Federal Register / Vol. 62, No. 42 / Tuesday, March 4, 1997 / Notices 9773

3. National Childhood Blood Lead

Surveillance System—(0920–0337)—

Reinstatement—Lead poisoning is a

common and societally devastating

environmental disease of young

children in the United States. In

response to the call for a national

surveillance program of lead levels

made in the HHS publication, Strategic

Plan for the Elimination of Childhood

Lead Poisoning (February 1991), CDC

established the National Childhood

Blood Lead Surveillance System. In

FY92, CDC awarded funds to eight

states to assist them in developing a

complete childhood lead surveillance

activity. In FY96, CDC provided funding

for childhood blood lead surveillance

activity in 31 states and the District of

Columbia. Sixteen of these states

submitted 1995 (calendar year) data to

the national database. Information from

this national surveillance system may be

used by Federal and state agencies to (1)

more accurately estimate the number of

children with elevated lead levels; (2)

monitor short-term trends; (3) identify

clusters of cases; (4) determine

geographic distribution of cases; (5)

examine risk factors among children

with elevated lead levels; (6) identify

risk factors for elevated lead levels

among specific population groups; (7)

target intervention programs to groups

at risk for elevated lead levels; and (8)

track national progress in eliminating

childhood lead poisoning. The total cost

to respondents is $8,208.

Respondents No. of respondents

No. of responses/respondent

Avg. burden/response (in

hrs.)

Total burden (in hrs.)

State Health Departments:

(a) Annual Report ...................................................................................................... 20 1 10 200

(b) Quarterly Report .................................................................................................. 32 4 2 256

Total ....................................................................................................................... .................... .................... .................... 456

Dated: February 26, 1997.

Wilma G. Johnson,

Acting Associate Director for Policy Planning

And Evaluation, Centers for Disease Control

and Prevention (CDC).

[FR Doc. 97–5235 Filed 3–3–97; 8:45 am]

BILLING CODE 4163–18–P

Administration for Children and

Families

Submission for OMB Review;

Comment Request

Title: Study of Benefits for Head Start

Program Employees.

OMB No.: New Collection.

Description: Head Start legislation

requires that the Secretary conduct a

study regarding the benefits available to

individuals employed by Head Start

Agencies including a description of

benefits provided and to make

recommendations about increasing the

access of the individuals to benefits

including access to a retirement pension

program. The attached instrument is a

survey designed to collect information

about present benefits provided to

employees.

Respondents: Not-for-profit

institutions and households.

ANNUAL BURDEN ESTIMATES

Instrument Number of

respondents

Number of

responses

per respondent

Average burden hours

per response

Total burden hours

Staff Questionnaire ......................................................................................................... 360 1 .5 180

H.S. Program Director Questionnaire ............................................................................ 360 1 2 720

Dir. of Non-H.S. Child Care Program ............................................................................. 5 1 2 10

Estimated Total Annual Burden Hours: 210.

Additional Information

Copies of the proposed collection may

be obtained by writing to The

Administration for Children and

Families, Office of Information Services,

Division of Information Resource

Management Services, 370 L’Enfant

Promenade, S.W., Washington, D.C.

20447, Attn: ACF Reports Clearance

Officer.

OMB Comment

OMB is required to make a decision

concerning the collection of information

between 30 and 60 days after

publication of this document in the

Federal Register. Therefore, a comment

is best assured of having its full effect

if OMB receives it within 30 days of

publication. Written comments and

recommendations for the proposed

information collection should be sent

directly to the following: Office of

Management and Budget, Paperwork

Reduction Project, 725 17th Street,

N.W., Washington, D.C. 20503, Attn:

Ms. Wendy Taylor.

Dated: February 26, 1997.

Bob Sargis,

Acting Reports Clearance Officer.

[FR Doc. 97–5277 Filed 3–3–97; 8:45 am]

BILLING CODE 4184–01–M

[Program Announcement No. OCS–97–02]

Request for Applications Under the

Office of Community Services’ Fiscal

Year 1997 National Youth Sports

Program

AGENCY: Office of Community Services,

ACF, DHHS.

ACTION: Request for applications under

the Office of Community Services’

National Youth Sports Program.

SUMMARY: The Office of Community

Services (OCS) announces that

competing applications will be accepted

for new grants pursuant to the

Secretary’s discretionary authority

under Section 682 of the Community

Services Block Grant Act of 1981, as
9774 Federal Register / Vol. 62, No. 42 / Tuesday, March 4, 1997 / Notices

amended. This Program Announcement

contains forms and instructions for

submitting an application.

For Fiscal Years 1998–2001 the

National Youth Sport Program would

become a non-competing continuation

grant. This means that once the Fiscal

Year 1997 grantee has been selected the

continuation grant funded under this

award beyond the first one year budget

period, will be entertained in

subsequent years on a non-competitive

basis, subject to availability of funds,

satisfactory progress of the grantee, and

a determination that continued funding

would be in the best interest of the

Government. The National Youth Sports

Program will be announced again in

Fiscal Year 2002.

CLOSING DATE: The closing date and time

for receipt of applications is 4:30 p.m.,

eastern time zone, on May 5, 1997.

Applications received after 4:30 p.m.

will be classified as late. Postmarks and

other similar documents do not

establish receipt of an application.

Detailed application submission

instructions including the addresses

where applications must be received are

found in Part G.1. of this

announcement.

CONTACT: Joseph R. Carroll, Acting

Director, Division of Community

Discretionary Programs, Office of

Community Services, Administration

for Children and Families, 370 L’Enfant

Promenade, S.W., Washington, D.C.

20447, (202) 401–9354.

Part A—Preamble

1. Legislative Authority

Section 682 of the Community

Services Block Grant Act, as amended,

authorizes the Secretary of Health and

Human Services to make a grant to an

eligible service provider to administer

national or regional programs designed

to provide instructional activities for

low-income youth.

2. Catalog of Federal Domestic

Assistance

The Catalog of Federal Domestic

Assistance number for OCS programs

covered under this announcement is

93.570. The title is ‘‘CSBG Discretionary

Awards.’’

3. Definitions of Terms

For purposes of this Program

Announcement the following

definitions apply:

—Low-income youth: A youth between

the ages of 10 through 16 whose

family income does not exceed the

DHHS Poverty Income Guidelines.

—Eligible Applicant: A national private

nonprofit organization, a coalition of

such organizations, or a private

nonprofit organization applying

jointly with a business concern that

has demonstrated experience in

operating a program providing

instructions to low-income youth.

—Budget period: The interval of time

into which a grant period of

assistance is divided for budgetary

and funding purposes.

—Project period: The total time for

which a project is approved for

support, including any approved

extensions.

Part B—Application Prerequisites

1. Eligible Applicants

OCS will only consider those

applications received from entities

which are eligible applicants as

specified in Part A 3. of this

announcement. Non-profit organizations

must submit proof of their non-profit

status in their applications at the time

of submission. Failure to do so will

result in rejection of their applications.

The non-profit agency can accomplish

this by providing a copy of the

applicant’s listing in the Internal

Revenue Service’s (IRS) most recent list

of tax-exempt organizations described in

Section 501(c)(3) of the IRS code or by

providing a copy of currently valid IRS

tax exemption certification, or by

providing a copy of the articles of

incorporation bearing the seal of the

State in which the corporation or

association is domiciled.

2. Number of Grants, Grant Amount,

and Matching Requirements

a. Number of Grants

In Fiscal Year 1997, OCS anticipates

that one grant will be made under this

program. For Fiscal Years 1998–2001,

OCS anticipates, subject to the

availability of funds, that one grant will

be made under this program.

b. Grant Amounts

Estimated twelve million dollars

($12,000,000) is available for Fiscal Year

1997. For Fiscal Years 1998–2001, the

estimated amounts of ($12,000,000) are

subject to final appropriation.

c. Matching Requirements

The grants require a match of either

cash or third party in-kind of one dollar

for each dollar awarded up to

$9,400,000 and a cash match of 25% of

the Federal funds requested in excess of

$9,400,000.

3. Project Period and Budget Period

The project period must not exceed 60

months (5 years), with a budget period

not to exceed 12 months. A significant

amount of the program activities must

be undertaken in the period covering

June, July and August of each fiscal

year.

4. Administrative Costs/Indirect Costs

No federal funds from a grant made

under this program may be used for

administrative expenses. To the extent

that indirect costs are not administrative

in nature, such costs may be allowed

provided the grantee has negotiated an

approved Indirect Cost Rate Agreement

which excludes administrative

expenses. However, it should be

understood that indirect costs are part

of, and not in addition to, the amount

of funds awarded in the subject grant.

5. Program Beneficiaries

Projects proposed for funding under

this announcement must result in direct

benefits targeted toward 10–16 year olds

from low-income families.

Attachment A to this announcement

is an excerpt from the most recently

published Poverty Income guidelines.

Annual revisions of these Guidelines are

normally published in the Federal

Register in February or early March of

each year and are applicable to projects

being implemented at the time of

publication. Grantees will be required to

apply the most recent Guidelines

throughout the project period. No other

government agency or privately defined

poverty guidelines are applicable to the

determination of low-income eligibility

for this OCS program.

