17066 Federal Register / Vol. 60, No. 64 / Tuesday, April 4, 1995 / Notices

TRANSACTIONS GRANTED EARLY TERMINATION BETWEEN: 031395 AND 032495—Continued

Name of acquiring person, name of acquired person, name of acquired entity PMN No. Date

terminated

Time Warner Inc., American Cable TV Investors 4, Ltd., American Cable TV Investors 4, Ltd ............................ 95–1191 03/16/95

WHX Corporation, Mitsubishi Estate Company, Limited, Unimast Incorporated .................................................... 95–1064 03/17/95

Motorola, Inc., Digital Equipment Corporation, Digital Equipment Corporation ...................................................... 95–1080 03/17/95

Helix Health System, Inc., Church Home and Hospital of the City of Baltimore, Church Home and Hospital of

the City of Baltimore ............................................................................................................................................. 95–1085 03/17/95

United States Shoe Corporation (The), Green Capital Investors, L.P., Opti-World, Inc ......................................... 95–1160 03/17/95

Milestone Properties, Inc., Leonard S. Mandor, Concord Assets Group, Inc ......................................................... 95–1180 03/17/95

Consolidated Electrical Distributors, Inc., Eastern Enterprises, WaterPro Supplies Corporation ........................... 95–1193 03/17/95

Dresser Industries, Inc., Henry L. Hillman, Wellstream Company L.P ................................................................... 95–1196 03/17/95

Caremark International Inc., Vaicaitis, Schorr, Richards, et al., M.D., P.A., Vaicaitis, Schorr, Richards, et al.,

M.D., P.A .............................................................................................................................................................. 95–1208 03/17/95

The Rival Company, Noel T. Patton and Eva M. Patton, Patton Electric Company, Inc ....................................... 95–1211 03/17/95

Praxair, Inc., Sam Wilson and Sonia Wilson, Wilson Oxygen & Supply Company ................................................ 95–1215 03/17/95

Associated Wholesale Grocers, Inc., Homeland Holding Corporation, Homeland Stores, Inc .............................. 95–1219 03/17/95

Apollo Investment Fund, L.P., Ronald W. Burkle, DFF Holdings, Inc .................................................................... 95–1221 03/17/95

Welsh, Carson, Anderson & Stowe VI, L.P., Bridge Information Systems, Inc., Bridge Information Systems, Inc 95–1141 03/20/95

Pennzoil Company, Oryx Energy Company, Sun Operating Limited Partnership .................................................. 95–1162 03/20/95

Mariner Health Group, Inc., Convalescent Services, Inc., Convalescent Services, Inc ......................................... 95–1169 03/20/95

Samuel B. Kellett, Mariner Health Group, Inc., Mariner Health Group, Inc ............................................................ 95–1170 03/20/95

Stiles A. Kellett, Jr., Mariner Health Group, Inc., Mariner Health Group, Inc ......................................................... 95–1171 03/20/95

Cross Timbers Oil Company, Apache Corporation, Apache Corporation ............................................................... 95–1176 03/20/95

PennCorp Financial Group, Inc., Integon Life Partners L.P., Integon Life Corporation, Marketing One Financial

Corp ...................................................................................................................................................................... 95–1214 03/20/95

Coventry Corporation, HealthCare USA, Inc., HealthCare USA, Inc ...................................................................... 95–1218 03/20/95

The Goldfarb Corporation, Allied Domecq PLC, Fleming Packaging Corporation ................................................. 95–1222 03/20/95

Charter Oak Partners, Ewald Lehmann and Marvin R. Wollin, Wollin Products, Inc ............................................. 95–1229 03/20/95

Kuhlman Corporation, Schwitzer, Inc., Schwitzer, Inc ............................................................................................ 95–1233 03/20/95

The Goldfarb Corporation, Bacardi Limited, Fleming Packaging Corporation ........................................................ 95–1238 03/20/95

Radex-Heraklith Industriebeteiligungs AG, VIAG AG, Didier-Werke AG ................................................................ 95–1107 03/21/95

GranCare, Inc., HealthTrust, Inc., Cornerstone Health Management Company .................................................... 95–1163 03/21/95

Red Man Pipe & Supply Co., Estate of Charles A. Sammons, Vinson Supply Company ..................................... 95–1175 03/21/95

LG&E Energy Corp., Santa Fe Energy Resources, Inc., Hadson Corporation ...................................................... 95–1205 03/21/95

Kwik-Wash Laundries, Inc., Broad Street Investment Fund I, L.P., Solon Automated Services, Inc ..................... 95–1216 03/21/95

Channel One Associates, L.P., Walter Industries, Inc., Walter Industries, Inc ....................................................... 95–1234 03/21/95

Noranda Inc., Pentair, Inc., Cross Pointe Paper Corporation ................................................................................. 95–1178 03/22/95

Circus Circus Enterprises, Inc., Paul W. Lowden, Hacienda Hotel Resort and Casino ......................................... 95–1212 03/22/95

