations as identified in this
application (see "Authorizing Legislation and Regulations"). The Program
Narrative should provide, in detail, the information that addresses each
selection criteria. The maximum possible score for each category of
selection criterion is indicated in parenthesis in the [Federal
Register]{.underline} notice.

To facilitate the review of the application, provide responses to each
of the following selection criteria in the following order:

(a) Plan of operation

(b) Quality of key personnel

(c) Budget and cost effectiveness

(d) Evaluation plan

(e) Adequacy of resources

(f) Identification of need for the project

(g) Potential institutional impact of the project

(h) Institutional commitment to the project

(i) Expected outcomes

(j) Scientific & educational value of the proposed project

**[The following guidance may assist you in addressing each of the
selection criteria]{.underline}:**

(a) [Plan of operation]{.underline}

Describe the project design. Provide a clear description of how the
project objectives relate to the purpose of the program. Discuss the
plan for managing the grant that ensures proper and efficient
administration of the project, including methods of coordination across
organizational units. Describe how resources and personnel will be used
to achieve each of the project objectives.

(b) [Quality of key personnel]{.underline}

Describe the qualifications for the project director and the
qualification of other key personnel to be used in the project. Include
any evidence of past experience and training, in fields related to the
objectives of the project, as well as other relevant information.
Indicate the required time commitment of the project director and key
personnel. The applicant should explain, as part of its
nondiscriminatory employment practices, how it encourages applications
for employment from persons who are members of groups that have been
traditionally underrepresented, such as members of a racial or ethnic
minority group, women, handicapped person, and the elderly. A
restatement of the criteria will not be considered an adequate response.

(c) [Budget and cost effectiveness]{.underline}

Prepare a separate, detailed, budget narrative for each proposed
activity for each year you are requesting grant funds. Demonstrate and
justify that all costs are reasonable in today's market and necessary to
accomplish your activity objectives. Please pay particular attention in
your justification to those (per item) costs exceeding \$25,000,
excluding salaries and fringe benefits. For each activity, provide
itemized costs (in dollars), and narrative justification to support your
request for:

-   Personnel

-   Travel

-   Equipment

-   Supplies

-   Contractual

-   Indirect Costs

-   Other

-   Total

You must provide details so we can determine if the costs are allowable,
necessary and reasonable. Discuss the budget in detail. Explain how the
budget was determined and its adequacy to support the activities of the
project and its cost effectiveness. Show how the costs are reasonable in
relation to the project objectives. Note: Check all combined totals for
the proposed activity budget(s) and compare it to the total on the ED
Form 524. The totals should match.

\(d\) [Evaluation plan]{.underline}

Describe the methods of evaluation. Present a proposed timetable for
conducting evaluations. Discuss the data that will result from the
planned assessment of the project and the use of evaluation results. A
strong evaluation plan should be included and should be used, as
appropriate, to shape the development of the project from the beginning
of the grant period. The use of an outside evaluator is not required.

\(e\) [Adequacy of resources]{.underline}

Explain what resources the applicant plans to use in accomplishing the
project objectives. Describe specific resources, equipment, and supplies
the applicant will use in the project

f.  [Identification of need]{.underline}

Describe the assessment that indicated a need for the project. What
specific needs in science and engineering resulted from the assessment?
Describe the individuals that were involved in identifying the
institutional need, especially science faculty or community
representatives.

g.  [Potential Institutional Impact]{.underline}

FOR INSTITUTIONAL/COOPERATIVE PROJECTS: Explain how the proposed project
will expand or strengthen the established program(s) in relation to the
identified needs.

FOR SPECIAL PROJECTS: Explain how an established or existing
institutional science program takes a new or exemplary approach toward
improving the interest, entrance and performance of minority students in
science or engineering. Explain how the proposed project will improve
the institutions approach and handling of minority students, especially
women, entering science and math programs.

\(h\) [Institutional Commitment to the project]{.underline}

Describe the plans for continuing activities after funding ceases.
Project a clear indication of how the after-the-grant burden will be
absorbed into regular operations of the institution. Provide a letter of
commitment from the institution\'s president or CEO or Dean in the
\"Other Narrative Attachment Form\" discussed in earlier instructions.

(i) [Expected Outcomes]{.underline}

Discuss the assessed likelihood that the expected outcomes will be
achieved as a result of the project. Explain the anticipated benefits
for minority students, especially women, who participate in the program.
Describe the possibility of long-term benefits to participating
students, the faculty and the institution resulting from successful
completion of the grant.

\(j\) [Scientific and Educational Value of the Project]{.underline}

Provide information that explains the relationship of the proposed
project to the present state of science education and how science
education for minority students particularly women will improve. Provide
how the project will contribute to the development of effective
techniques and approaches to science education and the potential uses of
the project at other institutions.

#### Instructions for Budget Summary Form 

**[NOTE:]{.underline}** Applicants must submit (1) a budget information
form to categorize requested funds (ED Form 524), **[AND]{.underline}**
(2) a detailed budget narrative.

**[The budget summary]{.underline}** is to be included on the "Budget
Information -- Non-Construction Programs (ED Form 524)."

**[Both the detailed itemized budget AND budget narrative (budget
notes)]{.underline},** should be included in "Program Narrative
Attachment Form" as part of the **BUDGET selection criterion**.

This section requests information on the applicant's financial plan for
carrying out the project. Both the federal and non-federal shares are to
be included on both the summary form (ED Form 524) and the itemized
budget.

For this competition, applicants may receive funding for up to three
years. The Department is requesting that you complete the Budget Summary
Form (ED Form 524) for the total grant period requested and provide **[a
comprehensive and detailed budget narrative.]{.underline}**. The funding
level for the first year is stipulated in the "Maximum Award Section" of
the Closing Date Notice.

The budget must include all costs that are allowable, reasonable and
necessary for carrying out the objectives of the MSEIP project. Among
the costs that may be supported with grant funds are:

> 1\. [Personnel]{.underline}: On line 1 (ED Form 524), enter only the
> project personnel salaries and wages. \[Fees and expenses for
> consultants should be included on line 8.\] The budget should include
> the total commitment of time and the total salary to be charged to the
> project for each key staff member. You should provide a breakdown of
> project personnel that includes: the position titles; the percent of
> time and number of months committed to the project for each key staff
> member; the salary for each key staff member; and the total salary
> costs to be charged to the grant.
>
> 2\. [Fringe Benefits]{.underline}: On line 2 (ED Form 524), enter the
> amount of fringe benefits. The institution's normal fringe benefit
> contribution may be charged to the program. Leave this blank if fringe
> benefits applicable to direct salaries and wages are treated as part
> of the indirect costs. In the budget, include an explanation and
> appropriate justification if the institution's normal fringe benefit
> contribution exceeds 20 percent of salaries.

##### 3. [Travel]{.underline}: On line 3 (ED Form 524), provide the costs travel. \[Consultants' travel should be included on line 8.\] In the budget, you should detail the proposed travel costs: for each trip explain the purpose and objective of the travel and provide the number of persons traveling. Transportation costs should not exceed tourist class airfare. For automobile mileage, the established institution rate should be used. Reimbursement is allowed for taxicab, bus, train, or limousine transportation. Per diem at the established institution rate is permitted when an individual is away from home overnight on official project business (see OMB Circular A-21, J.48.c - Commercial Air Travel). No foreign travel will be authorized under the grant. All travel must be related to the project's overall purpose and proposed activities.

##### 

> 4\. [Equipment]{.underline}: On line 4 (ED Form 524), indicate the
> cost of equipment \-- non-expendable personal property, which has a
> usefulness of greater than one year and an acquisition cost of \$5,000
> or more per unit. \[Consistent with an applicant's policy, a lower
> dollar amount may be used to define equipment.\] In the budget,
> explain why the requested equipment is necessary to carry out project
> activities, and include a list of all equipment in the following
> format: item, quantity, cost per unit, and total cost.

##### 5. [Supplies]{.underline}: On line 5 (ED Form 524), include the costs of all tangible personal property that was not included as "equipment" on line 4. In the budget, provide an itemized list of the supplies.

6\. [Contractual]{.underline}: Not applicable. Leave blank.

7\. [Construction]{.underline}: Not applicable. Leave blank.

