Federal Register / Vol. 65, No. 97 / Thursday, May 18, 2000 / Notices 31557

ethnicity and culture, mental or

physical state, housing status,

geographic location, language, sexual

orientation, age, and lack of health

insurance.

Women-centered: Addressing the

needs and concerns of women in an

environment that is welcoming to

women, fosters a commitment to

women, treats women with dignity, and

empowers women through respect and

education. The emphasis is on working

with women not for women. Women

clients are considered active partners in

their own health and wellness.

Reporting and Other Requirements

General Reporting Requirements

In addition to those listed above, a

successful applicant will submit an

annual progress report, an annual

Financial Status Report, and a final

Progress Report and a final Financial

Status Report in the format established

by the Office on Women’s Health, in

accordance with provisions of the

general regulations which apply under

‘‘Monitoring and Reporting Program

Performance,’’ 45 CFR part 74, Subpart

J and Part 92

Provision of Smoke-Free Workplace and

Nonuses of Tobacco Products by

Recipients of PHS Grants

HHS strongly encourages all grant

recipients to provide a smoke-free

workplace and to promote the nonuse of

all tobacco products. In addition, Public

Law 103–227, the Pro-Children Act of

1994, prohibits smoking in certain

facilities (or in some cases, any portion

of a facility) in which regular or routine

education, library, day care, health care

or early childhood development

services are provided to children.

Public Health System Reporting

Requirements

This program is subject to the Public

Health Systems Reporting

Requirements. Under these

requirements, a community-based nongovernmental applicant must prepare

and submit a Public Health System

Impact Statement (PHSIS). The PHSIS is

intended to provide information to State

and local health officials to keep them

apprised on proposed health services

grant applications submitted by

community-based non-governmental

organizations within their jurisdictions.

Community-based, non-governmental

applicants are required to submit, no

later than the Federal due date for

receipt of the application, the following

information to the head of the

appropriate state and local health

agencies in the area(s) to be impacted:

(a) a copy of the face page of the

application (SF 424), (b) a summary of

the project (PHSIS), not to exceed one

page, which provides: (1) A description

of the population to be served, (2) a

summary of the services to be provided,

(3) a description of the coordination

planned with the appropriate state or

local health agencies. Copies of the

letters forwarding the PHSIS to these

authorities must be contained in the

application materials submitted to the

Office on Women’s Health.

State Reviews

This program is subject to the

requirements of Executive Order 12372

which allows States the option of setting

up a system for reviewing applications

from within their States for assistance

under certain Federal programs. The

application kit to be made available

under this notice will contain a listing

of States which have chosen to set up

a review system and will include a State

Single Point of Contact (SPOC) in the

State for review. Applicants (other than

federally recognized Indian tribes)

should contact their SPOCs as early as

possible to alert them to the prospective

applications and receive any necessary

instructions on the State process. For

proposed projects serving more than one

State, the applicant is advised to contact

the SPOC of each affected State. The

due date for State process

recommendations is 60 days after the

application deadline. The Office on

Women’s Health does not guarantee that

it will accommodate or explain its

responses to State process

recommendations received after that

date. (See ‘‘Intergovernmental Review of

Federal Programs,’’ Executive Order

12372, and 45 CFR Part 100 for a

description of the review process and

requirements.)

Authority: This program is authorized by

42 U.S.C. 300u–2(a)(1), 300u–3, and 300u–

6(e).

OMB Catalog of Federal Domestic

Assistance

The OMB Catalog of Federal Domestic

Assistance Number is pending.

Dated: May 11, 2000.

David Satcher,

Assistant Secretary for Health and Surgeon

General.

[FR Doc. 00–12462 Filed 5–17–00; 8:45 am]

BILLING CODE 4160–17–U

DEPARTMENT OF HEALTH AND

HUMAN SERVICES

Administration for Children and

Families

[Program Announcement No. ACF/ACYF/HS

2000–08]

FY 2000 Announcement of Financial

Assistance To Expand Head Start

Enrollment

AGENCY: Administration on Children,

Youth and Families (ACYF), ACF,

DHHS.

ACTION: FY 2000 Announcement of

financial assistance to expand Head

Start enrollment.

SUMMARY: The Head Start Bureau of the

Administration on Children, Youth and

Families announces that competing

applications will be accepted to fund

Head Start programs to serve Federallyrecognized Indian reservations and

Alaska Native villages not currently

served by Head Start and areas where

Head Start services are not available for

the children of migrant and seasonal

farm workers. It is expected that a total

of approximately $3,000,000 will be

awarded to support these programs.

DATES: The closing date for receipt of

applications is July 21, 2000.

ADDRESSES: Applications should be

submitted to: Head Start Unserved

Competition, ACYF Operations Center,

1815 North Fort Myer Drive, Suite 300,

Arlington, VA 22209, Phone # 1–800–

351–2293.

Copies of the program announcement

and necessary application forms can be

downloaded from the Head Start Web

site at: www.acf.dhhs.gov/programs/hsb

FOR FURTHER INFORMATION CONTACT:

ACYF Operations Center at: 1815 N.

Fort Myer Drive, Suite 300, Arlington,

VA 22209 or telephone: 1–800–351–

2293 or email to: ehs@lcgnet.com

SUPPLEMENTARY INFORMATION:

Part I. General Information

A. Background

Head Start is a national program

providing comprehensive

developmental services primarily to

low-income preschool children and

their families. To help enrolled children

achieve their full potential, Head Start

programs provide comprehensive

health, nutritional, educational, social

and other services. In addition, Head

Start programs are required to provide

for the direct participation of the

parents of enrolled children in the

development, conduct, and direction of

local programs. Head Start currently

serves approximately 835,000 children

31558 Federal Register / Vol. 65, No. 97 / Thursday, May 18, 2000 / Notices

through a network of 1520 grantees and

more than 700 delegate agencies.

While Head Start is targeted primarily

towards children whose families have

incomes at or below the poverty line,

regulations permit up to ten percent of

the Head Start children in local

programs to be from families who do not

meet these low-income criteria. The

Head Start statute also requires that a

minimum of ten percent of enrollment

opportunities in each program be made

available to children with disabilities.

Such children are expected to be

enrolled in the full range of Head Start

services and activities in a mainstream

setting with their non-disabled peers,

and to receive needed special education

and related services.

Head Start programs are locallydesigned to provide services through a

variety of program options, based on the

needs of local families that are not being

met by existing early childhood and

child care programs. Program options

include part-day/part-year and full-day/

full year center-based programs, homebased programs, combinations of center

and home-based options and locally

designed options.

Head Start for Children of Migrant and

Seasonal Farmworkers

For purposes of establishing eligibility

for Migrant Head Start services, a

migrant family is defined as follows:

A family with one or more children under

the age of compulsory school attendance who

changed their residence by moving from one

geographic location to another, either

intrastate or interstate, within the past two

years, for the purpose of engaging in

agricultural work.

A seasonal farmworker family is a

family engaged primarily in seasonal

agricultural labor who has not changed

its residence to another geographic

location in the preceding two years.

In addition to providing the

comprehensive child development

services that all Head Start programs

provide, Migrant/Seasonal Head Start

programs typically operate for extended

hours (8 to 12 hours per day),

depending on the parents’ work

schedules, and may serve children five

to seven days per week. Migrant/

Seasonal programs also typically

provide child development and child

care services to infants, toddlers and

preschool-aged children.

Note: Recent changes to the Head Start Act

allow migrant Head Start programs to serve

seasonal farmworker families in addition to

serving migrant families. However, seasonal

farmworker families may be served only

where there is an adequate level of services

being provided to migrant families. This

expansion is targeted on those states in

which there are no migrant programs, despite

the presence of significant numbers of

migrant families. Any request for serving

seasonal farmworker families must be fully

explained by the applicant, including the

reasons such a proposal is being made and

why the applicant believes that an adequate

level of services is being provided to migrant

families.

Statutory and Regulatory Authority

The Head Start program is authorized

by the Head Start Act, 42 U.S.C. 9831

et seq., as amended.

The relevant regulations are:

• 45 CFR part 1301, Head Start Grants

Administration.

• 45 CFR part 1302, Policies and

Procedures for Selection, Initial

Funding and Refunding of Head Start

Grantees, and for Selection of

Replacement Grantees.

• 45 CFR part 1303, Appeal

procedures for Head Start grantees and

current or prospective delegate agencies.

• 45 CFR part 1304, Program

performance standards for the operation

of Head Start programs by grantees and

delegate agencies.

• 45 CFR part 1305, Eligibility,

recruitment, selection, enrollment and

attendance in Head Start.

• 45 CFR part 1306, Head Start

staffing requirements and program

options.

• 45 CFR part 1308, Head Start

program performance standards on

services for children with disabilities.

• 45 CFR part 1309, Head Start

Facilities Purchase

• 45 CFR part 74, Uniform

administrative requirements for awards

and subawards to institutions of higher

education, hospitals, other nonprofit

organizations, and commercial

organizations; and certain grants and

agreements with States, local

governments and Indian tribal

governments

• 45 CFR part 92, Uniform

administrative requirements for grants

and cooperative agreements to State and

local governments.

B. Purpose of Announcement

This announcement solicits

applications from eligible applicants

that wish to compete for Head Start

grants to serve Federally-recognized

Indian reservations not currently served

by Head Start and areas where Head

Start services are not available for the

children of migrant and seasonal farm

workers.

The Administration on Children,

Youth and Families (ACYF) is also

providing funding to expand Head Start

services through two other national

competitions. Head Start Bureau

Program Instruction ACYF–HS–PI–00–

02, issued on February 15, 2000,

announced the availability of

approximately $185,000,000 to increase

enrollment in geographical areas

currently served by Head Start grantees.