Berwind Group Partners, Dennis Pobiak and Marilyn Pobiak, High-Tech institute, Inc ......................................... 95–1228 03/22/95

BankAmerica Corporation, Healthtrust, Inc.—The Hospital Company, Chesterfield General Hospital Inc ............ 95–1155 03/23/95

PacifiCare Health Systems, Inc., Pacific Hospital Preservation and Development Authority, Pacific Health

Plans ..................................................................................................................................................................... 95–1213 03/23/95

De La Rue plc, Richard N. Groves and Margaret B. Groves, North American Video Corporation ....................... 95–1217 03/23/95

Sisters of St. Joseph of Nazareth, US Province/Congregation-Sisters of Bon Secours Paris, Bon Secours of

Michigan Health Care System Inc ....................................................................................................................... 95–1243 03/23/95

Finaxa, The Long-Term Credit Bank of Japan, Ltd., Aventine Partners ................................................................. 95–1260 03/23/95

Western Wireless Corporation, Bachtel Cellular Liquidity, L.P., Bachtel KS–14, L.P ............................................ 95–1188 03/24/95

Western Wireless Corporation, PriCellular Corporation, Cellular Information Systems, Inc .................................. 95–1189 03/24/95

PriCellular Corporation, Western Wireless Corporation, KETS Partnership ........................................................... 95–1190 03/24/95

Den norske stats oljeselskap a.s., Ralph Bradley, The Eastern Group, Inc ........................................................... 95–1204 03/24/95

Marriott International, Inc., William B. Johnson, William B. Johnson Properties, Inc ............................................. 95–1233 03/24/95

US WEST, Inc., US WEST, Inc., San Juan Cellular Limited Partnership .............................................................. 95–1226 03/24/95

Rockwell International Corporation, Gerald W. Schwartz, Dura Automotive Systems, Inc .................................... 95–1241 03/24/95

Federal Express Corporation, Delford M. Smith, Evergreen International Airlines, Inc .......................................... 95–1250 03/24/95

Healthsource, Inc., Provident Life and Accident Insurance Co. of America, Provident Life and Accident Insurance Company and .............................................................................................................................................. 95–1256 03/24/95

General Electric Company, New World Development Co., Ltd., Renaissance Hotel Operating Company ........... 95–1257 03/24/95

Kjell I. Rokke, Orkla A/S, Helly-Hansen A/S ........................................................................................................... 95–1273 03/24/95

For Further Information Contact:

Sandra M. Peay or Renee A. Horton,

Contact Representatives, Federal Trade

Commission, Premerger Notification

Office, Bureau of Competition, Room

303, Washington, DC 20580, (202) 326–

3100.

By Direction of the Commission.

Donald S. Clark,

Secretary.

[FR Doc. 95–8188 Filed 4–3–95; 8:45 am]

BILLING CODE 6750–01–M

DEPARTMENT OF HEALTH AND

HUMAN SERVICES

Administration for Children and

Families

Responsible Fatherhood Projects

AGENCY: Administration for Children

and Families, (ACF), Department of

Health and Human Services, (HHS).
Federal Register / Vol. 60, No. 64 / Tuesday, April 4, 1995 / Notices 17067

ACTION: Announcement of the

availability of funds and request for

applications to demonstrate promising

program interventions to encourage and

increase responsible fatherhood.

SUMMARY: The Administration for

Children and Families (ACF) announces

the availability of Federal funding to

demonstrate promising program

interventions to encourage and increase

responsible fatherhood. Funding under

this announcement is authorized by

section 1110 of the Social Security Act

governing Social Services Research and

Demonstration activities (Catalog of

Federal Domestic Assistance 93.647).

DATES: The closing date for submission

of applications is June 5, 1995.

MAILING ADDRESSES: William J.

McCarron, Administration for Children

and Families, Division of Discretionary

Grants—Room 6C–462, 370 L’Enfant

Promenade SW., Washington, DC 20447.

For hand delivered applications, use:

William J. McCarron, Administration for

Children and Families, Division of

Discretionary Grants, 6th Floor, ACF

Guard Station, 901 D Street SW.,

Washington, DC 20447.

FOR FURTHER INFORMATION CONTACT:

Mark Fucello, Administration for

Children and Families, Office of Policy

and Evaluation, 370 L’Enfant

Promenade SW., Washington, DC 20447.

Telephone (202) 401–4538.

SUPPLEMENTARY INFORMATION: The

Administration for Children and

Families announces that competing

applications are being accepted for

Federal financial assistance to

demonstrate promising program

interventions to encourage and increase

responsible fatherhood. Up to five

awards will be made under this

announcement for project periods of 24

months. Each successful recipient will

receive a financial award for an initial

budget period of 17 months. The second

budget period, consisting of months 18

through 24, will be unfunded with

Federal funds; applicants are

encouraged to secure other sources of

funding to cover these latter months of

the project period. Each recipient will

be expected to enter into a cooperative

agreement with ACF which will outline

the terms of ACF’s interest and

involvement in the project and the

responsibilities of the recipient.