> 8\. [Other]{.underline}: On line 8 (ED Form 524), indicate all direct
> costs not covered on lines 1 through 5. The costs/fees for consultants
> and consultants' travel should be included here. Examples of "other"
> costs are: equipment rental, required fees, communication costs,
> rental of space, utilities, custodial services, and printing costs. In
> the budget, provide a breakdown of all direct costs not clearly
> covered by other budget categories.
>
> Consultants: If the project proposes to use consultants, identify the
> consultants who will work on the project, the scope of work to be
> performed by each consultant, and justify why project personnel cannot
> perform this work. Also, provide a detailed breakdown of the costs
> (daily fees to be paid, estimated number of days of services, and all
> travel expenses, including per diem). Cost allowances for consultant
> fees, honoraria, per diem, and travel should not exceed amounts
> permitted by comparable institutional policies.
>
> 9\. [Total Direct Costs]{.underline}: On line 9 (ED Form 524), provide
> the total direct costs requested -- the sum of lines 1 through 8.

10. [Indirect Costs]{.underline}: On line 10 (ED Form 524), provide the
    amount of indirect costs that you propose to charge against the
    grant.

> Some or all of the grants awarded under the Minority Science and
> Engineering Improvement Program (84.120A) are designated training
> grants. The Education Department Administrative Regulations (EDGAR) of
> the Department of Education (ED) limit reimbursement to grantees for
> indirect costs they incur under training grants to the grantee's
> actual indirect costs as determined by the grantee's negotiated
> indirect cost agreement or a maximum of 8% of a modified total direct
> cost base, **whichever is less**.
>
> Grantees charging indirect costs to an ED grant are required to have a
> negotiated rate with their *cognizant agency* (i.e., either the
> Federal agency from which it has received the most direct funding that
> is subject to indirect cost support, or a particular agency
> specifically assigned cognizance by the Office of Management and
> Budget). Although applicants are not required to submit with their
> application a copy of their indirect cost agreement to claim the 8%
> rate for funding received in this program, they are required to have
> documentation available for audit that shows that their negotiated
> indirect cost rate is at least 8% \[§75.563(d)\]. In the event that
> they receive an award under this program, applicants without a
> negotiated indirect cost rate with its cognizant agency should seek to
> identify that agency and contact it to obtain an approved rate as soon
> as possible after award notification.
>
> Applicants should be aware that amounts representing the difference
> between the 8% rate and a greater indirect cost rate negotiated with a
> cognizant agency may **not** be charged to direct cost categories,
> used to satisfy matching or cost-sharing requirements, or charged to
> another Federal award. \[§75.563(c)(3)\]

11. [Training Stipends]{.underline}: Not applicable. Leave blank.

12. [Total Costs]{.underline}: On line 12 (ED Form 524), provide the
    total amount that you are requesting -- the sum of lines 9 and 10.
    Note: This amount should also be the same as that shown as 14a on
    the application face sheet (SF 424).

#### Instructions for Completing the 

#### MSEIP Eligibility Certification Form

**[INSTRUCTIONS]{.underline}: All applicants must complete the
eligibility certification.**

**Copy the Eligibility Certification document. [do not modify or change
the contents in any way]{.underline}. Complete the Eligibility
Certification document following the instructions below, and attach this
document into the "Other Attachments Form" found in the Application
Package on Grants.gov.**

# 1. ENROLLMENT DATA

Lines 1-7 -- Enter the student enrollment number for each ethnic group
at your institution for the Fall 2005 academic period.

Line 8 - Add lines 1-7 and enter the total student enrollment.

Line 9 -- Enter the source from which you prepared your data
information.

Line 10 -- Add lines 1-4 and enter the total minority enrollment.

# 2. PERCENT OF MINORITY ENROLLMENT

DIVIDE the Total Minority Enrollment by the Total Enrollment and
MULTIPLY by 100.

For example, if your total minority enrollment = 600 and total student
enrollment = 1000, then the calculation would be (600 ÷ 1000) X 100 =
.60 X 100 = 60%.

Calculate the percent for each ethnic group and enter that number on the
appropriate line.

Add the calculated percentage for each line to get the total enrollment
percentage for your institution and enter on Line 10.

# 3. TYPE OF ELIGIBILITY

All other applicants must meet the criteria for eligibility as outlined
for their type of organization. Check the appropriate box that
identifies your organization.

If applicable, provide the Partner Institution or the Service
Institution information.

Use an additional sheet to provide information on additional partners
and attach with this form.

# MINORITY SCIENCE AND ENGINEERING IMPROVEMENT PROGRAM

**ELIGIBILITY CERTIFICATION FORM**

[DO NOT MODIFY OR AMEND THESE PAGES. COPY, SAVE AND ATTACH TO THE "OTHER
ATTACHMENTS FORM."]{.underline}

  -----------------------------------------------------------------------
  **Enrollment figures should be based on enrollment from *July 1 --2004
  through June 30, 2005* and *[must]{.underline}* be verifiable and
  should include full-time and part-time students in credit and
  non-credit courses.**

  -----------------------------------------------------------------------

1.  **ENROLLMENT DATA**

+----------+--------------------------------------------------+-------+
| **Number | # Ethnic Groups                                  |       |
| of       |                                                  |       |
| students |                                                  |       |
| enrolled |                                                  |       |
| by       |                                                  |       |
| ethnic   |                                                  |       |
| group**  |                                                  |       |
+----------+--------------------------------------------------+-------+
|          | [American Indian or Alaska Native]{.smallcaps}   | *[    |
|          |                                                  | {Line |
|          |                                                  | 1     |
|          |                                                  | }]{.s |
|          |                                                  | mallc |
|          |                                                  | aps}* |
+----------+--------------------------------------------------+-------+
|          | [Black (not Hispanic origin)]{.smallcaps}        | *[    |
|          |                                                  | {Line |
|          |                                                  | 2     |
|          |                                                  | }]{.s |
|          |                                                  | mallc |
|          |                                                  | aps}* |
+----------+--------------------------------------------------+-------+
|          | [Hispanic (including persons of Mexican, Puerto  | *[    |
|          | Rican, Cuban, and Central or South American      | {Line |
|          | origin)]{.smallcaps}                             | 3     |
|          |                                                  | }]{.s |
|          |                                                  | mallc |
|          |                                                  | aps}* |
+----------+--------------------------------------------------+-------+
|          | [Native Hawaiian or Pacific                      | *[    |
|          | Islander]{.smallcaps}                            | {Line |
|          |                                                  | 4     |
|          |                                                  | }]{.s |
|          |                                                  | mallc |
|          |                                                  | aps}* |
+----------+--------------------------------------------------+-------+
|          | [Asian]{.smallcaps}                              | *[    |
|          |                                                  | {Line |
|          |                                                  | 5     |
|          |                                                  | }]{.s |
|          |                                                  | mallc |
|          |                                                  | aps}* |
+----------+--------------------------------------------------+-------+
|          | [White]{.smallcaps}                              | *[    |
|          |                                                  | {Line |
|          |                                                  | 6     |
|          |                                                  | }]{.s |
|          |                                                  | mallc |
|          |                                                  | aps}* |
+----------+--------------------------------------------------+-------+
|          | [Other]{.smallcaps}                              | *[    |
|          |                                                  | {Line |
|          |                                                  | 7     |
|          |                                                  | }]{.s |
|          |                                                  | mallc |
|          |                                                  | aps}* |
+----------+--------------------------------------------------+-------+
|          | **Total Enrollment *[{Line 8}]{.smallcaps}***    |       |
+----------+--------------------------------------------------+-------+

[**source of data:** *{line 9}*]{.smallcaps}

## 

## 

## 

## 

## **2. PERCENTAGE OF MINORITY ENROLLMENT**

\_\_\_\_\_\_\_\_\_\_\_ / \_\_\_\_\_\_\_\_\_\_ X 100 =
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

[Total Minority Total Enrollment **Total** **percentage of Minority
Enrollment**]{.smallcaps}

[Enrollment {Line 8}]{.smallcaps}

[{Line 10}]{.smallcaps}

3\. TYPE of ELIGIBILITY

Select only one:

1\. Public and private, nonprofit minority institution of higher
education that awards baccalaureate degrees and qualifies as a minority
institution as defined in 637.4.

