12828 Federal Register / Vol. 60, No. 45 / Wednesday, March 8, 1995 / Notices

DEPARTMENT OF HEALTH AND

HUMAN SERVICES

Administration for Children and

Families

[Program Announcement No. OCS–95–08]

Request for Applications Under the

Office of Community Services Fiscal

Year 1995 Job Opportunities for LowIncome Individuals Program

(Demonstration Projects)

AGENCY: Administration for Children

and Families (ACF), DHHS.

ACTION: Announcement of availability of

funds and request for applications

under the Office of Community

Services’ FY 1995 Job Opportunities for

Low-Income Individual Program

(Demonstration Projects).

SUMMARY: The Administration for

Children and Families (ACF), Office of

Community Services (OCS), announces

that competing applications will be

accepted for new grants pursuant to the

Secretary’s discretionary authority

under section 505 of the Family Support

Act of 1988, as amended.

CLOSING DATES: The closing date for

submission of applications is April 24,

1995.

FOR FURTHER INFORMATION CONTACT:

Office of Community Services,

Administration for Children and

Families, 370 L’Enfant Promenade SW.,

Washington, DC 20447, Telephone (202)

401–5282, Contact: Nolan Lewis.

This Announcement is accessible on

the OCS Electronic Bulletin Board for

downloading through your computer

modem by calling 1–800–627–8886. For

assistance in accessing the Bulletin

Board, A Guide to Accessing and

Downloading is available from Ms.

Minnie Landry at (202) 401–5309.

Table of Contents

Part I—Preamble

A. Legislative Authority

B. Eligible Applicants

C. Definition of Terms

D. Purpose

Part II—Program Priority Area

A. General Projects 1.0

B. Community Development Corporations

Set-aside 2.0

Part III—Application Requirements

A. Background Information

1. Project and Budget Periods

2. Availability of Funds and Grant

Amounts

3. Mobilization of Resources

4. Program Participants/Beneficiaries

5. Cooperative Partnership Agreement with

State IV–A Agency (JOBS Program)

6. Prohibition and Restrictions on the Use

of Funds

7. Multiple Submittals

8. Continuation and Refunding

9. Third-Party Project Evaluation

10. Economic Development Strategy

11. Maintenance of Effort

Part IV—Application Review Process

A. Criteria for Review and Assessment of

Applications in Priority Areas 1.0 and

2.0

Part V—Application Procedures and

Selection Process

A. Availability of Forms

B. Application Submission

C. Intergovernmental Review

D. Application Consideration

E. Criteria for Screening Applications

Part VI—Instructions for Completing the

SF–424

A. SF–424—Application for Federal

Assistance

B. SF–424A—Budget Information—NonConstruction Programs

C. SF–424B—Assurances—Non-Construction

Part VII—Contents of Application and

Receipt Process

A. Contents and Order of Application

B. Acknowledgement of Receipt

Part VIII—Post Award Information and

Reporting Requirements

Part I—Preamble

A. Legislative Authority

The Senate Committee on

Appropriations, in its

recommendations, provides $5,500,000

for job creation demonstration activities

authorized under section 505 of the

Family Support Act of 1988, Pub. L.

100–485, as amended. Senate Report

No. 103–318, 103d Cong., 2nd Session

(1994), to accompany H.R. 4606. Section

505 of the Family Support Act of 1988

authorizes the Secretary to enter into

agreements with not less than 5 nor

more than 10 non-profit organizations

(including community development

corporations) for the purpose of

conducting demonstration projects to

create employment and business

opportunities for certain low-income

individuals. The Social Security Act

Amendments of 1994, Public Law 103–

432, reauthorize Section 505 of the

Family Support Act of 1988 through

Fiscal Year 1996, and amends

subsection (e) and changes the project

period from three to six years. The six

year project period applies only to grant

awards beginning in Fiscal Year 1995.

B. Eligible Applicants

Organizations eligible to apply for

funding under this program are any

non-profit organizations (including

community development corporations)

that are exempt from taxation under

Section 501(a) of the Internal Revenue

Code of 1986 by reason of paragraph (3)

or (4) of section 501(c) of such Code.

Applicants must provide documentation

of their tax exempt status. The applicant

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, and by

providing a copy of its Articles of

Incorporation bearing the seal of the

State in which the corporation or

association is domiciled. Failure to

provide evidence of non-profit status

will result in rejection of the

application.

C. Definition of Terms

For purposes of this Program

Announcement the following

definitions apply:

—Budget Period: The interval of time

into which a multi-year period of

assistance (project period) is divided

for budgetary and funding purposes.

—Community-Level Data: Key

information to be collected by each

grantee that will allow for a nationallevel analysis of common features of

JOLI projects. This includes data on

the population of the target area,

including the percentage on AFDC

and other public assistance, and the

percentage whose incomes fall below

the poverty line; the unemployment

rate; the number of new business

starts and business closings; and a

description of the major employers

and average wage rates and

employment opportunities with those

employers.

—Community Development

Corporation: A private, locally

initiated, nonprofit entity, governed

by a board consisting of residents of

the community and business, civic

leaders, and/or public officials which

has a record of implementing

economic development projects or

whose Articles of Incorporation and/

or By-Laws indicate that it has a focus

in the area of economic development.

—Hypothesis: An assumption made in

order to test its validity. It should

assert a cause-and-effect relationship

between a program intervention and

its expected result. Both the

intervention and result must be

measured in order to confirm the

hypothesis. For example, the

following is a hypothesis: ‘‘Eighty

hours of classroom training in small

business planning will be sufficient

for participants to prepare a

successful loan application.’’ In this

example, data would be obtained on

the number of hours of training

actually received by participants (the
Federal Register / Vol. 60, No. 45 / Wednesday, March 8, 1995 / Notices 12829

intervention), and the quality of loan

applications (the result), to determine

the validity of the hypothesis (are

eighty hours of training sufficient to

produce the result?).

—Intervention: Any planned activity

within a project that is intended to

produce changes in the target

population and/or the environment

and that can be formally evaluated.

For example, assistance in the

preparation of a business plan and

loan package are planned

interventions.

—Job Creation: To bring about, by

activities and services funded under

this program, new jobs, that is, jobs

that were not in existence before the

start of the project. These activities

can include self-employment/microenterprise training, the development

of new business ventures or the

expansion of existing businesses.

—Non-profit Organization: Any

organization (including a community

development corporation) exempt

from taxation under section 501(a) of

the Internal Revenue Code of 1986 by

reason of paragraph (3) or (4) of

section 501(c) of such code.

—Outcome Evaluation: An assessment

of project results as measured by

collected data which define the net

effects of the interventions applied in

the project. An outcome evaluation

will produce and interpret findings

related to whether the interventions

produced desirable changes and their

potential for replicability. It should

answer the question, Did this program

work?

—Private employers: Third-party private

non-profit organizations or third-party

for-profit businesses operating or

proposing to operate in the same

community as the applicant and

which are proposed or potential

employers of project participants.

—Process Evaluation: The ongoing

examination of the implementation of

a program. It focuses on the

effectiveness and efficiency of the

program’s activities and interventions

(for example, methods of recruiting

participants, quality of training

activities, or usefulness of follow-up

procedures). It should answer

questions such as: Who is receiving

what services?, and are the services

being delivered as planned? It is also

known as formative evaluation

because it gathers information that

can be used as a management tool to

improve the way a program operates

while the program is in progress. It

should also identify problems that

occurred and how they were dealt

with and recommend improved

means of future implementation. It

should answer the question: ‘‘How

was the program carried out?’’ In

concert with the outcome evaluation,

it should also help explain, ‘‘Why did

this program work/not work?’’

—Program Participant/Beneficiary: Any

individual eligible to receive Aid to

Families with Dependent Children

under Part A of Title IV of the Social

Security Act and any other individual

whose income level does not exceed

100 percent of the official poverty line

as found in the most recent Annual

Revision of Poverty Income

Guidelines published by the

Department of Health and Human

Services. (See Attachment A.)

—Project Period: The total time a project

is approved for support, including

any extensions.

—Self-Sufficiency: A condition where

an individual or family, by reason of

employment, does not need and is not

eligible for public assistance.

D. Purpose

The purpose of this program is to

demonstrate and evaluate ways of

creating new employment and business

opportunities for certain low-income

individuals through the provision of

technical and financial assistance to

private employers in the community,

self-employment/micro-enterprise

programs and/or new business

development programs. A low-income

individual eligible to participate in a

project conducted under this program is

any individual eligible to receive Aid to

Families with Dependent Children

(AFDC) under Part A of Title IV of the

Social Security Act and any other

individual whose income level does not

exceed 100 percent of the official

poverty line. (See Attachment A.)

Within these categories, emphasis

should be on individuals who are

unemployed, those residing in public

housing or receiving housing assistance,

and those who are homeless.

Part II—Program Priority Areas

A. General Projects 1.0

The Congressional Conference Report

on the FY 1992 appropriations for the

Department of Labor, Health and

Human Services, and Education and

related agencies directed the ACF to

require economic development

strategies as part of the application

process to ensure that highly qualified

organizations participate in the

demonstration [H.R. Conf. Rep. No. 282,

102d Cong., 1st Sess. 39 (1991)]. These

strategies should include descriptions of

how projects financed and jobs created

under this program will be integrated

into a larger effort to promote job and

business opportunities for eligible

program participants. Applicants should

demonstrate how their proposed

projects will impact the overall

community/communities served by the

applicant. OCS will only fund projects

that create new employment and/or

business opportunities for eligible

program participants. Projects funded

under this program must demonstrate

how the proposed project will enhance

the participants’ abilities and skills in

their progress toward self-sufficiency.

Therefore, proposed projects must show

promise toward progress of achieving

self-sufficiency among the target

population. OCS expects that the jobs

and/or business/self employment

opportunities to be created under this

program will contribute to the goal of

self-sufficiency. The employment

opportunities should provide hourly

wages that exceed the minimum wage

and also provide benefits such as health

insurance, transportation, child care,

and career development opportunities.

Applicants must show that the

proposed project will create a

significant number of new full-time

permanent jobs through the expansion

of a pre-identified business or new

business development, by providing

opportunities for self-employment to

eligible participants, or by creating new

non-traditional employment

opportunities for women and minorities

in highway construction and

maintenance or in the machine tool

industry as described below.

While projected employment in future

years may be included in the

application, it is essential that the focus

of employment opportunities

concentrate on new full-time,

permanent jobs to be created during the

duration of the grant project period and/

or on the creation of new business

development opportunities for lowincome individuals. OCS is particularly

interested in receiving proposals in

three areas:

1. Local Initiative. In the spirit of

‘‘local initiative’’ OCS looks forward to

innovative proposals that grow out of

the experience of applicants and the

needs of their clientele and

communities, and will make the fruits of

local creativity available broadly to

others seeking solutions to similar

problems.

2. Highway Construction and

Maintenance. At the same time, OCS is

particularly interested in receiving a

number of applications which seek to

create non-traditional employment

opportunities for women and minorities

in highway construction and

maintenance.
12830 Federal Register / Vol. 60, No. 45 / Wednesday, March 8, 1995 / Notices

Approximately $20 billion a year goes

to States for highway construction and

repair, creating over 270,000 jobs with

State Highway Agencies and 500,000+

jobs with contractors. The Federal

Highway Administration (FHWA), in

conjunction with the Department of

Labor and the Women’s Bureau, has

been seeking ways to increase minority

and women participation. State

Highway Agencies now have the option

to use up to 1⁄2 per cent of their Federal

highway funds for On-the Job Training

(OJT) and supportive services to expand

employment opportunities for

minorities and women, similar to

programs such as Youth Build. In

addition, the FHWA has developed and

presented a training course, Women in

Highway Construction, nationally to

over 700 Federal and State Highway

Agency personnel and highway

contractors on strategies to increase

participation of women on highway

construction projects.

