12220 Federal Register / Vol. 60, No. 43 / Monday, March 6, 1995 / Notices

produce benefits to the public, such as

greater convenience, increased

competition, or gains in efficiency, that

outweigh possible adverse effects, such

as undue concentration of resources,

decreased or unfair competition,

conflicts of interests, or unsound

banking practices.’’ Any request for a

hearing on this question must be

accompanied by a statement of the

reasons a written presentation would

not suffice in lieu of a hearing,

identifying specifically any questions of

fact that are in dispute, summarizing the

evidence that would be presented at a

hearing, and indicating how the party

commenting would be aggrieved by

approval of the proposal.

Comments regarding the application

must be received at the Reserve Bank

indicated or the offices of the Board of

Governors not later than March 20,

1995.

A. Federal Reserve Bank of Chicago

(James A. Bluemle, Vice President) 230

South LaSalle Street, Chicago, Illinois

60690:

1. Sidell Bancorp, Inc., Sidell, Illinois;

to engage de novo in making and

servicing loans, pursuant to §

225.25(b)(1) of the Board’s Regulation Y.

Board of Governors of the Federal Reserve

System, February 28, 1995.

Jennifer J. Johnson,

Deputy Secretary of the Board.

[FR Doc. 95–5362 Filed 3–3–95; 8:45 am]

BILLING CODE 6210–01–F

DEPARTMENT OF HEALTH AND

HUMAN SERVICES

Administration for Children and

Families and the Public Health Service

[Program Announcement No. OCS 95–12]

Family Violence Prevention and

Services Program

AGENCY: Office of Community Services,

Administration for Children and

Families; Centers for Disease Control

and Prevention, Public Health Service;

and the Substance Abuse and Mental

Health Services Administration, Public

Health Service; in the Department of

Health and Human Services (HHS).

ACTION: Notice of the availability of

financial assistance and request for

applications to establish a National

Domestic Violence Hotline.

SUMMARY: The Office of Community

Services, Administration for Children

and Families, in cooperation with the

Centers for Disease Control and

Prevention and Substance Abuse and

Mental Health Services Administration,

announces the availability of funds in

fiscal year 1995 for the award of one

cooperative agreement on a competitive

basis to operate a national, toll-free

telephone hotline to provide

information and assistance to victims of

domestic violence. This announcement

contains all of the application materials

needed to apply for this cooperative

agreement.

The purpose of the national domestic

violence hotline is to provide

information and referral services,

counseling, and assistance to victims of

domestic violence, their children and

other family members, and others

affected by such violence and to enable

them to find safety and protection in

crisis situations. The successful

applicant will be required to provide

telephonic assistance on a 24 hour-perday, seven day-a-week basis throughout

the continental United States, and in

Alaska, Hawaii, the Commonwealth of

Puerto Rico, and the Virgin Islands.

DATES: The closing date for submission

of applications is June 5, 1995.

ADDRESSES: Applications may be mailed

to the Department of Health and Human

Services, Administration for Children

and Families/Division of Discretionary

Grants, 370 L’Enfant Promenade, SW.,

6th Floor, (OCS 95–12) Washington, DC.

20447.

Hand delivered applications are

accepted during the normal working

hours of 8 a.m. to 4:30 p.m., Monday

through Friday, on or prior to the

established closing date at:

Administration for Children and

Families, Division of Discretionary

Grants, 901 D Street, SW., 6th Floor

(OCS 95–12), OFM/DDG, Washington,

DC 20447.

FOR FURTHER INFORMATION CONTACT:

William D. Riley, Administration for

Children and Families, Office of

Community Services, Division of State

Assistance, 370 L’Enfant Promenade,

S.W., Washington, DC. 20447.

Telephone (202) 401–5529.

SUPPLEMENTARY INFORMATION: This

program announcement consists of four

parts. Part I provides information on the

legislative authority applicable to this

announcement and background

information on the proposed national

domestic violence hotline. Part II

describes the minimum requirements

for the design of the hotline that the

applicant must address in its

application. Part III describes the

evaluation criteria. Part IV provides

information and instructions for the

development and submission of an

application.

The forms to be used for submitting

an application follow Part IV. Please

copy and use these forms in submitting

an application under this

announcement. No additional

application materials are available or

needed to submit an application.

Applicants should note that the

cooperative agreement to be awarded

under this program announcement is

subject to the availability of funds.

Part I: General Information

A. Legislative Authority

Title III of the Child Abuse

Amendments of 1984, (Pub. L. 98–457,

42 U.S.C. 10401, et seq.) is entitled the

Family Violence Prevention and

Services Act (the Act). The Act was first

implemented in FY 1986, was

reauthorized and amended in 1992 by

Pub. L. 102–295, and was reauthorized

and amended for fiscal years 1996

through 2000 by Pub. L. 103–322, the

Violent Crime Control and Law

Enforcement Act of 1994 (Crime Bill),

signed into law on September 13, 1994.

One part of the Crime Bill, the

Violence Against Women Act, added

section 316 to the Family Violence

Prevention and Services Act to

authorize a grant award for up to five

years to provide for the operation of a

national, toll-free telephone hotline to

provide information and assistance to

victims of domestic violence.

B. Conceptual Framework and Scope of

Services

The prevalence of family violence is

widespread and its effective prevention

and treatment requires coordination and

collaboration among a broad range of

legal, justice system, health, and social

service providers, and advocates at the

Federal, State and local levels.

To serve the wide range of expected

calls effectively, the hotline must have

expertise about domestic violence and

services to victims of domestic violence.

The staff also must understand the

importance of using appropriate

linkages with State and local resources

to serve callers to the hotline. The

benefits of a highly visible national

hotline to victims and others will be

directly related to the productive

working relationships and coordinated

provision of services between and

among the hotline and State and local

hotlines and other services and

resources.

Calls to the hotline may range from

the urgent and life-threatening to calls

for general reference information. The

target population to be served by the

hotline is specified in the statute as

‘‘victims of domestic violence.’’ The

hotline should be prepared to respond

to the broad range of violence that
Federal Register / Vol. 60, No. 43 / Monday, March 6, 1995 / Notices 12221

occurs in the context of family and

intimate relationships, domestic

violence, spouse abuse, partner abuse,

battering of women, sexual assault, date

rape, and acquaintance rape. The

hotline also will serve those less

directly affected by such abuse, e.g.,

relatives, children of victims and other

family members, friends, neighbors,

perpetrators and batterers, other

concerned individuals, and the general

public.

In terms of the scope of the services

provided by the hotline, the statute

requires the provision of ‘‘information

and assistance’’ and ‘‘counseling and

referral services.’’ Therefore, the

applicants’ proposed design and plan

for operating the hotline and responding

to callers is important. However, the

hotline is not expected to provide

extended or long-term counseling or

therapy services. The fuller discussion

of a problem and consideration of

options is done most appropriately at

the local level, given the variation in

laws and services available among the

States and localities.

Finally, because domestic violence

often contributes to isolation,

helplessness, loss of self-esteem, and

dependence, a self-help and

empowerment model of services is

needed. Such a model:

• Protects and assures safety for all

victims and other family members;

• Builds on the strengths and

resources of individuals and families;

• Offers options and support for

independent decision-making based on

specific individual and family needs

and circumstances; and

• Assists individuals and families to

obtain protection and needed services

that are respectful of cultural and

community characteristics.

Finally, we recognize that there is an

inter-relationship between alcohol, drug

abuse, and mental health (ADM)

problems and domestic violence.

Alcohol abuse has been demonstrated to

contribute to violent behavior.

Moreover, the abuse of alcohol coupled

with other drugs is even more likely to

be associated with severe battering

incidents than is alcohol by itself.

Victims of and or witnesses to domestic

violence also may experience

psychological consequences or turn to

substance to ameliorate their pain. In

addition to physical trauma resulting

from acts of physical abuse, battered

women suffer from a number of mental

health consequences, including higher

levels of depression, drug and alcohol

abuse, suicide attempts, and low selfesteem. Many of the mental health

consequences of spousal violence result

from chronic intimidation and fear,

which are often as significant as the

actual, acts of physical aggression.

Witnessing spousal violence contributes

to the cycle of violence outside the

home. There is an increased likelihood

of child abuse in homes where there has

already been spouse abuse.

C. Eligible Applicants

Any private nonprofit agency,

organization, institution, Tribal

organization, or combination thereof, is

eligible to apply for these funds. Any

nonprofit organization submitting an

application must submit proof of its

nonprofit 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.

D. Availability of Funds

As authorized by section 316 of the

Act, the Office of Community Services

will award one cooperative agreement

in FY 1995 of a maximum of $1 million

for the implementation of the toll-free

rational domestic violence hotline. The

source of these funds will be the Crime

Bill Trust Fund.