The Federal Register may be obtained

from public libraries, Congressional

offices, or by writing the Superintendent

of Documents, U.S. Government

Printing Office, Washington, D.C. 20402.

6. Multiple Submittals

An applicant organization should not

submit more than one application under

this Program Announcement.

Part C—Purpose and Project

Requirements

1. Purpose

The Department of Health and Human

Services is committed to improving the

health and physical fitness of young

people, particularly those that are

members of low-income families and

residents of economically disadvantaged

areas of the United States.

The Department seeks to improve the

lives of these young people through

sports skill instruction, counseling in

good health practices, and counseling

related to drug and alcohol abuse.

2. Project Requirements

Any instructional activity carried out

by an eligible service provider receiving
Federal Register / Vol. 62, No. 42 / Tuesday, March 4, 1997 / Notices 9775

a grant under this program

announcement shall be carried out on

the campus of an institution of higher

education (as defined in section 1201(a)

of the Higher Education Act) and shall

include —

a. Access to the facilities and

resources of such institution;

b. An initial medical examination and

follow-up referral or treatment, without

charge, for youth during their

participation in such activity;

c. At least one nutritious meal daily,

without charge, for participating youth

during each day of participation;

d. High quality instruction in a variety

of sports (that shall include swimming

and that may include dance and any

other high quality recreational activity)

provided by coaches and teachers from

institutions of higher education and

from elementary and secondary schools

(as defined in sections 1471(8) and

1471(21) of the Elementary and

Secondary Education Act of 1965); and

e. Enrichment instruction and

information on matters relating to the

well-being of youth, to include

educational opportunities and study

practices, education for the prevention

of drug and alcohol abuse, health and

nutrition, career opportunities, and

family and job responsibilities.

Part D—Review Criteria

Applications which pass the initial

screening and pre-rating review

described in Part G 5. will be assessed

and scored by reviewers. These

numerical scores will be supported by

explanatory statements on a formal

rating form describing major strengths

and weaknesses under each applicable

criterion published in this

announcement.

The in-depth evaluation and review

process will use the criteria set forth

below coupled with the specific

requirements described in Part D.

Applicants should write their project

narrative according to the review

criteria using the same sequential order.

Criteria for Review and Evaluation of

Applications Submitted Under This

Program Announcement

1. Criterion I: Location and Number of

Institutions of Higher Education

(Maximum: 20 points)

a. Applicant must describe and

document the number and location of

Institutions of Higher Education

committed to participation in this

program, with special attention to

documenting the accessibility of the

schools to economically disadvantaged

communities (0–12 points).

b. Applicant must describe in the

aggregate the facilities which will be

available on the campuses of the

institutions to be used in the program

(swimming pools, medical facilities,

food preparation facilities, etc.) (0–8

points).

2. Criterion II: Adequacy of Work

Program (Maximum: 20 Points)

a. Applicant must set forth realistic

weekly time targets for the summer

program. The time targets should

specify the tasks to be accomplished in

the given timeframes. (0–8 points).

b. Applicant must address the

legislatively-mandated activities found

in Part C.2., to include: (1) Project

priorities and rationale for selecting

them; (2) project goals and objectives;

and (3) project activities. (0–12 points)

3. Criterion III: Significant and

Beneficial Impact (Maximum: 20 points)

a. Applicant proposes to improve

nutritional services to the participating

youths (0–5 points).

b. Project incorporates medical

examinations along with follow-up

referral or treatment (0–5 points).

c. Project includes counseling, related

to drug and alcohol abuse, by

counselors with experience in those

areas as a major element (0–5 points).

d. Project makes use of an existing

outreach activity of a community action

agency or some other community-based

organization (0–5 points).

4. Criterion IV: Organizational

Experience in Program Area and Staff

Responsibilities (Maximum: 30 points)

a. Organizational experience in

program area (0–10 points)

Documentation provided indicates that

projects previously undertaken have

been relevant and effective and have

provided significant benefits to lowincome youth. Information provided

should also address the achievements

and competence of the participating

institutions.

b. Management history (0–10 points).

Applicants must fully detail their

ability to implement sound and effective

management practices and if they have

been recipients of other Federal or other

governmental grants, they must also

detail that they have consistently

complied with financial and program

progress reporting and audit

requirements. Applicants should submit

any available documentation on their

management practices and progress

reporting procedures. Applicant should

also submit a statement by a Certified or

Licensed Public Accountant as to the

sufficiency of the applicant’s financial

management system to protect any

Federal funds which may be awarded

under this program.

c. Staffing skills, resources and

responsibilities (0–10 points).

Applicant must briefly describe the

experience and skills of the proposed

project director showing that the

individual is not only well qualified but

that his/her professional capabilities are

relevant to the successful

implementation of the project. If the key

staff person has not been identified, the

application should contain a

comprehensive position description

which indicates that the responsibilities

assigned to the project director are

relevant to the successful

implementation of the project.

The application must indicate that the

applicant and the subgrantees or

delegate institutions have adequate

facilities and resources (i.e., space and

equipment) to successfully carry out the

work plan. The application must clearly

show that sufficient time of the project

director and other senior staff will be

budgeted to assure timely

implementation and oversight of the

project and that the assigned

responsibilities of the staff are

appropriate to the tasks identified for

the project.

5. Criterion V: Adequacy of Budget

(Maximum: 10 points)

Budget is adequate and funds

requested are commensurate with the

level of effort necessary to accomplish

the goals and objectives of the program.

The estimated cost of the project to the

government is reasonable in relation to

the anticipated results.

Part E—Contents of Application and

Receipt Process

See Application Forms in Attachment

B.

1. Contents of Application

Each application package should

include one original and two additional

copies of the following:

a. A signed Federal Assistance

Application (SF–424)

b. A signed Budget Information Nonconstruction Program (SF–424A)

c. A signed Assurances—Nonconstruction Programs (SF–424B)

d. A signed Disclosure of Lobbying

Activities

e. A Project Narrative consisting of the

following elements preceded by a

consecutively numbered Table of

Contents that describes the project in

the following order:

(i) Eligibility confirmation (Part B).

(ii) Number and location of

Institutions of Higher Education

committed to the program and their

accessibility to youth from economically

disadvantaged areas (Part C).
9776 Federal Register / Vol. 62, No. 42 / Tuesday, March 4, 1997 / Notices

(iii) Organization experience and staff

responsibilities (Part D).

(iv) Executive Summary—one page or

less (Part D).

(v) Work Program (Part D).

(vi) Appendices, including Bylaws;

Articles of Incorporation; proof of nonprofit status; resume ́ of project director;

statement by a Certified or Licensed

Public Accountant as to the sufficiency

of the applicant’s financial management

system to protect Federal funds; Single

Point of Contact comments, if available;

certifications regarding Lobbying,

Debarment and Drug Free Workplace

activities and Environmental Tobacco

Smoke.

The total number of pages for the

entire application package should not

exceed 50 pages. Applications should be

two holed punched at the top and

fastened separately with a compressor

slide paper fastener or a binder clip. The

submission of bound applications, or

applications enclosed in binder, is

especially discouraged.

Applications must be uniform in

composition since OCS may find it

necessary to duplicate them for review

purposes. Therefore, applications must

be submitted on white 8 1/2 x 11 inch

paper only. They should not include

colored, oversized or folded materials.

Do not include organizational brochures

or other promotional materials, slides,

films, clips, etc. in the proposal. They

may be discarded, if included.

2. Acknowledgement of Receipt

If an acknowledgement and/or notice

is not received within three weeks after

the deadline date, please notify ACF by

telephone (202) 401–9365.

Part F—Instructions for Completing

Application Package

See Application Forms in Attachment

B.

Section A—Indirect Cost Rates

Applicants should enclose a copy of

the current rate agreement.

If the applicant organization is in the

process of initially developing or

renegotiating a rate, it should

immediately, upon notification that an

award will be made, develop a tentative

indirect cost rate proposal based on its

most recently completed fiscal year in

accordance with the principles set forth

in the pertinent DHHS Guide for

Establishing Indirect Cost Rates, and

submit it to the appropriate DHHS

Regional Office. It should be noted that

when an indirect cost rate is requested,

those costs included in the indirect cost

pool should not be also charged as

direct costs to the grant.

Section B—Non-Federal Resources

Mobilized funds from other nonFederal resources should be listed on a

separate sheet and describe whether it is

a grantee-incurred cost or a third-party

in-kind contribution.

Part G—Application Procedures

Section A—See Application Forms in

Attachment B

1. Application Submission

The date by which applications must

be received is indicated under ‘‘Closing

Date’’ at the beginning of this

announcement.

Deadline: Mailed applications shall be

considered as meeting an announced

deadline if they are received on or

before the deadline time and date at the

U.S. Department of Health and Human

Services, Administration for Children

and Families, Division of Discretionary

Grants, 370 L’Enfant Promenade, S.W.,

Mail Stop 6C–462, Washington, D.C.