Because of the aging worker

population, there is a serious shortage

of qualified workers in highway

construction and maintenance in many

parts of the country. The shortages will

become more critical as the population

ages further. Consequently, unions are

now taking advantage of opportunities

to recruit women and minorities into

non-traditional highway construction

and maintenance jobs.

Applicants seeking further

information about the efforts being

undertaken by the FHWA, such as its

training efforts and the OJT supportive

services program, should contact the

appropriate FHWA Regional Civil Rights

Director. (See Attachment K.)

3. Machine Tool Industry. Another

area from which OCS would welcome

applications for creation of nontraditional employment opportunities is

the machine tool industry. This industry

is one into which it has traditionally

been difficult for minority, women and

low-income workers to gain entry. One

possibility might be a strategy of small,

high quality ‘‘micro-enterprise’’

machine shops organized in cooperative

sub-contracting arrangements with

existing industries or businesses.

The requirement for creation of new,

full-time permanent jobs applies to all

applications. OCS has determined that

creation of non-traditional job

opportunities for women and minorities

in highway construction and

maintenance and in the machine tool

industry, which previously have been

closed to these populations, meets the

employment opportunity creation

requirements of the JOLI legislation.

OCS continues to require JOLI

applications to propose the creation of

jobs through the expansion of existing

businesses, the development of new

businesses, or the creation of

employment opportunities through selfemployment/microenterprise

development. All applications for JOLI

grantees must submit a signed written

agreement with the State IV-A agency

which administers the JOBS program

and the appropriate local partners

participating in the project. (See Part IV,

Criterion VI).

The agreements should describe the

cooperative partnerships and include

the specific activities to be performed by

each partner over the course of the grant

period. For example, the agreement

should include a description of the

training to be provided the eligible

participants and local hiring practices,

apprenticeships arrangements, and

relationship with local unions where

applicable.

In the case of proposals for creating

self-employment micro-business

opportunities for eligible participants,

the applicant must detail how it will

provide training and support services to

potential entrepreneurs. The assistance

to be provided to potential

entrepreneurs must include, at a

minimum, technical assistance in basic

business planning and management

concepts, and assistance in preparing a

business plan (See Part IV, Criterion III

for requirements) and loan application.

Any funds that are used for training

participants who are AFDC recipients

and therefore eligible for JOBS support

must be limited to providing specific

job-related training to such eligible

participants who have been selected for

employment (expansion of an existing

business, new business venture or nontraditional employment) and/or selfemployment business opportunities.

Where participants are not receiving

AFDC and are therefore not eligible for

JOBS support, project funds may be

used to provide basic skills training and

other support services.

In the review process, favorable

consideration will be given to

applicants with a demonstrated record

of achievement in promoting job and

enterprise opportunities for low-income

people. Favorable consideration also

will be given to those applicants who

show the lowest cost-per-job created for

low-income individuals. For this

program, OCS views $15,000 in OCS

funds as the maximum amount for the

creation of a job and, unless there are

extenuating circumstances, will not

fund projects where the cost-per-job in

OCS funds exceeds this amount. Only

those jobs created and filled by lowincome people will be counted in the

cost-per-job formula. (See Part IV,

Criterion IV.)

Technical assistance should be

specifically addressed to the needs of

the private employer in creating new

jobs to be filled by eligible individuals

and/or to the individuals themselves

such as skills training, job preparation,

self-esteem building, etc. Financial

assistance may be provided to the

private employer as well as the

individual.

If the technical and/or financial

assistance is to be provided to preidentified businesses that will be

expanded or franchised, written

commitments from the businesses to

create the planned jobs must be

included with the application.

The creation of a revolving loan fund

with funds received under this program

is an allowable activity. However, OCS

encourages the use of funds from other

sources for this purpose. Points will be

awarded in the review process to those

applicants who leverage funds from

other sources. (See Part IV, Criterion VI.)

Loans made to eligible beneficiaries for

business development activities must be

at or below market rate.

Note: Interest accrued on revolving loan

funds may be used to continue or expand the

activities of the approved project.

Grant funds received under this

program may not be used for

construction.

A formal, cooperative relationship

between the applicant and the agency

responsible for administering the Job

Opportunities and Basic Skills Training

(JOBS) program (as provided for under

title IV–A of the Social Security Act) in

the area served by the project is a

requirement for funding. The

application must include a signed,

written agreement between the

applicant and the local State IV–A

(public welfare) agency administering

the JOBS program, or a letter of

commitment to such an agreement

within 6 months of a grant award

(contingent only on receipt of OCS

funds). The agreement must describe the

cooperative relationship, including

specific activities and/or actions each of

these entities propose to carry out over

the course of the grant period in support

of the project.

The agreement, at a minimum, must

cover activities that will be provided to

the target population and which are

related to one or more of the mandatory

or optional components offered by the

appropriate State’s JOBS program. The

mandatory activities offered by the

States’ JOBS programs consist of the

following components and services:

Basic educational activities (below
Federal Register / Vol. 60, No. 45 / Wednesday, March 8, 1995 / Notices 12831

secondary level i.e. H.S., GED, ESL; job

skills training; job readiness activities;

job development and job placement;

childcare; and other supportive services

(45 CFR 250.44 and 255.0). The optional

services offered by the States’ JOBS

programs must include two (2) of the

following components of group and

individual job search assistance: on-thejob-training experience; work

supplementation; or community work

experience (45 CFR 250.45). (See

Attachment I for a list of the State IV–

A agencies.)

Projects also must include an

independent, methodologically sound

evaluation of the effectiveness of the

activities carried out with the grant

funds in creating new jobs and/or

business opportunities. (See Part I, C

Definition of Terms, and Part IV,

Criterion V).

Applications should include a plan

for disseminating the results of the

project after expiration of the grant

period. Applicants may budget up to

$2,000 for dissemination purposes.

Priority will be given to applications

proposing to serve those areas

containing the highest percentage of

individuals receiving Aid to Families

with Dependent Children (AFDC) under

Title IV–A of the Social Security Act.

(See Part IV, Criterion II.)

B. Community Development

Corporations Set-Aside 2.0

For Fiscal Year 1995, a set-aside fund

of $1 million will be included for

Community Development Corporations.

(For definition of Community

Development Corporation, see Part I, C.)

Such projects must conform to the

purposes, requirements, and

prohibitions applicable to those

submitted under Part II, General Projects

1.0.

Applications for these set-aside funds

which are not funded due to the limited

amount of funds available will also be

considered competitively within the

larger pool of eligible applicants.

Part III—Application Requirements

A. Background Information

1. Project and Budget Periods

The Social Security Act Amendment

of 1994 which reauthorized the JOLI

program also lengthened the project

duration from a 3-year period to a 6-

year period. In our effort to implement

this change, OCS will approve FY 1995

grants for a project period of six years

and an initial budget period of 36

months, or three years. This initial 36-

month budget period will be considered

the Operational Phase of the project,

during which the Work Plan described

in this announcement is to be carried

out. The second 36 months, or three

years, of the Project Period is to be

considered a period of tracking workers

in the newly created jobs, of providing

them, as needed, with modest support

and assistance, and of continuing

Project Evaluation. Applications for

continuation grants funded under these

awards beyond the 36-month budget

period but within the six (6) year project

period will be entertained in subsequent

years on a non-competitive basis, in a

modest amount commensurate with the

reduced level of effort, and subject to

the availability of funds, satisfactory

progress of the grantee, and

determination that this would be in the

best interest of the government.

2. Availability of Funds and Grant

Amounts

The Office of Community Services

expects to award approximately

$5,000,000 by September 30, 1995 for

new grants under this program ($1

million of which will be awarded

pursuant to the Joint OCS/EPA

Announcement/NOFA described above).

A maximum of $500,000 for the first

36-month budget period will be

awarded to selected organizations under

this program in FY 1995. OCS will

award no less than 5 and no more than

10 grants under this program.

For Fiscal Year 1995 up to $1 million

in JOLI funds is being made available,

along with up to $500,000 of

Community Services Block Grant

(CSBG) Discretionary Economic

Development grant funds, as part of a

Joint Program Announcement/Notice of

Funds Availability (NOFA) issued by the

Office of Community Services (OCS)

and the U.S. Environmental Protection

Agency (EPA) to fund up to three

projects addressing Community-Based

Lead Abatement Training and Career

Development and Lead Poisoning

Prevention Education. EPA will be

providing up to $1.5 million to public

agencies, which together with the OCS

funding to private non-profit agencies,

will make possible the funding of three

$1 million projects with the public and

non-profit grantee agencies in

partnership, each Federal agency

contributing $500,000 to each of the

three projects. These will be projects of

job creation in community based lead

abatement within the requirements of

JOLI and CSBG Discretionary Programs;

and the EPA funds will be available for

worker and community training and

education. Prospective applicants for

these projects should obtain copies of

the Joint OCS–EPA Announcement/

NOFA which will contain all necessary

information, instructions and forms.

Copies of the Joint Announcement will

be published in the Federal Register

and will be available for downloading

from the OCS Electronic Bulletin Board

by calling 1–800–627–8886. For

assistance in accessing the Bulletin

Board, a Guide to Accessing and

Downloading is available from Ms.

Minnie Landry at (202) 401–5309.

3. Mobilization of Resources

OCS will give favorable consideration

in the review process to applicants who

mobilize cash and/or third-party in-kind

contributions for direct use in the

project. (See Part IV, Criterion VI.)

4. Program Participants/Beneficiaries

Projects proposed for funding under

this announcement must result in direct

benefits to low-income people as

defined in the most recent Annual

Revision of Poverty Income Guidelines

published by DHHS and individuals

eligible to receive AFDC under Part A of

Title IV of the Social Security Act.

Attachment A to this announcement

is an excerpt from the guidelines

currently in effect. Annual revisions of

these guidelines are normally published

in the Federal Register in February or

early March of each year. Grantees will

be required to apply the most recent

guidelines throughout the project

period. These revised guidelines also

may be obtained at public libraries,

Congressional offices, or by writing the

Superintendent of Documents, U.S.

Government Printing Office,

Washington, DC 20402. They also are

accessible on the OCS Electronic

Bulletin Board for reading and/or

downloading. (See FOR FURTHER

INFORMATION at beginning of this

announcement.)

No other government agency or

privately-defined poverty guidelines are

applicable for the determination of lowincome eligibility for this program.

5. Cooperative Partnership Agreement

With State IV–A Agency (JOBS Program)

A signed written agreement, or letter

of commitment to sign such an

agreement within six months of a grant

award, between the applicant and the

local State IV–A agency must be

submitted with the application in order

to be reviewed and evaluated

competitively. The agreement/letter

must describe the cooperative

relationship and include specific

activities and/or actions that each of the

entities proposes to carry out over the

course of the grant period in support of

the project. (Please review PART II,

General Projects 1.0 for additional

specific information related to this

agreement.)
12832 Federal Register / Vol. 60, No. 45 / Wednesday, March 8, 1995 / Notices

6. Prohibition and Restrictions on the

Use of Funds

The use of funds for new construction

or the purchase of real property is

prohibited. Costs incurred for

rearrangement and alteration of facilities

required specifically for the grant

program are allowable when specifically

approved by ACF in writing.

If the applicant is proposing a project

which will affect a property listed in, or

eligible for inclusion in the National

Register of Historic Places, it must

identify this property in the narrative

and explain how it has complied with

the provisions of section 106 of the

National Historic Preservation Act of

1966 as amended. If there is any

question as to whether the property is

listed in or eligible for inclusion in the

National Register of Historic Places, the

applicant should consult with the State

Historic Preservation Officer. (See

Attachment D: SF–424B, Item 13 for

additional guidelines.) The applicant

should contact OCS early in the

development of its application for

instructions regarding compliance with

the Act and data required to be

submitted to the Department of Health

and Human Services. Failure to comply

with the cited Act will result in the

application being ineligible for funding

consideration.