This program announcement consists

of three parts. Part I describes the

activities supported by this

announcement and application

requirements. Part II describes the

application review process. Part III

provides information and instructions

for the development and submission of

applications. The forms to be used for

submitting an application follow Part

III.

Part I.—Project Design

Purpose

The purpose of the announcement is

to inform the public of the availability

of Federal funding to demonstrate

promising program interventions to

encourage and increase responsible

fatherhood. There is a growing body of

evidence suggesting that the impact of

fathers’ participation on children’s

behavior is significant. Although

research does not suggest a

straightforward relationship between

paternal participation in child rearing

and child well-being, it can be

reasonably assumed that children

benefit emotionally and

developmentally when fathers play a

larger role in children’s lives. According

to this program announcement, ACF

will provide funding to community

programs designed to strengthen the

role and parenting abilities of fathers

and to enable fathers to relate positively

to their children and their children’s

mothers. The target populations for

these programs should encompass a

wide range of fathers including

disadvantaged, never-married noncustodial fathers; separated or divorced

non-custodial fathers, as well as fathers

living with their children.

The recipients will operate projects

designed to create an environment

where fathers are encouraged and

supported in conduct that allows them

to improve the quality of life for their

families. Projects should provide

comprehensive services designed to

assist men and their families for the

purpose of attempting to reverse the

negative trends among adults and youth

related to at-risk behaviors such as

substance abuse, gang involvement,

school failure, and unemployment.

Beyond encouraging and increasing

basic responsible acts such as

establishing paternity and encouraging

contact between father and children,

programs should teach fathers:

• How to understand their children’s

development,

• How to understand and positively

affect their children’s behavior,

• How to be positive role models for

their children, and

• How to work constructively with

the children’s mother for the benefit of

the children regardless of whether both

parents live in the same household as

the children.

Eligible Applicants

Organizations eligible to apply for

financial assistance under this

announcement include States, local

governments, and public or private

nonprofit organizations. Any nonprofit

organization submitting an application

must submit proof of its nonprofit status

in its application at the time of

submission. The nonprofit agency can

accomplish this by providing a copy of

the applicant’s listing in the Internal

Revenue Service’s (IRS) most recent list

of tax-exempt organizations described in

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

providing a copy of the currently valid

IRS tax exemption certificate, or by

providing a copy of the articles of

incorporation bearing the seal of the

State in which the corporation or

association is domiciled.

ACF is interested in providing

financial support to organizations: With

experience in working with fathers and

which are knowledgeable about the

issues concerning fathers; with

developed plans and methods to teach

fathers how to act responsibly and to

understand their children’s

development and positively affect their

children’s behavior; and which have

significant, long-term financial support

ensuring uninterrupted project

operation beyond the projected period

of federal assistance.

Minimum Requirements for Project

Design

In order to compete successfully in

response to this announcement, the

applicant should develop an application

which:

• Describes the applicant’s

experience in working with fathers. The

description should highlight the

applicant’s experience in coordinating

services from different providers or

levels of government aimed at

encouraging men to be responsible

fathers and should describe the men

whom the project has served. The types

of services provided or to which clients

are referred may include health and

nutrition instruction, employment and

career counseling, parenting education,

peer support, and formal and informal

mediation and dispute resolution with

the children’s mother, etc.

• Explains the applicant’s methods to

teach fathers how to act responsibly and

to adopt behaviors which exemplify the

following principles: Raising children

requires an active commitment from

both parents—financially and

emotionally; employment is important

to being a responsible father not only to

provide financial support but also to be

a good role model; and successful childrearing depends on understanding how

children develop. The application must

explain in detail how the proposed

project aims to enable fathers at risk of
17068 Federal Register / Vol. 60, No. 64 / Tuesday, April 4, 1995 / Notices

destructive behaviors to develop an

achievement orientation from which

they will be better able to act

responsibly and to interact

constructively with the children and the

children’s mother regardless of whether

both parents live in the same household

as the children.

• Identifies the typical settings or

points in fathers’ lives that the applicant

first engages and enrolls individuals for

program services, e.g., in-hospital

recruitment of new fathers, community

centers where neighborhood men

gather, half-way houses, etc. ACF is

interested in funding a group of

programs which together engage men at

various points in their lives and in

various settings to help develop for the

public a better understanding about how

to structure programs and services for

fathers.

• Includes assurance that the

recipient will produce two major reports

(in addition to regular quarterly progress

reports) to be issued during the project.

The initial major report, due mid-way

into the project, should discuss program

implementation and participation and

activities of fathers, including a

discussion of program approaches and

activities, paternity establishment, level

of employment among participating

fathers, and level of contact of fathers

with their children as well as with the

children’s mother. The final report, due

at the end of the project (90 days after

the end of the 24-month project period),

should cover the topics discussed above

with longer follow-up and more detailed

discussion of the project’s staffing

structure; procedures for referrals to

services and coordination with other

public and private agencies; type and

duration of services actually provided;

procedures and criteria used in

recruitment and training of staff; and

recommendations for others seeking to

establish similar projects.