2\. Public or private nonprofit institution of higher education that:

a)  awards associate degrees and qualifies as a minority institution as
    defined in Section 365 of the Higher Education Act of 1969, as
    amended ;

b)  has a curriculum that includes science or engineering subjects; and

c)  enters into a partnership with public or private nonprofit
    institutions of higher education that award baccalaureate degrees in
    science and engineering.

List the name(s) of partnering public or private nonprofit institutions
of higher education that award baccalaureate degrees in science and
engineering:

> **Partner Institution:**

+-------------------------+---------------------+---------------------+
| > **Institution:**      |                     |                     |
+-------------------------+---------------------+---------------------+
| > **Contact Name:**     |                     |                     |
+-------------------------+---------------------+---------------------+
| > **Title of Contact    |                     |                     |
| > Person**              |                     |                     |
+-------------------------+---------------------+---------------------+
| > **Mailing Address:**  |                     |                     |
+-------------------------+---------------------+---------------------+
| > **City:**             | > **State:**        | > **Zip:**          |
+-------------------------+---------------------+---------------------+
| > **Email:**            | > **Phone:**        | > **Fax:**          |
+-------------------------+---------------------+---------------------+

3\. Nonprofit science-oriented organization, professional scientific
society, and institution of higher education that awards baccalaureate
degrees that-

> \(1\) Provide a needed service to a group of minority institutions; or
>
> \(2\) Provide in-service training to project directors, scientists,
> and engineers from minority institutions;
>
> **Service Institution:**

+-------------------------+---------------------+---------------------+
| > **Institution:**      |                     |                     |
+-------------------------+---------------------+---------------------+
| > **Contact Name:**     |                     |                     |
+-------------------------+---------------------+---------------------+
| > **Title of Contact    |                     |                     |
| > Person**              |                     |                     |
+-------------------------+---------------------+---------------------+
| > **Mailing Address:**  |                     |                     |
+-------------------------+---------------------+---------------------+
| > **City:**             | > **State:**        | > **Zip:**          |
+-------------------------+---------------------+---------------------+
| > **Email:**            | > **Phone:**        | > **Fax:**          |
+-------------------------+---------------------+---------------------+

4\. A consortia of organizations, that provide needed services to one or
more minority institutions. The consortia membership may include:

> \(1\) institutions of higher education which have a curriculum in
> science or engineering;
>
> \(2\) institutions of higher education that have a graduate or
> professional program in science or engineering;
>
> \(3\) research laboratories of, or under contract with, the Department
> of Energy;
>
> \(4\) private organizations that have science or engineering
> facilities; or
>
> \(5\) Quasi-governmental entities that have a sufficient scientific or
> engineering mission.
>
> **Service Institution:**

+-------------------------+---------------------+---------------------+
| > **Institution:**      |                     |                     |
+-------------------------+---------------------+---------------------+
| > **Contact Name:**     |                     |                     |
+-------------------------+---------------------+---------------------+
| > **Title of Contact    |                     |                     |
| > Person**              |                     |                     |
+-------------------------+---------------------+---------------------+
| > **Mailing Address:**  |                     |                     |
+-------------------------+---------------------+---------------------+
| > **City:**             | > **State:**        | > **Zip:**          |
+-------------------------+---------------------+---------------------+
| > **Email:**            | > **Phone:**        | > **Fax:**          |
+-------------------------+---------------------+---------------------+

**Note: Use an additional sheet to provide information on additional
partners and attach with this form.**

**WARNING: Any person who knowingly makes a false statement or
misrepresentation on this form**

**is subject to penalties, which may include fines, imprisonment, or
both, under the United States Criminal Code and 20 U.S.C. 1097**