20447, Attention: Application for

National Youth Sports Program.

Applicants are responsible for mailing

applications well in advance, when

using all mail services, to ensure that

the applications are received on or

before the deadline time and date.

Applications handcarried by

applicants, applicant couriers, or by

overnight/express mail couriers shall be

considered as meeting an announced

deadline if they are received on or

before the deadline date, between the

hours of 8:00 a.m. and 4:30 p.m., at the

U.S. Department of Health and Human

Services, Administration for Children

and Families, Division of Discretionary

Grant, 901 ‘‘D’’ Street, S.W., ACF

Mailroom, Second Floor, Washington,

D.C. 20024, between Monday and

Friday (excluding Federal holidays).

(Applicants are cautioned that express/

overnight mail services do not always

deliver as agreed.)

ACF cannot accommodate

transmission of applications by fax or

through other electronic media.

Therefore, applications transmitted to

ACF electronically will not be accepted

regardless of Date or Time of submission

and time of receipt.

2. Late Application and Extension of

Deadlines

Applications which do not meet the

criteria above are considered late

applications. ACF shall notify each late

applicant that its application will not be

considered in the current competition.

ACF may extend the deadline for all

applicants because of acts of God such

as floods, hurricanes, etc., widespread

disruption of the mails, or when it is

anticipated that many of the

applications will come from rural or

remote areas. However, if ACF does not

extend the deadline for all applicants, it

may not waive or extend the deadline

for any applicants.

3. Paperwork Reduction Act of 1995

The Paperwork Reduction Act of

1995, Public Law 104–13, the

Department is required to submit to

OMB for review and approval any

reporting and recordkeeping

requirements in regulations, including

program announcements. This program

announcement does not contain

information collection requirements

beyond those approved for ACF grant

applications under OMB Control

Number 0970–0139.

4. Project Development

(Intergovernmental Review)

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, American Samoa,

Colorado, Connecticut, Kansas, Hawaii,

Idaho, Louisiana, Massachusetts,

Minnesota, Montana, Nebraska, New

Jersey, Oklahoma, Oregon, Palau,

Pennsylvania, South Dakota, Tennessee,

Vermont, Virginia, and Washington

have elected to participate in the

Executive Order process and have

established Single Points of Contacts

(SPOCs). Applicants from these twentythree jurisdictions need take no action

regarding E.O. 12372. Applicants for

projects to be administered by

Federally-recognized Indian Tribes are

also exempt from the requirements of
Federal Register / Vol. 62, No. 42 / Tuesday, March 4, 1997 / Notices 9777

E.O. 12372. Otherwise, applicants

should contact their SPOCs as soon as

possible to alert them of the prospective

applications and receive any necessary

instructions. Applicants must submit

any required material to the SPOCs as

soon as possible so that the program

office can obtain and review SPOC

comments as part of the award process.

It is imperative that the applicant

submit all required materials, if any, to

the SPOC and indicate the date of this

submittal (or the date of contact if no

submittal is required) on the Standard

Form 424, item 16a.

When comments are submitted

directly to ACF, they should be

addressed to: Department of Health and

Human Services, Administration for

Children and Families, Division of

Discretionary Grants, 6th Floor, 370

L’Enfant Promenade, S.W., Washington,

D.C. 20447.

A list of the Single Points of Contact

for each State and Territory is included

as Attachment C of this announcement.

Section B—Information Not Available

1. Availability of Forms

Copies of the Federal Register

containing this Announcement are

available at most local libraries and

Congressional District Offices for

reproduction. If copies are not available

at these sources they may be obtained

by writing or telephoning the office

listed in the section entitled CONTACT at

the beginning of this Announcement.

2. Application Submission

For Fiscal Years 1998–2001 the

grantee will be notified of the

requirements for submission of the

continuation application by March of

the current fiscal year.

3. Application Consideration

Applications which meet the

screening requirements in Section 5

below will be reviewed competitively.

Such applications will be referred to

reviewers for a numerical score and

explanatory comments based solely on

responsiveness to program guidelines

and evaluation criteria published in this

announcement. Applications will be

reviewed by persons outside of the OCS

unit which would be directly

responsible for programmatic

management of the grant. The results of

these reviews will assist the Director

and OCS program staff in considering

competing applications. Reviewers’

scores will weigh heavily in funding

decisions but will not be the only

factors considered. Applications will

generally be considered in order of the

average scores assigned by reviewers.

However, highly ranked applications are

not guaranteed funding since the

Director may also consider other factors

deemed relevant including, but not

limited to, the timely and proper

completion of projects funded with OCS

funds granted in the last five (5) years;

comments of reviewers and government

officials; staff evaluation and input;

geographic distribution; previous

program performance of applicants;

compliance with grant terms under

previous DHHS grants; audit reports;

investigative reports; and applicant’s

progress in resolving any final audit

disallowances on OCS or other Federal

agency grants. OCS reserves the right to

discuss applications with other Federal

or non-Federal funding sources to

ascertain the applicant’s performance

record.

4. Criteria for Reviewing Applications

All applications that meet the

published deadline for submission will

be screened to determine completeness

and conformity to the requirements of

this Announcement. Only those

applications meeting the following

requirements will be reviewed and

evaluated competitively. Others will be

returned to the applicants with a

notation that they were unacceptable.

a. Initial Screening

(1) The application must contain a

completed Standard Form SF–424

signed by an official of the entity

applying for the grant who has authority

to obligate the organization legally;

(2) a budget (SF–424A); and

(3) Assurances (SF–424B) signed by

the appropriate official.

b. Pre-rating Review

Applications which pass the initial

screening will be forwarded to

reviewers for analytical comment and

scoring based on the criteria detailed in

the Section below and the specific

requirements contained in Part C of this

Announcement. Prior to the

programmatic review, these reviewers

and/or OCS staff will verify that the

applications comply with this Program

Announcement in the following areas:

(1) Eligibility: Applicant meets the

eligibility requirements found in Part A

2.

(2) Target Populations: The

application clearly targets the specific

outcomes and benefits of the project to

low-income participants as defined in

the DHHS Poverty Income Guidelines

(Attachment A).

(3) Grant Amount: The amount of

funds requested does not exceed the

estimated amount of $12 million.

(4) Program Focus: The application

addresses the geographic scope and

project requirements described in Part C

of this Announcement.

c. Evaluation Criteria

Applications which pass the initial

screening and prerating review will be

assessed and scored by reviewers. Each

reviewer will give a numerical score for

each application reviewed. These

numerical scores will be supported by

explanatory statements on a formal

rating form describing major strengths

and major weaknesses under each

applicable criterion published in this

Announcement.

Part H—Post Award Information and

Reporting Requirements

Following approval of the

applications selected for funding, notice

of project approval and authority to

draw down project funds will be made

in writing. The official award document

is the Financial Assistance Award

which provides the amount of Federal

funds for use in the project period, the

budget period for which support is

provided, and the terms and conditions

of the award.

In addition to the General Conditions

and Special Conditions (where the latter

are warranted) which will be applicable

to grant, the grantee will be subject to

the provisions of 45 CFR Part 74 along

with OMB Circulars A–122, A–133, and,

for institutions of higher education, A–

21.

Grantee will be required to submit

progress and financial reports (SF–269).

Grantee is subject to the audit

requirements in 45 CFR part 74.

Dated: February 26, 1997.

Donald Sykes,

Director, Office of Community Services.
9778 Federal Register / Vol. 62, No. 42 / Tuesday, March 4, 1997 / Notices

ATTACHMENT A

Size of family unit

Poverty

guidelines

1996 Poverty Income Guidelines for the 48

Contiguous States and District of Columbia

1 $7,740

2 ...................................................... 10,360

3 ...................................................... 12,980

4 ...................................................... 15,600

5 ...................................................... 18,220

6 ...................................................... 20,840

7 ...................................................... 23,460

8 ...................................................... 26,080

For family units with more than 8 members,

add $2,226 for each additional member.

(The same increment applies to smaller

family sizes also, as can be seen in the

figures above.)

1996 Poverty Income Guidelines for Alaska

1 ...................................................... $9,660

2 ...................................................... 12,940

3 ...................................................... 16,220

4 ...................................................... 19,500

5 ...................................................... 22,780

6 ...................................................... 26,060

7 ...................................................... 29,340

8 ...................................................... 32,620

For family units with more than 8 members,

add $3,280 for each additional member.

(The same increment applies to smaller

family sizes also, as can be seen in the

figures above.)

1 ...................................................... $9,660

2 ...................................................... 12,940

3 ...................................................... 16,220

4 ...................................................... 19,500

5 ...................................................... 22,780

6 ...................................................... 26,060

7 ...................................................... 29,340

8 ...................................................... 32,620

For family units with more than 8 members,

add $3,280 for each additional member.

(The same increment applies to smaller

family sizes also, as can be seen in the

figures above.)