7. Multiple Submittals

Due to the limited number of grants

that will be made under this program,

only one proposal from an eligible

applicant will be funded by OCS from

FY 1995 JOLI funds, be it pursuant to

this announcement (Program areas 1.0

and 2.0) or the aforementioned Joint

Announcement/NOFA with EPA.

8. Continuation and Refunding

OCS will not provide continuation

funding or refunding to a previously

funded grantee to conduct the same

demonstration in the same target area.

9. Third-Party Project Evaluation

Proposals must include provision for

an independent, methodologically

sound evaluation of the effectiveness of

the activities carried out with the grant

and their efficacy in creating new jobs

and business opportunities. There must

be a well defined Process Evaluation,

and an Outcome Evaluation whose

design will permit tracking of project

participants throughout the second 36

months of the project. The evaluation

must be conducted by an independent

evaluator, i.e., a person with recognized

evaluation skills who is organizationally

distinct from, and not under the control

of, the applicant. It is important that

each successful applicant have a thirdparty evaluator selected, and performing

at the very latest by the time the work

program of the project is begun, and if

possible before that time so that he or

she can participate in the final design of

the program, in order to assure that data

necessary for the evaluation will be

collected and available.

10. Economic Development Strategy

In accordance with the legislative

reference cited in Part II, Section A,

applicants must include in their

proposal an explanation of how the

proposed project is integrated with and

supports a larger economic development

strategy within the target community.

Where appropriate, applicants should

document how they were involved in

the preparation and planned

implementation of a comprehensive

community-based strategic plan, such as

that required for applying for

Empowerment Zones/Enterprise

Community (EZ/EC) status, to achieve

both economic and human development

in an integrated manner, and how the

proposed project supports the goals of

that plan. (See Review Criterion II (ii) in

Part IV A below.)

11. Maintenance of Effort

The application must include an

assurance that activities funded under

this program announcement are in

addition to, and not in substitution for,

activities previously carried out without

Federal assistance.

Part IV—Application Review Process

Applications which pass the prerating review will be assessed and

scored by reviewers. Each reviewer will

give a numerical score for each

application reviewed. These numerical

scores will be supported by explanatory

statements on a formal rating form

describing major strengths and

weaknesses under each applicable

criterion published in the

announcement.

The in-depth assessment and review

process will use the following criteria

coupled with the specific requirements

described in Part III. Scoring will be

based on a total of 100 points.

Note: The following review criteria

reiterate the collection of information

requirements contained in Part VI of this

announcement. These requirements are

approved under OMB Control Number 0970–

0062, expiration 09–30–95.

A. Criteria for Review and Assessment

of Applications in Priority Areas 1.0 and

2.0

Criterion I: Organizational Experience in

Program Area and Staff Responsibilities

(Maximum: 20 points)

(i) Agency’s commitment and

experience in program area. The

application includes documentation

which briefly summarizes two similar

projects undertaken by the applicant

agency and the extent to which the

stated and achieved performance

targets, including permanent benefits to

low-income populations, have been

achieved. Application notes and

justifies the priority that this project

will have within the agency including

the facilities and resources that it has

available to carry out the project. (0–10

points)

Note: The maximum number of points will

be given only to those organizations with a

demonstrated record of achievement in

promoting job creation and enterprise

opportunities for low-income people.

(ii) Staff skills, resources and

responsibilities. The application must

profile the two or three individuals who

will have the most responsibility for

shaping the project, connecting it to

customers, and achieving performance

targets. The focus should be on the

qualifications, experience, capacity and

commitment to the program of the

Executive Officials of the organization

and the key staff persons who will

administer and implement the project.

The person identified as Project Director

should have supervisory experience,

experience in finance and business, and

experience with the target population.

Because this is a demonstration project

within an already-established agency,

OCS expects that the key staff person(s)

would be identified, if not hired.

The application must also include a

resume of the third party evaluator, if

identified or hired; or the minimum

qualifications and a position description

for the third-party evaluator, who must

be a person with recognized evaluation

skills who is organizationally distinct

from, and not under the control of, the

applicant. It is important that each

successful applicant have a third-party

evaluator selected and performing at the

very latest by the time the work program

of the project is begun, and if possible

before that time so that he or she can

participate in the final design of the

program, in order to assure that data

necessary for the evaluation will be

collected and available. Plans for

selecting an evaluator should be

included in the application narrative. A

third-party evaluator must have
Federal Register / Vol. 60, No. 45 / Wednesday, March 8, 1995 / Notices 12833

knowledge about and have experience

in conducting process and outcome

evaluations, evaluating issues in the job

creation field, expansion of businesses

and the creation of self-employment and

small business opportunities for lowincome neighborhoods and a thorough

understanding of the range and

complexity of the problems faced by the

target population. The competitive

procurement regulations (45 CFR Part

74, Appendix H) apply to service

contracts such as those for evaluators

when the costs of such service will

exceed $25,000. (0–10 points)

Criterion II: Analysis of Need

(Maximum: 15 points)

(i) Target area and population

description. The application includes a

brief description of the geographic area

and population to be served, indicating

what the unemployment rates are and

(to the extent practicable) how the

proposed businesses and subsequent

jobs will impact on the nature and

extent of the problem. It should also

include (with an identification of the

source of the information) the number

and percentage of individuals receiving

AFDC and the total number of

individuals which make up the

population in the area where the project

will operate. (0–5 points)

(ii) Nature and extent of problems to

be addressed. Application includes an

analysis of the identified personal

barriers to employment and greater selfsufficiency faced by the population to

be targeted by the project. (These might

include such problems as illiteracy,

substance abuse, family violence, lack of

skills training, health or medical

problems, need for childcare, or poor

self-image.) Application also includes

an analysis of the identified community

systemic barriers which the project will

seek to overcome. These might include

lack of jobs; lack of transportation; lack

of suitable clothing or equipment; lack

of markets; unavailability of financing,

insurance or bonding; inadequate

municipal services (water, sewage

treatment, street lighting, trash

collection, electricity, traffic control);

high incidence of crime; inadequate

health care; or environmental hazards

(such as toxic dumpsites or leaking

underground tanks). If the jobs to be

created by the proposed project are

themselves designed to fill one or more

of the needs so identified, this fact

should be included in the discussion.

(0–5 points)

(iii) Community empowerment

consideration. Special consideration

will be given to applicants who are

located in areas which are characterized

by poverty and other indicators of socioeconomic distress such as a poverty rate

of at least 20%, designation as an EZ/

EC, high levels of unemployment, and

high levels of incidences of violence,

gang activity, crime, or drug use.

Applicants should document that they

were involved in the preparation and

planned implementation of a

comprehensive community-based

strategic plan to achieve both economic

and human development in an

integrated manner and how the

proposed project supports the goal(s) of

that plan. (0–5 points)

Criterion III: Work Program (Maximum:

20 points)

The work plan and business plan(s),

where appropriate, must be both sound

and feasible. If the applicant is

proposing to use project funds to

provide technical and/or financial

assistance for the establishment of an

identified business, or to a third-party

private employer to develop or expand

a pre-identified business, the

application must include a complete

business plan (see ii, below). An

application that does not include a

business plan where one is appropriate

may be disqualified and returned to the

applicant.

The project must be responsive to the

needs and problems identified in the

Analysis of Need and Problems to be

Addressed.

(i) Work plan. The work plan must

describe the proposed project activities,

or interventions, and explain how they

are expected to result in outcomes

which will meet the needs of the

program participants and assist them to

overcome the identified personal and

systemic barriers to employment and

self-sufficiency. In other words, what

will the project staff do with the

resources provided to the project and

how will what they do (interventions)

assist in the creation of employment and

business opportunities for program

participants in the face of the needs and

problems that have been identified. The

application should include a hypothesis

or hypotheses that is (are) significant

and include(s) the key interventions,

and which permit(s) measurement of the

extent to which the target population

can achieve greater self-sufficiency as a

result of its involvement in the project.

The key interventions should include

the types and sources of technical and

financial assistance to be provided the

participants, as well as any education,

training, and support services and the

problems or barriers they are designed

to overcome. If the technical and/or

financial assistance is to be provided to

pre-identified businesses that will be

expanded or franchised, written

commitments from the businesses

specifying their undertakings and levels

of participation must be included with

the application. The work program must

set forth realistic quarterly time targets

by which the various work tasks will be

completed.

The application identifies and defines

critical issues or potential problems that

might impact negatively on the project

and explains how they can be overcome

and the project objectives reasonably

attained despite such potential

problems.

(ii) Business plan (where required). As

noted above, a business plan is required

whenever the applicant is proposing to

establish a new, specific and identified

business, or will be providing assistance

to a private third-party private employer

for the development or expansion of a

pre-identified business. In these cases

the business plan is one of the major

components that will be evaluated by

OCS to determine the feasibility of a

jobs creation project.

Because the following guidelines were

written to cover a variety of

possibilities, rigid adherence to them is

not possible nor even desirable for all

projects. For example, a plan for a

service business would not require a

discussion of manufacturing nor

product design.

With this understanding, the business

plan should be prepared in accordance

with the following guidelines:

1. The business and its industry. This

section should describe the nature and

history of the business and provide

some background on its industry.

a. The Business: as a legal entity; the

general business category;

b. Description and Discussion of

Industry: Current status and prospects

for the industry;

2. Products and Services: This section

deals with the following:

a. Description: Describe in detail the

products or services to be sold;

b. Proprietary Position: Describe

proprietary features, if any, of the

product, e.g. patents, trade secrets;

c. Potential: Features of the product or

service that may give it an advantage

over the competition;

3. Market Research and Evaluation:

This section should present sufficient

information to show that the product or

service has a substantial market and can

achieve sales in the face of competition;

a. Customers: Describe the actual and

potential purchasers for the product or

service by market segment.

b. Market Size and Trends: State the

size of the current total market for the

product or service offered;
12834 Federal Register / Vol. 60, No. 45 / Wednesday, March 8, 1995 / Notices

c. Competition: An assessment of the

strengths and weaknesses of competitive

products and services;

d. Estimated Market Share and Sales:

Describe the characteristics of the

product or service that will make it

competitive in the current market;

4. Marketing Plan: The marketing plan

should detail the product, pricing,

distribution, and promotion strategies

that will be used to achieve the

estimated market share and sales

projections. The marketing plan must

describe what is to be done, how it will

be done and who will do it. The plan

should address the following topics—

Overall Marketing Strategy, Packaging,

Service and Warranty, Pricing,

Distribution and Promotion.

5. Design and Development Plans: If

the product, process or service of the

proposed venture requires any design

and development before it is ready to be

placed on the market, the nature and

extent and cost of this work should be

fully discussed. The section should

cover items such as Development Status

and Tasks, Difficulties and Risks,

Product Improvement and New

Products, and Costs.

6. Manufacturing and Operations

Plan: A manufacturing and operations

plan should describe the kind of

facilities, plant location, space, capital

equipment and labor force (part and/or

full time and wage structure) that are

required to provide the company’s

product or service.

7. Management Team: The

management team is the key in starting

and operating a successful business. The

management team should be committed

with a proper balance of technical,

managerial and business skills, and

experience in doing what is proposed.

This section must include a description

of: the key management personnel and

their primary duties; compensation and/

or ownership; the organizational

structure; Board of Directors;

management assistance and training

needs; and supporting professional

services.

8. Overall Schedule: A schedule that

shows the timing and interrelationships

of the major events necessary to launch

the venture and realize its objectives.

Prepare, as part of this section, a monthby-month schedule that shows the

timing of such activities as product

development, market planning, sales

programs, and production and

operations. Sufficient detail should be

included to show the timing of the

primary tasks required to accomplish

each activity.

9. Critical Risks and Assumptions:

The development of a business has risks

and problems and the Business Plan

should contain some explicit

assumptions about them. Accordingly,

identify and discuss the critical

assumptions in the Business Plan and

the major problems that will have to be

solved to develop the venture. This

should include a description of the risks

and critical assumptions relating to the

industry, the venture, its personnel, the

product’s market appeal, and the timing

and financing of the venture.