Non-competitive continuation grant

awards for each of years two through

five (FYs 1996–1999) will be a

maximum of $850,000, subject to the

availability of funds. This total

represents $400,000 from the Crime Bill

Trust Fund for the operation of the

hotline and $450,000 to be used to carry

out additional statutory and

programmatic activities on behalf of the

Centers for Disease Control and

Prevention (CDC), the Substance Abuse

and Mental Health Services

Administration (SAMHSA), and the

Office of Community Services (OCS).

Because the national hotline is

viewed as a viable mechanism to

achieve a number of specific aims, in

each of years two through five CDC

plans to provide $250,000 under section

393 of the Public Health Services Act to

provide additional support for State and

local domestic violence hotlines in

response to the demand generated by

the national public awareness

campaign; SAMHSA plans to provide

$100,000 under appropriate FY 1996

statutory authorities to enhance the

hotline database to include ADM

resources, support the training of

hotline staff to assure that they are

knowledgeable about ADM involvement

in incidents of domestic violence and

can make appropriate referrals to ADM

services, and, to the extent possible,

collect such information from callers;

and OCS plans to provide $100,000

under section 305 of the Family

Violence Prevention and Services Act to

support additional compilation and

reporting of information based on calls

to the hotline. These supplemental

activities are described in greater detail

as grantee requirements in Part II of this

announcement.

Section 316 of the Act also states that

funds appropriated and awarded from

the Crime Trust Fund will remain

available until expended, i.e., the $1

million in FY 1995 and $400,000 in FYs

1996–1999. This provides additional

flexibility to the grantee in the timing

and use of these funds. The funds for

additional purposes in FYs 1996–1999

($450,000 in each of years two through

five) must be expended by the end of

the fiscal year following receipt of the

funds.

E. Duration of Project

The Office of Community Services, in

cooperation with CDC and SAMHSA,

will award one grant, as a cooperative

agreement, for up to five years (60-

month project period). The initial grant

award, to be made on a competitive

basis, will cover a 12-month budget

period. Application for continuation

funding beyond the initial 12-month

budget period, but within the 60-month

project period, will be considered in

subsequent years on a non-competitive

basis, subject to the approval of the

Secretary, the availability of funds, the

satisfactory performance of the grantee,

and the determination that the

continued funding and support of the

project would be in the best interest of

the government.

F. Cooperative Agreement

The Office of Community Services

intends to support the national toll-free

hotline through a cooperative

agreement. A cooperative agreement is

Federal financial aid in which

substantial Federal involvement is

anticipated. The responsibilities of the

Administration for Children and

Families and of the successful applicant

will be identified and incorporated into

the cooperative agreement during preaward negotiations. It is anticipated that

ACF responsibilities will not change the

project requirements found in Part II of

this announcement.

The grantee will outline a plan of

interaction with OCS for

implementation under a cooperative
12222 Federal Register / Vol. 60, No. 43 / Monday, March 6, 1995 / Notices

agreement including, as appropriate,

activities involving Federal staff. The

plan under the cooperative agreement

will describe the general and specific

responsibilities of the grantee and the

grantor as well as foreseeable joint

responsibilities. A schedule of tasks will

be developed and agreed upon in

addition to any special conditions

relating to the implementation of the

hotline.

G. Grantee Share of the Project

The grantee must provide at least 25

percent of the total approved cost of the

project. The total approved cost of the

project is the sum of the Federal share

and the non-Federal share. The nonFederal share may be met by cash or inkind contributions, although applicants

are encouraged to meet their match

requirements through cash

contributions. Therefore, a project

requesting $1,000,000 in Federal funds

for the first year budget period must

include a match of at least $333,333 (25

percent of total project cost). If approved

for funding, the grantee will be held

accountable for commitments of nonFederal resources, and failure to provide

the required amounts will result in a

disallowance of unmatched Federal

funds.

Part II: Project Requirements

Requirements for Project

Implementation

The following requirements must be

met by the grantee and addressed in the

application:

1. All funds received by the grantee

pursuant to Section 316 of the Act must

be used to establish and operate a

national toll-free, telephone hotline to

provide information and assistance to

victims of domestic violence.

2. In establishing the hotline, the

private, nonprofit entity shall—

• Contract with a carrier for the use

of a toll-free telephone line;

• Employ, train, and supervise

personnel to answer incoming calls and

provide counseling and referral services

on a 24-hour-a-day basis;

• Assemble and maintain a current

database of information relating to

services for victims of domestic violence

to which callers may be referred

throughout the United States, including

information on the availability of

shelters that serve battered women and

their children; and

• Publicize the hotline to potential

users throughout the united States.

3. To be approved by the Secretary,

the application must include a complete

description of the applicant’s plan for

the operation of a national domestic

violence hotline, including description

of—

• The training program for hotline

personnel;

• The hiring criteria for hotline

personnel;

• The methods for the creation,

maintenance, and updating of a resource

database;

• A plan for publicizing the

availability of the hotline;

• A plan for providing service to nonEnglish speaking callers, including

hotline personnel who speak Spanish;

and

• A plan for facilitating access to the

hotline by persons with hearing

impairments.

4. The applicant must demonstrate

that it has:

• Nationally recognized expertise in

the area of domestic violence and a

record of high quality service to victims

of domestic violence, including a

demonstration of support from advocacy

groups, such as domestic violence State

coalitions or recognized national

domestic violence groups; and

• A commitment to diversity, and to

the provision of services to ethnic,

racial, and non-English speaking

minorities, in addition to older

individuals and individuals with

disabilities.

5. The applicant must demonstrate

knowledge of the field, including the

range of services and the resources

available for domestic violence victims,

their children and family members,

perpetrators and batterers, and other

concerned individuals, including

services and resources relating to

substance and mental health problems;

State and Indian tribal domestic

violence laws, including the availability

of legal protection; and the barriers

affecting access to such services,

resources and protection.

6. The applicant must demonstrate

experience in providing high-quality

crisis intervention, information and

referral, and counseling services and

support to battered women, their

children, other domestic violence

victims, their family and friends,

batterers, and the general public.

7. The applicant must demonstrate an

understanding of the relationship of

alcohol, drug abuse, and mental health

(ADM) problems to incidents of

domestic violence and the ability to

make appropriate referrals to callers.

8. The applicant must demonstrate an

understanding of the need for a national

hotline for domestic violence victims,

including a description of the function

and limitation of the current network of

national and State crisis hotlines,

information lines, and State victims

referral services.

9. The applicant must provide a plan

and demonstrated ability to build,

maintain, and keep current a

comprehensive database of resource

information, including the full range of

services available in local communities,

the types of legal protection and

services available in different States and

localities, and the capability to access

information.

10. The applicant must provide a

detailed description of:

• The telecommunications and

computer technology that will be

employed to establish and support the

hotline, including all management

functions, referral functions, resource

database management functions,

monitoring functions, and overall

project administration and quality

control, including periodic reporting to

HHS;

• The design and operation of the

telephone system that will be used to

provide the service; its capacity and its

limitations, including information such

as the capacity to facilitate the number

of incoming calls, call conferencing,

automatic call referral to local

providers, and service integration with

computers.

• The methods that will be used to

ensure that the national hotline is a

confidential crisis intervention and the

specific provisions that will be in place

to safeguard the confidentiality of

callers and ensure the proper handling

of confidential or sensitive information;

• The personnel recruitment, hiring,

and training program (i.e., a description

of an initial and ongoing training plan

for staff and volunteers should be

included in this section) that will

ensure the delivery of quality crisis

intervention, information and referral,

assistance, and counseling services to

diverse populations;

• The specific emergency response

and crisis protocol to be used, the

ability to conference call (or ‘‘patch’’) a

caller to a local domestic violence, legal

services, or mental health or substance

abuse program when appropriate, and

the plans for minimizing such problems

as crank/obscene calls and busy signals;

and

• The methods the applicant will use

to provide for the development,

maintenance, and updating of a

comprehensive resource database

(distributed to the maximum extent

appropriate); the technical capacity to

link with other State and local databases

in order to maintain an extensive and

current resource locator or listing; the

ability to facilitate communication

among service providers to assist the
Federal Register / Vol. 60, No. 43 / Monday, March 6, 1995 / Notices 12223

provision of services; and how the

information on best practices gathered

through the inventory being conducted

by CDC will be used to assist victims.

11. The applicant must demonstrate an

understanding of the technological

requirements of such a project and

include a detailed timeline to provide

the following services nationally:

• 24-hour/365 days per year access;

• Direct access to English and

Spanish-speaking personnel at all times

and provision for services to other nonEnglish speaking callers and the hearing

impaired;

• Personnel (paid staff and

volunteers) trained in crisis

intervention, information and referral,

and counseling skills;

• Comprehensive database of current

information;

• The ability to connect callers

directly to local programs or services

when appropriate;

• Emergency response protocol for

callers in immediate danger; and

• Appropriate confidentiality

safeguards; and data collection and data

management capability sufficient to

support program administration,

reporting, monitoring, and an ongoing

quality assessment of the hotline

service.