BILLING CODE 4184–04–P
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Attachment B

BILLING CODE 4184–01–C
9780 Federal Register / Vol. 62, No. 42 / Tuesday, March 4, 1997 / Notices

Instructions for the SF 424

This a standard form used by applicants as

a required facesheet for preapplications and

applications submitted for Federal assistance.

It will be used by Federal agencies to obtain

applicant certification that States which have

established a review and comment procedure

in response to Executive Order 12372 and

have selected the program to be included in

their process, have been given an opportunity

to review the applicant’s submission.

Item and Entry

1. Self-explanatory.

2. Date application submitted to Federal

agency (or State if applicable) & applicant’s

control number (if applicable).

3. State use only (if applicable).

4. If this application is to continue or

revise an existing award, enter present

Federal identifier number. If for a new

project, leave blank.

5. Legal name of applicant, name of

primary organizational unit which will

undertake the assistance activity, complete

address of the applicant, and name and

telephone number of the person to contact on

matters related to this application.

6. Enter Employer Identification Number

(EIN) as assigned by the Internal Revenue

Service.

7. Enter the appropriate letter in the space

provided.

8. Check appropriate box and enter

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

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

—‘‘Continuation’’ means an extension for an

additional funding/budget period for a

project with a projected completion date.

—‘‘Revision’’ means any change in the

Federal Government’s financial obligation

or contingent liability from an existing

obligation.

9. Name of Federal agency from which

assistance is being requested with this

application.

10. Use the Catalog of Federal Domestic

Assistance number and title of the program

under which assistance is requested.

11. Enter a brief descriptive title of the

project. If more than one program is

involved, you should append an explanation

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

construction or real property projects), attach

a map showing project location. For

preapplications, use a separate sheet to

provide a summary description of this

project.

12. List only the largest political entities

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

13. Self-explanatory.

14. List the applicant’s Congressional

District and any District(s) affected by the

program or project.

15. Amount requested or to be contributed

during the first funding/budget period by

each contributor. Value of in-kind

contributions should be included on

appropriate lines as applicable. If the action

will result in a dollar change to an existing

award, indicate only the amount of the

change. For decreases, enclose the amounts

in parentheses. If both basic and

supplemental amounts are included, show

breakdown on an attached sheet. For

multiple program funding, use totals and

show breakdown using same categories as

item 15.

16. Applicants should contact the State

Single Point of Contact (SPOC) for Federal

Executive Order 12372 to determine whether

the application is subject to the State

intergovernmental review process.

17. This question applies to the applicant

organization, not the person who signs as the

authorized representative. Categories of debt

include delinquent audit disallowances,

loans and taxes.

18. To be signed by the authorized

representative of the applicant. A copy of the

governing body’s authorization for you to

sign this application as official representative

must be on file in the applicant’s office.

(Certain Federal agencies may require that

this authorization be submitted as part of the

application.)

BILLING CODE 4184–01–P
Federal Register / Vol. 62, No. 42 / Tuesday, March 4, 1997 / Notices 9781
9782 Federal Register / Vol. 62, No. 42 / Tuesday, March 4, 1997 / Notices

BILLING CODE 4184–01–C
Federal Register / Vol. 62, No. 42 / Tuesday, March 4, 1997 / Notices 9783

Instructions for the SF–424A

General Instructions

This form is designed so that application

can be made for funds from one or more grant

programs. In preparing the budget, adhere to

any existing Federal grantor agency

guidelines which prescribe how and whether

budgeted amounts should be separately

shown for different functions or activities

within the program. For some programs,

grantor agencies may require budgets to be

separately shown by function or activity. For

other programs, grantor agencies may require

a breakdown by function or activity. Sections

A, B, C, and D should include budget

estimates for the whole project except when

applying for assistance which requires

Federal authorization in annual or other

funding period increments. In the latter case,

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

budget for the first budget period (usually a

year) and Section E should present the need

for Federal assistance in the subsequent

budget periods. All applications should

contain a breakdown by the object class

categories shown in Lines a–k of Section B.

Section A. Budget Summary

Lines 1–4, Columns (a) and (b).

For applications pertaining to a single

Federal grant program (Federal Domestic

Assistance Catalog number) and not requiring

a functional or activity breakdown, enter on

Line 1 under Column (a) the catalog program

title and the catalog number in Column (b).

For applications pertaining to a single

program requiring budget amounts by

multiple functions or activities, enter the

name of each activity or function on each

line in Column (a), and enter the catalog

number in Column (b). For applications

pertaining to multiple programs where none

of the programs require a breakdown by

function or activity, enter the catalog

program title on each line in Column (a) and

the respective catalog number on each line in

Column (b).

For applications pertaining to multiple

programs where one or more programs

require a breakdown by function or activity,

prepare a separate sheet for each program

requiring the breakdown. Additional sheets

should be used when one form does not

provide adequate space for all breakdown of

data required. However, when more than one

sheet is used, the first page should provide

the summary totals by programs.

Lines 1–4, Columns (c) through (g.)

For new applications, leave Columns (c)

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

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

the appropriate amounts of funds needed to

support the project for the first funding

period (usually a year).

For continuing grant program applications,

submit these forms before the end of each

funding period as required by the grantor

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

estimated amounts of funds which will

remain unobligated at the end of the grant

funding period only if the Federal grantor

agency instructions provide for this.

Otherwise, leave these columns blank. Enter

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

needed for the upcoming period. The

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

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

For supplemental grants and changes to

existing grants, do not use Columns (c) and

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

increase or decrease of Federal funds and

enter in Column (f) the amount of the

increase or decrease of non-Federal funds. In

Column (g) enter the new total budgeted

amount (Federal and non-Federal) which

includes the total previous authorized

budgeted amounts plus or minus, as

appropriate, the amounts shown in Columns

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

should not equal to sum of amounts in

Columns (e) and (f).

Line 5—Show the totals for all columns

used.

Section B Budget Categories

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

enter the titles of the same programs,

functions, and activities shown on Lines 1–

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

sheets are prepared for Section A, provide

similar column headings on each sheet. For

each program, function or activity, fill in the

total requirements for funds (both Federal

and non-Federal) by object class categories.

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

6h in each column.

Line 6j—Show the amount of indirect cost.

Line 6k—Enter the total of amounts on

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

grants and continuation grants the total

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

same as the total amount shown in Section

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

grants and changes to grants, the total

amount of the increase or decrease as shown

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

same as the sum of the amounts in Section

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

Line 7—Enter the estimated amount of

income, if any, expected to be generated from

this project. Do not add or subtract this

amount from the total project amount. Show

under the program narrative statement the

nature and source of income. The estimated

amount of program income may be

considered by the federal grantor agency in

determining the total amount of the grant.

Section C. Non-Federal-Resources

Lines 8–11—Enter amounts of non-Federal

resources that will be used on the grant. If

in-kind contributions are included, provide a

brief explanation on a separate sheet.

Column (a)—Enter the program titles

identical to Column (a), Section A. A

breakdown by function or activity is not

necessary.

Column (b)—Enter the contribution to be

made by the applicant.

Column (c)—Enter the amount of the

State’s cash and in-kind contribution if the

applicant is not a State or State agency.

Applicants which are a State or State

agencies should leave this column blank.

Column (d)—Enter the amount of cash and

in-kind contributions to be made from all

other sources.

Column (e)—Enter totals of Columns (b),

(c), and (d).

Line 12—Enter the total for each of

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

should be equal to the amount on Line 5,

Column (f), Section A.

Section D. Forecasted Cash Needs

Line 13—Enter the amount of cash needed

by quarter from the grantor agency during the

first year.

Line 14—Enter the amount of cash from all

other sources needed by quarter during the

first year.

Line 15—Enter the totals of amounts on

Lines 13 and 14.

Section E. Budget Estimates of Federal Funds

Needed for Balance of the Project

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

grant program titles shown in Column (a),

Section A. A breakdown by function or

activity is not necessary. For new

applications and continuation grant

applications, enter in the proper columns

amounts of Federal funds which will be

needed to complete the program or project

over the succeeding funding periods (usually

in years). This section need not be completed

for revisions (amendments, changes, or

supplements) to funds for the current year of

existing grants.

If more than four lines are needed to list

the program titles, submit additional

schedules as necessary.

Line 20—Enter the total for each of the

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

are prepared for this Section, annotate

accordingly and show the overall totals on

this line.

Section F. Other Budget Information

Line 21—Use this space to explain

amounts for individual direct object-class

cost categories that may appear to be out of

the ordinary or to explain the details as

required by the Federal grantor agency.

Line 22—Enter the type of indirect rate

(provisional, predetermined, final or fixed)

that will be in effect during the funding

period, the estimated amount of the base to

which the rate is applied, and the total

indirect expense.

Line 23—Provide any other explanations or

comments deemed necessary.

Assurances—Non-Construction

Programs

Note: Certain of these assurances may not

be applicable to your project or program. If

you have questions, please contact the

awarding agency. Further, certain Federal

awarding agencies may require applicants to

certify to additional assurances. If such is the

case, you will be notified.