10. Community Benefits: The

proposed project must contribute to

economic, community and human

development within the project’s target

area.

11. The Financial Plan: The Financial

Plan is basic to the development of a

Business Plan. Its purpose is to indicate

the project’s potential and the timetable

for financial self-sufficiency. In

developing the Financial Plan, the

following exhibits must be prepared for

the first three years of the business’

operation:

a. Profit and Loss Forecasts-quarterly

for each year;

b. Cash Flow Projections-quarterly for

each year;

c. Pro forma balance sheets-quarterly

for each year;

d. Initial sources of project funds;

e. Initial uses of project funds; and

f. Any future capital requirements and

sources.

(iii) Facilities. If the rearrangement or

alteration of facilities will be required in

implementing the project, the applicant

has described and justified such

changes.

Criterion IV: Significant and Beneficial

Impact (Maximum: 20 points)

(i) Quality of JOBS/business

opportunities. The proposed project is

expected to produce permanent and

measurable results that will reduce the

incidence of poverty in the community.

Expected results are quantifiable in

terms of the creation of permanent, fulltime jobs or business opportunities

developed (or the creation of nontraditional employment opportunities in

highway construction and maintenance

or the machine tool industry). In

developing business opportunities and

self-employment for AFDC recipients

and low-income individuals the

applicant proposes, at a minimum, to

provide basic business planning and

management concepts, and assistance in

preparing a business plan and loan

package.

The application documents that:

—The business opportunities to be

developed for eligible participants

will contribute significantly to their

progress toward self-sufficiency; and/

or

—Jobs to be created for eligible

participants will contribute

significantly to their progress toward

self-sufficiency; they provide, for

example, wages that exceed the

minimum wage, plus benefits such as

health insurance, transportation, child

care and career development

opportunities. (0–15 points)

(ii) Cost-per-job. During the project

period the proposed project will create

new, permanent jobs through business

opportunities or non-traditional

employment opportunities for lowincome residents at a cost-per-job below

$15,000 in OCS funds, (e.g. cost per job

is calculated by dividing the total

amount of grant funds requested

($420,000) by the number of jobs to be

created (60) which equals the cost-perjob ($7,000)). If any other calculations

are used, please include your

methodology in this section. [Note:

Except in those instances where

independent reviewers identify

extenuating circumstances related to

business development activities, the

maximum number of points will be

given only to those applicants proposing

cost-per-job created estimates of $5,000

or less of OCS requested funds. Higher

cost-per-job estimates will receive

correspondingly fewer points.] (0–5

points)

Criterion V: Third-Party Evaluation

(Maximum: 10 points)

A plan for a methodologically sound

third-party (i.e. independent) evaluation

of the demonstration project must be

included in the application. Application

indicates how the applicant will verify

the extent to which the performance

targets are achieved in this project.

The Evaluation Plan

—Includes a specific working definition

of ‘‘self-sufficiency’’ (consistent with

the broad definition contained in Part

I) that permits the measurement of

incremental progress of eligible

individuals and their families from

dependency toward self-sufficiency;

—Clearly defines the changes or benefits

(outcomes) to be produced, the

activities (interventions) that will

produce the changes, and the

measures of client progress toward

self-sufficiency for which information

will be collected (for example:

increases in income, decreases in

public assistance payments);

—Provides for the annual compilation

of community-level data on the

characteristics of the population in

the project area, including percentage

on public assistance, percentage

below the poverty line,
Federal Register / Vol. 60, No. 45 / Wednesday, March 8, 1995 / Notices 12835

unemployment rate, business starts

and failures, and major employers;

—Provides for the conduct of a

continuing process evaluation. This

should include the periodic

assessment of the following: client

characteristics, pertinent policies and

procedures; staffing; cooperative

partnerships with state and local

agencies; use of other community

resources; client outreach and

recruitment; client service delivery;

cost of services; and, level of technical

and financial assistance to employers.

The types of data and information,

measures and indicators to be used for

the process evaluation, as well as the

methods and timeframe for collecting

and analyzing the required data

should be indicated;

—Provides for the completion of two

interim evaluation reports and a final

report comprising both process and

outcome evaluation. The final

evaluation report will describe the

program design and any changes from

the original workplan, outreach and

recruitment results, interventions, and

accomplishments. The measurement

instruments, data collection

procedures, and analysis techniques

should be discussed, and the report

should yield conclusions as to how

well the program works and why. It

should also discuss the program’s

potential for replication in other

communities; and

—Includes a realistic plan for

disseminating the project findings to

other interested organizations and

public agencies.

Criterion VI: Public-Private Partnerships

(Maximum: 10 points)

—The cooperative partnership

arrangements are fully described and

clearly relate to the objectives of the

proposed project, and the activities

include one or more of the mandatory

or optional components of the State’s

JOBS program as described in Part II,

Section A.

—In the case of projects involved in the

creation of non-traditional

employment opportunities in

highway construction and

maintenance or the machine tool

industry, agreements with the

appropriate partners (for example:

highway departments, contractors,

unions or businesses) should clearly

identify the undertakings of each

partner in terms of training, support,

apprenticeships, career opportunities,

and the like.

—The application documents that the

applicant will mobilize from public

and/or private sources cash and/or

third-party in-kind contributions.

Applications that document that the

value of such contributions will be at

least equal to the OCS funds

requested, and demonstrate that the

cooperative partnership arrangements

clearly relate to the objectives of the

proposed project, will receive the

maximum number of points for this

criterion. Lesser contributions will be

given consideration based upon the

value documented.

—Applicants should note that

partnership relationships are not

created via service delivery contracts;

partners should be responsible for

substantive project components or

elements.

—The above requirements are also

applicable to applications submitted

in the area of non-traditional

employment opportunities. (See Part

II, A for minimum requirement to be

included in the cooperative

partnership agreement.)

Criterion VII: Budget Appropriateness

and Reasonableness (Maximum: 5

points)

Funds requested are commensurate

with the level of effort necessary to

accomplish the goals and objectives of

the project.

The application includes a detailed

budget break-down for each of the

budget categories in the SF–424A. The

applicant presents a reasonable

administrative cost if an indirect cost

rate has not been negotiated with the

cognizant Federal agency (See Part VI,

Section B, Line 6j).

The estimated cost to the government

of the project also is reasonable in

relation to the anticipated results.

Part V—Application Procedures and

Selection Process

A. Availability of Forms

Attachment B contains all of the

standard forms necessary for the

application for awards under this OCS

program. This attachment and Parts VI

and VII of this announcement contain

all of the instructions required for

submittal of applications. These forms

may be photocopied for the application.

Copies of the Federal Register

containing this announcement are

available at most local libraries and

Congressional District Offices for

reproduction or accessible on the OCS

Electronic Bulletin Board for

downloading through your computer

modem by calling 1–800–627–8886. If

copies are not available at these sources,

they may be obtained by writing or

telephoning the office listed under the

section entitled FOR FURTHER

INFORMATION at the beginning of this

announcement.

The applicant must be aware that in

signing and submitting the application

for this award, it is certifying that it will

comply with the Federal requirements

concerning the drug-free workplace and

debarment regulations set forth in

Attachments C and D.

Part VII, Section A contains

instructions for the project narrative.

B. Application Submission

The closing date for submission of

applications is noted under ‘‘CLOSING

DATE’’ at the beginning of this

Announcement.

1. Deadlines. Applications shall be

considered as meeting the deadline if

they are either:

a. Received on or before the deadline

date at 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–

08) Washington, DC 20447, Attention:

Maiso Bryant, or

b. Sent on or before the deadline date

and received by the granting agency in

time for them to be considered during

the competitive review and evaluation

process under Chapter 1–62 of the

Health and Human Services Grants

Administration Manual. (Applicants are

cautioned to request a legibly dated U.S.

Postal Service postmark or to obtain a

legibly dated receipt from a commercial

carrier or the U.S. Postal Service. Private

metered postmarks are not acceptable as

proof of timely mailing.)

2. Applications submitted by other

means. Applications which are not

submitted in accordance with the above

criteria shall be considered as meeting

the deadline only if they are physically

received before the close of business on

or before the deadline date. Hand

delivered applications will be accepted

at the Department of Health and Human

Services, Administration for Children

and Families, Division of Discretionary

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

ACF Guard Station, Washington, DC

20447 during the normal working hours

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

Friday.

3. Late Applications. Applications

which do not meet one of these criteria

are considered late applications. The

ACF Division of Discretionary Grants

will notify each late applicant that its

application will not be considered in

this competition.

4. Extension of Deadline. The ACF

may extend the deadline for all

applicants because of acts of God such

as floods, hurricanes, etc. or when there

is a disruption of the mails. However, if

the granting agency does not extend the

deadline for all applicants, it may not
12836 Federal Register / Vol. 60, No. 45 / Wednesday, March 8, 1995 / Notices

waive or extend the deadline for any

applicant.

Applications once submitted are

considered final and no additional

materials will be accepted. One signed

original application and four copies

should be submitted.

C. Intergovernmental Review

This program is covered under

Executive Order 12372,

‘‘Intergovernmental Review of Federal

Programs,’’ and 45 CFR part 100,

‘‘Intergovernmental Review of

Department of Health and Human

Services Program and Activities.’’ Under

the Order, States may design their own

processes for reviewing and

commenting on proposed Federal

assistance under covered programs.

All States and Territories except

Alabama, Alaska, Colorado,

Connecticut, Hawaii, Idaho, Kansas,

Louisiana, Minnesota, Montana,

Nebraska, Oklahoma, Oregon,

Pennsylvania, South Dakota, Virginia,

Washington, American Samoa and

Palau have elected to participate in the

Executive Order process and have

established Single Points of Contact

(SPOCs). Applicants from these

nineteen jurisdictions need take no

action regarding E.O. 12372. Applicants

for projects to be administered by

Federally-recognized Indian Tribes are

also exempt from the requirements of

E.O. 12372. Otherwise, applicants

should contact their SPOCs as soon as

possible to alert them of the prospective

applications and receive any necessary

instructions. Applicants must submit

any required material to the SPOCs as

soon as possible so that the program

office can obtain and review SPOC

comments as part of the award process.

It is imperative that the applicant

submit all required materials, if any, to

the SPOC and indicate the date of this

submittal (or the date of contact if no

submittal is required) on the Standard

Form 424, item 16a.

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

sixty (60) days from the 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

clearly differentiate 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, 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

as Attachment E of this announcement.

D. Application Consideration

Applications which meet the

screening requirements in Part V, item

E below will be reviewed competitively.

Such applications will be referred to

reviewers for a numerical score and

explanatory comments based solely on

responsiveness to the guidelines and

evaluation criteria published in this

announcement.

Applications will be reviewed by

persons outside of the OCS unit which

will be directly responsible for

programmatic management of the grant.

The results of these reviews will assist

the Director and OCS program staff in

considering competing applications.

Reviewers’ scores will weigh heavily in

funding decisions but will not be the

only factors considered. Applications

generally will be considered in order of

the average scores assigned by

reviewers. However, highly ranked

applications are not guaranteed funding

since other factors are taken into

consideration, including, but not

limited to, the timely and proper

completion of projects funded with OCS

funds granted in the last five (5) years;

comments of reviewers and government

officials; staff evaluation and input;

geographic distribution; previous

program performance of applicants;

compliance with grant terms under

previous DHHS grants; audit reports;

investigative reports; and applicant’s

progress in resolving any final audit

disallowances on previous OCS or other

Federal agency grants.

OCS reserves the right to discuss

applications with other Federal or nonFederal funding sources to ascertain the

applicant’s performance record.

E. Criteria for Screening Applicants

1. Initial Screening

The receipt of applications that meet

the published deadline for submission

will be acknowledged in writing with an

assigned identification number. This

number, must be referenced in all

subsequent communications concerning

the application. If an acknowledgement

is not received within three weeks after

the deadline date, please notify ACF by

telephone at (202) 401–9365.