12. The applicant must provide a plan

to coordinate, work with, and provide

hotline services and data resource and

referrals that make maximum use of

existing domestic violence programs

and resources, including, but not

limited to, local and State-wide

domestic violence hotlines, State

Domestic Violence Coalitions, shelter

programs, emergency services, legal

services programs, national domestic

violence resource centers, other existing

national hotlines, and other national

organizations; resources related to child

abuse and youth endangerment, ADM

problems, and perpetrators and batterers

programs, the national domestic

violence media campaign coordinated

by the Family Violence Prevention

Fund, and the various activities of the

Centers for Disease Control under its

campaign to prevent violence against

women. The applicant must provide

support to State and local domestic

violence hotlines in response to the

demand generated by the national

public awareness campaign.

13. The applicant must provide a

description of the quality assurance

system it will use to assess regularly the

quality of the services being provided by

the hotline and the extent to which the

goals and objectives of the service are

being met. The quality assurance system

also must include actions to address

identified problems.

14. The applicant must provide a

comprehensive plan to publicize the

hotline to a wide national audience,

including efforts to ensure promotion

through the national media and through

targeted outreach to racially and

ethnically diverse communities, older

individuals, and individuals with

disabilities.

15. The applicant must demonstrate

the ability to staff, financially support,

and programmatically administer a

national project of this scope.

16. The author(s) of the application

must be clearly identified together with

a description of his or her current

relationship to the applicant

organization and any future project role

he or she may have if the project is

funded.

17. The applicant must provide an

assurance that any information collected

as a part of this grant will become the

property of the Federal Government.

18. The applicant must provide an

assurance that it will work with the

Federal Project Officer to identify the

information that will be compiled based

on incoming calls including

compilation of information on both

maternal and child victims of domestic

violence and individual and situational

factors characterizing violent and

abusive behavior.

19. The applicant must provide an

assurance that it will comply with the

grant administration requirements in 45

CFR part 74.

Part III: Evaluation Criteria

The five criteria that follow will be

used to review and evaluate how each

application has addressed the

requirements stated in Part II and

should be used in developing the

program narrative. The point values

following each criterion heading

indicate the maximum numerical

weight that each section will be given in

the review process.

1. Need for the Project (10 Points)

Provide a detailed discussion of the

need for a national domestic violence

hotline of the scope being proposed.

Provide a detailed analysis of the

available data related to the problem

being addressed (both domestic violence

in general and the specific lack of a

national domestic violence hotline); the

strengths and limitations of other

national and local crisis intervention

and victim services hotline/referral

services available, and the ‘‘state-of-theart’’ relative to the problem being

addressed by the proposal.

2. Goals and Objectives (10 Points)

Clearly state the project goals and

objectives. Objectives should be stated

in concrete, measurable terms which

clearly identify the population(s) to be

served, the type, quality, and level of

service to be provided, the timeline for

the establishment and delivery of

services, and other project benchmarks.

The anticipated demand for hotline

services during the initial start-up

period and a projection of the demand

on an ongoing basis should be

discussed, with supporting

documentation. Describe the precise

location of the project.

3. Approach (30 Points)

Provide a sound workable plan of

action (approach) which details: how

the proposed work will be

accomplished; how each task relates to

the project’s goals and activities;

identifies the key staff member

responsible for the specific tasks;

provides a chart indicating the timetable

for completing each task, the phasing in

of the tasks over time, the lead staff

person, and the time committed to the

task; cites factors which might

accelerate or decelerate the work;

justifies the approach selected over

other approaches; makes maximum use

of existing facilities and resources and

off-the-shelf technology; describes and

supports any unusual features of the

project, such as design or technological

innovations, reductions in cost or time,

or extraordinary social or community

involvement; and provides projections

of the accomplishments to be achieved

and identifies the activities for which

Federal technical assistance, advice, or

guidance as the project is implemented

is anticipated and would be acceptable.

4. Results and Benefits Expected (20

Points)

Identify, in specific terms, the results

and benefits to be derived from the

project and relate each result and

benefit to a specific objective. Indicate

the aggregate number of calls expected

to be received and individuals to be

assisted on an annual basis, e.g., the

expected volume of calls in such service

areas as crisis counseling, immediate

referrals to shelters, or the number of

referrals made in response to nonEnglish speaking callers. Indicate the

anticipated impact on and the

subsequent benefit of the national

hotline to victims of domestic violence

and on the existing network of State and

local shelters and services. Identify the

kinds of data to be collected,

maintained, and updated, and discuss
12224 Federal Register / Vol. 60, No. 43 / Monday, March 6, 1995 / Notices

the criteria to be used to assure the

quality of the services provided.

5. Level of Effort (30 Points)

Expertise, Commitment, and Support.

The extent to which the applicant has

nationally recognized expertise in the

area of domestic violence and a record

of high quality service to victims of

domestic violence, including a

demonstration of support from advocacy

groups, such as State Domestic Violence

Coalitions or recognized national

domestic violence groups; the extent of

the applicant’s commitment to diversity,

and to the provision of service to ethnic,

racial, and non-English speaking

minorities, older individuals, and

individuals with disabilities.

Staff Background and Organizational

Experience. The adequacy of the staffing

pattern for the proposed project, how

the individual responsibilities are

linked to project tasks, and the

contributions to be made by key staff.

Each collaborating or cooperative

organization, individual consultant, or

other key individuals who will work on

the project should be listed along with

a description of the nature of their effort

or contribution.

Competence of Staff. The background

and experience of the project director

and key project staff and the history and

accomplishments of the organization;

the qualifications of the project team

including any experience with similar

projects; the variety of skills, relevant

educational background, and the ability

to effectively manage the project and to

coordinate activities with other

agencies. One or two pertinent

paragraphs on each key member are

preferred to vitae/resumes. However,

vitae/resumes may be included.

Adequacy of Resources. The adequacy

of the available resources and

organizational experience with regard to

the tasks of the proposed project. List

the financial, physical, and other

resources already committed by other

public and private agencies and

institutions, if any. Explain how these

organizations will participate in the day

to day operations of the project. Letters

from these agencies and organizations

identifying and discussing the specifics

of their commitment and participation

must be included in the application.

Budget. Relate the proposed budget to

the level of effort required to obtain the

project objectives. Demonstrate that the

project’s costs are reasonable in view of

the anticipated results.

Collaborative Efforts. The additional

anticipated private sector resources that

may be available to support or enhance

the overall program. Discuss in detail

and provide documentation for any

proposed collaborative or coordinated

efforts with other public and private

agencies or organizations. Identify these

agencies or organizations and explain

how their participation will enhance the

project. Letters from these agencies and

organizations must be included

discussing their interest and/or

commitment in supporting this project,

the stage of the planning and decisionmaking, and the expected level of

resource commitment.

Part IV: Instructions for the

Development and Submission of

Applications

This Part contains information and

instructions for submitting applications

in response to this announcement.

Application forms are provided as part

of this publication along with a

checklist for assembling an application

package. Please copy and use these

forms in submitting an application.

Potential applicants should read this

section carefully in conjunction with

the information describing the proposed

project under which the application is

to be submitted. The project design

requirements are found in Part II.

A. Required Notification of the State

Single Point of Contact

This program is covered under

Executive Order 12372, (E.O.)

‘‘Intergovernmental Review of Federal

Programs,’’ and 45 CFR Part 100,

‘‘Intergovernmental Review of

Department of Health and Human

Services Program and Activities.’’ Under

the E.O., States may design their own

processes for reviewing and

commenting on proposed Federal

assistance under covered programs.

All States and territories, except

Alabama, Alaska, Colorado,

Connecticut, Hawaii, Idaho, Kansas,

Louisiana, Minnesota, Montana,

Nebraska, Oklahoma, Oregon,

Pennsylvania, South Dakota, Virginia,

Washington, American Samoa, and

Palau, have elected to participate in the

E.O. process and have established

Single Points of Contact (SPOCs).

Applicants from these nineteen

jurisdictions need take no action

regarding E.O. 12372. Otherwise,

applicants should contact their SPOCs

as soon as possible to alert them of the

prospective applications and receive

any necessary instructions. Applicants

must submit any required material to

the SPOCs as soon as possible so that

OCS can obtain and review SPOC

comments as part of the award process.

It is imperative that the applicant

submit all required materials, if any, to

the SPOC and indicate the date of this

submittal (or the date of contact if no

submittal is required) on the Standard

Form 424, item 16a.