As the duly authorized representative of

the applicant I certify that the applicant:

1. Has the legal authority to apply for

Federal assistance, and the institutional,

managerial and financial capability

(including funds sufficient to pay the nonFederal share of project costs) to ensure

proper planning, management and

completion of the project described in this

application.

2. Will give the awarding agency, the

Comptroller General of the United States, and

if appropriate, the State, through any

authorized representative, access to and the

right to examine all records, books, papers,
9784 Federal Register / Vol. 62, No. 42 / Tuesday, March 4, 1997 / Notices

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 nineteen statutes or regulations

specified in Appendix A of OPM’s Standards

for a Merit System of Personnel

Administration (5 C.F.R. 900, Subpart F).

6. Will comply with all Federal statutes

relating to nondiscrimination. These include

but are not limited to: (a) title VI of the Civil

Rights Act of 1964 (P.L. 88–352) which

prohibits discrimination on the basis of race,

color or national origin; (b) Title IX of the

Education Amendments of 1972, as amended

(20 U.S.C. §§ 1681–1683, and 1685–1686),

which prohibits discrimination on the basis

of sex; (c) Section 504 of the Rehabilitation

Act of 1973, as amended (29 U.S.C. § 794),

which prohibits discrimination on the basis

of handicaps; (d) the Age Discrimination Act

of 1975, as amended (42 U.S.C. §§ 6101–

6107), which prohibits discrimination on the

basis of age; (e) the Drug Abuse Office and

Treatment Act of 1972 (P.L. 92–255), as

amended, relating to nondiscrimination on

the basis of drug abuse; (f) the

Comprehensive Alcohol Abuse and

Alcoholism Prevention’ Treatment and

Rehabilitation Act of 1970 (P.L. 91–616), as

amended, relating to nondiscrimination on

the basis of alcohol abuse or alcoholism; (g)

§§ 523 and 527 of the Public Health Service

Act of 1912 (42 U.S.C. 290 dd–3 and 290 ee–

3), as amended, relating to confidentiality of

alcohol and drug abuse patient records; (h)

Title VIII of the Civil Rights Act of 1968 (42

U.S.C. § 3601 et seq.), as amended, relating to

nondiscrimination in the sale, rental or

financing of housing; (i) any other

nondiscrimination provisions in the specific

statute(s) under which application for

Federal assistance is being made; and (j) the

requirements of any other nondiscrimination

statute(s) which may apply to the

application.

7. Will comply, or has already complied,

with the requirements of Titles II and III of

the Uniform Relocation Assistance and Real

Property Acquisition Policies Act of 1970

(P.L. 91–646) which provide for fair and

equitable treatment of persons displaced or

whose property is acquired as a result of

Federal or federally assisted programs. These

requirements apply to all interests in real

property acquired for project purposes

regardless of Federal participation in

purchases.

8. Will comply with the provisions of the

Hatch Act (5 U.S.C. §§ 1501–1508 and 7324–

7328) which limit the political activities of

employees whose principal employment

activities are funded in whole or in part with

Federal funds.

9. Will comply, as applicable, with the

provisions of the Davis-Bacon Act (40 U.S.C.

§§ 276a to 276a–7), the Copeland Act (40

U.S.C. § 276c and 18 U.S.C. § 874), and the

Contract Work Hours and Safety Standards

Act (40 U.S.C. §§ 372–333), regarding labor

standards for federally assisted construction

subagreements.

10. Will comply, if applicable, with flood

insurance purchase requirements of Section

102(a) of the Flood Disaster Protection Act of

1973 (P.L. 93–234) which requires recipients

in a special flood hazard area to participate

in the program and to purchase flood

insurance if the total cost of insurable

construction and acquisition is $10,000 or

more.

11. Will comply with environmental

standards which may be prescribed pursuant

to the following: (a) institution of

environmental quality control measures

under the National Environmental Policy Act

of 1969 (P.L. 92–190) and Executive Order

(EO) 11514; (b) notification of violating

facilities pursuant to EO 11738; (c) protection

of wetlands pursuant to EO 11990; (d)

evaluation of flood hazards in floodplains in

accordance with EO 11988; (e) assurance of

project consistency with the approved State

management program developed under the

Coastal Zone Management Act of 1972 (16

U.S.C. §§ 1451 et seq.); (f) conformity of

Federal actions to State (Clear Air)

Implementation Plans under Section 176(c)

of the Clear Air Act of 1955, as amended (42

U.S.C. § 7401 et seq.); (g) protection of

underground sources of drinking water under

the Safe Drinking Water Act of 1974, as

amended, (P.L. 93–523); and (h) protection of

endangered species under the Endangered

Species Act of 1973, as amended, (P.L. 93–

205).

12. Will comply with the Wild and Scenic

Rivers Act of 1968 (16 U.S.C. §§ 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 of

1984.

18. Will comply with all applicable

requirements of all other Federal laws,

executive orders, regulations and policies

governing this program.

lllllllllllllllllllll

Signature of Authorized Certifying Official

lllllllllllllllllllll

Title

lllllllllllllllllllll

Applicant Organization

lllllllllllllllllllll

Date Submitted

Program Narrative

This program narrative section was

designed for use by many and varied

programs. Consequently, it is not possible to

provide specific guidance for developing a

program narrative statement that would be

appropriate in all cases. Applicants must

refer the relevant program announcement for

information on specific program

requirements and any additional guidelines

for preparing the program narrative

statement. The following are general

guidelines for preparing a program narrative

statement.

The program narrative provides a major

means by which the application is evaluated

and ranked to compete with other

applications for available assistance. It

should be concise and complete and should

address the activity for which Federal funds

are 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

which will not be used in support of the

specific project for which funds are

requested.

Cross-referencing should be used rather

than repetition. ACF is particularly interested

in specific factual information and

statements of measurable goals in

quantitative terms. Narratives are evaluated

on the basis of substance, not length.

Extensive exhibits are not required.

(Supporting information concerning

activities which will not be directly funded

by the grant or information which does not

directly pertain to an integral part of the

grant funded activity should be placed in an

appendix.) Pages should be numbered for

easy reference.

Prepare the program narrative statement in

accordance with the following instructions:

• Applicants submitting new applications

or competing continuation applications

should respond to Items A and D.

• Applicants submitting noncompeting

continuation applications should respond to

Item B.

• Applicants requesting supplemental

assistance should respond to Item C.
Federal Register / Vol. 62, No. 42 / Tuesday, March 4, 1997 / Notices 9785

A. Project Description—Components

1. Project Summary/Abstract

A summary of the project description

(usually a page or less) with reference to the

funding request should be placed directly

behind the table of contents or SF–424.

2. Objectives and Need for Assistance

Applicants must clearly identify the

physical, economic, social, financial,

institutional, 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 referenced in the endnotes/

footnotes. Incorporate demographic data and

participant/beneficiary information, as

needed. In developing the narrative, the

applicant may volunteer or be requested to

provide information on the total range of

projects currently conducted and supported

(or to be initiated), some of which may be

outside the scope of the program

announcement.

3. Results or Benefits Expected

Identify results and benefits to be derived.

For example, when applying for a grant to

establish a neighborhood child care center,

describe who will occupy the facility, who

will use the facility, how the facility will be

used, and how the facility will benefit the

community which it will serve.

4. Approach

Outline a plan of action which 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 which might

accelerate or decelerate the work and state

your reason for taking this 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.

Provide quantitative monthly or quarterly

projections of the accomplishments to be

achieved for each function or activity in such

terms as the number of people to be served

and the number of microloans made. When

accomplishments cannot be quantified by

activity or function, list them in

chronological order to show the schedule of

accomplishments and their target dates.

Identify the kinds of data to be collected,

maintained, and/or disseminated. (Note that

clearance from the U.S. Office of

Management and Budget might be needed

prior to an information collection.) List

organizations, cooperating entities,

consultants, or other key individuals who

will work on the project along with a short

description of the nature of their effort or

contribution.

5. Evaluation

Provide a narrative addressing how you

will evaluate 1) the results of your project

and 2) the conduct of your program. In

addressing the evaluation of results, state

how you will determine the extent to which

the program has achieved its stated objectives

and the extent to which the accomplishment

of objectives can be attributed to the program.

Discuss the criteria to be used to evaluate

results; explain the methodology that will be

used to determine if the needs identified and

discussed are being met and if the project

results and benefits are being achieved. With

respect to the conduct of your program,

define the procedures you will employ to

determine whether the program is being

conducted in a manner consistent with the

work plan you presented and discuss the

impact of the program’s various activities

upon the program’s effectiveness.

6. Geographic Location

Give the precise location of the project and

boundaries of the area to be served by the

proposed project. Maps or other graphic aids

may be attached.

7. Additional Information (Include if

applicable)

Additional information may be provided in

the body of the program narrative or in the

appendix. Refer to the program

announcement and ‘‘General Information and

Instructions’’ for guidance on placement of

application materials.

Staff and Position Data—Provide a

biographical sketch for key personnel

appointed and a job description for each

vacant key position. Some programs require

both for all positions. Refer to the program

announcement for guidance on presenting

this information. Generally, a biographical

sketch is required for original staff and new

members as appointed.