All applications that meet the

published deadline for submission will

be screened to determine completeness

and conformity to the requirements of

this announcement. Only those

applications meeting the following

requirements will be reviewed and

evaluated competitively. Others will be

returned to the applicants with a

notation that they were unacceptable.

a. The application must contain a

Standard Form 424 Application for

Federal Assistance (SF–424), a budget

(SF–424A), and signed Assurances (SF–

424B) completed according to

instructions published in Part VI and

Attachment B of this Program

Announcement.

b. A project narrative must also

accompany the standard forms. OCS

requires that the narrative portion of the

application be limited to 50 pages,

typewritten on one side of the paper

only with one-inch margins and type

face no smaller than 10 characters per

inch (cpi) or equivalent. Charts,

exhibits, letters of support and

cooperative agreements are not counted

against this page limit. It is strongly

recommended that you follow the

format for the narrative in Part VII, A,

10.

c. The SF–424 and the SF–424B must

be signed by an official of the

organization applying for the grant who

has authority to obligate the

organization legally.

d. Application must contain

documentation of the applicant’s tax

exempt status as required under Part I,

Section B.

2. Pre-Rating Review

Applications which pass the initial

screening will be forwarded to

reviewers and/or OCS staff prior to the

programmatic review to verify that the

applications comply with this Program

Announcement in the following areas:

a. Eligibility: Applicant meets the

eligibility requirements described in

Part I, Section B. Proof of non-profit

status must be included in the

Appendices to the Project Narrative (See

Part VII, Section A, 11).

Applicants must also be aware that

the applicant’s legal name as required

on the SF–424 (Item 5) must match that

listed as corresponding to the Employer

Identification Number (Item 6).

b. Target Populations: The application

clearly targets the specific outcomes and

benefits of the project to those types of

low-income participants and

beneficiaries described in Part III,

Section A, Program Participants/

Beneficiaries.

c. Grant Amount: The amount of

funds requested does not exceed the

limits indicated in Part III, Section A,

item 2.

d. Cooperative Partnership

Agreement. The application contains a

written agreement or letter of
Federal Register / Vol. 60, No. 45 / Wednesday, March 8, 1995 / Notices 12837

commitment that includes, at a

minimum, the activities cited in Part II,

Section A. The agreement must be

signed by an official of the State IV–A

agency responsible for administering the

JOBS program in the area to be served.

e. Third-Party Project Evaluation. A

third-party project evaluation plan is

included.

f. Business Plan. If a third-party

private employer is part of the proposed

project, a complete business plan is

included in the application.

An application will be disqualified

from the competition and returned if it

does not conform to all of the above

requirements.

Part VI—Instructions for Completing

the SF–424

(Approved by the Office of Management

and Budget under Control Number

0970–0062.)

The standard forms attached to this

announcement shall be used to apply

for funds under this program

announcement.

It is suggested that you reproduce

single-sided copies of the SF–424 and

SF–424A, and type your application on

the copies. Please prepare your

application in accordance with

instructions provided on the forms as

well as with the OCS specific

instructions set forth below:

A. SF–424—Application for Federal

Assistance

Top of Page. Please enter the single

priority area number under which the

application is being submitted. An

application should be submitted under

only one priority area.

Item 1. For the purposes of this

announcement, all projects are

considered Applications; there are no

Pre-Applications.

Prepare your application in

accordance with the standard

instructions given in Attachments B and

C corresponding to the forms, as well as

the OCS specific instructions set forth

below:

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—N/A

Item 4. Date Received by Federal

Agency—Leave blank.

Items 5 and 6. The legal name of the

applicant must match that listed as

corresponding to the Employer

Identification Number. Where the

applicant is a previous Department of

Health and Human Services grantee,

enter the Central Registry System

Employee Identification Number (CRS/

EIN) and the Payment Identifying

Number, if one has been assigned, in the

Block entitled Federal Identifier located

at the top right hand corner of the form.

Item 7. If the applicant is a non-profit

corporation, enter N in the box and

specify non-profit corporation in the

space marked Other. Proof of non-profit

status, such as IRS determination,

Articles of Incorporation, or By-laws,

must be included as an appendix to the

project narrative.

Item 8. Type of Application—Please

indicate the type of application.

Item 9. Name of Federal Agency—

Enter DHHS–ACF/OCS.

Item 10. The Catalog of Federal

Domestic Assistance number for OCS

programs covered under this

announcement is 93.647. The title is

Social Services Research

Demonstration.

Item 11. In addition to a brief

descriptive title of the project, indicate

the priority area for which funds are

being requested. Use the following letter

designations:

JO—General Project

JS—Community Development

Corporation Set-Aside

Item 12. Areas Affected by Project—

List only the largest unit or units

affected, such as State, county or city.

Item 13. Proposed Project—The

ending date should be calculated based

on a 72-month project period.

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.

Item 15a. This amount should be no

greater than the amount specified under

Part III, Availability of Funds and Grant

Amounts.

Item 15b–e. These items should

reflect both cash and third-party, inkind contributions for the budget period

requested.

Item 15f. N/A.

Item 15g. Enter the sum of Items 15a–

15e.

B. SF–424A—Budget Information—NonConstruction Programs

See Instructions accompanying this

form as well as the instructions set forth

below:

In completing these sections, the

Federal Funds budget entries will relate

to the requested OCS funds only, and

Non-Federal will include mobilized

funds from all other sources—applicant,

state, local, and other. Federal funds

other than requested OCS funding

should be included in Non-Federal

entries.

Sections A, B, C and D of SF–424A

should reflect budget estimates for the

first budget period of the project.

Section A—Budget Summary

Lines 1–4

Col. (a):

Line 1—Enter Social Services

Research and Demonstration.

Col. (b):

Line 1—Catalog of Federal Domestic

Assistance number is 93.647

Col. (c) and (d):

Columns (c) and (d) are not relevant

to this program and should not be

completed.

Column (e)–(g):

For line 1, enter in columns (e), (f)

and (g) the appropriate amounts needed

to support the project. (Maximum

$500,000)

Line 5—Enter the figures from Line 1

for all columns completed (e), (f), and

(g).

Section B—Budget Categories

Please Note: This information

supersedes the instructions provided

following SF–424A.

Columns (1)–(5):

Column 1: Enter the first budget

period of 12 months.

Column 2: Enter the second budget

period of 12 months.

Column 3: Enter the third budget

period of 12 months.

Column 4: Leave blank.

Column 5: Enter the total

requirements for Federal funds by the

Object Class Categories of this section.

Allocability of costs are governed by

the cost principles set forth in OMB

Circular A–122 and 45 CFR Part 74.

Budget estimates for national

administrative costs must be supported

by adequate detail for the grants officer

to perform a cost analysis and review.

Adequately detailed calculations for

each budget object class are those which

reflect estimation methods, quantities,

unit costs, salaries, and other similar

quantitative detail sufficient for the

calculation to be duplicated. For any

additional object class categories

included under the object class other

identify the additional object class(es)

and provide supporting calculations.

Supporting narratives and

justifications are required for each

budget category, with emphasis on

unique/special initiatives, large dollar

amounts; local, regional, or other

travels, new positions, major equipment

purchases and training programs.

A detailed itemized budget with a

separate budget justification for each

major item should be included as

indicated below:
12838 Federal Register / Vol. 60, No. 45 / Wednesday, March 8, 1995 / Notices

Personnel-Line 6a. Enter the total

costs of salaries and wages.

Justification: Identify the principal

investigator or project director, if

known. Specify by title or name the

percentage of time allocated the project,

the individual annual salaries, and the

cost to the project of the organization’s

staff who will be working on the project.

Do not include costs of consultants or

personnel costs of delegate agencies or

of specific project(s) or businesses to be

financed by the applicant.

Fringe Benefits—Line 6b. Enter the

total costs of fringe benefits unless

treated as part of an approved indirect

cost rate which is entered on line 6j.

Justification: Provide a breakdown of

amounts and percentages that comprise

fringe benefit costs, such as health

insurance, FICA, retirement insurance,

taxes, etc.

Travel—Line 6c. Enter total costs of

all travel by employees of the project.

Do not enter costs for consultant’s

travel.

Justification: Include the total number

of traveler(s), total number of trips,

destinations, number of days,

transportation costs and subsistence

allowances. Travel costs to attend two

national workshops in Washington, D.C.

by the project director and the thirdparty evaluator should be included.

Equipment—Line 6d. Enter the total

costs of all non-expendable personal

property to be acquired by the project.

Non-expendable personal property

means tangible personal property

having a unit cost of $5000 or more and

having a useful life of one year.

Justification: Only equipment

required to conduct the project may be

purchased with Federal funds. The

applicant organization or its subgrantees

must not have such equipment, or a

reasonable facsimile, available for use in

the project. The justification also must

contain plans for future use or disposal

of the equipment after the project ends.

An applicant may use its own definition

of non-expendable personal property,

provided that such a definition would at

least include all tangible personal

property as defined above. (See Line 21

for additional requirements).

Supplies—Line 6e. Enter the total

costs of all tangible personal property

(supplies) other than that included on

line 6d.

Justification: Specify general

categories of supplies and their costs.

Contractual—Line 6f. Enter the total

costs of all contracts, including (1) the

estimated cost of the third-party

evaluation contract; travel costs for the

chief evaluator to attend two national

workshops in Washington, D.C. should

be included; (2) procurement contracts

(except those which belong on other

lines such as equipment, supplies, etc.)

and (3) contracts with secondary

recipient organizations including

delegate agencies and specific project(s)

or businesses to be financed by the

applicant.

Justification: Attach a list of

contractors, indicating the names of the

organizations, the purposes of the

contracts, the estimated dollar amounts,

and selection process of the awards as

part of the budget justification. Also

provide back-up documentation

identifying the name of contractor,

purpose of contract, and major cost

elements.

Note: Whenever the applicant/grantee

intends to delegate part of the program to

another agency, the applicant/grantee must

submit Sections A and B of this Form SF–

424A, completed for each delegate agency by

agency title, along with the required

supporting information referenced in the

applicable instructions.

The total costs of all such agencies

will be part of the amount shown on

Line 6f. Provide draft Request for

Proposal in accordance with 45 CFR

Part 74, Appendix H. Free and open

competition is encouraged for any

procurement activities planned using

ACF grant funds. Prior approval is

required when applicants anticipate

evaluation procurements that will

exceed $25,000 and are requesting an

award without competition.

The applicant’s procurement

procedures should outline the type of

advertisement appropriate to the nature

and anticipated value of the contract to

be awarded. Advertisements are

typically made in city, regional, and

local newspapers; trade journals; and/or

through announcements by professional

associations.

Construction—Line 6g. Not

applicable.

Other—Line 6h. Enter the total of all

other costs. Such costs, where

applicable, may include but are not

limited to insurance, food, medical and

dental costs (noncontractual), fees and

travel paid directly to individual

consultants, space and equipment

rentals, printing and publication,

computer use, training costs, including

tuition and stipends, training service

costs including wage payments to

individuals and supportive service

payments, and staff development costs.

Total Direct Charges—Line 6i. Show

the total of Lines 6a through 6h.

Indirect Charges—Line 6j. Enter the

total amount of indirect costs. This line

should be used only when the applicant

currently has an indirect cost rate

approved by the Department of Health

and Human Services or another

cognizant Federal agency. With the

exception of local governments,

applicants should enclose a copy of the

current rate agreement if it was

negotiated with a cognizant Federal

agency other than the Department of

Health and Human Services. If the

applicant organization is in the process

of initially developing or renegotiating a

rate, it should immediately upon

notification that an award will be made,

develop a tentative indirect cost rate

proposal based on its most recently

completed fiscal year in accordance

with the principles set forth in the

pertinent DHHS Guide for Establishing

Indirect Cost Rates, and submit it to the

appropriate DHHS Regional Office.

Applicants awaiting approval of their

indirect cost proposals may also request

indirect costs.

It should be noted that when an

indirect cost rate is requested, those

costs included in the indirect cost pool

should not be also charged as direct

costs to the grant.