Under 45 CFR 100.8(a)(2), a SPOC has

60 days from application deadline to

comment on proposed new or

competing continuation awards.

SPOCs are encouraged to eliminate

the submission of routine endorsements

as official recommendations.

Additionally, SPOCs are requested to

differentiate clearly between mere

advisory comments and those official

State process recommendations which

may trigger the ‘‘accommodate or

explain’’ rule.

When comments are submitted

directly to ACF, they should be

addressed to: Department of Health and

Human Services, Administration for

Children and Families, Division of

Discretionary Grants, (OCS–95–12) 370

L’Enfant Promenade, SW., 6th Floor,

Washington, DC 20447.

A list of the Single Points of Contact

for each State and Territory is included

at the end of this announcement.

B. Deadline for Submittal of

Applications

The closing date for submittal of

applications under this program

announcement is found at the beginning

of this program announcement under

DATES. Applications shall be considered

as meeting the announced deadline if

they are either:

1. Received on or before the deadline

date at the Department of Health and

Human Services, Administration for

Children and Families, Division of

Discretionary Grants, (OCS–95–12) 370

L’Enfant Promenade, SW., 6th Floor,

Washington, DC 20447, or

2. Sent on or before the deadline date

and received by OCS in time to be

considered during the competitive

review process.

Applications must be postmarked no

later than the date to be found at the

beginning of the Program

Announcement under DATES. When

mailing application packages,

applicants are strongly advised to obtain

a legibly dated receipt from a

commercial carrier (such as UPS,

Federal Express, etc.) or from the U.S.

Postal Service as proof of mailing by the

deadline date. Private metered

postmarks are not acceptable as proof of

timely mailing.

Late applications. Applications which

do not meet the criteria under

‘‘Deadlines’’ are considered late

applications. The ACF shall notify each

late applicant that its application will

not be considered in the current

competition.

Extension of deadlines. The ACF

reserves the right to extend the deadline
Federal Register / Vol. 60, No. 43 / Monday, March 6, 1995 / Notices 12225

for all applicants due to acts of God,

such as floods, hurricanes or

earthquakes; if there is widespread

disruption of the mail; or if ACF

determines a deadline extension to be in

the best interest of the Government.

However, ACF will not waive or extend

the deadline for any applicant unless

the deadline is waived or extended for

all applicants.

C. Instructions for Preparing the

Application and Completing

Application Forms

The SF 424, SF 424A, Page 2, and the

required certifications have been

reprinted for your convenience in

preparing the application. You should

reproduce single-sided copies of these

forms from the reprinted forms in the

announcement, typing your information

onto the copies. Please do not use forms

directly from the Federal Register

announcement, as they are printed on

both sides of the page.

In order to assist applicants in

correctly completing the SF 424 and SF

424A, instructions for these forms are

included below.

Where specific information is not

required under this program, NA (not

applicable) has been preprinted on the

form.

Please Prepare Your Application in

Accordance With The Following

Instructions:

1. SF 424 Page 1, Application Cover

Sheet

Please read the following instructions

before completing the application cover

sheet. An explanation of each item is

included. Complete only the items

specified.

Top of Page! Enter designation

‘‘HTL.’’

Item 1! ‘‘Type of Submission’’—

Preprinted on the form.

Item 2! ‘‘Date Submitted’’ and

‘‘Applicant Identifier’’—Date

application is submitted to ACF and

applicant’s own internal control

number, if applicable.

Item 3: ‘‘Date Received By State’’—

State use only (if applicable).

Item 4: ‘‘Date Received by Federal

Agency’’—Leave blank.

Item 5: ‘‘Applicant Information’’

‘‘Legal Name’’—Enter the legal name of

applicant organization.

‘‘Organizational Unit’’—Enter the

name of the primary unit within the

applicant organization which will

actually carry out the project activity.

Do not use the name of an individual as

the applicant. If this is the same as the

applicant organization, leave the

organizational unit blank.

‘‘Address’’—Enter the complete

address that the organization actually

uses to receive mail, since this is the

address to which all correspondence

will be sent. Do not include both street

address and P.O. box number unless

both must be used in mailing.

‘‘Name and telephone number,

including the area code, of the person to

be contacted on matters involving this

application ‘‘—Enter the full name

(including academic degree, if

applicable) and telephone number of a

person who can respond to questions

about the application. This person

should be accessible at the address

given here and will receive all

correspondence regarding the

application.

Item 6: ‘‘Employer Identification

Number (EIN)’’—Enter the employer

identification number of the applicant

organization, as assigned by the Internal

Revenue Service, including, if known,

the Central Registry System suffix.

Item 7: ‘‘Type of Applicant’’—Selfexplanatory.

Item 8: ‘‘Type of Application’’—

Preprinted on the form.

Item 9: ‘‘Name of Federal Agency’’—

Preprinted on the form.

Item 10: ‘‘Catalog of Federal Domestic

Assistance Number and Title’’—Enter

the Catalog of Federal Domestic

Assistance (CFDA) number assigned to

the program under which assistance is

requested and its title. The CFDA

number for this program is 93.671.

Item 11: ‘‘Descriptive Title of

Applicant’s Project’’—Enter the project

title. The title is generally short and is

descriptive of the project.

Item 12: ‘‘Areas Affected by

Project’’—Enter the governmental unit

where significant and meaningful

impact could be observed. List only the

largest unit or units affected, such as

State, county, or city. If an entire unit

is affected, list it rather than subunits.

Item 13: ‘‘Proposed Project’’—Enter

the desired start date for the project and

projected completion date.

Item 14: ‘‘Congressional District of

Applicant/Project’’—Enter the number

of the Congressional district where the

applicant’s principal office is located

and the number of the Congressional

district(s) where the project will be

located. If statewide, a multi-State effort,

or nationwide, enter ‘‘00.’’

Items 15: ‘‘Estimated Funding

Levels’’—

In completing 15a through 15f, the

dollar amounts entered should reflect,

for a 17 month or less project period, the

total amount requested. If the proposed

project period exceeds 17 months, enter

only those dollar amounts needed for

the first 12 month budget period of the

proposed five year project period.

Item 15a: Enter the amount of Federal

funds requested in accordance with the

preceding paragraph. This amount

should be no greater than the maximum

amount specified in the project

description.

Items 15b-e: Enter the amount(s) of

funds from non-Federal sources that

will be contributed to the proposed

project. Items b-e are considered costsharing or ‘‘matching funds.’’ The value

of third party in-kind contributions

should be included on appropriate lines

as applicable. For more information

regarding funding and ‘‘matching’’

requirements, see Part I, Grantee Share

of the Project.

Item 15f: Enter the estimated amount

of income, if any, expected to be

generated from the proposed project. Do

not add or subtract this amount from the

total project amount entered under item

15g. Describe the nature, source and

anticipated use of this income in the

Project Narrative Statement. If not

applicable, enter N/A.

Item 15g: Enter the sum of items 15a15e.

Item 16a: ‘‘Is Application Subject to

Review By State Executive Order 12372

Process? Yes.’’—Enter the date the

applicant contacted the SPOC regarding

this application. Select the appropriate

SPOC from the listing provided at the

end of Part IV. The review of the

application is at the discretion of the

SPOC. The SPOC will verify the date

noted on the application. If there is a

discrepancy in dates, the SPOC may

request that the Federal agency delay

any proposed funding until September

30, 1995.

Item 16b: ‘‘Is Application Subject to

Review By State Executive Order 12372

Process? No.’’—Check the appropriate

box if the application is not covered by

E.O. 12372 or if the program has not

been selected by the State for review.

Item 17: ‘‘Is the Applicant Delinquent

on any Federal Debt?’’—Check the

appropriate box. This question applies

to the applicant organization, not the

person who signs as the authorized

representative. Categories of debt

include audit disallowances, loans and

taxes.

Item 18: ‘‘To the best of my

knowledge and belief, all data in this

application/preapplication are true and

correct. The document has been duly

authorized by the governing body of the

applicant and the applicant will comply

with the attached assurances if the

assistance is awarded.’’—To be signed

by the authorized representative of the

applicant. A copy of the governing

body’s authorization for signature of this
12226 Federal Register / Vol. 60, No. 43 / Monday, March 6, 1995 / Notices

application by this individual as the

official representative must be on file in

the applicant’s office, and may be

requested from the applicant.

Item 18a-c: ‘‘Typed Name of

Authorized Representative, Title,

Telephone Number’’—Enter the name,

title and telephone number of the

authorized representative of the

applicant organization.

Item 18d: ‘‘Signature of Authorized

Representative’’—Signature of the

authorized representative named in Item

18a. At least one copy of the application

must have an original signature. Use

colored ink (not black) so that the

original signature is easily identified.