FORMS

<table style="width:100%;">
<colgroup>
<col style="width: 16%" />
<col style="width: 3%" />
<col style="width: 1%" />
<col style="width: 0%" />
<col style="width: 1%" />
<col style="width: 1%" />
<col style="width: 2%" />
<col style="width: 4%" />
<col style="width: 2%" />
<col style="width: 3%" />
<col style="width: 3%" />
<col style="width: 4%" />
<col style="width: 4%" />
<col style="width: 3%" />
<col style="width: 8%" />
<col style="width: 1%" />
<col style="width: 4%" />
<col style="width: 4%" />
<col style="width: 4%" />
<col style="width: 8%" />
<col style="width: 14%" />
</colgroup>
<tbody>
<tr class="odd">
<td colspan="6"><h1 id="application-for"> APPLICATION FOR</h1></td>
<td colspan="3"></td>
<td></td>
<td colspan="7"></td>
<td colspan="4">Version 9/03</td>
</tr>
<tr class="even">
<td colspan="9"><h3 id="federal-assistance">FEDERAL ASSISTANCE</h3></td>
<td></td>
<td colspan="7"><strong>2. DATE SUBMITTED</strong></td>
<td colspan="4">Applicant Identifier</td>
</tr>
<tr class="odd">
<td colspan="3"><strong>1. TYPE OF SUBMISSION:</strong></td>
<td colspan="7"></td>
<td colspan="7" rowspan="2"><strong>3. DATE RECEIVED BY
STATE</strong></td>
<td colspan="4" rowspan="2">State Application Identifier</td>
</tr>
<tr class="even">
<td colspan="3">Application</td>
<td colspan="7">Pre-application</td>
</tr>
<tr class="odd">
<td colspan="3"> <strong>Construction</strong></td>
<td colspan="7"> <strong>Construction</strong></td>
<td colspan="7" rowspan="2"><strong>4. DATE RECEIVED BY FEDERAL
AGENCY</strong></td>
<td colspan="4" rowspan="2">Federal Identifier</td>
</tr>
<tr class="even">
<td colspan="3"> <strong>Non-Construction</strong></td>
<td colspan="7"> <strong>Non-Construction</strong></td>
</tr>
<tr class="odd">
<td colspan="21"><strong>5. APPLICANT INFORMATION</strong></td>
</tr>
<tr class="even">
<td colspan="14" rowspan="2">Legal Name:</td>
<td colspan="7"><strong>Organizational Unit</strong>:</td>
</tr>
<tr class="odd">
<td colspan="7">Department:</td>
</tr>
<tr class="even">
<td colspan="14">Organizational DUNS:</td>
<td colspan="7">Division:</td>
</tr>
<tr class="odd">
<td colspan="14"><strong>Address</strong>:</td>
<td colspan="7" rowspan="2"><p><strong>Name and telephone number of
person to be contacted on matters</strong></p>
<p><strong>involving this application (give area code</strong>)</p></td>
</tr>
<tr class="even">
<td colspan="14">Street:</td>
</tr>
<tr class="odd">
<td colspan="14"></td>
<td colspan="3">Prefix:</td>
<td colspan="4">First Name:</td>
</tr>
<tr class="even">
<td colspan="14">City:</td>
<td colspan="7">Middle Name</td>
</tr>
<tr class="odd">
<td colspan="14">County:</td>
<td colspan="7">Last Name</td>
</tr>
<tr class="even">
<td colspan="4">State:</td>
<td colspan="10">Zip Code</td>
<td colspan="7">Suffix:</td>
</tr>
<tr class="odd">
<td colspan="14">Country:</td>
<td colspan="7">Email:</td>
</tr>
<tr class="even">
<td colspan="14"><p><strong>6. EMPLOYER IDENTIFICATION NUMBER</strong>
<em>(EIN):</em></p>
<p>-</p></td>
<td colspan="5">Phone Number (give area code)</td>
<td colspan="2">Fax Number (give area code)</td>
</tr>
<tr class="odd">
<td colspan="14"><strong>8. TYPE OF APPLICATION:</strong></td>
<td colspan="7" rowspan="2"><strong>7. TYPE OF APPLICANT: (</strong>See
back of form for Application Types)</td>
</tr>
<tr class="even">
<td></td>
<td colspan="6"> <strong>New</strong></td>
<td colspan="4"> <strong>Continuation</strong></td>
<td colspan="3"> <strong>Revision</strong></td>
</tr>
<tr class="odd">
<td colspan="8">If Revision, enter appropriate letter(s) in box(es)</td>
<td colspan="3"></td>
<td colspan="3"></td>
<td colspan="7"></td>
</tr>
<tr class="even">
<td colspan="8">(See back of form for description of letters.)</td>
<td colspan="3"></td>
<td colspan="3"></td>
<td colspan="7">Other (specify)</td>
</tr>
<tr class="odd">
<td colspan="14">Other (specify)</td>
<td colspan="7"><strong>9. NAME OF FEDERAL AGENCY:</strong></td>
</tr>
<tr class="even">
<td colspan="14"><strong>10.</strong> <strong>CATALOG OF FEDERAL
DOMESTIC ASSISTANCE NUMBER:</strong></td>
<td colspan="7" rowspan="4"><strong>11. DESCRIPTIVE TITLE OF APPLICANT’S
PROJECT:</strong></td>
</tr>
<tr class="odd">
<td colspan="13">-</td>
<td></td>
</tr>
<tr class="even">
<td colspan="14">TITLE (Name of Program):</td>
</tr>
<tr class="odd">
<td colspan="14"><strong>12. AREAS AFFECTED BY PROJECT</strong>
<em>(Cities, Counties, States, etc.):</em></td>
</tr>
<tr class="even">
<td colspan="14"></td>
<td colspan="7"></td>
</tr>
<tr class="odd">
<td colspan="14"><strong>13. PROPOSED PROJECT</strong></td>
<td colspan="7"><strong>14. CONGRESSIONAL DISTRICTS OF:</strong></td>
</tr>
<tr class="even">
<td colspan="5">Start Date:</td>
<td colspan="9">Ending Date:</td>
<td colspan="5">a. Applicant</td>
<td colspan="2">b. Project</td>
</tr>
<tr class="odd">
<td colspan="14"><strong>15. ESTIMATED FUNDING:</strong></td>
<td colspan="7"><strong>16. IS APPLICATION SUBJECT TO REVIEW BY STATE
EXECUTIVE ORDER 12372 PROCESS?</strong></td>
</tr>
<tr class="even">
<td colspan="2">a. Federal</td>
<td colspan="10">$</td>
<td colspan="2">.<sup>00</sup></td>
<td rowspan="2">a. Yes. </td>
<td colspan="6" rowspan="2">THIS PREAPPLICATION/APPLICATION WAS MADE
Available TO THE STATE EXECUTIVE ORDER 12372 PROCESS FOR REVIEW ON</td>
</tr>
<tr class="odd">
<td colspan="2">b. Applicant</td>
<td colspan="10">$</td>
<td colspan="2">.<sup>00</sup></td>
</tr>
<tr class="even">
<td colspan="2">c. State</td>
<td colspan="10">$</td>
<td colspan="2">.<sup>00</sup></td>
<td></td>
<td colspan="6">DATE:</td>
</tr>
<tr class="odd">
<td colspan="2">d. Local</td>
<td colspan="10">$</td>
<td colspan="2">.<sup>00</sup></td>
<td>b. No. </td>
<td colspan="6">PROGRAM IS NOT COVERED BY E. O. 12372</td>
</tr>
<tr class="even">
<td colspan="2">e. Other</td>
<td colspan="10">$</td>
<td colspan="2">.<sup>00</sup></td>
<td></td>
<td colspan="6">OR PROGRAM HAS NOT BEEN SELECTED BY STATE FOR
REVIEW</td>
</tr>
<tr class="odd">
<td colspan="2">f. Program Income</td>
<td colspan="10">$</td>
<td colspan="2">.<sup>00</sup></td>
<td colspan="7"><strong>17. IS THE APPLICANT DELINQUENT ON ANY FEDERAL
DEBT?</strong></td>
</tr>
<tr class="even">
<td colspan="2">g. TOTAL</td>
<td colspan="10">$</td>
<td colspan="2">.<sup>00</sup></td>
<td colspan="6"> Yes If “Yes” attach an explanation.</td>
<td> No</td>
</tr>
<tr class="odd">
<td colspan="21"><strong>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.</strong></td>
</tr>
<tr class="even">
<td colspan="21">a. Authorized Representative</td>
</tr>
<tr class="odd">
<td colspan="4">Prefix</td>
<td colspan="12">First Name</td>
<td colspan="5">Middle Name</td>
</tr>
<tr class="even">
<td colspan="16">Last Name</td>
<td colspan="5">Suffix</td>
</tr>
<tr class="odd">
<td colspan="16">b. Title</td>
<td colspan="5">c. Telephone Number (give area code)</td>
</tr>
<tr class="even">
<td colspan="16">Email:</td>
<td colspan="5">Fax Number (give area code)</td>
</tr>
<tr class="odd">
<td colspan="16">d. Signature of Authorized Representative</td>
<td colspan="5">e. Date Signed</td>
</tr>
<tr class="even">
<td colspan="18">Previous Edition Usable</td>
<td colspan="3">Standard Form 424 (Rev. x-xx)</td>
</tr>
<tr class="odd">
<td colspan="18">Authorized for Local Reproduction</td>
<td colspan="3">Prescribed by OMB Circular A-102</td>
</tr>
</tbody>
</table>

######### SUPPLEMENTAL INFORMATION

**REQUIRED FOR**

**DEPARTMENT OF EDUCATION**

**1. [Project Director:]{.underline}**

Prefix: \*First Name: Middle Name: \*Last Name: Suffix:

Address:

\* Street1:

Street2:

\* City:

County:

\* State \* Zip Code: \* Country:

\* Phone Number (give area code) Fax Number (give area code)

Email Address:

**2. [Applicant Experience:]{.underline}**

Novice Applicant Yes No Not applicable to this program

**3. [Human Subjects Research:]{.underline}**

Are any research activities involving human subjects planned at any time
during the

proposed project Period?

Yes No

Are ALL the research activities proposed designated to be exempt from
the regulations?

![](media/image2.wmf){width="0.12013888888888889in"
height="0.12013888888888889in"}

Yes Provide Exemption(s) #:

![](media/image2.wmf){width="0.12013888888888889in"
height="0.12013888888888889in"}

No Provide Assurance #, if available:

**[Please attach an explanation Narrative:]{.underline}**

**Standard Form 424B (Rev. 7-97)**

**OMB Approval No. 0348-0040**

**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 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 (0348-0040), 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 cost) to ensure
proper planning, management, and completion of the project described in
this application.

2\. Will give the awarding agency, the Comptroller General of the United
States, and if appropriate, the State, through any authorized
representative, access to and the right to examine all records, books,
papers, or documents related to the award; and will establish a proper
accounting system in accordance with generally accepted accounting
standards or agency directives.

3\. Will establish safeguards to prohibit employees from using their
positions for a purpose that constitutes or presents the appearance of
personal or organizational conflict of interest, or personal gain.

4\. Will initiate and complete the work within the applicable time frame
after receipt of approval of the awarding agency.

5\. Will comply with the Intergovernmental Personnel Act of 1970 (42
U.S.C. 4728-4763) relating to prescribed standards for merit systems
for programs funded under one of the 19 statutes or regulations
specified in Appendix A of OPM\'s Standards for a Merit System of
Personnel Administration (5 C.F.R. 900, Subpart F).

6\. Will comply with all Federal statutes relating to nondiscrimination.
These include but are not limited to: (a) Title VI of the Civil Rights
Act of 1964 (P.L. 88-352) which prohibits discrimination on the basis of
race, color or national origin; (b) Title IX of the Education Amendments
of 1972, as amended (20 U.S.C. 1681-1683, and 1685-1686), which
prohibits discrimination on the basis of sex; (c) Section 504 of the
Rehabilitation Act of 1973, as amended (29 U.S.C. 794), which prohibits
discrimination on the basis of handicaps; (d)

the Age Discrimination Act of 1975, as amended (42 U.S.C.  6101-6107),
which prohibits discrimination on the basis of

age; (e) the Drug Abuse Office and Treatment Act of 1972 (P.L. 92-255),
as amended, relating to nondiscrimination on the basis of drug abuse;
(f) the Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment
and Rehabilitation Act of 1970 (P.L. 91-616), as amended, relating to
nondiscrimination on the basis of alcohol abuse or alcoholism; (g) 
523 and 527 of the Public Health Service Act of 1912 (42 U.S.C.  290
dd-3 and 290 ee 3), as amended, relating to confidentiality of alcohol
and drug abuse patient records; (h) Title VIII of the Civil Rights Act
of 1968 (42 U.S.C.  3601 et seq.), as amended, relating to
nondiscrimination in the sale, rental or financing of housing; (i) any
other nondiscrimination provisions in the specific statute(s) under
which application for Federal assistance is being made; and (j) the
requirements of any other nondiscrimination statute(s) which may apply
to the application.