Recommendations should include a

discussion of the project’s contextual

factors, such as the social, economic,

and political forces that may have a

bearing on the implementation of this

type of project. These reports are

intended to further the general

knowledge of the public, communitybased organizations, and social service

departments regarding program

interventions to increase responsible

fatherhood. In addition regular quarterly

progress reports must be submitted

within 60 days of the end of each

quarter of the 24-month project period.

• Includes assurance of the

recipient’s willingness and intention to

participate in and cooperate with

evaluability assessment activities to be

funded by the Department of Health and

Human Services, possibly leading to a

full-scale program evaluation if

determined to be feasible.

• Includes financial support for

project activities in addition to Federal

funding to ensure uninterrupted project

operation over the project period. ACF

will give preference to applicants who

provide evidence of significant, longterm financial support ensuring

uninterrupted project operation beyond

the period of federal assistance.

Applicants should provide evidence of

funding commitments from

organizations such as private

foundations.

Also, the recipient must be prepared

to enter into a cooperative agreement

with ACF which will outline the terms

of ACF’s interest and involvement in the

project and the responsibilities of the

recipient. The cooperative agreement:

(a) Will provide that ACF retain

authority for review of significant

program design changes from the model

proposed in the original application; (b)

will provide that ACF maintain

involvement in any evaluability

assessment activities to be funded by

the Department of Health and Human

Services, and (c) will provide for ACF

review of reports (other than quarterly

progress reports) before publication.

Project Duration

This announcement is soliciting

applications for project periods of 24

months. Awards, on a competitive basis,

will be for an initial 17-month budget

period, although project periods will be

for 24 months, subject to availability of

funds. Each recipient will receive an

initial financial award for 17 months.

The second budget period, consisting of

months 18 through 24, will be unfunded

with Federal funds; applicants are

encouraged to secure other sources of

funding to cover these latter months of

the project period.

Federal Share of the Project

The maximum Federal share of each

project is not to exceed $85,000 for the

initial 17-month budget period, subject

to the availability of funds.

Matching Requirement

Recipients must provide at least 20

percent of the total approved cost of the

project. The total approved cost of the

project is the sum of the ACF share and

the non-Federal share. The non-Federal

share may be met by in-kind

contributions from a third party or cash,

although applicants are encouraged to

meet their match requirements through

cash contributions. Therefore, a project

requesting $85,000 in Federal funds

must include a match of at least $21,250

(20 percent of total project cost).

If approved for funding, recipients

will be held accountable for

commitments of non-Federal resources;

and failure to provide the required

amount will result in a disallowance of

unmatched Federal funds.

Anticipated number of Projects to be

Funded

Five projects will be funded under

this announcement. A single

organization may apply on behalf of

separate project sites operated by the

same organization. If operated by the

same organization, each project site

which applies must submit a separate

application.

Part II—The Review Process

A. Review Process and Funding

Decisions

Timely applications from eligible

applicants will be reviewed and scored

competitively. Reviewers will use the

evaluation criteria listed below to

review and score the application.

In addition ACF may refer

applications for review to other Federal

or non-Federal entities when it is

determined to be in the best interest of

the Federal Government or the

applicant. It may also solicit comments

from ACF Regional Office staff, other

Federal agencies, interested foundations

and national organizations. These

comments along with those of the

reviewers will be considered by ACF in

making the funding decision.

In making a funding decision, ACF

may give preference to applications

which reflect experience in working

with fathers since such experience on

the part of an applicant has the potential

to substantially improve the theory and

practice of increasing responsible

behavior among fathers and improving

the well-being of their children.

ACF may also give preference to

applicants who make a greater financial

commitment to the demonstration since

a greater total financial investment than

the minimum required in this

announcement has the potential of

producing a high benefit in furthering

knowledge about policies and practice

of working with fathers for a low

Federal investment.

B. Evaluation Criteria

Using the evaluation criteria below,

reviewers will review and score each

application. Applicants should insure

that they address each minimum

requirement listed above.

Reviewers will determine the

strengths and weaknesses of each
Federal Register / Vol. 60, No. 64 / Tuesday, April 4, 1995 / Notices 17069

application in terms of the appropriate

evaluation criteria listed below, provide

comments, and assign numerical scores.

The point value following each criterion

heading indicates the maximum

numerical weight that each criterion

may be given in the review process.

Review Criteria

(1) Organizational experience (15

points) The application should provide

evidence of organizational experience in

working with fathers including

disadvantaged, never-married noncustodial fathers; separated or divorced

non-custodial fathers, as well as fathers

living with their children. Evidence of

this experience should include a

complete description of past or current

projects which serve fathers and are

aimed at improving their understanding

of their responsibilities to their

children, their roles as fathers, and their

children’s development.

(2) Staff skills and responsibilities (15

points) The application should list each

consultant or other key individuals who

will work on the project along with a

short description of the nature of their

contribution. Summarize the

background and experience of the

project director and key project staff.

Applicants are encouraged to discuss

staff experience in working with fathers.