Totals—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. Separately show expected

program income generated from OCS

support and income generated from

other mobilized funds. Do not add or

subtract this amount from the budget

total. Show the nature and source of

income in the program narrative

statement.

Justification: Describe the nature,

source and anticipated use of program

income in the Program Narrative

Statement.

Column 5: Carry totals from Column

1 to Column 5 for all line items.

Section C—Non-Federal Resources

This section is to record the amounts

of non-Federal resources that will be

used to support the project. Non-Federal

resources mean those other than OCS

funds. Therefore, mobilized funds from

other Federal programs should be

entered on these lines. Provide a brief

listing of the non-Federal resources on

a separate sheet and describe whether it

is a grantee-incurred cost or a thirdparty in-kind contribution. The firm

commitment of these resources must be

documented and submitted with the

application in order to be given credit

in the Public-Private Partnerships

criterion.

Except in unusual situations, this

documentation must be in the form of

letters of commitment from the

organization(s)/individuals from which

funds will be received.
Federal Register / Vol. 60, No. 45 / Wednesday, March 8, 1995 / Notices 12839

Justification: Describe third-party, inkind contributions, if included.

Grant Program—Line 8

Column (a): Enter the project title.

Column (b): Enter the amount of

contributions to be made by the

applicant to the project.

Column (c): Enter the State

contribution. If the applicant is a State

agency, enter the non-Federal funds to

be contributed by the State other than

the applicant.

Column (d): Enter the amount of cash

and third-party in-kind contributions to

be made from all other sources.

Column (e): Enter the total of columns

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

Grant Program—Lines 9, 10, and 11

should be left blank.

Grant Program—Line 12.

Carry the total of each column of Line

8, (b) through (e). The amount in

Column (e) should be equal to the

amount on Section A, Line 5, column

(f).

Section D—Forecasted Cash Needs

Federal—Line 13. Enter the amount of

Federal (OCS) cash needed for this

grant, by quarter, during the first 12

month budget period.

Non Federal—Line 14. Enter the

amount of cash from all other sources

needed by quarter during the first 12-

month budget period.

Totals—Line 15. Enter the total of

Lines 13 and 14.

Section E—Budget Estimates of Federal

Funds Needed for Balance of Project(s)

For new 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).

Section F—Other Budget Information

Direct Charges—Line 21. Use this

space and continuation sheets as

necessary to fully explain and justify the

major items included in the budget

categories shown in Section B. Include

sufficient detail to facilitate

determination of allowability, relevance

to the project, and cost benefits.

Particular attention must be given to the

explanation of any requested direct cost

budget item which requires explicit

approval by the Federal agency. Budget

items which require identification and

justification shall include, but not be

limited to, the following:

A. Salary amounts and percentage of

time worked for those key individuals

who are identified in the project

narrative;

B. Any foreign travel;

C. A list of all equipment and

estimated cost of each item to be

purchased wholly or in part with grant

funds which meet the definition of

nonexpendable personal property

provided on Line 6d, Section B. Need

for equipment must be supported in

program narrative;

D. Contractual: major items or groups

of smaller items; and

E. Other: group into major categories

all costs for consultants, local

transportation, space, rental, training

allowances, staff training, computer

equipment, etc. Provide a complete

breakdown of all costs that make up this

category.

Indirect Charges—Line 22. Enter the

type of HHS or other cognizant Federal

agency approved indirect cost 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. Also, enter

the date the rate was approved and

attach a copy of the rate agreement.

Remarks—Line 23. Provide any other

explanations and continuation sheets

required or deemed necessary to justify

or explain the budget information.

C. SF–424B Assurances—NonConstruction

All applicants must fill out, sign, date

and return the Assurances with the

application.

Part VII—Contents of Application and

Receipt Process

A. Contents and Order of Application

Each application submission should

include a signed original and four

additional copies of the application.

Each application should include the

following in the order presented:

1. Table of Contents;

2. Completed Standard Form 424

which has been signed by an Official of

the organization applying for the grant

who has authority to obligate the

organization legally. (Note: The original

SF–424 must bear the original signature

of the authorizing representative of the

applicant organization.)

3. Budget Information—NonConstruction Programs (SF–424A);

4. A narrative budget justification for

each object class category required

under Section B, SF–424A;

5. Filled out, signed, and dated

Assurances—Non-Construction

Programs (SF–424B);

6. By signing and submitting this

application, the applicant is certifying

that it will comply with the Federal

requirements concerning debarment

regulations set forth in attachments E

and F.

7. Restrictions on Lobbying,

Certification for Contracts, Grants,

Loans, and Cooperative Agreements: fill

out, sign and date form found at

Attachment H.

8. Disclosure of Lobbying Activities,

SF–LLL: Filled out, signed, and dated

form found at Attachment H, if

appropriate.

9. Certification Regarding

Environmental Tobacco Smoke—

Signature on the application attests to

the applicants intent to comply with the

requirements of the Pro-Children Act of

1994. A signed form does not have to be

returned with application.

10. An Executive Summary—not to

exceed 300 words;

11. A Project Narrative consisting of

the following elements preceded by a

consecutively numbered Table of

Contents that will describe the project

in the following order:

(i) Eligibility Confirmation

(ii) Organizational Experience and

Staff Responsibilities

(iii) Analysis of Need

(iv) Project Design/Work Program

(v) Business Plan (If appropriate)

(vi) Third-Party Evaluation

(vii) Cooperative Partnership

Agreement

(viii) Budget Appropriateness and

Reasonableness

12. Appendices—proof of non-profit

status as outlined in Part I, Section B;

proof that the organization is a

community development corporation, if

applying under the CDC Set-aside;

commitments from officials of

businesses that will be expanded or

from franchises, where applicable;

partnership agreement with State IV–A

(JOBS Program) agency; Single Point of

Contact comments, if applicable;

Maintenance of Effort Certification and

resumes.

The total number of pages for the

narrative portion of the application

package must not exceed 50 pages,

excluding Appendices. Pages should be

numbered sequentially throughout,

excluding Appendices, beginning with

the SF–424 as Page 1. The application

may also contain letters that show

collaboration or substantive

commitments to the project by

organizations other than the JOBS

agency. Such letters are not part of the

narrative and should be included in the

Appendices. These letters are, therefore,

not counted against the fifty page limit.

Applications must be uniform in

composition since OCS may find it

necessary to duplicate them for review

purposes. Therefore, applications must

be submitted on white 81⁄2 x 11 inch

paper only. They must not include

colored, oversized or folded materials.
12840 Federal Register / Vol. 60, No. 45 / Wednesday, March 8, 1995 / Notices

Do not include organizational brochures

or other promotional materials, slides,

films, clips, etc. in the proposal. They

will be discarded if included. The

applications should be two-hole

punched at the top center and fastened

separately with a compressor slide

paper fastener, or a binder clip. The

submission of bound applications, or

applications enclosed in binders, is

specifically discouraged.

Attachment J provides a checklist to

applicants in preparing a complete

application package.

B. Acknowledgement of Receipt

Applicants who meet the initial

screening criteria outlined in Part V,

Section E, 1, will receive an

acknowledgement postcard with an

assigned identification number.

Applicants are requested to supply a

self-addressed mailing label with their

application which can be attached to

this acknowledgement postcard. This

number and the program letter code,

i.e., JO or JS, must be referred to in all

subsequent communications with OCS

concerning the application. If an

acknowledgement is not received within

three weeks after the deadline date,

please notify ACF by telephone (202)

401–9234.

Part VIII—Post Award Information and

Reporting Requirements

Following approval of the

applications selected for funding, notice

of project approval and authority to

draw down project funds will be made

in writing. The official award document

is the Financial Assistance Award

which provides the amount of Federal

funds approved for use in the project,

the project and budget period for which

support is provided, the terms and

conditions of the award, and the total

project period for which support is

contemplated.

Project directors and chief evaluators

will be required to attend two national

evaluation workshops in Washington,

D.C. A program development and

evaluation workshop will be scheduled

shortly after the effective date of the

grant. They also will be required to

attend, as presenters, the final

evaluation workshop on utilization and

dissemination to be held at the end of

the project period.

Grantees will be required to submit

semi-annual progress and financial

reports (SF–269) as well as a final

progress and financial report within 90

days of the expiration of the grant.

Interim evaluation reports, along with a

written policies and procedures manual

based on the findings of the process

evaluation, will be due 30 days after the

first twelve months, and the second

interim evaluation 30 days after the

second twelve months, and a final

evaluation report will be due 90 days

after the expiration of the grant. This

final report will cover 36 months of

activities related to project participants.

Reporting requirements for the

remaining 36 months of the project

period will be provided during the

solicitation of applications.

Grantees are subject to the audit

requirements in 45 CFR Parts 74 (nonprofit organization) and OMB Circular

A–133.

Section 319 of Public Law 101–121,

signed into law on October 23, 1989,

imposes new prohibitions and

requirements for disclosure and

certification related to lobbying on

recipients of Federal contracts, grants,

cooperative agreements, and loans. It

provides limited exemptions for Indian

tribes and tribal organizations. Current

and prospective recipients (and their

subtier contractors and/or grantees) are

prohibited from using appropriated

funds for lobbying Congress or any

Federal agency in connection with the

award of a contract, grant, cooperative

agreement or loan. In addition, for each

award action in excess of $100,000 (or

$150,000 for loans) the law requires

recipients and their subtier contractors

and/or subgrantees (1) to certify that

they have neither used nor will use any

appropriated funds for payment to

lobbyists, (2) to submit a declaration

setting forth whether payments to

lobbyists have been or will be made out

of non-appropriated funds and, if so, the

name, address, payment details, and

purpose of any agreements with such

lobbyists whom recipients or their

subtier contractors or subgrantees will

pay with the non-appropriated funds

and (3) to file quarterly up-dates about

the use of lobbyists if an event occurs

that materially affects the accuracy of

the information submitted by way of

declaration and certification. The law

establishes civil penalties for

noncompliance and is effective with

respect to contracts, grants, cooperative

agreements and loans entered into or

made on or after December 23, 1989. See

Attachment F for certification and

disclosure forms to be submitted with

the applications for this program.

Attachment G indicates the

regulations which apply to all

applicants/grantees under the Job

Opportunities for Low-Income

Individuals Program.

Dated: February 24, 1995.

Donald Sykes,

Director, Office of Community Services.

ATTACHMENT A.—1995 POVERTY INCOME GUIDELINES FOR ALL STATES (EXCEPT ALASKA AND HAWAII) AND THE DISTRICT

OF COLUMBIA

Size of family unit Poverty

guideline

1 ........................................................................................................................................................................................................... $7,470

2 ........................................................................................................................................................................................................... 10,030

3 ........................................................................................................................................................................................................... 12,590

4 ........................................................................................................................................................................................................... 15,150

5 ........................................................................................................................................................................................................... 17,710

6 ........................................................................................................................................................................................................... 20,270

7 ........................................................................................................................................................................................................... 22,830

8 ........................................................................................................................................................................................................... 25,390

For family units with more than 8 members, add $2,560 for each additional member. (The same increment applies to smaller family sizes also,

as can be seen in the figures above.)
Federal Register / Vol. 60, No. 45 / Wednesday, March 8, 1995 / Notices 12841

POVERTY INCOME GUIDELINES FOR ALASKA

Size of family unit Poverty

guideline

1 ........................................................................................................................................................................................................... $9,340

2 ........................................................................................................................................................................................................... 12,540

3 ........................................................................................................................................................................................................... 15,740

4 ........................................................................................................................................................................................................... 18,940

5 ........................................................................................................................................................................................................... 22,140

6 ........................................................................................................................................................................................................... 25,340

7 ........................................................................................................................................................................................................... 28,540

8 ........................................................................................................................................................................................................... 31,740

For family units with more than 8 members, add $3,200 for each additional member. (The same increment applies to smaller family sizes also,

as can be seen in the figures above.)