7\. Will comply, or has already complied, with the requirements of
Titles II and III of the uniform Relocation Assistance and Real Property
Acquisition Policies Act of 1970 (P.L. 91-646) which provide for fair
and equitable treatment of persons displaced or whose property is
acquired as a result of Federal or federally assisted programs. These
requirements apply to all interests in real property acquired for
project purposes regardless of Federal participation in purchases.

8\. Will comply, as applicable, with the provisions of the Hatch Act (5
U.S.C. 1501-1508 and 7324-7328) which limit the political activities
of employees whose principal employment activities are funded in whole
or in part with Federal funds.

9\. Will comply, as applicable, with the provisions of the Davis-Bacon
Act (40 U.S.C. 276a to 276a-7), the Copeland Act (40 U.S.C. 276c and
18 U.S.C. 874) and the Contract Work Hours and Safety Standards Act
(40 U.S.C.  327-333), regarding labor standards for federally assisted
construction subagreements.

10\. Will comply, if applicable, with flood insurance purchase
requirements of Section 102(a) of the Flood Disaster Protection Act of
1973 (P.L. 93-234) which requires recipients in a special flood hazard
area to participate in the program and to purchase flood insurance if
the total cost of insurable construction and acquisition is \$10,000 or
more.

11\. Will comply with environmental standards which may be prescribed
pursuant to the following: (a) institution of environmental quality
control measures under the National Environmental Policy Act of 1969
(P.L. 91-190) and Executive Order (EO) 11514; (b) notification of
violating facilities pursuant to EO 11738; (c) protection of wetlands
pursuant to EO 11990; (d) evaluation of flood hazards in floodplains in
accordance with EO 11988; (e) assurance of project consistency with the
approved State management program developed under the Coastal Zone
Management Act of 1972 (16 U.S.C. 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. 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.
1721 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. 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 Amendments of 1996 and
OMB Circular No. A-133, Audits of States, Local Governments, and
Non-Profit Organizations.

18\. Will comply with all applicable requirements of all other Federal
laws, executive orders, regulations and policies governing this program