In addition, an announcement

published in the Federal Register on

February 29, 2000 describes a

competition for approximately

$40,000,000 to expand services to

children under age three and pregnant

women in low-income families through

funding additional Early Head Start

programs.

C. Eligible Applicants

Expansion applications under this

announcement should be submitted

under one of the following two

categories:

Category 1. Applicants that wish to

serve Head Start-eligible children living

on Federally-recognized Indian

reservations or Alaskan Native villages

where a Head Start program does not

currently operate.

Eligible applicants are the Tribal

governments of unserved reservations

that wish to initiate a Head Start

program or agencies designated by these

Tribal governments.

Category 2. Applicants that wish to

serve Head Start-eligible children of

migrant or seasonal farm workers in the

following states:

Connecticut, Iowa, Kansas, Kentucky,

Louisiana, Massachusetts, Mississippi,

Missouri, Montana, Oklahoma, and

Puerto Rico.

Eligible applicants are local public or

private non-profit or for profit agencies.

D. Available Funds

Category 1. For applicants applying to

serve preschool children on unserved

Indian reservations under Category 1,

up to approximately $1,000,000 will be

made available. No minimum

enrollment level has been established

for new Indian Head Start projects.

Applicants should propose to serve a

sufficient number of children to ensure

a viable and cost-efficient program.

Category 2. For applicants applying to

serve migrant and seasonal children

(infants, toddlers and preschoolers)

under Category 2, up to approximately

$2,000,000 will be made available.

While no minimum enrollment level

has been established for Migrant Head

Start projects, applicants should

indicate a sufficient number of eligible

children to ensure a viable and costefficient program. Factors to be

addressed related to program viability

should include the size of the service

area proposed and a sufficient

population to justify program services in

‘‘off years’’ when the population of

Federal Register / Vol. 65, No. 97 / Thursday, May 18, 2000 / Notices 31559

migrant children might be low due to

crop failure, variations in the migrant

stream or natural disasters such as

drought or flood.

E. Recipient Share of the Project

Section 640(b) of the Head Start Act

requires, with certain exceptions, that at

least 20 percent of the total cost of a

Head Start project come from sources

other than the Federal government.

Therefore, a project requesting $100,000

in Federal funds must include a match

of at least $25,000 (20 percent of the

total project costs). The non-Federal

share may be in cash or in-kind, fairly

valued, and may include facilities,

equipment or volunteer services. In

certain instances, as described in

Section 640(b) of the Head Start Act, the

requirement for a 20 percent non-federal

match may be waived in part or in

whole.

Expansion funds should not be used

to support services that were previously

provided without Federal assistance.

However, expansion funds can be used

to provide Head Start services, either

directly or through a delegate agency, to

eligible families who are enrolled in

other program settings but not currently

receiving comprehensive Head Start

services.

Applicants may use a variety of

strategies for delivering services,

including:

• Combining child care, prekindergarten and other resources with

Head Start funds and directly managing

full-day, full-year services.

• Funding new delegate agencies or

other appropriate arrangements which

will enable local child care agencies,

preschool programs or family child care

providers to provide Head Start

services.

Part II. Application Requirements

A. Purpose of Project Description

The project description provides a

major means by which an application is

evaluated and ranked to compete with

other applications for available

assistance. The project description

should be concise and complete and

should address the activity for which

Federal funds are being requested.

Supporting documents should be

included where they can present

information clearly and succinctly.

Applicants are encouraged to provide

information on their organizational

structure, staff, related experience, and

other information considered to be

relevant. Awarding offices use this and

other information to determine whether

the applicant has the capability and

resources necessary to carry out the

proposed project. It is important,

therefore, that this information be

included in the application. However,

in the narrative the applicant must

distinguish between resources directly

related to the proposed project from

those that will not be used in support

of the specified project for which funds

are requested.

B. General Instructions

Cross-referencing should be used

rather than repetition. ACYF is

particularly interested in specific factual

information and statements of

measurable goals in quantitative terms.

Project descriptions are evaluated on the

basis of substance, not length. Extensive

exhibits are not required. (Supporting

information concerning activities that

will not be directly funded by the grant

or information that does not directly

pertain to an integral part of the grant

funded activity should be placed in an

appendix.) Pages should be numbered

and a table of contents should be

included for easy reference.

The Head Start Bureau is also

requesting that applicants provide a

summary of the project description

which includes:

• The name and address of the

applicant agency.

• The category of application

(Category 1 or 2).

• The total number of children to be

served when the program is fully

operational. For applicants applying

under Category 2, include the number of

infant and toddlers and the number of

preschoolers proposed to be served.

Also include the number of children of

migrant farmworkers and the number of

children, if any, of seasonal

farmworkers.

• The total ongoing ACYF funds

requested for a 12 month period when

the project is fully operational. (Do not

include one-time start-up funds here.)

• The amount of any proposed onetime start-up funding requested from

ACYF.

• The amount and source of any

additional funding that will help

support the project (i.e., funds that are

in addition to Federal Head Start funds

and beyond the amounts required to

meet non-federal-share requirements).

The community(ies) to be served

(name of town(s), city (ies) and

county(ies), or the Federally recognized

Indian Reservation where children will

be served.

• The type of program option(s)

proposed (part-day, full-day, homebased, combination program option or

locally-designed options such as family

child care) and proposed hours per day

and days per year that children will be

served in each option.

• The target date for beginning full

services to new children.

C. Objectives and Need for Assistance

Clearly identify the physical,

economic, social, financial,

institutional, and/or other problem(s)

requiring a solution. The need for

assistance must be demonstrated and

the principal and subordinate objectives

of the project must be clearly stated;

supporting documentation, such as

letters of support and testimonials from

concerned interests other than the

applicant, may be included. Any

relevant data based on planning studies

should be included or referred to.

Incorporate demographic data and

participant/beneficiary information, as

needed.

The Head Start Bureau is particularly

interested in the following:

1. A description of the need for Head

Start services within the agency’s

service area. Provide an analysis of

changes in family needs, including the

implications of welfare reform and

employment patterns on family needs

for child care and other support

services. Include data on eligible,

unserved children and families. Identify

any special populations of low-income

children and families that have been

unserved or underserved by Head Start

in the past.

2. A description of the services,

resources, and capacities of other local

child care and early childhood programs

and providers serving low-income

families and how the proposed strategy

for expansion of Head Start will

complement and enhance the

effectiveness of these other community

agencies.

3. Evidence of the involvement of

community agencies that serve lowincome families, such as child care,

early childhood education, health,

welfare and other programs, in the

assessment of community and family

needs and the development of proposed

priorities and strategies.

4. A description of the children and

families to be served, the type of

program option that will be operated

and the geographic area in which

program services will be expanded.

Explain: (i) The rationale for the

decisions made and how they are

supported by the applicant’s community

assessment and consultations; (ii) how

the proposed expansion will meet the

needs of families for full-day, full-year

services and (iii) how the proposal will

help assure that all families within the

service area, regardless of their cultural,

linguistic or ethnic backgrounds, have

31560 Federal Register / Vol. 65, No. 97 / Thursday, May 18, 2000 / Notices

an improved opportunity to be

considered for Head Start enrollment.

Describe any special efforts to reach

previously unserved or underserved

populations of low-income families.

D. Results or Benefits Expected

Identify the results and benefits to be

derived.

The Head Start Bureau is particularly

interested in the following:

1. Based on the stated program

objectives, identify the specific results

or benefits that could be expected for

children and families participating in

the program. Identify the specific

community-wide results or benefits

including those resulting from

collaborative partnership with other

child and family development staff

working in a variety of community

agencies.

2. Identify both qualitative and

quantitative data the program will

collect to measure progress towards the

stated results or benefits. Identify how

the program will determine the extent to

which it has achieved its stated

objectives.

E. Approach

Outline a plan of action that describes

the scope and detail of how the

proposed work will be accomplished.

Account for all functions or activities

identified in the application. Cite factors

that might accelerate or decelerate the

work and state your reason for taking

the proposed approach rather than

others. Describe any unusual features of

the project such as design or

technological innovations, reductions in

cost or time, or extraordinary social and

community involvement.

The Head Start Bureau is particularly

interested in the following:

1. A description of how children and

families will be recruited and selected

for the program. Describe procedures to

ensure that services will be provided to

individuals who have the most serious

need for Head Start services, including

children with disabilities and unserved

and underserved populations.

2. A description of strategies for

delivering high quality services to

children and family members, as

defined by the Head Start Performance

Standards, including the involvement of

parents and other community members

and organizations in the program

strategy. Include, as appropriate, a

discussion of all proposed collaborative

relationships with other local

organizations and the nature of the

proposed collaboration(s). If applicable,

describe any proposed modifications or

improvements in current program

practices, such as adaptations to

encourage parent involvement by lowincome working families.

3. A staffing pattern that will enable

services to be provided in accordance

with the Head Start Program

Performance Standards in all

component areas. Identify all proposed

staff or staff positions, their proposed

salary rates and the length of time they

will be employed each year. Discuss

how proposed compensation levels will

attract and retain well-qualified and

effective staff members.

4. A description of plans for staff

training and development of newlyhired staff members and a discussion of

how proposed staff will be supported by

the grantee’s organizational structure.

5. A discussion of start-up plans and

a timetable to implement the increased

enrollment in a carefully planned but

timely and efficient manner. Describe

how the program will obtain or upgrade

classroom space and other facilities to

required licensing standards, recruit and

train new staff or community-based

providers, arrange for adequate

transportation, and recruit, select and

enroll eligible children and families.

F. Organizational Capacity and

Experience

Provide information on the applicant

organization and cooperating partners.

The Head Start Bureau is particularly

interested in the following:

1. Evidence of the applicant’s

experience and ability to administer a

Head Start program, to successfully

meet the Head Start Program

Performance Standards and to manage

the proposed expansion strategy.