Item 18e: ‘‘Date Signed’’—Enter the

date the application was signed by the

authorized representative.

2. SF 424A—Budget Information—NonConstruction Programs

This is a form used by many Federal

agencies. For this application, Sections

A, B, C, E and F are to be completed.

Section D does not need to be

completed.

Sections A and B should include the

Federal as well as the non-Federal

funding for the proposed project

covering (1) The total project period of

17 months or less; or (2) the first 12

month budget period, if the proposed

project period exceeds 17 months.

Section A—Budget Summary. This

section includes a summary of the

budget. On line 5, enter total Federal

costs in column (e) and total nonFederal costs, including third party inkind contributions, but not program

income, in column (f). Enter the total of

(e) and (f) in column (g).

Section B—Budget Categories. This

budget, which includes the Federal as

well as non-Federal funding for the

proposed project, covers (1) The total

project period of 17 months or less or

(2) the first 12 month budget period if

the proposed project period exceeds 17

months. It should relate to item 15g,

total funding, on the SF 424. Under

column (5), enter the total requirements

for funds (Federal and non-Federal) by

object class category.

A separate budget justification should

be included to explain fully and justify

major items, as indicated below. The

types of information to be included in

the justification are indicated under

each category. For multiple year

projects, it is desirable to provide this

information for each year of the project.

The budget justification should

immediately follow the second page of

the SF 424A.

Personnel—Line 6a. Enter the total

costs of salaries and wages of applicant/

grantee staff. Do not include the costs of

consultants, which should be included

on line 6h, ‘‘Other.’’

Justification: Identify the project

director, if known. Specify by title or

name the percentage of time allocated to

the project, the individual annual

salaries, and the cost to the project (both

Federal and non-Federal) of the

organization’s staff who will be working

on the project.

Fringe Benefits—Line 6b. Enter the

total costs of fringe benefits, unless

treated as part of an approved indirect

cost rate.

Justification: Provide a break-down of

amounts and percentages that comprise

fringe benefit costs, such as health

insurance, FICA, retirement insurance,

etc.

Travel—Line 6c. Enter total costs of

out-of-town travel (travel requiring per

diem) for staff of the project. Do not

enter costs for consultant’s travel or

local transportation, which should be

included on Line 6h, ‘‘Other.’’

Justification: Include the name(s) of

traveler(s), total number of trips,

destinations, length of stay,

transportation costs and subsistence

allowances.

Equipment—Line 6d. Enter the total

costs of all equipment to be acquired by

the project. For State and local

governments, including Federally

recognized Indian Tribes, ‘‘equipment’’

is tangible, non-expendable personal

property having a useful life of more

than one year and an acquisition cost of

$5,000 or more per unit. For all other

applicants, the threshold for equipment

is $5,000 or more per unit. The higher

threshold for State and local

governments became effective October

1, 1988, through the implementation of

45 CFR Part 92, ‘‘Uniform

Administrative Requirements for Grants

and Cooperative Agreements to State

and Local Governments.’’

Justification: Equipment to be

purchased with Federal funds must be

justified. The equipment must be

required to conduct the project, and the

applicant organization or its subgrantees

must not have the equipment or a

reasonable facsimile available to the

project. The justification also must

contain plans for future use or disposal

of the equipment after the project ends.

Supplies—Line 6e. Enter the total

costs of all tangible expendable personal

property (supplies) other than those

included on Line 6d.

Justification: Specify general

categories of supplies and their costs.

Contractual—Line 6f: Enter the total

costs of all contracts, including

procurement contracts (except those

which belong on other lines such as

equipment, supplies, etc.) and contracts

with secondary recipient organizations.

Also include any contracts with

organizations for the provision of

technical assistance. Do not include

payments to individuals on this line.

Justification: Attach a list of

contractors, indicating the names of the

organizations, the purposes of the

contracts, and the estimated dollar

amounts of the awards as part of the

budget justification. Whenever the

applicant/grantee intends to delegate

part or all of the program to another

agency, the applicant/grantee must

complete this section (Section B, Budget

Categories) for each delegate agency by

agency title, along with the supporting

information. The total cost of all such

agencies will be part of the amount

shown on Line 6f. Provide backup

documentation identifying the name of

contractor, purpose of contract, and

major cost elements.

Construction—Line 6g: Not

applicable. New construction is not

allowable.

Other—Line 6h: Enter the total of all

other costs. Where applicable, such

costs may include, but are not limited

to: Insurance; medical and dental costs;

noncontractual fees and travel paid

directly to individual consultants; local

transportation (all travel which does not

require per diem is considered local

travel); space and equipment rentals;

printing and publication; computer use;

training costs, including tuition and

stipends; training service costs,

including wage payments to individuals

and supportive service payments; and

staff development costs. Note that costs

identified as ‘‘miscellaneous’’ and

‘‘honoraria’’ are not allowable.

Justification: Specify the costs

included.

Total Direct Charges—Line 6i: Enter

the total of Lines 6a through 6h.

Indirect Charges—6j: Enter the total

amount of indirect charges (costs). If no

indirect costs are requested, enter

‘‘none.’’ Generally, this line should be

used when the applicant (except local

governments) has a current indirect cost

rate agreement approved by the

Department of Health and Human

Services or another Federal agency.

Local and State governments should

enter the amount of indirect costs

determined in accordance with HHS

requirements. When an indirect cost

rate is requested, these costs are

included in the indirect cost pool and

should not be charged again as direct

costs to the grant.

Justification: Enclose a copy of the

indirect cost rate agreement. Applicants

subject to the limitation on the Federal

reimbursement of indirect costs for

training grants should specify this.
Federal Register / Vol. 60, No. 43 / Monday, March 6, 1995 / Notices 12227

Total—Line 6k: Enter the total

amounts of lines 6i and 6j.

Program Income—Line 7: Enter the

estimated amount of income, if any,

expected to be generated from this

project. Do not add or subtract this

amount from the total project amount.

Justification: Describe the nature,

source, and anticipated use of program

income in the Program Narrative

Statement.

Section C—Non-Federal Resources.

This section summarizes the amounts of

non-Federal resources that will be

applied to the grant. Enter this

information on line 12 entitled ‘‘Totals.’’

‘‘In-kind contributions’’ are defined in

title 45 of the Code of Federal

Regulations, Part 74.2, as ‘‘the value of

non-cash contributions provided by

non-Federal third parties. Third party

in-kind contributions may be in the

form of real, property, equipment,

supplies and other expandable property,

and the value of goods and services

directly benefiting and specifically

identifiable to the project or program.’’

Justification: Describe third party inkind contributions, if included.

Section D—Forecasted Cash Needs.

Not applicable.

Section E—Budget Estimate of Federal

Funds Needed for Balance of the

Project. This section should only be

completed if the total project period

exceeds 17 months.

Totals—Line 20: For projects that will

have more than one budget period, enter

the estimated required Federal funds for

the second budget period (months 13

through 24) under column ‘‘(b) First.’’ If

a third budget period will be necessary,

enter the Federal funds needed for

months 25 through 36 under ‘‘(c)

Second.’’ Columns (d) and (e) are not

applicable in most instances, since ACF

funding is almost always limited to a

three-year maximum project period.

They should remain blank.

Section F—Other Budget Information.

Direct Charges—Line 21: Not

applicable.

Indirect Charges—Line 22. Enter the

type of indirect rate (provisional,

predetermined, final or fixed) that will

be in effect during the funding period,

the estimated amount of the base to

which the rate is applied, and the total

indirect expense.

Remarks—Line 23. If the total project

period exceeds 17 months, you must

enter your proposed non-Federal share

of the project budget for each of the

remaining years of the project.

3. Project Summary Description

Clearly mark this separate page with

the applicant name as shown in item 5

of the SF 424, and the title of the project

as shown in item 11 of the SF 424. The

summary description should not exceed

300 words. These 300 words become

part of the computer database on each

project.

Care should be taken to produce a

summary description which accurately

and concisely reflects the proposal. It

should describe the objectives of the

project, the approaches to be used and

the outcomes expected. The description

should also include a list of major

products that will result from the

proposed project, such as software

packages, materials, management

procedures, data collection instruments,

training packages, or videos (please note

that audiovisuals should be closed

captioned). The project summary

description, together with the

information on the SF 424, will

constitute the project ‘‘abstract.’’ It is the

major source of information about the

proposed project and is usually the first

part of the application that the

reviewers read in evaluating the

application.

4. Program Narrative Statement

The Program Narrative Statement is a

very important part of an application. It

should be clear, concise, and address

the specific requirements mentioned

under the project description in Part II.

The narrative should also provide

information concerning how the

application meets the evaluation criteria

using the following headings:

(a) Need for the Project

(b) Goals and Objectives

(c) Approach

(d) Results and Benefits Expected

(e) Level of Effort

The specific information to be included

under each of these headings is

described in Part III, Evaluation Criteria.