Standard Form 424B (Rev. 7-97) Back

+---------+----+--------+--------+--------+--------+---+-----+---------+
| ![](med | #  |        |        |        |        |   | OMB |         |
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|         | NF |        |        |        |        |   |     |         |
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|         | TI |        |        |        |        |   |     |         |
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|         |    |        |        |        |        |   |     |         |
|         | #  |        |        |        |        |   |     |         |
|         | NO |        |        |        |        |   |     |         |
|         | N- |        |        |        |        |   |     |         |
|         | CO |        |        |        |        |   |     |         |
|         | NS |        |        |        |        |   |     |         |
|         | TR |        |        |        |        |   |     |         |
|         | UC |        |        |        |        |   |     |         |
|         | TI |        |        |        |        |   |     |         |
|         | ON |        |        |        |        |   |     |         |
|         |  P |        |        |        |        |   |     |         |
|         | RO |        |        |        |        |   |     |         |
|         | GR |        |        |        |        |   |     |         |
|         | AM |        |        |        |        |   |     |         |
|         | S  |        |        |        |        |   |     |         |
+---------+----+--------+--------+--------+--------+---+-----+---------+
| > Name  |    |        |        | Appl   |        |   |     |         |
| > of    |    |        |        | icants |        |   |     |         |
| > Ins   |    |        |        | requ   |        |   |     |         |
| titutio |    |        |        | esting |        |   |     |         |
| n/Organ |    |        |        | f      |        |   |     |         |
| ization |    |        |        | unding |        |   |     |         |
|         |    |        |        | for    |        |   |     |         |
|         |    |        |        | only   |        |   |     |         |
|         |    |        |        | one    |        |   |     |         |
|         |    |        |        | year   |        |   |     |         |
|         |    |        |        | should |        |   |     |         |
|         |    |        |        | co     |        |   |     |         |
|         |    |        |        | mplete |        |   |     |         |
|         |    |        |        | the    |        |   |     |         |
|         |    |        |        | column |        |   |     |         |
|         |    |        |        | under  |        |   |     |         |
|         |    |        |        | \"P    |        |   |     |         |
|         |    |        |        | roject |        |   |     |         |
|         |    |        |        | Year   |        |   |     |         |
|         |    |        |        | 1.\"   |        |   |     |         |
|         |    |        |        | Appl   |        |   |     |         |
|         |    |        |        | icants |        |   |     |         |
|         |    |        |        | requ   |        |   |     |         |
|         |    |        |        | esting |        |   |     |         |
|         |    |        |        | f      |        |   |     |         |
|         |    |        |        | unding |        |   |     |         |
|         |    |        |        | for    |        |   |     |         |
|         |    |        |        | mult   |        |   |     |         |
|         |    |        |        | i-year |        |   |     |         |
|         |    |        |        | grants |        |   |     |         |
|         |    |        |        | should |        |   |     |         |
|         |    |        |        | co     |        |   |     |         |
|         |    |        |        | mplete |        |   |     |         |
|         |    |        |        | all    |        |   |     |         |
|         |    |        |        | appl   |        |   |     |         |
|         |    |        |        | icable |        |   |     |         |
|         |    |        |        | co     |        |   |     |         |
|         |    |        |        | lumns. |        |   |     |         |
|         |    |        |        | Please |        |   |     |         |
|         |    |        |        | read   |        |   |     |         |
|         |    |        |        | all    |        |   |     |         |
|         |    |        |        | instru |        |   |     |         |
|         |    |        |        | ctions |        |   |     |         |
|         |    |        |        | before |        |   |     |         |
|         |    |        |        | comp   |        |   |     |         |
|         |    |        |        | leting |        |   |     |         |
|         |    |        |        | form.  |        |   |     |         |
+---------+----+--------+--------+--------+--------+---+-----+---------+
| **      |    |        |        |        |        |   |     |         |
| SECTION |    |        |        |        |        |   |     |         |
| A -     |    |        |        |        |        |   |     |         |
| BUDGET  |    |        |        |        |        |   |     |         |
| SU      |    |        |        |        |        |   |     |         |
| MMARY** |    |        |        |        |        |   |     |         |
|         |    |        |        |        |        |   |     |         |
| ##      |    |        |        |        |        |   |     |         |
|  U.S. D |    |        |        |        |        |   |     |         |
| EPARTME |    |        |        |        |        |   |     |         |
| NT OF E |    |        |        |        |        |   |     |         |
| DUCATIO |    |        |        |        |        |   |     |         |
| N FUNDS |    |        |        |        |        |   |     |         |
+---------+----+--------+--------+--------+--------+---+-----+---------+
| Budget  |    | P      | P      | P      | P      | P |     | Total   |
| Cat     |    | roject | roject | roject | roject | r |     |         |
| egories |    | Year 1 | Year 2 | Year 3 | Year 4 | o |     | \(f\)   |
|         |    |        |        |        |        | j |     |         |
|         |    | \(a\)  | \(b\)  | \(c\)  | \(d\)  | e |     |         |
|         |    |        |        |        |        | c |     |         |
|         |    |        |        |        |        | t |     |         |
|         |    |        |        |        |        | Y |     |         |
|         |    |        |        |        |        | e |     |         |
|         |    |        |        |        |        | a |     |         |
|         |    |        |        |        |        | r |     |         |
|         |    |        |        |        |        | 5 |     |         |
|         |    |        |        |        |        |   |     |         |
|         |    |        |        |        |        | \ |     |         |
|         |    |        |        |        |        | ( |     |         |
|         |    |        |        |        |        | e |     |         |
|         |    |        |        |        |        | \ |     |         |
|         |    |        |        |        |        | ) |     |         |
+---------+----+--------+--------+--------+--------+---+-----+---------+
| 1\.     |    |        |        |        |        |   |     |         |
| Pe      |    |        |        |        |        |   |     |         |
| rsonnel |    |        |        |        |        |   |     |         |
+---------+----+--------+--------+--------+--------+---+-----+---------+
| 2\.     |    |        |        |        |        |   |     |         |
| Fringe  |    |        |        |        |        |   |     |         |
| B       |    |        |        |        |        |   |     |         |
| enefits |    |        |        |        |        |   |     |         |
+---------+----+--------+--------+--------+--------+---+-----+---------+
| 3\.     |    |        |        |        |        |   |     |         |
| Travel  |    |        |        |        |        |   |     |         |
+---------+----+--------+--------+--------+--------+---+-----+---------+
| 4\.     |    |        |        |        |        |   |     |         |
| Eq      |    |        |        |        |        |   |     |         |
| uipment |    |        |        |        |        |   |     |         |
+---------+----+--------+--------+--------+--------+---+-----+---------+
| 5\.     |    |        |        |        |        |   |     |         |
| S       |    |        |        |        |        |   |     |         |
| upplies |    |        |        |        |        |   |     |         |
+---------+----+--------+--------+--------+--------+---+-----+---------+
| 6\.     |    |        |        |        |        |   |     |         |
| Cont    |    |        |        |        |        |   |     |         |
| ractual |    |        |        |        |        |   |     |         |
+---------+----+--------+--------+--------+--------+---+-----+---------+
| 7\.     |    |        |        |        |        |   |     |         |
| Const   |    |        |        |        |        |   |     |         |
| ruction |    |        |        |        |        |   |     |         |
+---------+----+--------+--------+--------+--------+---+-----+---------+
| 8\.     |    |        |        |        |        |   |     |         |
| Other   |    |        |        |        |        |   |     |         |
+---------+----+--------+--------+--------+--------+---+-----+---------+
| 9\.     |    |        |        |        |        |   |     |         |
| Total   |    |        |        |        |        |   |     |         |
| Direct  |    |        |        |        |        |   |     |         |
| Costs   |    |        |        |        |        |   |     |         |
| (lines  |    |        |        |        |        |   |     |         |
| 1-8)    |    |        |        |        |        |   |     |         |
+---------+----+--------+--------+--------+--------+---+-----+---------+
| 10\.    |    |        |        |        |        |   |     |         |
| I       |    |        |        |        |        |   |     |         |
| ndirect |    |        |        |        |        |   |     |         |
| Costs\* |    |        |        |        |        |   |     |         |
+---------+----+--------+--------+--------+--------+---+-----+---------+
| 11\.    |    |        |        |        |        |   |     |         |
| T       |    |        |        |        |        |   |     |         |
| raining |    |        |        |        |        |   |     |         |
| S       |    |        |        |        |        |   |     |         |
| tipends |    |        |        |        |        |   |     |         |
+---------+----+--------+--------+--------+--------+---+-----+---------+
| 12\.    |    |        |        |        |        |   |     |         |
| Total   |    |        |        |        |        |   |     |         |
| Costs   |    |        |        |        |        |   |     |         |
| (lines  |    |        |        |        |        |   |     |         |
| 9-11)   |    |        |        |        |        |   |     |         |
+---------+----+--------+--------+--------+--------+---+-----+---------+
| > **\*I |    |        |        |        |        |   |     |         |
| ndirect |    |        |        |        |        |   |     |         |
| > Cost  |    |        |        |        |        |   |     |         |
| > Info  |    |        |        |        |        |   |     |         |
| rmation |    |        |        |        |        |   |     |         |
| > *(To  |    |        |        |        |        |   |     |         |
| > Be    |    |        |        |        |        |   |     |         |
| > Co    |    |        |        |        |        |   |     |         |
| mpleted |    |        |        |        |        |   |     |         |
| > by    |    |        |        |        |        |   |     |         |
| > Your  |    |        |        |        |        |   |     |         |
| > B     |    |        |        |        |        |   |     |         |
| usiness |    |        |        |        |        |   |     |         |
| > Offi  |    |        |        |        |        |   |     |         |
| ce*):** |    |        |        |        |        |   |     |         |