Include a discussion of any proposed

changes and improvements in program

management and governance.

2. From applicants who are

establishing partnerships with other

child care and early childhood agencies,

providers or funding sources:

Letters of commitment from the child

care and early childhood agencies and

providers, including documentation of

the additional resources that will be

combined with the requested Head Start

funds to create a high quality, full-day,

full-year program. Explain and itemize

these resources or services, and whether

or not these costs are included as part

of the non-Federal share.

A description of plans for managing,

monitoring, and assisting the efforts of

proposed new delegate agencies and

other forms of collaborative

arrangements to assure that the Head

Start Program Performance Standards

are met.

A description of the experience of the

applicant and the proposed partnering

agencies in collaborating to deliver high

quality early childhood program

services and in managing multiple

sources of funding.

A description of how the applicant

will track, manage and account for

multiple funding streams, allocate costs

to different funding sources, and make

adjustments in the event of fluctuations

in the availability of other funding

sources.

G. Cost Effectiveness and Budget

Appropriateness

Provide a narrative budget

justification that describes how the

proposed costs are derived. Discuss the

necessity, reasonableness and

allocability of the proposed costs.

The Head Start Bureau is particularly

interested in the following:

1. A description of two budgets, one

for ongoing operating costs for a 12-

month period, the other for one-time

start-up costs such as the renovation of

facilities, purchases of equipment and

initial training of new staff members.

Identification in the budget of the

required non-Federal share of the cost of

the project. Include a discussion of

strategies for obtaining the required

non-Federal share, as described in

Section I.E. of this announcement.

2. A description of how the proposed

budget is reasonable, appropriate and

cost-effective in view of the proposed

services, strategies and anticipated

outcomes.

3. A description of the extent to

which the proposal includes significant

other resources to complement the

requested Head Start expansion funds.

Part III. Evaluation Criteria

Applications will be reviewed and

evaluated on the following criteria:

1. Objectives and Need for Assistance

(20 Points)

• The extent to which the application

provides current data on the needs of

young children, families, and

communities for expanded Head Start

services, including analyses of changes

in poverty and family mobility,

employment opportunities and welfare

reform, and any special unserved or

underserved populations or groups.

• The extent to which the application

provides convincing evidence of the

involvement and support of other

organizations serving low-income

families in assessing family and

community needs and resources,

developing proposed plans and

strategies, and in active partnerships to

implement the proposed expansion.

Information provided in response to

Section II.C. of this announcement will

Federal Register / Vol. 65, No. 97 / Thursday, May 18, 2000 / Notices 31561

be used to evaluate applicants on the

above criterion.

2. Results or Benefits Expected (10

Points)

• The extent to which the applicant

identifies the results and benefits to be

derived from the project and links these

to the stated objectives.

• The extent to which the applicant

describes the kinds of data to be

collected and how they will be utilized

to measure progress towards the stated

results or benefits.

Information provided in response to

Section II.D. of this announcement will

be used to evaluate applicants on this

criterion.

3. Approach (25 Points)

• The extent to which the application

includes a detailed, well-organized, and

credible plan of action to carry out the

proposed expansion of Head Start

services, including plans for recruitment

and selection of children, arrangements

for transportation and facilities and

plans for start-up of the new services.

• The extent to which the application

includes clear plans and a demonstrated

commitment to implement the Head

Start Program Performance Standards,

including involvement of parents and

families in program design and decision

making.

• The extent to which the application

proposes, where possible, to collaborate

with other community providers to

deliver a high quality, cost-effective

Head Start program.

• The extent to which the application

provides sound, cost-effective staffing,

organizational and management

strategies, including staff training and

development to ensure that the

expansion provides high quality and

responsive services.

• The extent to which the application

demonstrates a sound strategy for

facilitating the transition of Head Start

children from the Head Start program to

the local school system by coordinating

with the local education agency and the

local schools who will be enrolling

Head Start children.

Information provided in response to

Section II.E. will be used to evaluate

applicants on the above criterion.

4. Organizational Capacity &

Experience (20 Points)

The extent of the demonstrated

capacity of the applicant organization,

key leaders and managers and, where

appropriate, proposed partnering

organizations in:

• Providing high quality, responsive

services to young children and families,

including evidence of the capability to

meet the Head Start Program

Performance Standards;

• Managing expansion of program

services in an effective and timely

manner; and

• Managing successful partnerships

to serve young children and their

families that involve sharing resources,

staffing and facilities.

Information provided in response to

Section II.F. will be used to evaluate

applicants on the above criterion.

5. Cost Effectiveness and Budget

Appropriateness (25 Points)

• The extent to which the proposed

budget is reasonable, appropriate and

cost effective in view of the proposed

services, strategies and anticipated

outcomes.

• The extent to which the applicant

has mobilized significant additional

resources to complement Head Start

expansion funds.

Information provided in response to

Section II.G. and the applicant’s

proposed budget will be used to

evaluate applicants on the above

criterion.

IV. The Application Process

A. Availability of Forms

Eligible agencies interested in

applying for funds must submit the

required forms included at the end of

this announcement in Appendix A.

In order to be considered, an

application must be submitted on

Standard Form 424. Each application

must be signed by an individual

authorized to act for the applicant

agency and to assume responsibility for

the obligations imposed by the terms

and conditions of the grant award. As

required by the Head Start Program

Performance Standards, any current

Head Start grantee’s Head Start Policy

Council must approve the application.

Applications must be prepared in

accordance with the guidance provided

in this announcement.

B. Application Submission

One signed original and two copies of

the grant application, including all

attachments, are required. Completed

applications must be sent to: Head Start

Expansion Unserved Competition,

ACYF Operations Center, 1815 North

Fort Myer Drive—Suite 300, Arlington,

VA 22209.

In order to make the review of

proposals easier, applicants should

include in their proposals a Table of

Contents and page numbers. Although

there is no specific limit on the number

of pages that applications may contain,

applicants are encouraged to be as

concise as possible.

C. Application Consideration

Applications will be reviewed against

the evaluation criteria outlined above.

The review will be conducted in the

Washington, DC area by persons

knowledgeable about the Head Start

program and early childhood care,

education and development, and may

include staff of Head Start programs,

parents of Head Start children, Federal

staff from the ACF Regional Offices and

the Head Start and Child Care Bureaus,

and other experts, such as university

faculty members and the staff of child

care and pre-kindergarten programs and

agencies.

The results of the competitive reviews

will be taken into consideration by the

Associate Commissioner of the Head

Start Bureau who, in consultation with

the Indian and Migrant Programs

Branches, will recommend projects to

be funded. The Commissioner of ACYF

will make the final selection of the

applications to be funded.

The Commissioner may elect not to

fund applicants that have program,

management, fiscal or other problems

and situations that make it unlikely that

they would be able to provide effective

Head Start services. Also, the

Commissioner may decide not to fund

projects that would require

unreasonably large initial start-up costs

for facilities or equipment or which

require unreasonably large on-going

funding levels relative to the number of

children and families proposed to be

served.

Applicants which do not meet the

requirement found in Section 641 of the

Head Start Act of being a local agency,

within the community(ies) it is

proposing to serve, will not be selected

for funding.

Successful applicants will be notified

through a Financial Assistance Award

which sets forth the amount of funds

awarded, the terms and conditions of

the grant supplement, and other

relevant information.

D. Amount of Funds Awarded to

Successful Applicants

In deciding the amount of funds to

apply for, applicants should be guided

by the need for services in their

community, the amount needed to

effectively and efficiently carry out the

program of services proposed, the

amount needed to provide high quality

comprehensive services, and the

availability of funds in the competitive

area. There are no predetermined costper-child guidelines or limits to which

applicants must conform.

After applications are selected for

funding, the Commissioner will

31562 Federal Register / Vol. 65, No. 97 / Thursday, May 18, 2000 / Notices

determine if they will be funded for all

or only part of the number of children

proposed. In determining the amount of

funds a selected applicant will receive,

the Commissioner will consider:

• The application’s competitive

review ranking;

• The relative need for services in a

proposed service area compared to other

communities in the competitive area;

• The proposed costs in Federal Head

Start funds and;

• The amount of funds available in

the competitive area.

For example, an applicant which is

able to expand Head Start services at a

relatively lower cost in Federal Head

Start funds because it shares costs with

a child care agency will likely be

awarded funds to serve a larger portion

of the children it proposed serving than

another applicant. Through the

determination of funding levels, we

hope to achieve a distribution of funds

that is equitable and which allows as

many children and communities as is

possible to receive the benefits of a high

quality Head Start program.

E. Closing Date for Receipt of

Applications

Deadline: The closing date for the

receipt of applications is July 21, 2000.

Applications shall be considered as

meeting this deadline if they are either:

1. Received on or before the deadline

date at the address specified in the

program announcement, or

2. Sent on or before the deadline date

and received by ACYF in time for the

independent review. (Applicants are

cautioned to request a legibly dated U.S.

Postal Service postmark or to obtain a

legibly dated receipt from a commercial

carrier or U.S. Postal Service. Private

metered postmarks are not acceptable as

proof of timely mailing.)

Applications hand carried by

applicants, applicant couriers, or by

overnight/express mail couriers shall be

considered as meeting an announced

deadline if they are received on or

before the deadline date, between the

hours of 8 a.m. and 4:30 p.m. at the

ACYF Operations Center, 1815 North

Fort Myer Drive, Suite 300, Arlington,

VA. 22209, between Monday and Friday

(excluding Federal Holidays).

(Applicants are cautioned that express/

overnight mail services may not always

deliver as agreed.)

ACYF cannot accommodate the

transmission of applications by FAX or

through other electronic media.

Therefore, applications transmitted to

ACYF electronically will not be

accepted regardless of the date or time

of submission and time of receipt.