(3) Knowledge of issues concerning

fathers (15 points) The application

should provide evidence of the

applicant’s understanding of the

demographics and experiences of

fathers, including disadvantaged, nevermarried non-custodial fathers; separated

or divorced non-custodial fathers, as

well as fathers living with their

children. Evidence of this

understanding should include (a)

knowledge of key issues concerning

fathers, any obstacles to effecting

healthy levels of paternal involvement

in their children’s lives, and strengths

and deficits of fathers in meeting their

responsibilities to their children; and (b)

if appropriate to the target population of

fathers considered, familiarity with how

men interact with child support

enforcement systems, courts,

employment and training programs, and

social service agencies.

(4) Approach and project design (50

points) The application should describe

how the organization will operate

projects designed to create an

environment where fathers are

encouraged and supported in conduct

that allows them to improve the quality

of life for their families. The application

should explain the applicant’s methods

to teach fathers how to act responsibly

and to adopt behaviors which exemplify

the following principles: Raising

children requires an active commitment

from both parents—financially and

emotionally; employment is important

to being a responsible father not only to

provide financial support but also to be

a good role model; and successful childrearing depends on understanding how

children develop. The application must

explain in detail the typical settings or

points in fathers’ lives that the applicant

first plans to engage and enroll

individuals for program services, e.g.,

in-hospital, community centers,

employment agency, etc. The

application should explain how the

project plans to increase basic

responsible acts among fathers, such as

establishing paternity and encouraging

contact between father and children, but

also, and more important, how programs

will teach fathers to understand their

children’s development, to understand

and positively affect their children’s

behavior, to be positive role models for

their children, and to work

constructively with the children and the

children’s mother regardless of whether

both parents live in the same household

as the children. The application should

also describe the types of services to be

provided or to which clients will be

referred, e.g., health and nutrition

instruction, employment and career

counseling, parenting education, peer

support, formal and informal mediation

and dispute resolution with the

children’s mother, etc.

(5) Budget Appropriateness (5 points)

The application should demonstrate

that the project’s costs are reasonable in

view of the anticipated results and

benefits. Applicants may refer to the

budget information presented in the

Standard Forms 424 and 424A.

Part III. Instructions for the

Development and Submission of

Applications

This part contains information and

instructions for submitting applications

in response to this announcement.

Application forms are provided as part

of this announcement along with a

checklist for assembling an application

package.

A. Required Notification of the State

Single Point of Contact

This program announcement 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, Virginia,

Pennsylvania, South Dakota,

Washington, American Samoa and

Palau have elected to participate in the

Executive Order process and have

established Single Points of Contact

(SPOCs), listed at the end of this

announcement. 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

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, Washington, DC.

20447.

B. Deadline for Submittal of

Applications

Applications shall be considered as

meeting an announced deadline if they

are either:

1. Received on or before the deadline

date at the receipt point specified in this

program announcement, or

2. Sent on or before the deadline date

and received by ACF in time for the

independent review. Applicants are

cautioned to request a legibly dated U.S.

Postal Service postmark or to obtain a

legibly dated receipt from a commercial

carrier or U.S. Postal Service. Private
17070 Federal Register / Vol. 60, No. 64 / Tuesday, April 4, 1995 / Notices

Metered postmarks shall not be

acceptable as proof of timely mailing.

Late applications: Applications which

do not meet the criteria in 1 and 2 above

are considered late applications. ACF

shall notify each late applicant that its

application will not be considered in

the current competition.

Extension of deadlines: ACF may

extend the deadline for all applicants

because of acts of God such as floods,

hurricanes, etc., or when there is a

widespread disruption of the mails.

However, if ACF does not extend the

deadline for all applicants, it will not

extend the deadline for any applicants.

C. Instructions for Preparing the

Application

In order to assist applicants in

completing the application, the

Standard Forms 424 and 424A, required

certifications, and a list of SPOCs have

been included at the end of Part III of

this announcement. Please reproduce

single-sided copies of these forms from

the reprinted forms and type your

information onto the copies. Do not use

forms directly from the Federal Register

announcement, as they are printed on

both sides of the page.

Please prepare your application in

accordance with the following

instructions:

1. SF 424 Page 1, Application Cover

Sheet

Please read the following instructions

before completing the application cover

sheet. An explanation of each item is

included. Complete only the items

specified.

Item 1. ‘‘Type of Submission’’—NonConstruction.

Item 2. ‘‘Date Submitted’’ and

‘‘Applicant Identifier’’—Date

application is submitted to ACF and

applicant’s own internal control

number, if applicable.

Item 3. ‘‘Date Received By State’’—

State use only (if applicable).

Item 4. ‘‘Date Received by Federal

Agency’’—Leave blank.

Item 5. ‘‘Applicant Information’’

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

applicant organization. For applications

developed jointly, enter the name of the

lead organization only. There must be a

single applicant for each application.

‘‘Organizational Unit’’—Enter the

name of the primary unit within the

applicant organization which will

actually carry out the project activity. If

this is the same as the applicant

organization, leave the organizational

unit blank.