| >       |    |        |        |        |        |   |     |         |
| > If    |    |        |        |        |        |   |     |         |
| > you   |    |        |        |        |        |   |     |         |
| > are   |    |        |        |        |        |   |     |         |
| > req   |    |        |        |        |        |   |     |         |
| uesting |    |        |        |        |        |   |     |         |
| >       |    |        |        |        |        |   |     |         |
|  reimbu |    |        |        |        |        |   |     |         |
| rsement |    |        |        |        |        |   |     |         |
| > for   |    |        |        |        |        |   |     |         |
| > i     |    |        |        |        |        |   |     |         |
| ndirect |    |        |        |        |        |   |     |         |
| > costs |    |        |        |        |        |   |     |         |
| > on    |    |        |        |        |        |   |     |         |
| > line  |    |        |        |        |        |   |     |         |
| > 10,   |    |        |        |        |        |   |     |         |
| >       |    |        |        |        |        |   |     |         |
|  please |    |        |        |        |        |   |     |         |
| >       |    |        |        |        |        |   |     |         |
|  answer |    |        |        |        |        |   |     |         |
| > the   |    |        |        |        |        |   |     |         |
| > fo    |    |        |        |        |        |   |     |         |
| llowing |    |        |        |        |        |   |     |         |
| > que   |    |        |        |        |        |   |     |         |
| stions: |    |        |        |        |        |   |     |         |
|         |    |        |        |        |        |   |     |         |
| (1) Do  |    |        |        |        |        |   |     |         |
|     you |    |        |        |        |        |   |     |         |
|         |    |        |        |        |        |   |     |         |
|    have |    |        |        |        |        |   |     |         |
|     an  |    |        |        |        |        |   |     |         |
|     I   |    |        |        |        |        |   |     |         |
| ndirect |    |        |        |        |        |   |     |         |
|         |    |        |        |        |        |   |     |         |
|    Cost |    |        |        |        |        |   |     |         |
|         |    |        |        |        |        |   |     |         |
|    Rate |    |        |        |        |        |   |     |         |
|     Ag  |    |        |        |        |        |   |     |         |
| reement |    |        |        |        |        |   |     |         |
|     a   |    |        |        |        |        |   |     |         |
| pproved |    |        |        |        |        |   |     |         |
|     by  |    |        |        |        |        |   |     |         |
|     the |    |        |        |        |        |   |     |         |
|         |    |        |        |        |        |   |     |         |
| Federal |    |        |        |        |        |   |     |         |
|         |    |        |        |        |        |   |     |         |
|    gove |    |        |        |        |        |   |     |         |
| rnment? |    |        |        |        |        |   |     |         |
|         |    |        |        |        |        |   |     |         |
|    \_\_ |    |        |        |        |        |   |     |         |
| \_\_Yes |    |        |        |        |        |   |     |         |
|     \   |    |        |        |        |        |   |     |         |
| _\_\_\_ |    |        |        |        |        |   |     |         |
|     No  |    |        |        |        |        |   |     |         |
|         |    |        |        |        |        |   |     |         |
| (2) If  |    |        |        |        |        |   |     |         |
|         |    |        |        |        |        |   |     |         |
|    yes, |    |        |        |        |        |   |     |         |
|         |    |        |        |        |        |   |     |         |
|  please |    |        |        |        |        |   |     |         |
|         |    |        |        |        |        |   |     |         |
| provide |    |        |        |        |        |   |     |         |
|     the |    |        |        |        |        |   |     |         |
|     fo  |    |        |        |        |        |   |     |         |
| llowing |    |        |        |        |        |   |     |         |
|         |    |        |        |        |        |   |     |         |
|   infor |    |        |        |        |        |   |     |         |
| mation: |    |        |        |        |        |   |     |         |
|         |    |        |        |        |        |   |     |         |
| >       |    |        |        |        |        |   |     |         |
|  Period |    |        |        |        |        |   |     |         |
| >       |    |        |        |        |        |   |     |         |
| Covered |    |        |        |        |        |   |     |         |
| > by    |    |        |        |        |        |   |     |         |
| > the   |    |        |        |        |        |   |     |         |
| > I     |    |        |        |        |        |   |     |         |
| ndirect |    |        |        |        |        |   |     |         |
| > Cost  |    |        |        |        |        |   |     |         |
| > Rate  |    |        |        |        |        |   |     |         |
| > Agr   |    |        |        |        |        |   |     |         |
| eement: |    |        |        |        |        |   |     |         |
| > From: |    |        |        |        |        |   |     |         |
| > \_\_\ |    |        |        |        |        |   |     |         |
| _/\_\_\ |    |        |        |        |        |   |     |         |
| _/\_\_\ |    |        |        |        |        |   |     |         |
| _\_\_\_ |    |        |        |        |        |   |     |         |
| > To:   |    |        |        |        |        |   |     |         |
| > \_\_\ |    |        |        |        |        |   |     |         |
| _/\_\_\ |    |        |        |        |        |   |     |         |
| _/\_\_\ |    |        |        |        |        |   |     |         |
| _\_\_\_ |    |        |        |        |        |   |     |         |
| > (mm/d |    |        |        |        |        |   |     |         |
| d/yyyy) |    |        |        |        |        |   |     |         |
| >       |    |        |        |        |        |   |     |         |
| > Ap    |    |        |        |        |        |   |     |         |
| proving |    |        |        |        |        |   |     |         |
| >       |    |        |        |        |        |   |     |         |
| Federal |    |        |        |        |        |   |     |         |
| >       |    |        |        |        |        |   |     |         |
| agency: |    |        |        |        |        |   |     |         |
| > \     |    |        |        |        |        |   |     |         |
| _\_\_\_ |    |        |        |        |        |   |     |         |
| > ED    |    |        |        |        |        |   |     |         |
| > \     |    |        |        |        |        |   |     |         |
| _\_\_\_ |    |        |        |        |        |   |     |         |
| > Other |    |        |        |        |        |   |     |         |
| >       |    |        |        |        |        |   |     |         |
| (please |    |        |        |        |        |   |     |         |
| > sp    |    |        |        |        |        |   |     |         |
| ecify): |    |        |        |        |        |   |     |         |
| > \_\   |    |        |        |        |        |   |     |         |
| _\_\_\_ |    |        |        |        |        |   |     |         |
| \_\_\_\ |    |        |        |        |        |   |     |         |
| _\_\_\_ |    |        |        |        |        |   |     |         |
| \_\_\_\ |    |        |        |        |        |   |     |         |
| _\_\_\_ |    |        |        |        |        |   |     |         |
| \_\_\_\ |    |        |        |        |        |   |     |         |
| _\_\_\_ |    |        |        |        |        |   |     |         |
|         |    |        |        |        |        |   |     |         |
| (3) For |    |        |        |        |        |   |     |         |
|     Res |    |        |        |        |        |   |     |         |
| tricted |    |        |        |        |        |   |     |         |
|         |    |        |        |        |        |   |     |         |
|    Rate |    |        |        |        |        |   |     |         |
|     P   |    |        |        |        |        |   |     |         |
| rograms |    |        |        |        |        |   |     |         |
|         |    |        |        |        |        |   |     |         |
|  (check |    |        |        |        |        |   |     |         |
|         |    |        |        |        |        |   |     |         |
|    one) |    |        |        |        |        |   |     |         |
|     \-- |    |        |        |        |        |   |     |         |
|     Are |    |        |        |        |        |   |     |         |
|     you |    |        |        |        |        |   |     |         |
|         |    |        |        |        |        |   |     |         |
|   using |    |        |        |        |        |   |     |         |
|     a   |    |        |        |        |        |   |     |         |
|     res |    |        |        |        |        |   |     |         |
| tricted |    |        |        |        |        |   |     |         |
|     i   |    |        |        |        |        |   |     |         |
| ndirect |    |        |        |        |        |   |     |         |
|         |    |        |        |        |        |   |     |         |
|    cost |    |        |        |        |        |   |     |         |
|         |    |        |        |        |        |   |     |         |
|    rate |    |        |        |        |        |   |     |         |
|         |    |        |        |        |        |   |     |         |
|   that: |    |        |        |        |        |   |     |         |
|         |    |        |        |        |        |   |     |         |
| >       |    |        |        |        |        |   |     |         |
|  \_\_\_ |    |        |        |        |        |   |     |         |
| > Is    |    |        |        |        |        |   |     |         |
| > i     |    |        |        |        |        |   |     |         |
| ncluded |    |        |        |        |        |   |     |         |
| > in    |    |        |        |        |        |   |     |         |
| > your  |    |        |        |        |        |   |     |         |
| > a     |    |        |        |        |        |   |     |         |
| pproved |    |        |        |        |        |   |     |         |
| > I     |    |        |        |        |        |   |     |         |
| ndirect |    |        |        |        |        |   |     |         |
| > Cost  |    |        |        |        |        |   |     |         |
| > Rate  |    |        |        |        |        |   |     |         |
| > Agr   |    |        |        |        |        |   |     |         |
| eement? |    |        |        |        |        |   |     |         |
| > or    |    |        |        |        |        |   |     |         |
| >       |    |        |        |        |        |   |     |         |
|  \_\_\_ |    |        |        |        |        |   |     |         |
| > C     |    |        |        |        |        |   |     |         |
| omplies |    |        |        |        |        |   |     |         |
| > with  |    |        |        |        |        |   |     |         |
| > 34    |    |        |        |        |        |   |     |         |
| > CFR   |    |        |        |        |        |   |     |         |
| >       |    |        |        |        |        |   |     |         |
|  76.564 |    |        |        |        |        |   |     |         |
| (c)(2)? |    |        |        |        |        |   |     |         |
+---------+----+--------+--------+--------+--------+---+-----+---------+