Late Applications: Applications that

do not meet the criteria stated above are

considered late applications. ACYF will

notify each late applicant that its

application will not be considered.

Extension of deadlines. ACF may

extend the deadline for all applicants

because of acts of God such as floods,

hurricanes, etc., or when there is a

disruption of the mails. However, if the

granting agency does not extend the

deadline for all applicants, it may not

waive or extend the deadline for any

applicants.

F. Paperwork Reduction Act of 1995

Under the Paperwork Reduction Act

of 1995, (Pub.L. 104–13), the

Department is required to submit to the

Office of Management and Budget

(OMB) for review and approval any

reporting and record keeping

requirements or program

announcements. This Program

Instruction meets all information

collection requirements approved for

ACF grant applications under OMB

Control Number 0970–0139.

G. Executive Order 12372—Notification

Process

This program is covered under

Executive Order (E.O.) 12372,

‘‘Intergovernmental Review of Federal

Programs,’’ and 45 CFR part 100,

‘‘Intergovernmental Review of

Department of Health and Human

Services Programs and Activities.’’

Under the Order, States may design

their own processes for reviewing and

commenting on proposed Federal

assistance under covered programs. All

States and territories except Alabama,

Alaska, Colorado, Connecticut, Hawaii,

Idaho, Kansas, Louisiana,

Massachusetts, Minnesota, Montana,

Nebraska, New Jersey, New York, Ohio,

Oklahoma, Oregon, Pennsylvania, South

Dakota, Tennessee, Vermont, Virginia,

Washington, American Samoa, and

Palau have elected to participate in the

Executive Order process and have

established Single Points of Contact

(SPOCs). Applications from federallyrecognized Indian Tribes are exempt

from E.O. 12372.

Applicants from these thirteen

jurisdictions and from federally

recognized Indian tribes need take no

action regarding E.O. 12372. All other

applicants should contact their SPOC as

soon as possible to alert them to the

prospective application and to receive

any necessary instructions. Applicants

must submit material to the SPOC as

soon as possible so that the program

office can obtain and review SPOC

comments as part of the award process.

It is imperative that the applicant

submit all required materials, if any, to

the SPOC and indicate the date of this

submittal (or the date of contact if no

submittal is required) on the SF 424,

item 16a.

Under 45 CFR 100.8(a)(2), SPOCs

have 60 days from the application

deadline date to comment on

applications submitted under this

announcement. Therefore, the comment

period for State processes will end on

September 22, 2000. SPOCs are

encouraged to eliminate the submission

of routine endorsements as official

recommendations. Additionally, SPOCs

are requested to clearly differentiate

between mere advisory comments and

those official State process

recommendations which they intend to

trigger the ‘‘accommodate or explain’’

rule.

Comments submitted directly to ACF

should be addressed to: Head Start

Bureau, Grants Officer, Room 2210, 330

C Street, SW, Washington, DC 20201.

ACF will notify the State of any

application received which has no

indication that the State process has had

an opportunity for review.

A list of Single Points of Contact for

each State and territory is included at

Appendix B.

(Catalog of Federal Domestic Assistance

Program Number 93.600, Project Head Start)

Dated: May 11, 2000.

James Harrell,

Deputy Commissioner, Administration on

Children, Youth and Families.

BILLING CODE 4184–01–P

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Appendix A—Application Forms

BILLING CODE 4184–01–C

31564 Federal Register / Vol. 65, No. 97 / Thursday, May 18, 2000 / Notices

Instructions for the SF–424

Public reporting burden for this collection

of information is estimated to average 45

minutes per response, including time for

reviewing instructions, searching existing

data sources, gathering and maintaining the

data needed, and completing and reviewing

the collection of information. Send

comments regarding the burden estimate or

any other aspect of this collection of

information, including suggestions for

reducing this burden, to the Office of

Management and Budget, Paperwork

Reduction Project (0348–0043), Washington,

DC 20503.

Please do not return your completed form

to the Office of Management and Budget.

Send it to the address provided by the

sponsoring agency.

This is a standard form used by applicants

as a required facesheet for preapplications

and applications submitted for Federal

assistance. It will be used by Federal agencies

to obtain applicant certification that States

which have established a review and

comment procedure in response to Executive

Order 12372 and have selected the program

to be included in their process, have been

given an opportunity to review the

applicant’s submission.

Item and Entry

1. Self-explanatory.

2. Date application submitted to Federal

agency (or State if applicable) an applicant’s

control number (if applicable).

3. State use only (if applicable).

4. If this application is to continue or

revise an existing award, enter present

Federal identifier number. If for a new

project, leave blank.

5. Legal name of applicant, name of

primary organizational unit which will

undertake the assistance activity, complete

address of the applicant, and name and

telephone number of the person to contact on

matters related to this application.

6. Enter Employer Identification Number

(EIN) as assigned by the Internal Revenue

Service.

7. Enter the appropriate letter in the space

provided.

8. Check appropriate box and enter

appropriate letter(s) in the space(s) provided:

—‘‘New’’ means a new assistance award.

—‘‘Continuation’’ means an extension for

an additional funding/budget period for a

project with a projected completion date.

—‘‘Revision’’ means any change in the

Federal Government’s financial obligation or

contingent liability from an existing

obligation.

9. Name of Federal agency from which

assistance is being requested with this

application.

10. Use the Catalog of Federal Domestic

Assistance number and title of the program

under which assistance is requested.

11. Enter a brief descriptive title of the

project. If more than one program is

involved, you should append an explanation

on a separate sheet. If appropriate (e.g.,

construction or real property projects), attach

a map showing project location. For

preapplications, use a separate sheet to

provide a summary description of this

project.

12. List only the largest political entities

affected (e.g., State, counties, cities).

13. Self-explanatory.

14. List the applicant’s Congressional

District and any District(s) affected by the

program or project.

15. Amount requested or to be contributed

during the first funding/budget period by

each contributor. Value of inkind

contributions should be included on

appropriate lines as applicable. If the action

will result in a dollar change to an existing

award, indicate only the amount of the

change. For decreases, enclose the amounts

in parentheses. If both basic and

supplemental amounts are included, show

breakdown on an attached sheet. For

multiple program funding, use totals and

show breakdown using same categories as

item 15.

16. Applicants should contact the State

Single Point of Contact (SPOC) for Federal

Executive Order 12372 to determine whether

the application is subject to the State

intergovernmental review process.

17. This question applies to the applicant

organization, not the person who signs as the

authorized representative. Categories of debt

include delinquent audit disallowances,

loans and taxes.

18. To be signed by the authorized

representative of the applicant. A copy of the

governing body’s authorization for you to

sign this application as official representative

must be on file in the applicant’s office

(Certain Federal agencies may require that

this authorization be submitted as part of the

application.)

BILLING CODE 4184–01–P

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31566 Federal Register / Vol. 65, No. 97 / Thursday, May 18, 2000 / Notices

BILLING CODE 4184–01–C

Federal Register / Vol. 65, No. 97 / Thursday, May 18, 2000 / Notices 31567

Instructions for the SF–424A

Public reporting burden for this collection

of information is estimated to average 180

minutes per response, including time for

reviewing instructions, searching existing

data sources, gathering and maintaining the

data needed, and completing and reviewing

the collection of information. Send

comments regarding the burden estimate or

any other aspect of this collection of

information, including suggestions for

reducing this burden, to the Office of

Management and Budget, Paperwork

Reduction Project (0348–0044), 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.

General Instructions

This form is designed so that application

can be made for funds from one or more grant

programs. In preparing the budget, adhere to

any existing Federal grantor agency

guidelines which prescribe how and whether

budgeted amounts should be separately

shown for different functions or activities

within the program. For some programs,

grantor agencies may require budgets to be

separately shown by function or activity. For

other programs, grantor agencies may require

a breakdown by function or activity. Sections

A, B, C, and D should include budget

estimates for the whole project except when

applying for assistance which requires

Federal authorization in annual or other

funding period increments. In the latter case,

Sections A, B, C, and D should provide the

budget for the first budget period (usually a

year) and Section E should present the need

for Federal assistance in the subsequent

budget periods. All applications should

contain a breakdown by the object class

categories shown in Lines a–k of Section B.

Section A. Budget Summary Lines 1–4

Columns (a) and (b)

For applications pertaining to a single

Federal grant program (Federal Domestic

Assistance Catalog number) and not requiring

a functional or activity breakdown, enter on

Line 1 under Column (a) the Catalog program

title and the Catalog number in Column (b).

For applications pertaining to a single

program requiring budget amounts by

multiple functions or activities, enter the

name of each activity or function on each

line in Column (a), and enter the Catalog

number in Column (b). For applications

pertaining to multiple programs where none

of the programs require a breakdown by

function or activity, enter the Catalog

program title on each line in Column (a) and

the respective Catalog number on each line

in Column (b).

For applications pertaining to multiple

programs where one or more programs

require a breakdown by function or activity,

prepare a separate sheet for each program

requiring the breakdown. Additional sheets

should be used when one form does not

provide adequate space for all breakdown of

data required. However, when more than one

sheet is used, the first page should provide

the summary totals by programs.

Lines 1–4, Columns (c) Through (g)

For new applications, leave Column (c)

and (d) blank. For each line entry in Columns

(a) and (b), enter in Columns (e), (f), and (g)

the appropriate amounts of funds needed to

support the project for the first funding

period (usually a year).

For continuing grant program applications,

submit these forms before the end of each

funding period as required by the grantor

agency. Enter in Columns (c) and (d) the

estimated amounts of funds which will

remain unobligated at the end of the grant

funding period only if the Federal grantor

agency instructions provide for this.

Otherwise, leave these columns blank. Enter

in columns (e) and (f) the amounts of funds

needed for the upcoming period. The

amount(s) in Column (g) should be the sum

of amounts in Columns (e) and (f).