‘‘Address’’—Enter the complete

address that the organization actually

uses to receive mail, since this is the

address to which all correspondence

will be sent. Do not include both street

address and P.O. box number unless

both must be used in mailing.

‘‘Name and telephone number of the

person to be contacted on matters

involving this application (give area

code)’’—Enter the full name and

telephone number of a person who can

respond to questions about the

application. This person should be

accessible at the address given.

Item 6. ‘‘Employer Identification

Number (EIN)’’—Enter the employer

identification number of the applicant

organization, as assigned by the Internal

Revenue Service, including, if known,

the Central Registry System suffix.

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

Item 8. ‘‘Type of Application’’—New.

Item 9. ‘‘Name of Federal Agency’’—

DHHS/ACF.

Item 10. ‘‘Catalog of Federal Domestic

Assistance Number’’—93.647.

Item 11. ‘‘Descriptive Title of

Applicant’s Project’’—Responsible

Fatherhood Project.

Item 12. ‘‘Areas Affected by

Project’’—Self-explanatory.

Item 13. ‘‘Proposed Project’’—Enter

the desired start date for the project and

projected completion date.

Item 14. ‘‘Congressional District of

Applicant/Project’’—Enter the number

of the Congressional district where the

applicant’s principal office is located.

Items 15 ‘‘Estimated Funding

Levels’’—In completing 15a through 15f,

the dollar amounts entered should

reflect the total amount requested for

the initial 17-month budget period.

Item 15a. Enter the amount of Federal

funds requested in accordance with the

preceding paragraph. This amount

should be no greater than the maximum

amount available under this

announcement for the initial 17-month

budget period.

Items 15b–e Enter the amount(s) of

funds from non-Federal sources that

will be contributed to the proposed

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

Item 15f. Enter the estimated amount

of income, if any, expected to be

generated from the proposed project. Do

not add or subtract this amount from the

total project amount entered under item

15g. Describe the nature, source and

anticipated use of this income in the

Project Narrative Statement.

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

Item 16a. ‘‘Is Application Subject to

Review By State Executive Order 12372

Process?—Check ‘‘Yes’’ if your State

participates in the E.O. 12372 process.

Enter the date the application was made

available to the State for review. Select

the appropriate SPOC from the listing

provided at the end of Part IV. The

review of the application is at the

discretion of the SPOC.

Item 16b. ‘‘Is Application Subject to

Review By State Executive Order 12372

Process?—Check ‘‘No’’ if the program

has not been selected by State for

review.

Item 17. ‘‘Is the Applicant Delinquent

on any Federal Debt?’’—Check the

appropriate box. This question applies

to the applicant organization, not the

person who signs as the authorized

representative. Categories of debt

include audit disallowances, loans and

taxes.

Item 18. ‘‘To the best of my

knowledge and belief, all data in this

application/preapplication are true and

correct. The document has been duly

authorized by the governing body of the

applicant and the applicant will comply

with the attached assurances if the

assistance is awarded.’’—To be signed

by the authorized representative of the

applicant. A copy of the governing

body’s authorization for signature of this

application by this individual as the

official representative must be on file in

the applicant’s office, and may be

requested from the applicant.

Item 18a-c. ‘‘Typed Name of

Authorized Representative, Title,

Telephone Number’’—Enter the name,

title and telephone number of the

authorized representative of the

applicant organization.

Item 18d. ‘‘Signature of Authorized

Representative’’—Signature of the

authorized representative named in Item

18a. At least one copy of the application

must have an original signature. Use

colored ink (not black) so that the

original signature is easily identified.

Item 18e. ‘‘Date Signed’’—Enter the

date the application was signed by the

authorized representative.

2. SF 424A—Budget Information—NonConstruction Programs

This is a form used by many Federal

agencies. For this application, Sections

A, B, and C are to be completed.

Sections D, E and F do not need to be

completed.

Section A—Budget Summary. Line 1:

Column (a): Enter ‘‘Responsible

Fatherhood’’;

Column (b): Enter 93.647.

Columns (c) and (d): Leave blank.

Columns (e), (f) and (g): Enter the

appropriate amounts needed to support

the project for the budget period.

Section B—Budget Categories. This

budget should include the Federal as

well as non-Federal funding for the

proposed project for the budget period.
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The budget should relate to item 15g,

total funding, on the SF 424. Under

column (5), enter the total requirements

for funds (Federal and non-Federal) by

object class category.

A separate budget justification should

be included to explain fully and justify

major items, as indicated below. The

types of information to be included in

the justification are indicated under

each category. The budget justification

should immediately follow the second

page of the SF 424A.

Personnel—Line 6a. Enter the total

costs of salaries and wages of applicant/

grantee staff. Do not include the costs of

consultants, which should be included

on line 6h, ‘‘Other.’’

Justification: Identify the project

director, if known. Specify by title or

name the percentage of time allocated to

the project, the individual annual

salaries, and the cost to the project (both

Federal and non-Federal) of the

organization’s staff who will be working

on the project.

Fringe Benefits—Line 6b. Enter the

total costs of fringe benefits.