> ED 524

+---------+---------+--------+---------+---------+---------+----------+
| > Name  |         |        | App     |         |         |          |
| > of    |         |        | licants |         |         |          |
| > Ins   |         |        | req     |         |         |          |
| titutio |         |        | uesting |         |         |          |
| n/Organ |         |        | funding |         |         |          |
| ization |         |        | for     |         |         |          |
|         |         |        | only    |         |         |          |
|         |         |        | one     |         |         |          |
|         |         |        | year    |         |         |          |
|         |         |        | should  |         |         |          |
|         |         |        | c       |         |         |          |
|         |         |        | omplete |         |         |          |
|         |         |        | the     |         |         |          |
|         |         |        | column  |         |         |          |
|         |         |        | under\  |         |         |          |
|         |         |        | \"      |         |         |          |
|         |         |        | Project |         |         |          |
|         |         |        | Year    |         |         |          |
|         |         |        | 1.\"    |         |         |          |
|         |         |        | App     |         |         |          |
|         |         |        | licants |         |         |          |
|         |         |        | req     |         |         |          |
|         |         |        | uesting |         |         |          |
|         |         |        | funding |         |         |          |
|         |         |        | for     |         |         |          |
|         |         |        | mul     |         |         |          |
|         |         |        | ti-year |         |         |          |
|         |         |        | grants  |         |         |          |
|         |         |        | should  |         |         |          |
|         |         |        | c       |         |         |          |
|         |         |        | omplete |         |         |          |
|         |         |        | all     |         |         |          |
|         |         |        | app     |         |         |          |
|         |         |        | licable |         |         |          |
|         |         |        | c       |         |         |          |
|         |         |        | olumns. |         |         |          |
|         |         |        | Please  |         |         |          |
|         |         |        | read    |         |         |          |
|         |         |        | all     |         |         |          |
|         |         |        | instr   |         |         |          |
|         |         |        | uctions |         |         |          |
|         |         |        | before  |         |         |          |
|         |         |        | com     |         |         |          |
|         |         |        | pleting |         |         |          |
|         |         |        | form.   |         |         |          |
+---------+---------+--------+---------+---------+---------+----------+
| **      |         |        |         |         |         |          |
| SECTION |         |        |         |         |         |          |
| B -     |         |        |         |         |         |          |
| BUDGET  |         |        |         |         |         |          |
| SU      |         |        |         |         |         |          |
| MMARY** |         |        |         |         |         |          |
|         |         |        |         |         |         |          |
| **NON-  |         |        |         |         |         |          |
| FEDERAL |         |        |         |         |         |          |
| FUNDS** |         |        |         |         |         |          |
+---------+---------+--------+---------+---------+---------+----------+
| Budget  | Project | P      | Project | Project | Project | Total    |
| Cat     | Year 1  | roject | Year 3  | Year 4  | Year 5  |          |
| egories |         | Year 2 |         |         |         | \(f\)    |
|         | \(a\)   |        | \(c\)   | \(d\)   | \(e\)   |          |
|         |         | \(b\)  |         |         |         |          |
+---------+---------+--------+---------+---------+---------+----------+
|         |         |        |         |         |         |          |
+---------+---------+--------+---------+---------+---------+----------+
| 1\.     |         |        |         |         |         |          |
| Pe      |         |        |         |         |         |          |
| rsonnel |         |        |         |         |         |          |
+---------+---------+--------+---------+---------+---------+----------+
| 2\.     |         |        |         |         |         |          |
| Fringe  |         |        |         |         |         |          |
| B       |         |        |         |         |         |          |
| enefits |         |        |         |         |         |          |
+---------+---------+--------+---------+---------+---------+----------+
| 3\.     |         |        |         |         |         |          |
| Travel  |         |        |         |         |         |          |
+---------+---------+--------+---------+---------+---------+----------+
| 4\.     |         |        |         |         |         |          |
| Eq      |         |        |         |         |         |          |
| uipment |         |        |         |         |         |          |
+---------+---------+--------+---------+---------+---------+----------+
| 5\.     |         |        |         |         |         |          |
| S       |         |        |         |         |         |          |
| upplies |         |        |         |         |         |          |
+---------+---------+--------+---------+---------+---------+----------+
| 6\.     |         |        |         |         |         |          |
| Cont    |         |        |         |         |         |          |
| ractual |         |        |         |         |         |          |
+---------+---------+--------+---------+---------+---------+----------+
| 7\.     |         |        |         |         |         |          |
| Const   |         |        |         |         |         |          |
| ruction |         |        |         |         |         |          |
+---------+---------+--------+---------+---------+---------+----------+
| 8\.     |         |        |         |         |         |          |
| Other   |         |        |         |         |         |          |
+---------+---------+--------+---------+---------+---------+----------+
| 9\.     |         |        |         |         |         |          |
| Total   |         |        |         |         |         |          |
| Direct  |         |        |         |         |         |          |
| Costs   |         |        |         |         |         |          |
|         |         |        |         |         |         |          |
| (Lines  |         |        |         |         |         |          |
| 1-8)    |         |        |         |         |         |          |
+---------+---------+--------+---------+---------+---------+----------+
| 10\.    |         |        |         |         |         |          |
| I       |         |        |         |         |         |          |
| ndirect |         |        |         |         |         |          |
| Costs   |         |        |         |         |         |          |
+---------+---------+--------+---------+---------+---------+----------+
| 11\.    |         |        |         |         |         |          |
| T       |         |        |         |         |         |          |
| raining |         |        |         |         |         |          |
| S       |         |        |         |         |         |          |
| tipends |         |        |         |         |         |          |
+---------+---------+--------+---------+---------+---------+----------+
| 12\.    |         |        |         |         |         |          |
| Total   |         |        |         |         |         |          |
| Costs   |         |        |         |         |         |          |
|         |         |        |         |         |         |          |
| (Lines  |         |        |         |         |         |          |
| 9-11)   |         |        |         |         |         |          |
+---------+---------+--------+---------+---------+---------+----------+
| **      |         |        |         |         |         |          |
| SECTION |         |        |         |         |         |          |
| C --    |         |        |         |         |         |          |
| BUDGET  |         |        |         |         |         |          |
| NARR    |         |        |         |         |         |          |
| ATIVE** |         |        |         |         |         |          |
| (see    |         |        |         |         |         |          |
| instru  |         |        |         |         |         |          |
| ctions) |         |        |         |         |         |          |
+---------+---------+--------+---------+---------+---------+----------+

> ED 524

# CERTIFICATION REGARDING LOBBYING

Certification for Contracts, Grants, Loans and Cooperative Agreements.

The undersigned certifies, to the best of his or her knowledge and
belief, that:

\(1\) No Federal appropriated funds have been paid or will be paid, by
or on behalf of the undersigned, to any person for influencing or
attempting to influence an officer or employee of any agency, a Member
of Congress, an officer or employee of Congress, or an employee of a
Member of Congress in connection with the awarding of any Federal
contract, the making of any Federal grant, the making of any Federal
Loan, the entering into of any cooperative agreement, and the extension,
continuation, renewal, amendment, or modification of any Federal
contract, grant, loan or cooperative agreement.

\(2\) If any funds other 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, loam or cooperative
agreement, the undersigned shall complete and submit Standard Form --
LLL, "Disclosure of Lobbying Activities," 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 or 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 of
Lobbying Activities," 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.

  -----------------------------------------------------------------------
  Applicant's Organization

  Printed Name of Authorized Representative Printed Title of Authorized
  Representative

  Signature Date
  -----------------------------------------------------------------------

ED 80-0013 08/05

**Applicant's (Organization) Name:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**Applicant's DUNS Number:**
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**Federal Program:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_CFDA
Number: \_\_\_\_\_\_\_\_\_\_\_**

1\. Has the applicant ever received a grant or contract from the Federal
government?

Yes No

2\. Is the applicant a faith-based organization?

Yes No

3\. Is the applicant a secular organization?

Yes No

4\. Does the applicant have 501(c)(3) status?

Yes No

5\. Is the applicant a local affiliate of a national\
organization?

Yes No

6\. How many full-time equivalent employees does the applicant have?
*(Check only one box).*

> 3 or Fewer 15-50
>
> 4-5 51-100
>
> 6-14 over 100

7\. What is the size of the applicant's annual budget? *(Check only one
box.)*

Less Than \$150,000

\$150,000 - \$299,999

\$300,000 - \$499,999

\$500,000 - \$999,999

\$1,000,000 - \$4,999,999

\$5,000,000 or more

> **Provide the applicant's (organization) name and DUNS number and the
> grant name and CFDA number.**

1.  Self-explanatory.

2.  Self-identify.

3.  Self-identify.

> 4\. 501(c)(3) status is a legal designation provided on application to
> the Internal Revenue Service by eligible organizations. Some grant
> programs may require nonprofit applicants to have 501(c)(3) status.
> Other grant programs do not.
>
> 5\. Self-explanatory.
>
> 6\. For example, two part-time employees who each work half-time equal
> one full-time equivalent employee. If the applicant is a local
> affiliate of a national organization, the responses to survey
> questions 2 and 3 should reflect the staff and budget size of the
> local affiliate.
>
> 7\. Annual budget means the amount of money your organization spends
> each year on all of its activities.

**Paperwork Burden Statement**

According to the Paperwork Reduction Act of 1995, no persons are
required to respond to a

collection of information unless such collection displays a valid OMB
control number. The valid OMB control number for this information
collection is 1890-0014. The time required to complete this information
collection is estimated to average five (5) minutes per response,
including the time to review instructions, search existing data
resources, gather the data needed, and complete and review the
information collection. **If you have any comments concerning the
accuracy of the time estimate(s) or suggestions for improving this form,
please write to:** The Agency Contact listed in this grant application
package.

> OMB No. 1890-0014 Exp. 02/28/09

#### Application Checklist 

**Use this Checklist while preparing your Application Package. These
parts are organized in the same manner that the submitted application
should be organized. The parts are as follows:**

**[Part I]{.underline}:** **Application for Federal Assistance (SF
424)**

**Department of Education Supplemental Information for SF 424**

**[Part II]{.underline}:** **U. S. Department of Education Budget
Information for Non-Construction Programs (ED 524)**

> Section A- Budget Summary U.S. Department of Education Funds
>
> Section B -- Budget Summary Non-Federal Funds

**[Part III]{.underline}:** **ED Abstract Form**

> Attach Abstract

######  Project Narrative Attachment Form 

Attach Table of Contents (optional), and

> Responses to selection criteria (including Budget Narrative)

**Other Attachment Form**

> Attach MSEIP Eligibility Certification Form

######## [Part IV]{.underline}: Assurances, Certifications, and Survey Form

All "**Assurances, Certifications, and Survey Forms**" **[must be
completed]{.underline}**.

> **ED GEPA 427 Form**
>
> Assurances for Non-Construction Programs (SF 424B)
>
> **Grants.gov Lobbying Form (formerly Certification Regarding Lobbying
> (ED 80-0013))**
>
> **Disclosure of Lobbying Activities (SF-LLL)**
>
> **Certification Regarding Debarment, Suspension, Ineligibility and
> Voluntary Exclusion -- Lower Tier Covered Transactions (ED 80-0014)**
>
> **Survey on Ensuring Equal Opportunity for Applicants**