POVERTY GUIDELINES FOR HAWAII

Size of family unit Poverty

guideline

1 ........................................................................................................................................................................................................... $8,610

2 ........................................................................................................................................................................................................... 11,550

3 ........................................................................................................................................................................................................... 14,490

4 ........................................................................................................................................................................................................... 17,430

5 ........................................................................................................................................................................................................... 20,370

6 ........................................................................................................................................................................................................... 23,310

7 ........................................................................................................................................................................................................... 26,250

8 ........................................................................................................................................................................................................... 29,190

For family units with more than 8 members, add $2,940 for each additional member. (The same increment applies to smaller family sizes also,

as can be seen in the figures above.)

BILLING CODE 4184–01–P
12842 Federal Register / Vol. 60, No. 45 / Wednesday, March 8, 1995 / Notices

BILLING CODE 4184–01–C
Federal Register / Vol. 60, No. 45 / Wednesday, March 8, 1995 / Notices 12843

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 of Federal agency from which

assistance is being requested with this

application.

10. Use the Catalog of Federal Domestic

Assistance number and title of the program

under which assistance is required.

11. Enter a brief descriptive title of the

project. If more than one program is

involved, you should append an explanation

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

construction or real property projects), attach

a map showing project location. For

preapplications, use a separate sheet to

provide a summary description of this

project.

12. List only the largest political entities

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

13. Self-explanatory.

14. List the applicant’s Congressional

District and any District(s) affected by the

program or project.

15. Amount requested or to be contributed

during the first funding/budget period by

each contributor. Value of in-kind

contributions should be included on

appropriate lines as applicable. If the action

will result in a dollar change to an existing

award, indicate only the amount of the

change. For decreases, enclose the amounts

in parentheses. If both basic and

supplemental amounts are included, show

breakdown on an attached sheet. For

multiple program funding, use totals and

show breakdown using same categories as

item 15.

16. Applicants should contact the State

Single Point of Contact (SPOC) for Federal

Executive Order 12372 to determine whether

the application is subject to the State

intergovernmental review process.

17. This question applies to the applicant

organization, not the person who signs as the

authorized representative. Categories of debt

include delinquent audit disallowances,

loans and taxes.

18. To be signed by the authorized

representative of the applicant. A copy of the

governing body’s authorization for you to

sign this application as official representative

must be on file in the applicant’s office.

(Certain Federal agencies may require that

this authorization be submitted as part of the

application.)

BILLING CODE 4184–01–M
12844 Federal Register / Vol. 60, No. 45 / Wednesday, March 8, 1995 / Notices
Federal Register / Vol. 60, No. 45 / Wednesday, March 8, 1995 / Notices 12845

BILLING CODE 4184–01–C
12846 Federal Register / Vol. 60, No. 45 / Wednesday, March 8, 1995 / Notices

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 Column

(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 provided 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 from this project. Do not add

or subtract this amount from the total

project amount. Show under the

program narrative statement the nature

and source of income. The estimated

amount of program income may be

considered by the federal grantor agency

in determining the total amount of the

grant.

Section C. Non-Federal Resources

Lines 8–11—Enter amounts of nonFederal 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 Column

(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 compete 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.
Federal Register / Vol. 60, No. 45 / Wednesday, March 8, 1995 / Notices 12847

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 objectclass 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

non-Federal share of project costs) to

ensure proper planning, management

and completion of the project described

in this application.

2. Will give the awarding agency, the

Comptroller General of the United

States, and if appropriate, the State,

through any authorized representative,

access to and the right to examine all

records, books, papers, or documents

related to the award; and will establish

a proper accounting system in

accordance with generally accepted

accounting standards or agency

directives.

3. Will establish safeguards to

prohibit employees from using their

positions for a purpose that constitutes

or presents the appearance of personal

or organizational conflict of interest, or

personal gain.

4. Will initiate and complete the work

within the applicable time frame after

receipt of approval of the awarding

agency.

5. Will comply with the

Intergovernmental Personnel Act of

1970 (42 U.S.C. §§ 4728–4763) relating

to prescribed standards for merit

systems for programs funded under one

of the 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

non-discrimination in the sale, rental or

financing of housing; (i) any other

nondiscrimination provisions in the

specific statute(s) under which

application for Federal assistance is

being made; and (j) the requirements of

any other nondiscrimination statute(s)

which may apply to the application.

7. Will comply, or has already

complied, with the requirements of

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–l et seq.).

14. Will comply with P.L. 93–348

regarding the protection of human

subjects involved in research,
12848 Federal Register / Vol. 60, No. 45 / Wednesday, March 8, 1995 / Notices

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.

BILLING CODE 4184–01–M
Federal Register / Vol. 60, No. 45 / Wednesday, March 8, 1995 / Notices 12849
12850 Federal Register / Vol. 60, No. 45 / Wednesday, March 8, 1995 / Notices

BILLING CODE 4184–01–C
Federal Register / Vol. 60, No. 45 / Wednesday, March 8, 1995 / Notices 12851

Attachment D—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

of 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 Service (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 any 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 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 (302)

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 Benson, 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
12852 Federal Register / Vol. 60, No. 45 / Wednesday, March 8, 1995 / Notices

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 &

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

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

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
Federal Register / Vol. 60, No. 45 / Wednesday, March 8, 1995 / Notices 12853

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 persons for influencing or

attempting to influence an officer or

employee of any agency, a Member of

Congress, an officer or employee of

Congress, or an employee of a Member

of Congress in connection with this

commitment providing for the United

States to insure or guarantee a loan, the

undersigned shall complete and submit

Standard Form–LLL ‘‘Disclosure Form

to Report Lobbying,’’ in accordance with

its instructions.

Submission of this statement is a

prerequisite for making or entering into

this transaction imposed by section

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

who fails to file the require statement

shall be subject to a civil penalty of not

less than $10,000 and not more than

$100,000 for each such failure.

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BILLING CODE 4184–01–M
12854 Federal Register / Vol. 60, No. 45 / Wednesday, March 8, 1995 / Notices

BILLING CODE 4184–01–C
Federal Register / Vol. 60, No. 45 / Wednesday, March 8, 1995 / Notices 12855

Attachment G—DHHS Regulations

Applying to All Applicants/Grantees

Under the Job Opportunities for LowIncome Individuals Program

Title 45 of the Code of Federal

Regulations:

Part 16—Department of Grant Appeals

Process

Part 74—Administration of Grants (nongovernmental)

Part 74—Administration of Grants (state

and local governments and Indian

Tribal affiliates):

Sections 74.62(a) Non-Federal Audits

74.173 Hospitals

74.174(b) Other Nonprofit

Organizations

74.304 Final Decisions in Disputes

74.710 Real Property, Equipment and

Supplies

74.715 General Program Income

Part 75—Informal Grant Appeal

Procedures

Part 76—Debarment and Suspension

from Eligibility for Financial

Assistance; Subpart F—Drug Free

Workplace Requirements

Part 80—Non-Discrimination Under

Programs Receiving Federal

Assistance through the Department

of Health and Human Services

Effectuation of Title VI of the Civil

Rights Act of 1964

Part 81—Practice and Procedures for

Hearings Under Part 80 of this Title

Part 83—Non-discrimination on the

basis of sex in the admission of

individuals to training programs

Part 84—Non-discrimination on the

Basis of Handicap in Programs

Part 91—Non-discrimination on the

Basis of Age in Health and Human

Services Programs or Activities

Receiving Federal Financial

Assistance

Part 92—Uniform Administrative

Requirements for Grants and

Cooperative Agreements to States

and Local Governments (Federal

Register, March 11, 1988)

Part 93—New Restrictions on Lobbying

Part 100—Intergovernmental Review of

Department of Health and Human

Services Programs and Activities

Attachment H—Certification Regarding

Maintenance of Effort

The undersigned certifies that:

(1) activities funded under this

program announcement are in addition

to, and not in substitution for, activities

previously carried on without Federal

assistance.

(2) funds or other resources currently

devoted to activities designed to meet

the needs of the poor within a

community, area, or State have not been

reduced in order to provide the required

matching contributions.

When legislation for a particular block

grant permits the use of its funds as

match, the applicant must show that it

has received a real increase in its block

grant allotment and must certify that

other anti-poverty programs will not be

scaled back to provide the match

required for this project.

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Attachment I—Department of Health &

Human Services Administration for

Children and Families, Office of Family

Assistance, Washington, DC 20447

February 1994

Jobs Program Directory

Alabama

Claire Ealy, Director, Office of Work and

Training Services, Public Assistance

Division, S. Gordon Persons Building,

50 Ripley Street, Montgomery,

Alabama 36130, (205) 242–1950

Alaska

Charles Knittel, Work Programs

Coordinator, Division of Public

Assistance, Department of Health and

Social Service, P.O. Box 110640,

Juneau, Alaska 99811–0640, (907)

465–3347

Arizona

Gretchen Evans, JOBS Program Director,

Dept. of Economic Security, P.O. Box

6123, Site Code 8011, Phoenix,

Arizona 85005, (602) 542–6310

Arkansas

Ken Whitlock, Deputy Director, Project

SUCCESS, Department of Human

Services, P.O. Box 1437, Little Rock,

Arkansas 72203, (501) 682–8375

California

Bruce Wagstaff, Chief, Employment &

Immigrations Programs Branch,

Department of Social Services, 744 P

Street M/S 6–700, Sacramento,

California 95814, (916) 657–2367

Colorado

Bob Henson, Director, Work Programs,

Department of Social Services, 1575

Sherman Street, Denver, Colorado

80203, (303) 866–2643

Connecticut

Dawn Homer-Bouthiette, Planning

Supervisor, Job Connection,

Department of Social Services, 110

Bartholomew Avenue, Hartford,

Connecticut 06106, (203) 566–7125

Delaware

Rebecca Varella, Chief Administrator,

Employment and Training, Division

of Social Services, P.O. Box 906, New

Castle, Delaware 19720, (302) 577–

4451

District of Columbia

Shari Curtis, Chief, Bureau of Training

and Employment, Department of

Human Services, 33 N Street NE.,

Washington, DC 20001, (202) 727–

1293

Florida

Reggis Smith, Chief, Benefit Recovery

and Special Programs, Department of

Health and Rehabilitative Services,

1317 Winewood Boulevard, Bldg. 6,

Tallahassee, Florida 32399–0700,

(904) 487–2966

Georgia

Sylvia Elam, Chief, Employment

Services Unit, Division of Family and

Children Services, Department of

Human Resources, 2 Peachtree St.,

14th Floor, Room 402, Atlanta,

Georgia 30303, (404) 657–3737

Guam

Diana Calvo, Social Services Supervisor,

Department of Public Health and

Social Services, P.O. Box 2816,

Agana, Guam 96910, (011–671) 734–

7286

Hawaii

Garry Kemp, Special Assistant to the

Director, Department of Human

Services, P.O. Box 339, Honolulu,

Hawaii, 96809, (808) 586–7054

Idaho

Kathy James, Acting Bureau Chief,

Bureau of Family Self Support,

Department of Health and Welfare,

450 West State Street, Boise, Idaho

83720, (208) 334–5704

Illinois

Karan Maxson, Administrator, Division

of Planning and Community Services,

Department of Public Aid, 100 S.

Grand, 2nd Floor, Springfield, Illinois

62762, (217) 785–3300

Indiana

Thomas Reel, Program Manager,

IMPACT, Department of Public

Welfare, 402 W. Washington, W. 363,

Indianapolis, Indiana 46204, (317)

232–2002

Iowa

Doug Howard, Coordinator,

Employment and Training Programs,
12856 Federal Register / Vol. 60, No. 45 / Wednesday, March 8, 1995 / Notices

Department of Human Services, Fifth

Floor, Hoover State Office Building,

Des Moines, Iowa 50319, (515) 281–

8629

Kansas

Phyllis Lewin, Director, Employment

Preparation Services, Department of

Social and Rehabilitation Services,

300 SW Oakley, West Hall, Topeka,

Kansas 66606, (913) 296–4276

Kentucky

Sharon Perry, Assistant Director, Center

for Program Development,

Department of Social Insurance,

Cabinet for Human Resources, 275 E.