Justification: Provide a break-down of

amounts and percentages that comprise

fringe benefit costs, such as health

insurance, FICA, retirement insurance,

etc.

Travel—6c. Enter total costs of out-oftown travel (travel requiring per diem)

for staff of the project. Do not enter costs

for consultant’s travel or local

transportation, which should be

included on Line 6h, ‘‘Other.’’

Justification: Include the name(s) of

traveler(s), total number of trips,

destinations, length of stay,

transportation costs and subsistence

allowances.

Equipment—Line 6d. Enter the total

costs of all equipment to be acquired by

the project. For grants governed by the

administrative requirements of either 45

CFR Part 92 or 45 CFR Part 74,

equipment is defined as tangible, nonexpendable personal property having a

useful life of more than one year and an

acquisition cost of $5,000 or more per

unit.

Justification: Equipment to be

purchased with Federal funds must be

justified. The equipment must be

required to conduct the project, and the

applicant organization or its subgrantees

must not have the equipment or a

reasonable facsimile available to the

project. The justification also must

contain plans for future use or disposal

of the equipment after the project ends.

Supplies—Line 6e. Enter the total

costs of all tangible expendable personal

property (supplies) other than those

included on Line 6d.

Justification: Specify general

categories of supplies and their costs.

Contractual—Line 6f. Enter the total

costs of all contracts, including

procurement contracts (except those

which belong on other lines such as

equipment, supplies, etc.) and contracts

with secondary recipient organizations.

Also include any contracts with

organizations for the provision of

technical assistance. Do not include

payments to individuals on this line.

Justification: Attach a list of

contractors, indicating the names of the

organizations, the purposes of the

contracts, and the estimated dollar

amounts of the awards as part of the

budget justification. Whenever the

applicant/grantee intends to delegate

part or all of the program to another

agency, the applicant/grantee must

complete this section (Section B, Budget

Categories) for each delegate agency by

agency title, along with the supporting

information. The total cost of all such

agencies will be part of the amount

shown on Line 6f. Provide backup

documentation identifying the name of

contractor, purpose of contract, and

major cost elements.

Construction—Line 6g. Not

applicable. New construction is not

allowable.

Other—Line 6h. Enter the total of all

other costs. Where applicable, such

costs may include, but are not limited

to: Insurance; medical and dental costs;

noncontractual fees and travel paid

directly to individual consultants; local

transportation (all travel which does not

require per diem is considered local

travel); space and equipment rentals;

printing and publication; computer use;

training costs, including tuition and

stipends; training service costs,

including wage payments to individuals

and supportive service payments; and

staff development costs. Note that costs

identified as ‘‘miscellaneous’’ and

‘‘honoraria’’ are not allowable.

Justification: Specify the costs

included.

Total Direct Charges—Line 6i. Enter

the total of Lines 6a through 6h.

Indirect Charges—6j. Enter the total

amount of indirect charges (costs). If no

indirect costs are requested, enter

‘‘none.’’ This line should be used when

the applicant (except local governments)

has a current indirect cost rate

agreement approved by the Department

of Health and Human Services or

another Federal agency.

Local and State governments should

enter the amount of indirect costs

determined in accordance with HHS

requirements. When an indirect cost

rate is requested, these costs are

included in the indirect cost pool and

should not be charged again as direct

costs to the grant. In the case of training

grants to other than State or local

governments (as defined in title 45,

Code of Federal Regulations, part 74),

the Federal reimbursement of indirect

costs will be limited to the lesser of the

negotiated (or actual) indirect cost rate

or 8 percent of the amount allowed for

direct costs, exclusive of any equipment

charges, rental of space, tuition and fees,

post-doctoral training allowances,

contractual items, and alterations and

renovations.

Justification: Enclose a copy of the

indirect cost rate agreement, if

applicable.

Total—Line 6k. Enter the total

amounts of lines 6i and 6j.

Program Income—Line 7. Enter the

estimated amount of income, if any,

expected to be generated from this

project. Do not add or subtract this

amount from the total project amount.

Justification: Describe the nature,

source, and anticipated use of program

income in the Program Narrative

Statement.

Section C—Non-Federal Resources.

This section summarizes the amounts of

non-Federal resources that will be

applied to the grant. On lines 8–11, list

estimates for each projected budget

period within the total project period (if

an additional line is needed, use line 23

and label it appropriately). Enter total

amounts on line 12.

In-kind contributions are defined in

title 45 of the Code of Federal

Regulations, § 74.2, as the value of noncash contributions provided by nonFederal third parties. Third party inkind contributions may be in the form

of real property, equipment, supplies

and other expendable property, and the

value of goods and services directly

benefiting and specifically identifiable

to the project or program.

Justification: Describe third party inkind contributions, if included.

Section D—Forecasted Cash Needs.

Not applicable.

Section E—Budget Estimate of Federal

Funds Needed For Balance of the

Project. Not applicable

Section F—Other Budget Information.

Not applicable.