For supplemental grants and changes to

existing grants, do not use Columns (c) and

(d). Enter in Column (e) the amount of the

increase or decrease of Federal funds and

enter in Column (f) the amount of the

increase or decrease of non-Federal funds. In

Column (g) enter the new total budgeted

amount (Federal and non-Federal) which

includes the total previous authorized

budgeted amounts plus or minus, as

appropriate, the amounts shown in Columns

(e) and (f). The amount(s) in Column (g)

should not equal the sum of amounts in

Columns (e) and (f).

Line 5—Show the totals for all columns

used.

Section B. Budget Categories

In the columns headings (1) through (4),

enter the titles of the same programs,

functions, and activities shown on Lines 1–

4, Column (a), Section A. When additional

sheets are prepared for Section A, provide

similar column headings on each sheet. For

each program, function or activity, fill in the

total requirements for funds (both Federal

and non-Federal) by object class categories.

Line 6a–i—Show the totals of Lines 6a to

6h in each column.

Line 6j—Show the amount of indirect cost.

Line 6k—Enter the total of amounts on

Lines 6i and 6j. For all applications for new

grants and continuation grants the total

amount in column (5), Line 6k, should be the

same as the total amount shown in Section

A, Column (g), Line 5. For supplemental

grants and changes to grants, the total

amount of the increase or decrease as shown

in Columns (1)–(4), Line 6k should be the

same as the sum of the amounts in Section

A, Columns (e) and (f) on Line 5.

Line 7—Enter the estimated amount of

income, if any, expected to be generated from

this project. Do not add or subtract this

amount from the total project amount. Show

under the program narrative statement the

nature and source of income. The estimated

amount of program income may be

considered by the Federal grantor agency in

determining the total amount of the grant.

Section C. Non-Federal Resources

Lines 8–11—Enter amounts of non-Federal

resources that will be used on the grant. If

in-kind contributions are included, provide a

brief explanation on a separate sheet.

Column (a)—Enter the program titles

identical to Column (a), Section A. A

breakdown by function or activity is not

necessary.

Column (b)—Enter the contribution to be

made by the applicant.

Column (c)—Enter the amount of the

State’s cash and in-kind contribution if the

applicant is not a State or State agency.

Applicants which are a State or State

agencies should leave this column blank.

Column (d)—Enter the amount of cash and

in-kind contributions to be made from all

other sources.

Column (e)—Enter the totals of Columns

(b), (c), and (d).

Line 12—Enter the total for each of

Columns (b)–(e). The amount in Column (e)

should be equal to the amount on Line 5,

Column (f), Section A.

Section D. Forecasted Cash Needs

Line 13—Enter the amount of cash needed

by quarter from the grantor agency during the

first year.

Line 14—Enter the amount of cash from all

other sources needed by quarter during the

first year.

Line 15—Enter the totals of amounts on

Lines 13 and 14.

Section E. Budget Estimates of Federal Funds

Needed for Balance of the Project

Line 16–19—Enter in Column (a) the same

grant program titles shown in Column (a),

Section A. A breakdown by function or

activity is not necessary. For new

applications and continuation grant

applications, enter in the proper columns

amounts of Federal funds which will be

needed to complete the program or project

over the succeeding funding periods (usually

in years). This section need not be completed

for revisions (amendments, changes, or

supplements) to funds for the current year of

existing grants.

If more than four lines are needed to list

the program titles, submit additional

schedules as necessary.

Line 20—Enter the total for each of the

Columns (b)–(e). When additional schedules

are prepared for this Section, annotate

accordingly and show the overall totals on

this line.

Section F. Other Budget Information

Line 21—Use this space to explain

amounts for individual direct object class

cost categories that may appear to be out of

the ordinary or to explain the details as

required by the Federal grantor agency.

Line 22—Enter the type of indirect rate

(provisional, predetermined, final or fixed)

that will be in effect during the funding

period, the estimated amount of the base to

which the rate is applied, and the total

indirect expense.

Line 23—Provide any other explanations or

comments deemed necessary.

Assurances—Non-Construction Programs

Public reporting burden for this collection

of information is estimated to average 15

minutes per response, including time for

reviewing instructions, searching existing

31568 Federal Register / Vol. 65, No. 97 / Thursday, May 18, 2000 / Notices

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 nonFederal 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 CFR

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 alcohl 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 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 Polices 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

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 Safely Standards

Act (40 U.S.C. §§ 327–333) 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 (Clean Air)

Implementation Plans under Section 176(c)

of the Clean 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. §§ 1271 et seq.),

related to protecting components or potential

components of the national wild and scenic

rivers system.

13. Will assist the awarding agency in

assuring compliance with Section 106 of the

National Historic Preservation Act of 1966, as

amended (16 U.S.C. § 470), EO 11593

(identification and protection of historic

properties), and the Archaeological and

Historic Preservation Act of 1974 (16 U.S.C.

§§ 469a–1 et seq.).

14. Will comply with P.L. 93–348

regarding the protection of human subjects

involved in research, development, and

related activities supported by this award of

assistance.

15. Will comply with the Laboratory

Animal Welfare Act of 1966 (P.L. 89–544, as

amended, 7 U.S.C. §§ 2131 et seq.) pertaining

to the care, handling, and treatment of warm

blooded animals held for research, teaching,

or other activities supported by this award of

assistance.

16. Will comply with the Lead-Based Paint

Poisoning Prevention Act (42 U.S.C. §§ 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 the program.

lllllllllllllllllllll

Signature of Authorization Certifying Official

lllllllllllllllllllll

Title

lllllllllllllllllllll

Applicant Organization

lllllllllllllllllllll

Date Submitted

Administration for Children, Youth, and

Families, U.S. Department of Health and

Human Services

CERTIFICATION REGARDING DRUG-FREE

WORKPLACE REQUIREMENTS

This certification is required by the

regulations implementing the Drug-Free

Workplace Act of 1988: 45 CFR Part 76,

Subpart F. Sections 76.630(c) and (d)(2) and

76.645(a)(1) and (b) provide that a Federal

agency may designate a central receipt point

for STATE-WIDE AND STATE AGENCYWIDE certifications, and for notification of

criminal drug convictions. For the

Department of Health and Human Services,

the central point is: Division of Grants

Management and Oversight, Office of

Management and Acquisition, Department of

Health and Human Services, Room 517–D,

200 Independence Avenue, SW, Washington,

DC 20201.

Certification Regarding Drug-Free Workplace

Requirements (Instructions for Certification)

1. By signing and/or submitting this

application or grant agreement, the grantee is

providing the certification set out below.

Federal Register / Vol. 65, No. 97 / Thursday, May 18, 2000 / Notices 31569

2. The certification set out below is a

material representation of fact upon which

reliance is placed when the agency awards

the grant. If it is later determined that the

grantee knowingly rendered a false

certification, or otherwise violates the

requirements of the Drug-Free Workplace

Act, the agency, in addition to any other

remedies available to the Federal

Government, may take action authorized

under the Drug-Free Workplace Act.

3. For grantees other than individuals.

Alternate I applies.

4. For grantees who are individuals.

Alternate II applies.

5. Workplaces under grants, for grantees

other than individuals, need not be identified

on the certification. If known, they may be

identified in the grant application. If the

grantee does not identify the workplaces at

the time of application, or upon award, if

there is no application, the grantee must keep

the identity of the workplace(s) on file in its

office and make the information available for

Federal inspection. Failure to identify all

known workplaces constitutes a violation of

the grantee’s drug-free workplace

requirements.

6. Workplace identifications must include

the actual address of buildings (or parts of

buildings) or other sites where work under

the grant takes place. Categorical descriptions

may be used (e.g., all vehicles of a mass

transit authority or State highway department

while in operation. State employees in each

local unemployment office, performers in

concert halls or radio studios).

7. If the workplace identified to the agency

changes during the performance of the grant,

the grantee shall inform the agency of the

change(s), if it previously identified the

workplaces in question (see paragraph five).

8. Definitions of terms in the

Nonprocurement Suspension and Debarment

common rule and Drug-Free Workplace

common rule apply to this certification.

Grantees’ attention is called, in particular, to

the following definitions from these rules:

Controlled substance means a controlled

substance in Schedules I through V of the

Controlled Substances Act (21 U.S.C. 812)

and as further defined by regulation (21 CFR

1308.11 through 1308.15);

Conviction means a finding of guilt

(including a plea of nolo contendere) or

imposition of sentence, or both, by any

judicial body charged with the responsibility

to determine violations of the Federal or

State criminal drug statutes;

Criminal drug statute means a Federal or

non-Federal criminal statute involving the

manufacture, distribution, dispensing, use, or

possession of any controlled substance;

Employee means the employee of a grantee

directly engaged in the performance of work

under a grant including: (i) All direct charge

employees; (ii) All indirect charge employees

unless their impact or involvement is

insignificant to the performance of the grant;

and, (iii) Temporary personnel and

consultants who are directly engaged in the

performance of work under the grant and

who are on the grantee’s payroll. This

definition does not include workers not on

the payroll of the grantee (e.g., volunteers,

even if used to meet a matching requirement,

consultants or independent contractors not

on the grantee’s payroll; or employees of

subrecipients or subcontractors in covered

workplaces).