Main Street, Frankfurt, Kentucky

40621, (502) 564–3703

Louisiana

Howard Prejean, Assistant Secretary,

Department of Social Services, Office

of Eligibility Determination, P.O. Box

3776, Baton Rouge, Louisiana 70821,

(504) 342–4953

Maine

Barbara Van Burgel, ASPIRE

Coordinator, Bureau of Income

Maintenance, Department of Human

Services, Statehouse Station #11, 32

Winthrop St., Augusta, Maine 04333,

(207) 289–3106

Maryland

Carlene Gallion, Acting Executive

Director, Office of Project

Independence Management,

Department of Human Resources,

Room 745, 311 W. Saratoga Street,

Baltimore, Maryland 21201, (410)

333–0837

Massachusetts

John Buonomo, Director, Massachusetts

JOBS Program, Department of Public

Welfare, 600 Washington St., Boston,

Massachusetts 02111, (617) 348–5931

Michigan

Alex D. Hawkins, Director, Job Skills

Development Group, Michigan Jobs

Commission, 201 North Washington

Square, Third floor, Victor Centre,

Lansing, Michigan 48913, (517) 373–

7382

Minnesota

Bonnie Baker, Supervisor, Program

Development, Department of Human

Services, 444 Lafayette Road, St. Paul,

Minnesota 55155, (612) 296–2499

Mississippi

Jean Temple, Director, JOBS Branch,

Office of Children & Youth,

Department of Human Services, 421

W. Pascagoula, Jackson, Mississippi

29302, (601) 359–4855

Missouri

Richard Koon, FUTURES Program

Director, Income Maintenance,

Division of Family Services, 72728

Plaza Drive, P.O. Box 88, Jefferson

City, Missouri 65103, (314) 751–3124

Montana

Marylis Filipovich, Bureau Chief,

Program & Policy, Department of

Social and Rehabilitation Services,

P.O. Box 4210, Helena, Montana

59604, (406) 444–4540

Nebraska

Margaret Hall, Public Assistance

Administrator, Public Assistance

Division, Department of Social

Services, 301 Centennial Mall South,

P.O. Box 95026, Lincoln, Nebraska

68509, (402) 471–3121

Nevada

John Alexander, Employment &

Training Coordinator, Nevada State

Welfare Division, Capitol Complex,

2527 North Carson Street, Carson

City, Nevada 89710, (702) 687–4143

New Hampshire

Arthur Chicaderis, JOBS Administrator,

Employment Support Services, Office

of Economic Services, Division of

Human Services, Department of

Health and Human Services, 6 Hazen

Drive, Concord, New Hampshire

03301–6521, (603) 271–4249

New Jersey

Marion E. Reitz, Director, Division of

Family Development, Department of

Human Services, CN 716, Trenton,

New Jersey 08625, (609) 588–2401

New Mexico

Bill Dunbar, Acting Director, Income

Support Division, Department of

Human Services, P.O. Box 2348, Santa

Fe, New Mexico 87500, (505) 827–

7252

New York

Jack Ryan, Director, Bureau of

Employment Programs, Department of

Social Services, 40 North Pearl Street,

Albany, New York 12243, (518) 473–

8744

North Carolina

Lucy Burgess, Chief, Employment

Programs Section, Department of

Human Resources, 325 North

Salisbury Street, Raleigh, North

Carolina 27611, (919) 733–2873

North Dakota

Gloria House, JOBS Coordinator,

Director of Public Assistance,

Department of Human Services, State

Capitol, New Wing 3rd Floor,

Bismark, North Dakota 58505, (701)

224–4001

Ohio

Mary L. Harris, Deputy Director, Family

Support and JOBS, Department of

Human Services, State Office Tower,

31st Floor, 30 East Broad Street,

Columbus, Ohio 43266–0423, (614)

466–3196

Oklahoma

Raymond Haddock, Division

Administrator, Family Services

Division, Department of Human

Services, P.O. Box 25352, Oklahoma

City, Oklahoma 73125, (405) 521–

3076

Oregon

Debbi White, JOBS Program Manager,

Adult and Family Services Division,

Human Resource Bldg, 2nd Floor,

Salem, Oregon 97310–1013, (503)

945–6127

Pennsylvania

David Florey, Director, Bureau of

Employment and Training Program,

Department of Public Welfare, P.O.

Box 2675, Harrisburg, Pennsylvania

17105, (717) 787–8613

Puerto Rico

Migdalia Marrero, Special Asst. to

Secretary, SOSEDF, Isla Grande,

Building #10, P.O. Box 11398,

Santurce, Puerto Rico 00910, (809)

722–2863

Rhode Island

Sherry Campanelli, Associate Director,

Community Services, Department of

Human Services, 600 New London

Avenue, Cranston, Rhode Island

02920, (401) 464–2423

South Carolina

Hiram Spain, Executive Assistant for

Self-Sufficiency, Department of Social

Services, P.O. Box 1520, Columbia,

South Carolina 29202, (803) 737–5937

South Dakota

Julie Osnes, Administrator, Office of

Family Independence, Department of

Social Services, Richard F. Kneip

Building, Pierre, South Dakota 57501,

(605) 773–3493

Tennessee

Wanda Moore, Director of Program

Services, Department of Human

Services, 12th Floor, 400 Deadericks,

Nashville, Tennessee 37219, (615)

741–6953
Federal Register / Vol. 60, No. 45 / Wednesday, March 8, 1995 / Notices 12857

Texas

Irma Bermea, Deputy Commissioner,

Department of Human Services, Mail

Code 521E, P.O. Box 2960, Austin,

Texas 78769, (512) 450–3011

Utah

Helen Thatcher, Assistant Director,

Office of Family Support, Department

of Human Services, 120 North 200

West, Salt Lake City, Utah 84145–

0500, (801) 538–8231

Vermont

Steve Gold, Director, REACH-UP

Program, Department of Social

Welfare, State Office Building, 103

South Main Street, Waterbury,

Vermont 05676, (802) 241–2800

Virgin Islands

Ermin Boshulte, Director, Public

Assistance Programs, Department of

Human Services, Financial Programs

Division, Knud Hansen Complex—

Building A, 1303 Hospital Ground,

Charlotte Amalie, V.I. 00802, (809)

774–4673

Virginia

David Olds, Program Manager,

Employment Services, Department of

Social Services, 730 E. Broad St, 2nd

Floor, Richmond, Virginia 23219–

1849, (804) 692–1229

Washington

Lee Todorovich, Acting Assistant

Director, Division of Income

Assistance, Department of Social and

Health Services, P.O. Box 45400,

Olympia, Washington 98504–5400,

(206) 438–8350

West Virginia

Sharon Paterno, Director, Division of

Work and Training, Department of

Health and Human Services, Building

6, State Office Complex, Charleston,

West Virginia 25305, (304) 558–3186

Wisconsin

Jean Rogers, Administrator, Division of

Economic Support, Department of

Health and Social Services, P.O. Box

7935, 1 West Wilson Street, Madison,

Wisconsin 53707–7935, (608) 266–

3035

Wyoming

Kirk McKinney, JOBS Coordinator, SelfSufficiency Division, Department of

Family Services, Hathaway Building,

Rm 347, 2300 Capitol Avenue,

Cheyenne, Wyoming 82002–0710,

(307) 777–6849

Attachment J: Checklist for Use in

Submitting OCS Grant Applications Job

Opportunities for Low-Income

Individuals (Optional)

The application should contain:

1. Table of Contents

2. A completed, signed SF–424,

Application for Federal Assistance. The

letter code for the priority area (JO)

should be in the lower right-hand corner

of the page.

3. A completed SF–424A, Budget

Information—Non-Construction.

4. A narrative budget justification for

each object class category required

under Section B, SF–424A;

5. Filled out signed, and dated

Assurances—Non-Construction

Programs (SF–424B);

6. The applicant should sign

Attachments E and F. In so doing, the

applicant is certifying that it will

comply with the Federal requirements

concerning the drug-free workplace and

debarment regulations set forth in

Attachments E.

7. A signed copy of Certification

Regarding Anti-Lobbying Activities.

8. A completed Disclosure of

Lobbying Activities, if applicable.

9. An Executive Summary—not to

exceed 300 words;

10. A Project Narrative beginning with

a Table of Contents that describes the

project in the following order:

(1) Eligibility Confirmation

(ii) Organizational Experience and

Staff Responsibilities

(iii) Analysis of Need

(iv) Project Design/Work Program

(v) Business Plan (If appropriate)

(vi) Third-Party Evaluation

(vii) Cooperative Partnership

Agreement

(viii) Budget Appropriateness and

Reasonableness

11. Appendices, including proof of

non-profit status; proof that the

organization is a community

development corporation, if applying

under the CDC Set-aside; a signed copy

of the Cooperative Partnership

Agreement or letter of commitment with

State IV–A agency (JOBS Program);

commitments from officials of

businesses that will be expanded or

from franchises, where applicable;

Single Point of Contact comments, if

applicable; Maintenance of Effort

Certification and resumes.

12. A self-addressed mailing label

which can be affixed to a postcard to

acknowledge receipt of application.

Attachment K

Federal Highway Administration,

Regional Civil Rights Directors

Region One—Includes CT, ME, MA, NH,

NJ, NY, RI, VT, Puerto Rico, and the

Virgin Islands

Mr. Dennis Perrott

Albany, NY

(518) 431–4224, ext. 247

Region Three—Includes DE, DC, MD,

PA, VA, WV

Ms. Jo Blackstone

Baltimore, MD

(410) 962–4030

Region Four—Includes AL, FL, GA, KY,

MS, NC, SC, TN

Mr. Charles Stinson

Atlanta, GA

(404) 347–4791

Region Five—Includes IL, IN, MI, MN,

OH, WI

Mr. Joe Forst

Olympia Fields, IL

(708) 283–3924

Region Six—Includes AR, LA, NM, OK,

TX

Mr. Humberto Martinez

Fort Worth, TX

(817) 334–3671

Region Seven—Includes IA, KS, MO, NE

Mr. Glen Smith

Kansas City, MO

(816) 276–2747

Region Eight—Includes CO, MT, ND,

SD, UT, WY

Ms. Teresa Banks

Lakewood, CO

Region Nine—Includes AZ, CA, HI, NV,

Guam, and American Samoa

Mr. Harold Dorell

San Francisco, CA

(415) 744–3114

Region Ten—Includes AK, ID, OR, WA

Mr. Willie Harris

Portland, OR

(503) 326–2067

Attachment L—Certification Regarding

Environmental Tobacco Smoke

Public Law 103–227, Part C—

Environmental Tobacco Smoke, also

known as the Pro-Children Act of 1994

(Act), requires that smoking not be

permitted in any portion of any indoor

routinely owned or leased or contracted

for by an entity and used routinely or

regularly for provision of health, day

care, education, or library services to

children under the age of 18, if the

services are funded by Federal programs

either directly or through State or local

governments, by Federal grant, contract,

loan, or loan guarantee. The law does

not apply to children’s services

provided in private residence, facilities

funded solely by Medicare or Medicaid

funds, and portions of facilities used for

inpatient drug or alcohol treatment.
12858 Federal Register / Vol. 60, No. 45 / Wednesday, March 8, 1995 / Notices

Failure to comply with the provisions of

the law may result in the imposition of

a civil monetary penalty of up to $1000

per day and/or the imposition of an

administrative compliance order on the

responsible entity.

By signing and submitting this

application the applicant/grantee

certifies that it will comply with the

requirements of the Act. The applicant/

grantee further agrees that it will require

the language of this certification be

included in any subawards which

contain provisions for the children’s

services and that all subgrantees shall

certify accordingly.

[FR Doc. 95–5512 Filed 3–7–95; 8:45 am]

BILLING CODE 4184–01–P