Plan for Project Continuance Beyond Grant

Support—A plan for securing resources and

continuing project activities after Federal

assistance has ceased.

Business Plan—When federal grant funds

will be used to make an equity investment,

provide a business plan. Refer to the program

announcement for guidance on presenting

this information.

Organization Profiles—Information on

applicant organizations and their cooperating

partners such as organization charts,

financial statements, audit reports or

statements from CPA/Licensed Public

Accountant, Employer Identification

Numbers, names of bond carriers, contact

persons and telephone numbers, child care

licenses and other documentation of

professional accreditation, information on

compliance with federal/state/local

government standards, documentation of

experience in program area, and other

pertinent information. Any non-profit

organization submitting an application must

submit proof of its non-profit status in its

application at the time of submission. The

non-profit agency can accomplish this by

providing a copy of the applicant’s listing in

the Internal Revenue Service’s (IRS) most

recent list of tax-exempt organizations

described in Section 501(c)(3) of the IRS code

or by providing a copy of the currently valid

IRS tax exemption certificate, or by providing

a copy of the articles of incorporation bearing

the seal of the State in which the corporation

or association is domiciled.

Dessemination Plan—A plan for

distributing reports and other project outputs

to colleagues and the public. Applicants

must provide a description of the kind,

volume and timing of distribution.

Third-Party Agreements—Written

agreements between grantees and subgrantees

or subcontractors or other cooperating

entities. These agreements may detail scope

of work, work schedules, remuneration, and

other terms and conditions that structure or

define the relationship.

Waiver Request—A statement of program

requirements for which waivers will be

needed to permit the proposed project to be

conducted.

Letters of Support—Statements from

community, public and commercial leaders

which support the project proposed for

funding.

B. Noncompeting Continuation Applications

A program narrative usually will not be

required for noncompeting continuation

applications for nonconstruction programs.

Noncompeting continuation applications

shall be abbreviated unless the ACF Program

Office administering this program has issued

a notice to the grantee that a full application

will be required.

An abbreviated application consists of:

1. The Standard Form 424 series (SF 424,

SF 424A, SF–424B)

2. The estimated or actual unobligated

balance remaining from the previous budget

period should be identified on an accurate

SF–269 as well as in Section A, Columns (c)

and (d) of the SF–424A.

3. The grant budget, broken down into the

object class categories on the 424A, and if

category ‘‘other’’ is used, the specific items

supported must be identified.

4. Required certifications.

A full application consists of all elements

required for an abbreviated application plus:

1. Program narrative information

explaining significant changes to the original

program narrative statement, a description of

accomplishments from the prior budget

period, a projection of accomplishments

throughout the entire remaining project

period, and any other supplemental

information that ACF informs the grantee is

necessary.

2. A full budget proposal for the budget

period under consideration with a full cost

analysis of all budget categories.

3. A corrective action plan, if requested by

ACF, to address organizational performance

weaknesses.

C. Supplemental Requests

For supplemental assistance requests,

explain the reason for the request and justify

the need for additional funding. Provide a

budget and budget justification only for those

items for which additional funds are

requested. (See Item D for guidelines on

preparing a budget and budget justification.)

D. Budget and Budget Justification

Provide line item detail and detailed

calculations for each budget object class

identified on the Budget Information form.

Detailed calculations must include

estimation methods, quantities, unit costs,

and other similar quantitative detail
9786 Federal Register / Vol. 62, No. 42 / Tuesday, March 4, 1997 / Notices

sufficient for the calculation to be duplicated.

The detailed budget must also include a

breakout by the funding sources identified in

Block 15 of the SF–424.

Provide a narrative budget justification

which describes how the categorical costs are

derived. Discuss the necessity,

reasonableness, and allocability of the

proposed costs

The following guidelines are for preparing

the budget and budget justification. Both

federal and non-federal resources should be

detailed and justified in the budget and

narrative justification. For purposes of

preparing the program narrative, ‘‘federal

resources’’ refers only to the ACF grant for

which you are applying. Non-Federal

resources are all other federal and nonfederal resources. It is suggested that for the

budget, applicants use a column format:

Column 1, object class categories; Column 2,

federal budget amounts; Column 3, nonfederal budget amounts, and Column 4, total

amounts. The budget justification should be

a narrative.

Personnel. Costs of employee salaries and

wages.

Justification: Identify the project director or

principal investigator, if known. For each

staff person, show name/title, time

commitment to the project (in months), time

commitment to the project (as a percentage

or full-time equivalent), annual salary, grant

salary, wage rates, etc. Do not include costs

of consultants or personnel costs of delegate

agencies or of specific project(s) or

businesses to be financed by the applicant.

Fringe Benefits. Costs of employee fringe

benefits unless treated as part of an approved

indirect cost rate.

Justification: Provide a breakdown of

amounts and percentages that comprise

fringe benefit costs, such as health insurance,

FICA, retirement insurance, taxes, etc.

Travel. Costs of project related travel by

employees of the applicant organization

(does not include costs of consultant travel).

Justification: For each trip, show the total

number of traveler(s), travel destination,

duration of trip, per diem, mileage

allowances, if privately owned vehicles will

be used, and other transportation costs and

subsistence allowances. Travel costs for key

staff to attend ACF sponsored workshops as

specified in this program announcement

should be detailed in the budget.

Equipment. Costs of all non-expendable,

tangible personal property to be acquired by

the project where each article has a useful

life of more than one year and an acquisition

cost which equals the lesser of (a) the

capitalization level established by the

applicant organization for financial statement

purposes, or (b) $5000.

Justification: For each type of equipment

requested, provide a description of the

equipment, cost per unit, number of units,

total cost, and a plan for use on the project,

as well as use or disposal of the equipment

after the project ends.

Supplies. Costs of all tangible personal

property (supplies) other than that included

under the Equipment category.

Justification: Specify general categories of

supplies and their costs. Show computations

and provide other information which

supports the amount requested.

Contractual. Costs of all contracts for

services and goods except for those which

belong under other categories such as

equipment, supplies, construction, etc.

Third-party evaluation contracts (if

applicable) and contracts with secondary

recipient organizations including delegate

agencies and specific project(s) or businesses

to be financed by the applicant should be

included under this category.

Justification: All procurement transactions

shall be conducted in a manner to provide,

to the maximum extent practical, open and

free competition. If procurement

competitions were held or if a sole source

procurement is being proposed, attach a list

of proposed contractors, indicating the names

of the organizations, the purposes of the

contracts, the estimated dollar amounts, and

the award selection process. Also provide

back-up documentation where necessary to

support selection process.

Note: Whenever the applicant/grantee

intends to delegate part of the program to

another agency, the applicant/grantee must

provide a detailed budget and budget

narrative for each delegate agency by agency

title, along with the required supporting

information referenced in these instructions.

Applicants must identify and justify any

anticipated procurement that is expected to

exceed the simplified purchase threshold

(currently set at $100,000) and to be awarded

without competition. Recipients are required

to make available to ACF pre-award review

and procurement documents, such as request

for proposals or invitations for bids,

independent cost estimates, etc. under the

conditions identified at 45 CFR Part 74.44(e).

Construction. Costs of construction by

applicant or contractor.

Justication: Provide detailed budget and

narrative in accordance with instructions for

other object class categories. Identity which

construction activity/costs will be

contractual and which will assumed by the

applicant.

Other. Enter the total of all other costs.

Such costs, where applicable and

appropriate, may include but are not limited

to insurance, food, medical and dental costs

(noncontractual), fees and travel paid directly

to individual consultants, space and

equipment rentals, printing and publication,

computer use, training costs, including

tuition and stipends, training service costs

including wage payments to individuals and

supportive service payments, and staff

development costs.

Indirect Charges. Total amount of indirect

costs. This category should be used only

when the applicant currently has an indirect

cost rate approved by the Department of

Health and Human Services or another

cognizant Federal agency.

Justification: With the exception of most

local government agencies, an applicant

which will charge indirect costs to the grant

must enclose a copy of the current rate

agreement if the agreement was negotiated

with a cognizant Federal agency other than

the Department of Health and Human

Services (DHHS). If the rate agreement was

negotiated with the Department of Health

and Human Services, the applicant should

state this in the budget justification. If the

applicant organization is in the process of

initially developing or renegotiating a rate, it

should immediately upon notification that an

award will be made, develop a tentative

indirect cost rate proposal based on its most

recently completed fiscal year in accordance

with the principles set forth in the pertinent

DHHS Guide for Establishing Indirect Cost

Rates, and submit it to the appropriate DHHS

Regional Office. Applicants awaiting

approval of their indirect cost proposals may

also request indirect costs. It should be noted

that when an indirect cost rate is requested,

those costs included in the indirect costs

pool should not be also charged as direct

costs to the grant. Also, if the applicant is

requesting a rate which is less than what is

allowed under this program announcement,

the authorized representative of your

organization needs to submit a signed

acknowledgement that the applicant is

accepting a lower rate than allowed.