The narrative should be typed doublespaced on a single-side of an 81⁄2′′ x 11′′

plain white paper, with 1′′ margins on

all sides. All pages of the narrative

(including charts, references/footnotes,

tables, maps, exhibits, etc.) must be

sequentially numbered, beginning with

‘‘Need for the Project’’ as page number

one. Applicants should not submit

reproductions of larger size paper,

reduced to meet the size requirement.

There is no page limit on the length of

the narrative.

The length of the remainder of the

application, including the application

forms and all attachments, should not

exceed 60 pages. A page is a single side

of an 81⁄2′′ x 11′′ sheet of paper.

Applicants are requested not to send

pamphlets, brochures or other printed

material along with their application as

these pose photocopy difficulties. These

materials, if submitted, will not be

included in the review process if they

exceed the 60-page limit. Each page of

the application will be counted to

determine the total length.

5. Organizational Capability Statement

The Organizational Capability

Statement should consist of a brief (two

to three pages) background description

of how the applicant organization (or

the unit within the organization that

will have responsibility for the project)

is organized, the types and quantity of

services it provides, and/or the research

and management capabilities it

possesses. This description should

cover capabilities not included in the

Program Narrative Statement. It may

include descriptions of any current or

previous relevant experience, or

describe the competence of the project

team and its demonstrated ability to

produce a final product that is readily

comprehensible and usable. An

organization chart showing the

relationship of the project to the current

organization should be included.

6. Assurances/Certifications

Applicants are required to file an SF

424B, Assurances— Non-Construction

Programs, and the Certification

Regarding Lobbying. Both must be

signed and returned with the

application. In addition, applicants

must certify their compliance with: (1)

Drug-Free Workplace Requirements; and

(2) Debarment and Other

Responsibilities; and (3) Certification

Regarding Environmental Tobacco

Smoke. These certifications are selfexplanatory. Copies of these assurances/

certifications are reprinted at the end of

this announcement and should be

reproduced, as necessary. A duly

authorized representative of the

applicant organization must certify that

the applicant is in compliance with

these assurances/certifications. A

signature on the SF 424 indicates

compliance with the Drug Free

Workplace Requirements, the

Debarment and Other Responsibilities,

and the Environmental Tobacco Smoke

certifications.

D. Checklist for a Complete Application

The checklist below is for your use to

ensure that your application package

has been properly prepared.

lllOne original, signed and dated

application, plus two copies.

Applications for different priority

areas are packaged separately;

lllApplication is from an

organization which is eligible under

the eligibility requirements defined
12228 Federal Register / Vol. 60, No. 43 / Monday, March 6, 1995 / Notices

in the priority area description

(screening requirement);

lllApplication length, excluding the

narrative, does not exceed 60 pages,

unless otherwise specified in the

project description.

lllA complete application consists

of the following items in this order:

lllApplication for Federal

Assistance (SF 424, REV 4–88);

lllA completed SPOC certification

with the date of SPOC contact

entered in line 16, page 1 of the SF

424 if applicable.

lllBudget Information—NonConstruction Programs (SF 424A,

REV 4–88);

lllBudget justification for Section

B—Budget Categories;

lllTable of Contents;

lllLetter from the Internal

Revenue Service to prove non-profit

status, if necessary;

lllCopy of the applicant’s

approved indirect cost rate

agreement, if appropriate;

lllProject summary description

and listing of key words;

lllProgram Narrative Statement

(See Part III);

lllOrganizational capability

statement, including an

organization chart;

lllAny appendices/attachments;

lllAssurances—Non-Construction

Programs (Standard Form 424B,

REV 4–88); and

lllCertification Regarding

Lobbying.

E. The Application Package

Each application package must

include an original and two copies of

the complete application. Each copy

should be stapled securely (front and

back if necessary) in the upper left-hand

corner. All pages of the narrative

(including charts, tables, maps, exhibits,

etc.) must be sequentially numbered,

beginning with page one. In order to

facilitate handling, please do not use

covers, binders or tabs. Do not include

extraneous materials as attachments,

such as agency promotion brochures,

slides, tapes, film clips, minutes of

meetings, survey instruments or articles

of incorporation.

Applicant should include a selfaddressed, stamped acknowledgment

card. All applicants will be notified

automatically about the receipt of their

application. If acknowledgment of

receipt of your application is not

received within eight weeks after the

deadline date, please notify ACF by

telephone at (202) 401–5529.

(Catalog of Federal Domestic Assistance

Number 93.671, Family Violence Prevention

and Services.)

Dated: March 1, 1995.

Donald Sykes,

Director, Office of Community Services.

BILLING CODE 4184–01–P
Federal Register / Vol. 60, No. 43 / Monday, March 6, 1995 / Notices 12229

BILLING CODE 4184–01–C
12230 Federal Register / Vol. 60, No. 43 / Monday, March 6, 1995 / Notices

Instructions for the SF 424

This is a standard form used by applicants

as a required facesheet for preapplications

and applications submitted for Federal

assistance. It will be used by Federal agencies

to obtain applicant certification that States

which have established a review and

comment procedure in response to Executive

Order 12372 and have selected the program

to be included in their process, have been

given an opportunity to review the

applicant’s submission.

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 a 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 he State

intergovernmental review process.

17. This question applies to the applicant

organization, not the person who signs as the

authorized representative. Categories of debt

include delinquent audit disallowances,

loans and taxes.

18. To be signed by the authorized

representative of the applicant. A copy of the

governing body’s authorization for you to

sign this application as official representative

must be on file in the applicant’s office.

(Certain federal agencies may require that

this authorization be submitted as part of the

application.)

BILLING CODE 4184–01–M
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BILLING CODE 4184–01–C
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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 the sum of amounts in

Columns (e) and (f).

Line 5—Show the totals for all columns

used.

Section B. Budget Categories

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

enter the titles of the same programs,

functions, and activities shown on Lines 1–

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

sheets are prepared for Section A, provide

similar column headings on each sheet. For

each program, function or activity, fill in the

total requirements for funds (both Federal

and non-Federal) by object class categories.

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

6h in each column.

Line 6j—Show the amount of indirect cost.

Line 6k—Enter the total of amounts on

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

grants and continuation grants the total

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

same as the total amount shown in Section

A, Column (g), 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 form

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
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right to examine all records, books, papers,

or documents related to the award; and will

establish a proper accounting system in

accordance with generally accepted

accounting standards or agency directives.

3. Will establish safeguards to prohibit

employees from using their positions for a

purpose that constitutes or presents the

appearance of personal or organizational

conflict of interest, or personal gain.

4. Will initiate and complete the work

within the applicable time frame after receipt

of approval of the awarding agency.

5. Will comply with the Intergovernmental

Personnel Act of 1970 (42 U.S.C. §§ 4728–

4763) relating to prescribed standards for

merit systems for programs funded under one

of the 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. §§ 327–333), regarding labor

standards for federally assisted construction

subagreements.

10. Will comply, if applicable, with flood

insurance purchase requirements of Section

102(a) of the Flood Disaster Protection Act of

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

in a special flood hazard area to participate

in the program and to purchase flood

insurance if the total cost of insurable

construction and acquisition is $10,000 or

more.

11. Will comply with environmental

standards which may be prescribed pursuant

to the following: (a) institution of

environmental quality control measures

under the National Environmental Policy Act

of 1969 (P.L. 91–190) and Executive Order

(EO) 11514; (b) notification of violating

facilities pursuant to EO 11738; (c) protection

of wetlands pursuant to EO 11990; (d)

evaluation of flood hazards in floodplains in

accordance with EO 11988; (e) assurance of

project consistency with the approved State

management program developed under the

Coastal Zone Management Act of 1972 (16

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

Federal actions to State (Clear Air)

Implementation Plans under Section 176(c)

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

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

underground sources of drinking water under

the Safe Drinking Water Act of 1974, as

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

endangered species under the Endangered

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

205).

12. Will comply with the Wild and Scenic

Rivers Act of 1968 (16 U.S.C. § 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.

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Signature of authorized certifying official

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Title

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Applicant organization

lllllllllllllllllllll

Date submitted

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BILLING CODE 4184–01–C
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Certification Regarding Debarment,

Suspension, and Other Responsibility

Matters—Primary Covered Transactions

By signing and submitting this proposal,

the applicant, defined as the primary

participant in accordance with 45 CFR Part

76, certifies to the best of its knowledge and

believe that it and its principals:

(a) are not presently debarred, suspended,

proposed for debarment, declared ineligible,

or voluntarily excluded from covered

transactions by any Federal Department or

agency;

(b) have not within a 3-year period

preceding this proposal been convicted of or

had a civil judgment rendered against them

for 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 or otherwise

criminally or civilly charged by a

governmental entity (Federal, State or local)

with commission of any of the offenses

enumerated in paragraph (1)(b) of this

certification; and

(d) have not within a 3-year period

preceding this application/proposal had one

or more public transactions (Federal, State, or

local) terminated for cause or default.