Certification Regarding Drug-Free

Workplace Requirements

Alternate 1. (Grantees Other Than

Individuals)

The grantee certifies that it will or will

continue to provide a drug-free workplace by:

(a) Publishing a statement notifying

employees that the unlawful manufacture,

distribution, dispensing, possession, or use of

a controlled substance is prohibited in the

grantee’s workplace and specifying the

actions that will be taken against employees

for violation of such prohibition;

(b) Establishing an ongoing drug-free

awareness program to inform employees

about—(1) The dangers of drug abuse in the

workplace; (2) the grantee’s policy of

maintaining a drug-free workplace; (3) any

available drug counseling, rehabilitation, and

employee assistance programs; and (4) the

penalties that may be imposed upon

employees for drug abuse violations

occurring in the workplace;

(c) Making it a requirement that each

employee to be engaged in the performance

of the grant be given a copy of the statement

required by paragraph (a);

(d) Notifying the employee in the statement

required by paragraph (a) that, as a condition

of employment under the grant, the employee

will—(1) Abide by the terms of the statement;

and (2) Notify the employer in writing of his

or her conviction for a violation of a criminal

drug statute occurring in the workplace no

later than five calendar days after such

conviction;

(e) Notifying the agency in writing, within

ten calendar days after receiving notice under

paragraph (d)(2) from an employee or

otherwise receiving actual notice of such

conviction. Employers of convicted

employees must provide notice, including

position title, to every grant officer or other

designee on whose grant activity the

convicted employee was working, unless the

Federal agency has designated a central point

for the receipt of such notices. Notice shall

include the identification number(s) of each

affected grant;

(f) Taking one of the following actions,

within 30 calendar days of receiving notice

under paragraph (d)(2), with respect to any

employee who is so convicted—(1) Taking

appropriate personnel action against such an

employee, up to and including termination,

consistent with the requirements of the

Rehabilitation Act of 1973, as amended; or

(2) requiring such employee to participate

satisfactorily in a drug abuse assistance or

rehabilitation program approved for such

purposes by a Federal, State, or local health,

law enforcement, or other appropriate

agency;

(g) Making a good faith effort to continue

to maintain a drug-free workplace through

implementation of paragraphs (a), (b), (c), (d),

(e), and (f).

(B) The grantee may insert in the space

provided below the sites(s) for the

performance of work done in connection

with the specific grant:

Place of Performance (Street address, city,

county, state, zip code)

lllllllllllllllllllll

lllllllllllllllllllll

Check if there are workplaces on file that

are not identified here.

Alternate II. (Grantees Who Are Individuals)

(a) The grantee certifies that, as a condition

of the grant, he or she will not engage in the

unlawful manufacture, distribution,

dispensing, possession, or use of a controlled

substance in conducting any activity with the

grant.

(b) If convicted of a criminal drug offense

resulting from a violation occurring during

the conduct of any grant activity, he or she

will report the conviction, in writing, within

10 calendar days of the conviction, to every

grant officer or other designee, unless the

Federal agency, designates a central point for

the receipt of such notices. When notice is

made to such a central point, it shall include

the identification number(s) of each affected

grant.

[55 FR 21690, 21702, May 25, 1990]

Administration for Children, Youth, and

Families, U.S. Department of health and

Human Services

CERTIFICATION REGARDING

DEBARMENT, SUSPENSION, AND OTHER

RESPONSIBILITY MATTERS

Certification Regarding Debarment,

Suspension, and Other Responsibility

Matters—Primary Covered Transactions

Instructions for Certification

1. By signing and submitting this proposal,

the prospective primary participant is

providing the certification set out below.

2. The inability of a person to provide the

certification required below will not

necessarily result in denial of participation in

this covered transaction. The prospective

participant shall submit an explanation of

why it cannot provide the certification set

out below. The certification or explanation

will be considered in connection with the

department or agency’s determination

whether to enter into this transaction.

However, failure of the prospective primary

participant to furnish a certification or an

explanation shall disqualify such person

from participation in this transaction.

3. The certification in this clause is a

material representation of fact upon which

reliance was placed when the department or

agency determined to enter into this

transaction. If it is later determined that the

prospective primary participant knowingly

rendered an erroneous certification, in

addition to other remedies available to the

Federal Government, the department or

agency may terminate this transaction for

cause or default.

4. The prospective primary participant

shall provide immediate written notice to the

department or agency to which this proposal

is submitted if at any time the prospective

primary participant learns that its

certification was erroneous when submitted

or has become erroneous by reason of

changed circumstances.

5. The terms covered transaction, debarred,

suspended, ineligible, lower tier covered

31570 Federal Register / Vol. 65, No. 97 / Thursday, May 18, 2000 / Notices

transaction, participant, person, primary

covered transaction, principal, proposal, and

voluntarily excluded, as used in this clause,

have the meanings set out in the Definitions

and Coverage sections of the rules

implementing Executive Order 12549. You

may contact the department or agency to

which this proposal is being submitted for

assistance in obtaining a copy of those

regulations.

6. The prospective primary participant

agrees by submitting this proposal that,

should the proposed covered transaction be

entered into, it shall not knowingly enter into

any lower tier covered transaction with a

person who is proposed for debarment under

48 CFR part 9, subpart 9.4, debarred,

suspended, declared ineligible, or voluntarily

excluded from participation in this covered

transaction, unless authorized by the

department or agency entering into this

transaction.

7. The prospective primary participant

further agrees by submitting this proposal

that it will include the clause title

‘‘Certification Regarding Debarment,

Suspension, Ineligibility and Voluntary

Exclusion-Lower Tier Covered Transaction,’’

provided by the department or agency

entering into this covered transaction,

without modification, in all lower tier

covered transactions and in all solicitations

for lower tier covered transactions.

8. A participant in a covered transaction

may rely upon a certification of a prospective

participant in a lower tier covered

transaction that it is not proposed for

debarment under 48 CFR part 9, subpart 9.4,

debarred, suspended, ineligible, or

voluntarily excluded from the covered

transaction, unless it knows that the

certification is erroneous. A participant may

decide the method and frequency by which

it determines the eligibility of its principals.

Each participant may, but is not required to,

check the List of Parties Excluded from

Federal Procurement and Nonprocurement

Programs.

9. Nothing contained in the foregoing shall

be construed to require establishment of a

system of records in order to render in good

faith the certification required by this clause.

The knowledge and information of a

participant is not required to exceed that

which is normally possessed by a prudent

person in the ordinary course of business

dealings.

10. Except for transactions authorized

under paragraph 6 of these instructions, if a

participant in a covered transaction

knowingly enters into a lower tier covered

transaction with a person who is proposed

for debarment under 48 CFR part 9, subpart

9.4, suspended, debarred, ineligible, or

voluntarily excluded from participation in

this transaction, in addition to other

remedies available to the Federal

Government, the department or agency may

terminate this transaction for cause or

default.

* * * * *

Certification Regarding Debarment,

Suspension, and Other Responsibility

Matters—Primary Covered Transactions

(1) The prospective primary participant

certifies to the best of its knowledge and

belief, that it and its principals:

(a) Are not presently debarred, suspended,

proposed for debarment, declared ineligible,

or voluntarily excluded by any Federal

department or agency;

(b) Have not within a three-year period

preceding this proposal been convicted of or

had a civil judgment rendered against them

for commission of fraud or a criminal offense

in connection with obtaining, attempting to

obtain, or performing a public (Federal, State

or local) transaction or contract under a

public transaction; violation of Federal or

State antitrust statutes or commission of

embezzlement, theft, forgery, bribery,

falsification or destruction of records, making

false statements, or receiving stolen property;

(c) Are not presently indicted for or

otherwise criminally or civilly charged by a

governmental entity (Federal, State, or local)

with commission of any of the offenses

enumerated in paragraph (1)(b) of this

certification; and

(d) Have not within a three-year period

preceding this application/proposal had one

or more public transactions (Federal, State or

local) terminated for cause or default.

(2) Where the prospective primary

participant is unable to certify to any of the

statements in this certification, such

prospective participant shall attach an

explanation to this proposal.

Certification Regarding Debarment,

Suspension, Ineligibility and Voluntary

Exclusion—Lower Tier Covered Transactions

Instructions for Certification

1. By signing and submitting this proposal,

the prospective lower tier participant is

providing the certification set out below.

2. The certification in this clause is a

material representation of fact upon which

reliance was placed when this transaction

was entered into. If it is later determined that

the prospective lower tier participant

knowingly rendered an erroneous

certification, in addition to other remedies

available to the Federal Government the

department or agency with which this

transaction originated may pursue available

remedies, including suspension and/or

debarment.

3. The prospective lower tier participant

shall provide immediate written notice to the

person to which this proposal is submitted if

at any time the prospective lower tier

participant learns that its certification was

erroneous when submitted or had become

erroneous by reason of changed

circumstances.

4. The terms covered transaction, debarred,

suspended, ineligible, lower tier covered

transaction, participant, person, primary

covered transaction, principal, proposal, and

voluntarily excluded, as used in this clause,

have the meaning set out in the Definitions

and Coverage sections of rules implementing

Executive Order 12549. You may contact the

person to which this proposal is submitted

for assistance in obtaining a copy of those

regulations.

5. The prospective lower tier participant

agrees by submitting this proposal that,

should the proposed covered transaction be

entered into, it shall not knowingly enter into

any lower tier covered transaction with a

person who is proposed for debarment under

48 CFR part 9, subpart 9.4, debarred,

suspended, declared ineligible, or voluntarily

excluded from participation in this covered

transaction, unless authorized by the

department or agency with which this

transaction originated.

6. The prospective lower tier participant

further agrees by submitting this proposal

that it will include this clause titled

‘‘Certification Regarding Debarment,

Suspension, Ineligibility and Voluntary

Exclusion-Lower Tier Covered Transaction,’’

without modification, in all lower tier

covered transactions and in all solicitations

for lower tier covered transactions.

7. A participant in a covered transaction

may rely upon a certification of a prospective

participant in a lower tier covered

transaction that it is not proposed for

debarment under 48 CFR part 9, subpart 9.4,

debarred, suspended, ineligible, or

voluntarily excluded from covered

transactions, unless it knows that the

certification is erroneous. A participant may

decide the method and frequency by which

it determines the eligibility of its principals.

Each participant may, but is not required to,

check the List of Parties Excluded from

Federal Procurement and Nonprocurement

Programs.