Program Income. The estimated amount of

income, if any, expected to be generated from

this project. Separately show expected

program income generated from program

support and income generated from other

mobilized funds. Do not add or subtract this

amount from the budget total. Show the

nature and source of income in the program

narrative statement.

Justification: Describe the nature, source

and anticipated use of program income in the

budget or reference pages in the program

narrative statement which contain this

information.

Non-Federal Resources. Amounts of nonFederal resources that will be used to support

the project as identified in Block 15 of the

SF-424.

Justificaiton: The firm commitment of

these resources must be documented and

submitted with the application in order to be

given credit in the review process.

Total Direct Charges, Total Indirect

Charges, Total Project Costs. (self

explanatory)

BILLING CODE 4184–01–P
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9788 Federal Register / Vol. 62, No. 42 / Tuesday, March 4, 1997 / Notices

BILLING CODE 4184–01–C
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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

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 titled

‘‘Certification Regarding Debarment,

Suspension, Ineligibility and Voluntary

Exclusion—Lower Tier Covered

Transaction,’’ providing 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

is 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 processed 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,
9790 Federal Register / Vol. 62, No. 42 / Tuesday, March 4, 1997 / Notices

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 an Voluntary

Exclusion—Lower Tier Covered

Transactions

(1) The prospective lower tier participant

certifies, by submission of this proposal, that

neither it nor its principals is presently

debarred, suspended, proposed for

debarment, declared ineligible, or voluntarily

excluded from participation in this

transaction by any Federal department or

agency.

(2) Where the prospective lower tier

participant is unable to certify to any of the

statements in this certification, such

prospective participant shall attach an

explanation to this proposal.

Certification Regarding Lobbying

Certification for Contracts, Grants, Loans,

and Cooperative Agreements

The undersigned certifies, to the best of his

or her knowledge and belief, that:

(1) No Federal appropriated funds have

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

the undersigned, to any person for

influencing or attempting to influence an

officer or employee of any agency, a Member

of Congress, an officer or employee of

Congress, or an employee of a Member of

Congress in connection with the awarding of

any Federal contract, the making of any

Federal grant, the making of any Federal

loan, the entering into of any cooperative

agreement, and the extension, continuation,

renewal, amendment, or modification of any

Federal contract, grant, loan, or cooperative

agreement.

(2) If any funds other than Federal

appropriated funds have been paid or will be

paid to any person for influencing or

attempting to influence an officer or

employee of any agency, a Member of

Congress, an officer or employee of Congress;

or an employee of a Member of Congress in

connection with this Federal contract, grant,

loan or cooperative agreement, the

undersigned shall complete and submit

Standard Form–LLL, ‘‘Disclosure Form to

Report Lobbying,’’ in accordance with its

instructions.

(3) The undersigned shall require that the

language of this certification be included in

the award documents for all subawards at all

tiers (including subcontracts, subgrants, and

contracts under grants, loans, and

cooperative agreements) and that all

subrecipients shall certify and disclose

accordingly.

This certification is a material

representation of fact upon which reliance

was placed when this transaction was made

or entered into. Submission of this

certification is a prerequisite for making or

entering into this transaction imposed by

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

who fails to file the required certification

shall be subject to a civil penalty of not less

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

each such failure.

State for Loan Guarantee and Loan Insurance

The undersigned states, to the best of his

or her knowledge and belief, that:

If any funds have been paid or will be paid

to any person for influencing or attempting

to influence an officer or employee of any

agency, a Member of Congress, an officer or

employee of Congress, or an employee of a

Member of Congress in connection with this

commitment providing for the United States

to insure or guarantee a loan, the

undersigned shall complete and submit

Standard Form–LLL ‘‘Disclosure Form to

Report Lobbying,’’ in accordance with its

instructions.

Submission of this statement is a

prerequisite for making or entering into this

transaction imposed by section 1352, title 31,

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

require 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

lllllllllllllllllllll

Date

BILLING CODE 4184–01–P
Federal Register / Vol. 62, No. 42 / Tuesday, March 4, 1997 / Notices 9791

BILLING CODE 4184–01–C
9792 Federal Register / Vol. 62, No. 42 / Tuesday, March 4, 1997 / Notices

Certification Regarding Environmental

Tobacco Smoke

Public Law 103–227, Part C—

Environmental Tobacco Smoke, also known

as the Pro-Children Act of 1994 (Act),

requires that smoking not be permitted in any

portion of any indoor routinely owned or

leased or contracted for by an entity and used

routinely or regularly for provision of health,

day care, education, or library services to

children under the age of 18, if the services

are funded by Federal programs either

directly or through State or local

governments, by Federal grant, contract, loan,

or loan guarantee. The law does not apply to

children’s services provided in private

residences, facilities funded solely by

Medicare or Medicaid funds, and portions of

facilities used for inpatient drug or alcohol

treatment. Failure to comply with the

provisions of the law may result in the

imposition of a civil monetary penalty of up

to $1000 per day and/or the imposition of an

administrative compliance order on the

responsible entity.

By signing and submitting this application

the applicant/grantee certifies that it will

comply with the requirements of the Act. The

applicant/grantee further agrees that it will

require the language of this certification be

included in any subawards which contain

provisions for the children’s services and that

all subgrantees shall certify accordingly.

Attachment C—OMB State Single Point of

Contact Listing

Arizona

Joni Saad, Arizona State Clearinghouse, 3800

N. Central Avenue, Fourteenth Floor,

Phoenix, Arizona 85012, Telephone (602)

280–1315, Fax: (602) 280–8144

Arkansas

Mr. Tracy L. Copeland, Manager, State

Clearinghouse, Office of Intergovernmental

Services, Department of Finance and

Administration, 1515 W. 7th St., Room

412, Little Rock, Arkansas 72203,

Telephone: (501) 682–1074, Fax: (501)

682–5206

California

Grants Coordinator, Office of Planning &

Research, 1400 Tenth Street, Room 121,

Sacramento, California 95814, Telephone:

(916) 323–7480, Fax: (916) 323–3018

Delaware

Francine Booth, State Single Point of Contact

Executive Department, Thomas Collins

Building, P.O. Box 1401, Dover, Delaware

19903, Telephone: (302) 739–3326, Fax:

(302) 739–5661

District of Columbia

Charles Nichols, State Single Point of

Contact, Office of Grants Mgmt. & Dev., 717

14th Street, N.W.—Suite 500, Washington,

D.C. 20005, Telephone: (202) 727–6554,

Fax: (202) 727–1617

Florida

Florida State Clearinghouse, Department of

Community Affairs, 2740 Centerview

Drive, Tallahassee, Florida 32399–2100,

Telephone: (904) 922–5438, Fax: (904)

487–2899

Georgia

Tom L. Reid, III, Administrator, Georgia State

Clearinghouse, 254 Washington Street,

S.W.—Room 401J, Atlanta, Georgia 30334,

Telephone: (404) 656–3855 or (404) 656–

3829, Fax: (404) 656–7938

Illinois

Virginia Bova, State Single Point of Contact,

Department of Commerce and Community

Affairs, James R. Thompson Center, 100

West Randolph, Suite 3–400, Chicago,

Illinois 60601, Telephone: (312) 814–6028,

Fax: (312) 814–1800

Indiana

Amy Brewer, State Budget Agency, 212 State

House, Indianapolis, Indiana 46204,

Telephone: (317) 232–5619, Fax: (317)

233–3323

Iowa

Steven R. McCann, Division for Community

Assistance, Iowa Department of Economic

Development, 200 East Grand Avenue, Des

Moines, Iowa 50309, Telephone: (515)

242–4719, Fax: (515) 242–4859

Kentucky

Ronald W. Cook, Office of the Governor,

Department of Local Government, 1024

Capitol Center Drive, Frankfort, Kentucky

40601–8204, Telephone: (502) 573–2382,

Fax: (502) 573–2512

Maine

Joyce Benson, State Planning office, State

House Station #38, Augusta, Maine 0433,

Telephone: (207) 287–3261, Fax: (207)

287–6489

Maryland

William G. Carroll, Manager, State

Clearinghouse for Intergovernmental

Assistance, Maryland Office of Planning,

301 W. Preston Street—Room 1104,

Baltimore, Maryland 21201–2365, Staff

Contact: Linda Janey, Telephone: (410)

225–4490, Fax: (410) 225–4480

Michigan

Richard Pfaff, Southeast Michigan Council of

Governments, 1900 Edison Plaza, 660 Plaza

Drive, Detroit, Michigan 48226, Telephone:

(313) 961–4266, Fax: (313) 961–4869

Mississippi

Cathy Malette, Clearinghouse Officer,

Department of Finance and

Administration, 455 North Lamar Street,

Jackson, Mississippi 39202–3087,

Telephone: (601) 359–6762, Fax: (601)

359–6764

Missouri

Lois Pohl, Federal Assistance Clearinghouse,

Office of Administration, P.O. Box 809,

Room 760, Truman Building, Jefferson

City, Missouri 65102, Telephone: (314)