The inability of a person to provide the

certification required above will not

necessarily result in denial of participation in

this covered transaction. If necessary, the

prospective participant shall submit an

explanation of why it cannot provide the

certification. The certification or explanation

will be considered in connection with the

Department of Health and Human Services

(HHS) determination whether to enter into

this transaction. However, failure of the

prospective primary participant to furnish a

certification or an explanation shall

disqualify such person from participation in

this transaction.

The prospective primary participant agrees

that by submitting this proposal, it will

include the clause entitled ‘‘Certification

Regarding Debarment, Suspension,

Ineligibility, and Voluntary Exclusion—

Lower Tier Covered Transaction.’’ provided

below without modification in all lower tier

covered transactions and in all solicitations

for lower tier covered transactions.

Certification Regarding Debarment,

Suspension, Ineligibility and Voluntary

Exclusion—Lower Tier Covered Transactions

(To Be Supplied to Lower Tier Participants)

By signing and submitting this lower tier

proposal, the prospective lower tier

participant, as defined in 45 CFR Part 76,

certifies to the best of its knowledge and

belief that it and its principals:

(a) are not presently debarred, suspended,

proposed for debarment, declared ineligible,

or voluntarily excluded from participation in

this transaction by federal department or

agency.

(b) where the prospective lower tier

participant is unable to certify to any of the

above, such prospective participant shall

attach an explanation to this proposal.

The prospective lower tier participant

further agrees by submitting this proposal

that it will include this clause entitled

‘‘certification Regarding Debarment,

Suspension, Ineligibility, and Voluntary

Exclusion—Lower Tier Covered

Transactions.’’ without modification in all

lower tier covered transactions and in all

solicitations for lower tier covered

transactions.

Attachment D—Certification Regarding

Lobbying

Certification for Contracts, Grants, Loans,

and Cooperative Agreements

The undersigned certifies, to the best of his

or her knowledge and belief, that:

(1) No Federal appropriated funds have

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

the undersigned, to any person for

influencing or attempting to influence an

officer or employee of any agency, a Member

of Congress, an officer or employee of

Congress, or an employee of a Member of

Congress in connection with the awarding of

any Federal contract, the making of any

Federal grant, the making of any Federal

loan, the entering into of any cooperative

agreement, and the extension, continuation,

renewal, amendment, or modification of any

Federal contract, grant, loan, or cooperative

agreement.

(2) If any funds other than Federal

appropriated funds have been paid or will be

paid to any person for influencing or

attempting to influence an officer or

employee of any agency, a Member of

Congress, an officer or employee of Congress,

or an employee of a Member of Congress in

connection with this Federal contract, grant,

loan or cooperative agreement, the

undersigned shall complete and submit

Standard Form-LLL, ‘‘Disclosure Form to

Report Lobbying,’’ in accordance with its

instructions.

(3) The undersigned shall require that the

language of this certification be included in

the award documents for all subawards at all

tiers (including subcontracts, subgrants, and

contracts under grants, loans, and

cooperative agreements) and that all

subrecipients shall certify and disclose

accordingly.

This certification is a material

representation of fact upon which reliance

was placed when this transaction was made

or entered into. Submission of this

certification is a prerequisite for making or

entering into this transaction imposed by

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

who fails to file the required certification

shall be subject to a civil penalty of not less

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

each such failure.

State for Loan Guarantee and Loan Insurance

The undersigned states, to the best of his

or her knowledge and belief, that:

If any funds have been paid or will be paid

to any person for influencing or attempting

to influence an officer or employee of any

agency, a Member of Congress, an officer or

employee of Congress, or an employee of a

Member of Congress in connection with this

commitment providing for the United States

to insure or guarantee a loan, the

undersigned shall complete and submit

Standard Form-LLL ‘‘Disclosure Form to

Report Lobbying,’’ in accordance with its

instructions.

Submission of this statement is a

prerequisite for making or entering into this

transaction imposed by section 1352, title 31,

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

required statement shall be subject to a civil

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

than $100,000 for each such failure.

lllllllllllllllllllll

Signature

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Title

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Organization

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Date

BILLING CODE 4184–01–M
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BILLING CODE 4184–01–C
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Attachment E

Executive Order 12372—State Single Points

of Contact

Arizona

Mrs. Janice Dunn, Attn: Arizona State

Clearinghouse, 3800 N. Central Avenue,

14th Floor, Phoenix, Arizona 85012,

Telephone (602) 280–1315

Arkansas

Tracie L. Copeland, Manager, State

Clearinghouse, Office of Intergovernmental

Services, Department of Finance and

Administration, P.O. Box 3278, Little Rock,

Arkansas 72203, Telephone (501) 682–

1074

California

Glenn Stober, Grants Coordinator, Office of

Planning and Research, 1400 Tenth Street,

Sacramento, California 95814, Telephone

(916) 323–7480

Delaware

Ms. Francine Booth, State Single Point of

Contact, Executive Department, Thomas

Collins Building, Dover, Delaware 19903,

Telephone (303) 736–3326

District of Columbia

Rodney T. Hallman, State Single Point of

Contact, Office of Grants Management and

Development, 717 14th Street, NW., Suite

500, Washington, DC. 20005, Telephone

(202) 727–6551

Florida

Florida State Clearinghouse,

Intergovernmental Affairs Policy Unit,

Executive Office of the Governor, Office of

Planning and Budgeting, The Capitol,

Tallahassee, Florida 32399–0001,

Telephone (904) 488–8441

Georgia

Mr. Charles H. Badger, Administrator,

Georgia State Clearinghouse, 254

Washington Street, SW., Atlanta, Georgia

30334, Telephone (404) 656–3855

Illinois

Steve Klokkenga, State Single Point of

Contact, Office of the Governor, 107

Stratton Building, Springfield, Illinois

62706, Telephone (217) 782–1671

Indiana

Jean S. Blackwell, Budget Director, State

Budget Agency, 212 State House,

Indianapolis, Indiana 46204, Telephone

(317) 232–5610

Iowa

Mr. Steven R. McCann, Division of

Community Progress, Iowa Department of

Economic Development, 200 East Grand

Avenue, Des Moines, Iowa 50309,

Telephone (515) 281–3725

Kentucky

Ronald W. Cook, Office of the Governor,

Department of Local Government, 1024

Capitol Center Drive, Frankfort, Kentucky

40601, Telephone (502) 564–2382

Maine

Ms. Joyce Bension, State Planning Office,

State House Station #38, Augusta, Maine

04333, Telephone (207) 289–3261

Maryland

Ms. Mary Abrams, Chief, Maryland State

Clearinghouse, Department of State

Planning, 301 West Preston Street,

Baltimore, Maryland 21201–2365,

Telephone (301) 225–4490

Massachusetts

Karen Arone, State Clearinghouse, Executive

Office of Communities and Development,

100 Cambridge Street, Room 1803, Boston,

Massachusetts 02202, Telephone (617)

727–7001

Michigan

Richard S. Pastula, Director, Michigan

Department of Commerce, Lansing,

Michigan 48909, Telephone (517) 373–

7356

Mississippi

Ms. Cathy Mallette, Clearinghouse Officer,

Office of Federal Grant Management and

Reporting, 301 West Pearl Street, Jackson,

Mississippi 39203, Telephone (601) 960–

2174

Missouri

Ms. Lois Pohl, Federal Assistance

Clearinghouse, Office of Administration,

P.O. Box 809, Room 430, Truman Building,

Jefferson City, Missouri 65102, Telephone

(314) 751–4834

Nevada

Department of Administration, State

Clearinghouse, Capitol Complex, Carson

City, Nevada 89710, Telephone (702) 687–

4065, Attention: Ron Sparks,

Clearinghouse Coordinator

New Hampshire

Mr. Jeffrey H. Taylor, Director, New

Hampshire Office of State Planning, Attn:

Intergovernmental Review, Process/James

E. Bieber, 21⁄2 Beacon Street, Concord, New

Hampshire 03301, Telephone (603) 271–

2155

New Jersey

Gregory W. Adkins, Acting Director, Division

of Community Resources, N.J. Department

of Community Affairs, Trenton, New Jersey

08625–0803, Telephone (609) 292–6613

Please direct correspondence and

questions to:

Andrew J. Jaskolka, State Review Process,

Division of Community Resources, CN 814,

Room 609, Trenton, New Jersey 08625–

0803, Telephone (609) 292–9025

New Mexico

George Elliott, Deputy Director, State Budget

Division, Room 190, Bataan Memorial

Building, Santa Fe, New Mexico 87503,

Telephone (505) 827–3640, Fax (505) 827–

3006

New York

New York State Clearinghouse, Division of

the Budget, State Capitol, Albany, New

York 12224, Telephone (518) 474–1605

North Carolina

Mrs. Chrys Baggett, Director, Office of the

Secretary of Admin., N.C. State

Clearinghouse, 116 W. Jones Street,

Raleigh, North Carolina 27603–8003,

Telephone (919) 733–7232

North Dakota

N.D. Single Point of Contact, Office of

Intergovernmental Assistance, Office of

Management and Budget, 600 East

Boulevard Avenue, Bismarck, North

Dakota 58505–0170, Telephone (701) 224–

2094

Ohio

Larry Weaver, State Single Point of Contact,

State/Federal Funds Coordinator, State

Clearinghouse, Office of Budget and

Management, 30 East Broad Street, 34th

Floor, Columbus, Ohio 43266–0411,

Telephone (614) 466–0698

Rhode Island

Mr. Daniel W. Varin, Associate Director,

Statewide Planning Program, Department

of Administration, Division of Planning,

265 Melrose Street, Providence, Rhode

Island 02907, Telephone (401) 277–2656

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

Tennessee

Mr. Charles Brown, State Single Point of

Contact, State Planning Office, 500

Charlotte Avenue, 309 John Sevier

Building, Nashville, Tennessee 37219,

Telephone (615) 741–1676

Texas

Mr. Thomas Adams, Governor’s Office of

Budget and Planning, P.O. Box 12428,

Austin, Texas 78711, Telephone (512) 463–

1778

Utah

Utah State Clearinghouse, Office of Planning

and Budget, ATTN: Carolyn Wright, Room

116 State Capitol, Salt Lake City, Utah

84114, Telephone (801) 538–1535

Vermont

Mr. Bernard D. Johnson, Assistant Director,

Office of Policy Research and

Coordination, Pavilion Office Building, 109

State Street, Montpelier, Vermont 05602,

Telephone (802) 828–3326

West Virginia

Mr. Fred Cutlip, Director, Community

Development Division, West Virginia

Development Office, Building #6, Room

553, Charleston, West Virginia 25305,

Telephone (304) 348–4010

Wisconsin

Mr. William C. Carey, Federal/State

Relations, Wisconsin Department of

Administration, 101 South Webster Street,

P.O. Box 7864, Madison, Wisconsin 53707,

Telephone (608) 266–0267

Wyoming

Sheryl Jeffries, State Single Point of Contact,

Herschler Building, 4th Floor, East Wing,

Cheyenne, Wyoming 82002, Telephone

(307) 777–7574
12240 Federal Register / Vol. 60, No. 43 / Monday, March 6, 1995 / Notices

Guam

Mr. Michael J. Reidy, Director, Bureau of

Budget and Management Research, Office

of the Governor, P.O. Box 2950, Agana,

Guam 96910, Telephone (671) 472–2285

Northern Mariana Islands

State Single Point of Contact, Planning and

Budget Office, Office of the Governor,

Saipan, CM, Northern Mariana Islands

96950

Puerto Rico

Norma Burgos/Jose H. Caro, Chairman/

Director, Puerto Rico Planning Board,

Minillas Government Center, P.O. Box

41119, San Juan, Puerto Rico 00940–9985,

Telephone (809) 727–4444

Virgin Islands

Jose L. George, Director, Office of

Management and Budget, #41 Norregade

Emancipation Garden Station, Second

Floor, Saint Thomas, Virgin Islands 00802

Please direct correspondence to:

Linda Clarke, Telephone (809) 774–0750

Attachment F

Certification Regarding Environmental

Tobacco Smoke

Public Law 103–227, Part C—

Environmental Tobacco Smoke, also known

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

requires that smoking not be permitted in any

portion of any indoor facility owned or

leased or contracted for by an entity and used

routinely or regularly for the provision of

health, day care, education, or library

services to children under the age of 18, if

the services are funded by Federal programs

either directly or through State or local

governments, by Federal grant, contract, loan,

or loan guarantee. The law does not apply to

children’s services provided in private

residences, facilities funded solely by

Medicare or Medicaid funds, and portions of

facilities used for inpatient drug or alcohol

treatment. Failure to comply with the

provisions of the law may result in the

imposition of a civil monetary penalty of up

to $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 children’s services and that all

subgrantees shall certify accordingly.

[FR Doc. 95–5409 Filed 3–3–95; 8:45 am]

BILLING CODE 4184–01–P

Commission on Child and Family

Welfare; Hearing

AGENCY: Administration for Children

and Families, DHHS.

ACTION: Notice of public hearings.

SUMMARY: The Commission on Child

and Family Welfare will hold Public

Hearings at the following locations:

On March 28–29, 1995—Alexandria,

Virginia, Embassy Suites Hotel, 1900

Diagonal Road

On April 19–20, 1995—Cleveland, Ohio,

Forum Conference Center, 1

Cleveland Center, 1375 E. 9th Street

On May 9–10, 1995—San Francisco,

California, Holiday Inn Golden

Gateway, 1500 Van Ness Avenue

Mission

Creating environments in which

decisions can best be made about the

well-being of children that ensure that

children get emotional and financial

support from both parents.

Subject of Hearings: Custody and

Visitation

A. Laws, Policies and Procedures

• determination of how custody and

visitation decisions are made and

enforced;

• examination of alternative dispute

resolution models, standards and

guidelines;

• examination of (interstate) mobility

factors of parents and children;

• examination of the effectiveness of

putative fathers’ registries in

custody and visitation.

B. Community-Based Alternatives and

Support Systems

• examination of community support

systems and resources available to

parents and families with custody

and visitation issues.

C. Child Well-Being Issues:

Strengthening the Family

• examination of special populations

including: remarried, adoption,

domestic violence, immigration,

racial and ethnic factors that affect

custody and visitation;

• examination of research concerning

child adjustment associated with

various custody and visitation

approaches;

• examination of the dynamics of the

absent father syndrome; and

• examination of public policies and

procedures working against the

viability and support of two-parent

families.

Guidelines for Public Participation

Persons wishing to provide oral

testimony on the subject areas specified

above should make a request in writing

prior to the hearings by the following

dates:

For Alexandria, Virginia—March 17

For Cleveland, Ohio—April 5

For San Francisco, California—April 25

Send your request to: U.S.

Commission on Child and Family

Welfare, 370 L’Enfant Promenade, SW.,

Aerospace Building, Room 616,

Washington, DC 20447, Phone: (202)

401–5565. Witnesses will be notified of

the time of their appearance. Oral

testimony may be limited due to time

constraints. To ensure thorough

consideration of all viewpoints,

witnesses and other interested

individuals should submit written

testimony for inclusion in the printed

record of the hearing. Written testimony

will be accepted before, but not later

than 7 days following, each public

hearing. If a sign language interpreter is

needed, contact Kevin Costigan at (202)

401–5565 no later than 14 days prior to

each meeting.

FOR FURTHER INFORMATION CONTACT:

Kevin Costigan, Commission on Child

and Family Welfare, 370 L’Enfant

Promenade SW., Aerospace Bldg., 6th

Floor West, Room 616, Washington, DC

20447, (202) 401–5565.

SUPPLEMENTARY INFORMATION: None.

Dated: February 27, 1995.

Ann Rosewater,

Deputy Assistant Secretary for Policy and

External Affairs.

[FR Doc. 95–5333 Filed 3–3–95; 8:45 am]

BILLING CODE 4184–01–M

Food and Drug Administration

Memorandum of Understanding

Between the Food and Drug

Administration and the Environmental

Protection Agency

AGENCY: Food and Drug Administration,

HHS.

ACTION: Notice.

SUMMARY: The Food and Drug

Administration (FDA) is providing

notice of a memorandum of

understanding (MOU) between FDA and

the Environmental Protection Agency

(EPA). This action is necessary to

establish the working arrangements and

responsibilities of the two agencies. The

purpose of the MOU is to establish an

FDA liaison to the EPA Gulf of Mexico

Program Office.

DATES: The agreement became effective

September 29, 1994.

FOR FURTHER INFORMATION CONTACT:

Juanita Pointer, Center for Food Safety

and Applied Nutrition (HFS–669), Food

and Drug Administration, 200 C St. SW.,

Washington, DC 20204, 202–205–4098.

SUPPLEMENTARY INFORMATION: In

accordance with 21 CFR 20.108(c),

which states that all written agreements

and memoranda of understanding

between FDA and others shall be

published in the Federal Register, the

agency is publishing notice of this

memorandum of understanding.