8. Nothing contained in the foregoing shall

be construed to require establishment of a

system of records in order to render in good

faith the certification required by this clause.

The knowledge and information of a

participant is not required to exceed that

which is normally possessed by a prudent

person in the ordinary course of business

dealings.

9. Except for transactions authorized under

paragraph 5 of these instructions, if a

participant in a covered transaction

knowingly enters into a lower tier covered

transaction with a person who is proposed

for debarment under 48 CFR part 9, subpart

9.4, suspended, debarred, ineligible, or

voluntarily excluded from participation in

this transaction, in addition to other

remedies available to the Federal

Government, the department or agency with

which this transaction originated may pursue

available remedies, including suspension

and/or debarment.

* * * * *

Certification Regarding Debarment,

Suspension, Ineligibility and Voluntary

Exclusion—Lower Tier Covered Transactions

(1) The prospective lower tier participant

certifies, by submission of this proposal, that

neither it nor its principals is presently

debarred, suspended, proposed for

debarment, declared ineligible, or voluntarily

excluded from participation in this

transaction by any Federal department or

agency.

(2) Where the prospective lower tier

participant is unable to certify to any of the

statements in this certification, such

prospective participant shall attach an

explanation to this proposal.

Federal Register / Vol. 65, No. 97 / Thursday, May 18, 2000 / Notices 31571

Administration for Children, Youth, and

Families, U.S. Department of Health and

Human Services

CERTIFICATION REGARDING LOBBYING

Certification for Contracts, Grants, Loans, and

Cooperative Agreements

The undersigned certifies, to the best of his

or her knowledge and belief, that:

(1) No Federal appropriated funds have

been paid or will be paid, by or on behalf of

the undersigned, to any person for

influencing or attempting to influence an

officer or employee of an agency, a Member

of Congress, an officer or employee of

Congress, or an employee of a Member of

Congress in connection with the awarding of

any Federal contract, the making of any

Federal grant, the making of any Federal

loan, the entering into of any cooperative

agreement, and the extension, continuation,

renewal, amendment, or modification of any

Federal contract, grant, loan, or cooperative

agreement.

(2) If any funds other than Federal

appropriated funds have been paid or will be

paid to any person for influencing or

attempting to influence an officer or

employee of any agency, a Member of

Congress, an officer or employee of Congress,

or an employee of a Member of Congress in

connection with this Federal contract, grant,

loan, or cooperative agreement, the

undersigned shall complete and submit

Standard Form-LLL. ‘‘Disclosure Form to

Report Lobbying,’’ in accordance with its

instructions.

(3) The undersigned shall require that the

language of this certification be included in

the award documents for all subawards at all

tiers (including subcontracts, subgrants, and

contracts under grants, loans, and

cooperative agreements) and that all

subrecipients shall certify and disclose

accordingly. This certification is a material

representation of fact upon which reliance

was placed when this transaction was made

or entered into. Submission of this

certification is a prerequisite for making or

entering into this transaction imposed by

section 1352, title 31, U.S. Code. Any person

who fails to file the required certification

shall be subject to a civil penalty of not less

than $10,000 and not more than $100,000 for

each such failure.

Statement for Loan Guarantees and Loan

Insurance

The undersigned states, to the best of his

or her knowledge and belief, that:

If any funds have been paid or will be paid

to any person for influencing or attempting

to influence an officer or employee of any

agency, a Member of Congress, an officer or

employee of Congress, or an employee of a

Member of Congress in connection with this

commitment providing for the United States

to insure or guarantee a loan, the

undersigned shall complete and submit

Standard Form-LLL. ‘‘Disclosure Form to

Report Lobbying,’’ in accordance with its

instructions. Submission of this statement is

a prerequisite for making or entering into this

transaction imposed by section 1352, title 31,

U.S. Code. Any person who fails to file the

required statement shall be subject to a civil

penalty of not less than $10,000 and not more

than $100,000 for each such failure.

lllllllllllllllllllll

Signature

lllllllllllllllllllll

Title

lllllllllllllllllllll

Organization

BILLING CODE 4184–01–P

31572 Federal Register / Vol. 65, No. 97 / Thursday, May 18, 2000 / Notices

BILLING CODE 4184–01–C

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 of 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

Federal Register / Vol. 65, No. 97 / Thursday, May 18, 2000 / Notices 31573

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; Invitation for Bid

(IFB) number; grant announcement; the

contract, grant, or loan award number; the

application/proposal control number

assigned by the Federal agency). Include

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 items 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 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.

BILLING CODE 4184–01–P

31574 Federal Register / Vol. 65, No. 97 / Thursday, May 18, 2000 / Notices

BILLING CODE 4184–01–C

Federal Register / Vol. 65, No. 97 / Thursday, May 18, 2000 / Notices 31575

Certification Regarding Environmental

Tobacco Smoke

Public Law 103227, Part C Environmental

Tobacco Smoke, also known as the Pro

Children Act of 1994, requires that smoking

not be permitted in any portion of any indoor

routinely owned or leased or contracted for

by an entity and used routinely or regularly

for provision of health, day care, education,

or library services to children under the age

of 18, if the services are funded by Federal

programs either directly or through State or

local governments, by Federal grant, contract,

loan, or loan guarantee. The law does not

apply to children’s services provided in

private residences, facilities funded solely by

Medicare or Medicaid funds, and portions of

facilities used for inpatient drug or alcohol

treatment. Failure to comply with the

provisions of the law may result in the

imposition of a civil monetary penalty of up

to $1,000 per day and/or the imposition of an

administrative compliance order on the

responsible entity. By signing and submitting

this application the applicant/grantee

certifies that it will comply with the

requirements of the Act.

The applicant/grantee further agrees that it

will require the language of this certification

be included in any subawards which contain

provisions for the children’s services and that

all subgrantees shall certify accordingly.

Appendix B—SPOC Listing

State Single Point of Contact Listing

Maintained by OMB

In accordance with Executive Order

#12372, ‘‘Intergovernmental Review of

Federal Programs,’’ Section 4, ‘‘the Office of

Management and Budget (OMB) shall

maintain a list of official State entities

designated by the States to review and

coordinate proposed Federal financial

assistance and direct Federal development.’’

This attached listing is the OFFICIAL OMB

LISTING. This listing is also published in the

Catalogue of Federal Domestic Assistance

biannually.

OMB State Single Point of Contact Listing*

Arizona

Joni Saad, Arizona State Clearinghouse, 3800

N. Central Avenue, Fourteenth Floor,

Phoenix, Arizona 85012, Telephone: (602)

280–1315, FAX: (602) 280–8144, e-mail:

jonis@ep.state.az.us

Arkansas

Mr. Tracy L. Copeland, Manager, State

Clearinghouse, Office of Intergovernmental

Services, Department of Finance and

Administration, 1515 W. 7th St., Room

412, Little Rock, Arkansas 72203,

Telephone: (501) 682–1074, FAX: (501)

682–5206

California

Grants Coordinator, Office of Planning and

Research/State Clearinghouse, 1400 Tenth

Street, Room 121, Sacramento, California

95814, Telephone: (916) 323–7480, FAX:

(916) 323–3018

Delaware

Francine Booth, State Single Point of Contact,

Executive Department, Office of the

Budget, 540 S. duPont Hi., Suite 5, Dover,

Delaware 19901, Telephone: (302) 739–

3326, FAX: (302) 739–5661

District of Columbia

Charles Nichols, State Single Point of

Contact, Office of Grants Management and

Development, 717 14th Street, NW—Suite

1200, Washington, DC 20005, Telephone:

(202) 727–6537, FAX: (202) 727–1617, email: charlesnic@yahoo.com or cnicholsogmd@dcgov.org

Florida

Cherie L. Trainor, Coordinator, Florida State

Clearinghouse, Department of Community

Affairs, 2555 Shumard Oak Boulevard,

Tallahassee, Florida 32399–2100,

Telephone: (850) 922–5438 or (850) 414–

5495, FAX: (850) 414–0479, e-mail:

cherie.trainor@dca.state.fl.us

Georgia

Debra S. Stephens, Coordinator, Georgia State

Clearinghouse, 270 Washington Street,

S.W.—8th Floor, Atlanta, Georgia 30334,

Telephone: (404) 656–3855, FAX: (404)

656–7901, e-mail:

ssda@mail.opb.state.ga.us

Illinois

Virginia Bova, State Single Point of Contact,

Illinois Department of Commerce and

Community Affairs, James R. Thompson

Center, 100 West Randolph, Suite 3–400,

Chicago, Illinois 60601, Telephone: (312)

814–6028, FAX: (312) 814–1800

Indiana

Frances Williams, State Budget Agency, 212

State House, Indianapolis, Indiana 46204–

2796, Telephone: (317) 232–5619, FAX:

(317) 233–3323

Iowa

Steven R. McCann, Division for Community

Assistance, Iowa Department of Economic

Development, 200 East Grand Avenue, Des

Moines, Iowa 50309, Telephone: (515)

242–4719, FAX: (515) 242–4809

Kentucky

Kevin J. Goldsmith, Director, John-Mark

Hack, Deputy Director, Sandra Brewer,

Executive Secretary, Intergovernmental

Affairs, Office of the Governor, 700 Capitol

Avenue, Frankfort, Kentucky 40601,

Telephone: (502) 564–2611, FAX: (502)

564–2849

Maine

Joyce Benson, State Planning Office, 184

State Street, 38 State House Station,

Augusta, Maine 04333, Telephone: (207)

287–3261, FAX: (207) 287–6489

Maryland

Linda C. Janey, JD, Manager, Clearinghouse

and Plan Review Unit, Maryland Office of

Planning, 301 W. Preston Street—Room

1104, Baltimore, Maryland 21201–2305,

Telephone: (410) 767–4491, FAX: (410)