751–4834, Fax: (314) 751–7819

Nevada

Department of Administration, State

Clearinghouse, Capitol Complex, Carson

City, Nevada 89710, Telephone: (702) 687–

4065, Fax: (702) 687–3983

New Hampshire

Jeffrey H. Taylor, Director, New Hampshire

Office of State Planning, Attn:

Intergovernmental Review Process, Mike

Blake, 21⁄2 Beacon Street, Concord, New

Hampshire 03301, Telephone: (603) 271–

2155, Fax: (603) 271–1728

New Mexico

Robert Peters, State Budget Division, Room

190, Bataan Memorial Building, Santa Fe,

New Mexico 87503, Telephone: (505) 827–

3640

New York

New York State Clearinghouse, Division of

the Budget, State Capitol, Albany, New

York 12224, Telephone: (518) 474–1605

North Carolina

Chrys Baggett, Director, N.C. State

Clearinghouse, Office of the Secretary of

Admin., 116 West Jones Street, Raleigh,

North Carolina 27603–8003, Telephone:

(919) 733–7232, Fax: (919) 733–9571

North Dakota

North Dakota Single Point of Contact, Office

of Intergovernmental Assistance, 600 East

Boulevard Avenue, Bismarck, North

Dakota 58505–0170, Telephone: (701) 224–

2094, Fax: (701) 224–2308

Ohio

Larry Weaver, State Single Point of Contact,

State Clearinghouse, Office of Budget and

Management, 30 East Broad Street, 34th

Floor, Columbus, Ohio 43266–0411

Please direct correspondence and

questions about intergovernmental review to:

Linda Wise, Telephone: (614) 466–0698, Fax:

(614) 466–5400.

Rhode Island

Daniel W. Varin, Associate Director,

Department of Administration/Division of

Planning, One Capitol Hill, 4th Floor,

Providence, Rhode Island 02908–5870,

Telephone: (401) 277–2656, Fax: (401)

277–2083

Please direct correspondence and

questions to: Review Coordinator, Office of

Strategic Planning.

South Carolina

Omeagia Burgess, State Single Point of

Contact, Grant Services, Office of the

Governor, 1205 Pendleton Street—Room

477, Columbia, South Carolina 29201,

Telephone: (803) 734–0494, Fax: (803)

734–0385

Texas

Tom Adams, Governors Office, Director,

Intergovernmental Coordination, P.O. Box

12428, Austin, Texas 78711, Telephone:

(512) 463–1771, Fax: (512) 463–1888

Utah

Carolyn Wright, Utah State Clearinghouse,

Office of Planning and Budget, Room 116,

State Capitol, Salt Lake City, Utah 84114,

Telephone: (801) 538–1535, Fax: (801)

538–1547

West Virginia

Fred Cutlip, Director, Community

Development Division, W. Virginia

Development Office, Building #6, Room

553, Charleston, West Virginia 25305,

Telephone: (304) 558–4010, Fax: (304)

558–3248
Federal Register / Vol. 62, No. 42 / Tuesday, March 4, 1997 / Notices 9793

Wisconsin

Martha Kerner, Section Chief, State/Federal

Relations, Wisconsin Department of

Administration, 101 East Wilson Street—

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

Wisconsin 53707, Telephone: (608) 266–

2125, Fax: (608) 267–6931

Wyoming

Sheryl Jeffries, State Single Point of Contact,

Office of the Governor, State Capital, Room

124, Cheyenne, Wyoming 82002,

Telephone: (307) 777–5930, Fax: (307)

632–3909

Territories

Guam

Mr. Giovanni T. Sgambellluri, 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, (809) 723–6190, Fax: (809)

724–3270, (809) 724–3103

North Mariana Islands

Mr. Alvaro A. Santos, Executive Officer, State

Single Point of Contact, Office of

Management and Budget, Office of the

Governor, Saipan, MP, Telephone: (670)

664–2256, Fax: (670) 664–2272

Contact Person: Ms. Jacoba T. Seman, Federal

Programs Coordinator, Telephone: (670)

644–2289, Fax: (670) 644–2272

Virgin Islands

Jose George, Director, Office of Management

and Budget, #41 Norregade Emancipation

Garden Station, Second Floor, Saint

Thomas, Virgin Islands 00802

Please direct all questions and

correspondence about intergovernmental

review to: Linda Clarke, Telephone: (809)

774–0750, Fax: (809) 776–0069.

[FR Doc. 97–5300 Filed 3–3–97; 8:45 am]

BILLING CODE 4184–01–P

Food and Drug Administration

[Docket No. 96N–0496]

Agency Information Collection

Activities: Proposed Collection;

Reinstatement

AGENCY: Food and Drug Administration,

HHS.

ACTION: Notice.

SUMMARY: The Food and Drug

Administration (FDA) is announcing an

opportunity for public comment on the

proposed collection of certain

information by the agency. Under the

Paperwork Reduction Act of 1995 (the

PRA), Federal agencies are required to

publish a notice in the Federal Register

concerning each proposed collection of

information, including each proposed

reinstatement of an existing collection

of information, and to allow 60 days for

public comment in response to the

notice. This notice solicits comments on

the reporting and recordkeeping

requirements for manufacturers and

distributors of electronic products set

forth in the regulations.

DATES: Submit written comments on the

collection of information by April 3,

1997.

ADDRESSES: Submit written comments

on the collection of information to the

Dockets Management Branch (HFA–

305), Food and Drug Administration,

12420 Parklawn Dr., rm. 1–23,

Rockville, MD 20857. All comments

should be identified with the docket

number found in brackets in the

heading of this document.

FOR FURTHER INFORMATION CONTACT:

Judith V. Bigelow, Office of Information

Resources Management (HFA–250),

Food and Drug Administration, 5600

Fishers Lane, rm. 16B–19, Rockville,

MD 20857, 301–827–1479.

SUPPLEMENTARY INFORMATION: Under the

PRA (44 U.S.C. 3501–3520), Federal

agencies must obtain approval from the

Office of Management and Budget

(OMB) for each collection of

information they conduct or sponsor.

‘‘Collection of information’’ is defined

in 44 U.S.C. 3502(3) and 5 CFR

1320.3(c) and includes agency requests

or requirements that members of the

public submit reports, keep records, or

provide information to a third party.

Section 3506(c)(2)(A) of the PRA (44

U.S.C. 3506(c)(2)(A)) requires Federal

agencies to provide a 60-day notice in

the Federal Register concerning each

proposed collection of information,

including each proposed reinstatement

of an existing collection of information,

before submitting the collection to OMB

for approval. To comply with this

requirement, FDA is publishing notice

of the proposed collection of

information listed below.

With respect to the following

collection of information, FDA invites

comments on: (1) Whether the proposed

collection of information is necessary

for the proper performance of FDA’s

functions, including whether the

information will have practical utility;

(2) the accuracy of FDA’s estimate of the

burden of the proposed collection of

information, including the validity of

the methodology and assumptions used;

(3) ways to enhance the quality, utility,

and clarity of the information to be

collected; and (4) ways to minimize the

burden of the collection of information

on respondents, including through the

use of automated collection techniques,

when appropriate, and other forms of

information technology.

Reporting and Recordkeeping

Requirements for Manufacturers and

Distributors of Electronic Products—21

CFR Parts 1002–1010, FDA Forms 2877,

3147, and 766 (OMB Control Number

0910–0025—Reinstatement)

Sections 532 through 542 (21 U.S.C.

360ii through ss) of the Federal Food,

Drug, and Cosmetic Act (the act) direct

the Secretary of the Department of

Health and Human Services (the

Secretary) to establish and carry out an

electronic product radiation control

program to protect the public from

unnecessary radiation from electronic

products. Such program shall include

the development, issuance, and

administration of performance

standards to control the emission of

electronic product radiation from

electronic products. Section 534(g) of

the act directs the Secretary to review

and evaluate industry testing programs

on a continuing basis, and section

535(e) and (f) of the act direct the

Secretary to immediately notify

manufacturers of, and assure correction

of, radiation defects or noncompliances

with performance standards. The

authority for records and reports is

contained in section 537(b) and (c) of

the act.

The regulations implementing these

statutory provisions are found in parts

1002 through 1010 (21 CFR parts 1002

through 1010). Section 1002.3 requires

manufacturers, when directed by FDA,

to provide technical and safety

information to users. Section 1002.10(a)

through (k) requires manufacturers to

submit to FDA product reports

containing identification, design,

operation and testing, quality control

procedures, test results, and product

labeling prior to the entry of the product

into commerce. Section 1002.11(a) and

(b) requires manufacturers to submit

supplemental reports to FDA if

modifications in product safety or

testing of electronic products affect

actual or potential radiation emission.

Section 1002.12(a) through (e) requires

manufacturers to submit abbreviated

information on product safety and

testing. Section 1002.13(a) through (c)

requires manufacturers to report

annually to FDA a summary of

manufacturer records maintained in

accordance with § 1002.30, and provide

quarterly updates of models instead of

§ 1002.10 or § 1002.11 reports. Section

1002.20(a) through (c) requires

manufacturers to report to FDA the

circumstances, amount of exposure, and