767–4480, e-mail:

Linda@mail.op.state.md.us

Michigan

Richard Pfaff, Southeast Michigan Council of

Governments, 660 Plaza Drive—Suite 1900,

Detroit, Michigan 48226, Telephone: (313)

961–4266, FAX: (313) 961–4869

Mississippi

Cathy Mallette, Clearinghouse Officer,

Department of Finance and

Administration, 455 North Lamar Street,

Jackson, Mississippi 39202–3087,

Telephone (601) 359–6762, FAX: (601)

359–6764

Missouri

Lois Pohl/Carol Meyer, Federal Assistance

Clearinghouse, Office Of Administration,

P.O. Box 809, Room 915, Jefferson

Building, Jefferson City, Missouri 65102,

Telephone: (573) 751–4834, FAX: (573)

522–4395

Nevada

Heather Elliott, Department of

Administration, State Clearinghouse,

Capitol Complex, Carson City, Nevada

89710, Telephone: (702) 687–6367, FAX:

(702) 687–3983

New Hampshire

Jeffrey H. Taylor, Director, New Hampshire

Office of State Planning, Attn:

Intergovernmental Review Process, Mike

Blake, Office of State Planning, 21⁄2 Beacon

Street, Concord, New Hampshire 03301,

Telephone: (603) 271–2155, FAX: (603)

271–1728

New Mexico

Nick Mandell, Local Government Division,

Room 201, Bataan Memorial Building,

Santa Fe, New Mexico 87503, Telephone:

(505) 827–4991, FAX: (505) 827–4948

New York

New York State Clearinghouse, Division of

the Budget, State Capitol, Marsha Roth,

Albany, New York 12224, Telephone:

(518)474–1605, FAX: (518) 486–5617

North Carolina

Chrys Baggett, Director, North Carolina State

Clearinghouse, Office of the Secretary of

Administration, 116 West Jones Street—

Suite 5106, Raleigh, North Carolina 27603–

8003, Telephone: (919) 733–7232, FAX:

(919) 733–9571

North Dakota

Jim Boyd, North Dakota Single Point of

Contact, Office of Intergovernmental

Assistance, 600 East Boulevard Avenue,

Department 105, Bismarck, North Dakota

58505–0170, Telephone: (701) 328–2094,

FAX: (701) 328–2308

Rhode Island

Kevin Nelson, Review Coordinator,

Department of Administration, Division of

Planning, One Capitol Hill, 4th Floor,

Providence, Rhode Island 02908–5870,

Telephone: (401) 222–2656, FAX: (401)

222–2083

South Carolina

Omegia Burgess, State Single Point of

Contact, Budget and Control Board, Office

of State Budget, 1122 Ladies Street—12th

Floor, Columbia, South Carolina 29201,

31576 Federal Register / Vol. 65, No. 97 / Thursday, May 18, 2000 / Notices

Telephone: (803) 734–0494, FAS: (803)

734–0645

Texas

Tom Adams, Single Point of Contact, State of

Texas, Governor’s Office of Budget and

Planning, Director, Intergovernmental

Coordination, P.O. Box 12428, Austin,

Texas 78711–2428, Telephone: (512) 463–

1771, FAX: (512) 936–2681, e-mail:

tadams@governor.state.tx.us

Utah

Carolyn Wright, Utah State Clearinghouse,

Office of Planning and Budget, Room 116

State Capitol, Salt Lake City, Utah 84114,

Telephone: (801) 538–1535, FAX: (801)

538–1547

West Virginia

Judith Dryer, Chief Program Manager, West

Virginia Development Office, Building #6,

Room 645, State Capitol, Charleston, West

Virginia 25305, Telephone: (304) 558–

0350, FAX: (304) 558–0362

Wisconsin

Jeff Smith, Section Chief, State/Federal

Relations, Wisconsin Department of

Administration, 101 East Wilson Street—

6th Floor, P.O. Box 7868, Madison,

Wisconsin 53707, Telephone: (608) 266–

0267, FAX: (608) 267–6931

Wyoming

Matthew Jones, State Single Point of Contact,

Office of the Governor, 200 West 24th

Street, State Capital, Room 124, Cheyenne,

Wyoming 82002 FAX: (307) 632–3909

TERRITORIES

Guam

Mr. Giovanni T. Sgambelluri, Director,

Bureau of Budget and Management

Research, Office of the Governor, P.O. Box

2950, Agana, Guam 96910, Telephone:

011–671–472–2285, FAX: 011–671–472–

2825

Puerto Rico

Norma Burgos/Jose E. Caro, Chairwoman/

Director, Puerto Rico Planning Board,

Federal Proposals Review Office, Minillas

Government Center, P.O. Box 41119, San

Juan, Puerto Rico 00940–1119, Telephone:

(809) 727–4444 or (809) 723–6190, FAX:

(809) 724–3270 or (809) 724–3103

Northern Mariana Islands

Mr. Alvaro A. Santos, Executive Officer,

Office of Management and Budget, Office

of the Governor, Saipan, MP 96950,

Telephone: (670) 674–2256, FAX: (670)

664–2272

Please direct all questions and

correspondence about intergovernmental

review to: Ms. Jacoba T. Seman, Federal

Programs Coordinator, Telephone: (670) 664–

2289, FAX: (670) 664–2272.

Virgin Islands

Nellon Bowry, Director, Office of

Management and Budget, #41 Norregade

Emancipation Garden Station, Second

Floor, Saint Thomas, Virgin Islands 00802

Please direct all questions and

correspondence about intergovernmental

review to: Daisey Millen, Telephone: (809)

774–0750, FAX: (809) 776–0069.

If you would like a copy of this list faxed

to your office, please call our publications

office at: (202) 395–9068.

* In accordance with Executive Order

#12372, ‘‘Intergovernmental Review of

Federal Programs,’’ this listing represents the

designated State Single Points of Contact.

The jurisdictions not listed no longer

participate in the process BUT GRANT

APPLICANTS ARE STILL ELIGIBLE TO

APPLY FOR THE GRANT EVEN IF YOUR

STATE, TERRITORY, COMMONWEALTH,

ETC. DOES NOT HAVE A ‘‘STATE SINGLE

POINT OF CONTACT.’’ JURISDICTIONS

WITHOUT ‘‘STATE SINGLE POINTS OF

CONTACTS’’ INCLUDE: Alabama; Alaska,

American Samoa; Colorado; Connecticut;

Kansas; Hawaii; Idaho; Louisiana;

Massachusetts; Minnesota; Montana;

Nebraska; New Jersey; Ohio; Oklahoma;

Oregon; Palau; Pennsylvania; South Dakota;

Tennessee; Vermont; Virginia; and

Washington.

This list is based on the most current

information provided by the States.

Information on any changes or apparent

errors should be provided to the Office of

Management and Budget and the State in

question. Changes to the list will only be

made upon formal notification by the State.

Also, this listing is published biannually in

the Catalogue of Federal Domestic

Assistance.

[FR Doc. 00–12373 Filed 5–17–00; 8:45 am]

BILLING CODE 4184–01–P

DEPARTMENT OF HEALTH AND

HUMAN SERVICES

Health Care Financing Administration

[Document Identifier: HCFA–R–197]

Agency Information Collection

Activities: Submission for OMB

Review; Comment Request

In compliance with the requirement

of section 3506(c)(2)(A) of the

Paperwork Reduction Act of 1995, the

Health Care Financing Administration

(HCFA), Department of Health and

Human Services, has submitted to the

Office of Management and Budget

(OMB) the following proposal for the

collection of information. Interested

persons are invited to send comments

regarding the burden estimate or any

other aspect of this collection of

information, including any of the

following subjects: (1) The necessity and

utility of the proposed information

collection for the proper performance of

the agency’s functions; (2) the accuracy

of the estimated burden; (3) ways to

enhance the quality, utility, and clarity

of the information to be collected; and

(4) the use of automated collection

techniques or other forms of information

technology to minimize the information

collection burden.

Type of Information Collection

Request: Revision of a currently

approved collection;

Title of Information Collection:

Maximizing the Effective Use of

Telemedicine: A Study of the Effects,

Cost Effectiveness and Utilization

Patterns of Consultations via

Telemedicine’’;

Form No.: HCFA–R–197 (OMB#

0938–0705);

Use: This study deals with several

issues of importance to HCFA regarding

the recent proliferation of Telemedicine

programs. The primary goal of this

study is to develop policy

recommendations for Medicare

concerning utilization review and

payment methods for Telemedicine

services. The major objective is to

evaluate the use of interactive video

Telemedicine consultation.;

Recommendations will be based on

analysis of the use of Telemedicine for

such medical consultation.;

Frequency: Other: periodically;

Affected Public: Individuals or

households, Business or other for-profit,

and Not-for-profit institutions;

Number of Respondents: 1,450;

Total Annual Responses: 84,235;

Total Annual Hours: 360.

To obtain copies of the supporting

statement for the proposed paperwork

collections referenced above, access

HCFA’s Web site address at http://

www.hcfa.gov/regs/prdact95.htm, or Email your request, including your

address and phone number, to

Paperwork@hcfa.gov, or call the Reports

Clearance Office on (410) 786–1326.

Written comments and

recommendations for the proposed

information collections must be mailed

within 30 days of this notice directly to

the OMB Desk Officer designated at the

following address: OMB Human

Resources and Housing Branch,

Attention: Allison Eydt, New Executive

Office Building, Room 10235,

Washington, DC 20503.

Dated: May 4, 2000.

John P. Burke III,

HCFA Reports Clearance Officer, HCFA,

Office of Information Services, Security and

Standards Group, Division of HCFA

Enterprise Standards.

[FR Doc. 00–12477 Filed 5–17–00; 8:45 am]

BILLING CODE 4120–03–P