3. Program Narrative Statement

The Program Narrative Statement

should be clear, concise, and address

the specific requirements mentioned

under Part I. The narrative should also

provide information concerning how the

application meets the evaluation criteria

using the following headings:

(a) Organizational Experience;

(b) Staff Skills and Responsibilities;
17072 Federal Register / Vol. 60, No. 64 / Tuesday, April 4, 1995 / Notices

(c) Knowledge of Issues Concerning

Fathers;

(d) Approach and Project Design;

(e) Budget Appropriateness.

The specific information to be

included under each of these headings

is described in section B of Part II—

Evaluation Criteria.

The narrative should be typed doublespaced. All pages of the narrative

(including charts, references, footnotes,

tables, maps, exhibits, etc.) must be

sequentially numbered, beginning with

‘‘Organizational Experience.’’ The

length of the application, including the

application forms and all attachments,

should not exceed 50 pages.

4. Assurances/Certifications

Applicants are required to file an SF

424B, Assurances—Non-Construction

Programs, and the Certification

Regarding Lobbying. Both must be

signed and returned with the

application. In addition, applicants

must certify their compliance with: (1)

Drug-Free Workplace Requirements; (2)

Debarment and Other Responsibilities;

and (3) Certification Regarding

Environmental Tobacco Smoke. These

certifications are self-explanatory.

Copies of these assurances and

certifications are reprinted at the end of

this announcement and should be

reproduced, as necessary. A duly

authorized representative of the

applicant organization must certify that

the applicant is in compliance with

these assurances and certifications. A

signature on the SF 424 indicates

compliance with Drug-Free Workplace

Requirements, Debarment and Other

Responsibilities, and Environmental

Tobacco Smoke certifications.

D. Checklist for a Complete Application

The checklist below is for your use to

ensure that your application package

has been properly prepared.

—One original application, signed and

dated, plus two copies.

—Complete application length should

not exceed 60 pages.

—A complete application consists of the

following items in this order:

• Application for Federal Assistance

(SF 424);

• A completed SPOC certification

with the date of SPOC contact entered

in line 16, page 1 of the SF 424 if

applicable;

• Budget Information—Nonconstruction programs (SF 424A);

• Budget Justification for SF 424A

Section B—Budget Categories;

• Letter from the Internal Revenue

Service to prove nonprofit status, if

necessary;

• Copy of the applicant’s approved

indirect cost rate agreement, if

appropriate;

• Program Narrative Statement (See

Part II, Section C);

• Assurances—Non-construction

programs (SF 424B); and

• Certification Regarding Lobbying.

E. Submitting the Application

Each application package must

include an original and two copies of

the complete application. Each copy

should be stapled securely. All pages of

the narrative (including charts, tables,

maps, exhibits, etc.) must be

sequentially numbered. In order to

facilitate handling, please do not use

covers, binders, or tabs.

Applicant should include a selfaddressed, stamped acknowledgment

card. All applicants will be notified

automatically about the receipt of their

application.

Dated: March 28, 1995.

Howard Rolston,

Director, Office of Policy and Evaluation.

BILLING CODE 4184–01–P
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BILLING CODE 4184–01–C
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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 is response to Executive

Order 12372 and have selected the program

to be included in their process, have been

given an opportunity to review the

applicant’s submission.

Item and Entry:

1. Self-explanatory.

2. Date application submitted to Federal

agency (or State if applicable) & applicant’s

control number (if applicable).

3. State use only (if applicable).

4. If this application is to continue or

revise an existing award, enter present

Federal identifier number. If for a new

project, leave blank.

5. Legal name of applicant, name of

primary organizational unit which will

undertake the assistance activity, complete

address of the applicant, and name and

telephone number of the person to contact on

matters related to this application.

6. Enter Employer Identification Number

(EIN) as assigned by the Internal Revenue

Service.

7. Enter the appropriate letter in the space

provided.

8. Check appropriate box and enter

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

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

—‘‘Continuation’’ means an extension for an

additional funding/budget period for a

project with a projected completion date.

—‘‘Revision’’ means any change in the

Federal Government’s financial obligation

or contingent liability from an existing

obligation.

9. Name of Federal agency from which

assistance is being requested with this

application.

10. Use the Catalog of Federal Domestic

Assistance number and title of the program

under which assistance is requested.

11. Enter a brief descriptive title of the

project. If more than one program is

involved, you should append an explanation

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

construction or real property projects), attach

a map showing project location. For

preapplications, use a separate sheet to

provide a summary description of this

project.

12. List only the largest political entities

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

13. Self-explanatory.

14. List the applicant’s Congressional

District and any District(s) affected by the

program or project.

15. Amount request or to be contributed

during the first funding/budget period by

each contributor. Value of in-kind

contributions should be included on

appropriate lines as applicable. If the action

will result in a dollar change to an existing

award, indicate only the amount of the

change. For decreases, enclose the amounts

in parentheses. If both basic and

supplemental amounts are included, show

breakdown on an attached sheet. For

multiple program funding, use totals and

show breakdown using same categories as

item 15.

16. Applicants should contact the State

Single Point of Contact (SPOC) for Federal

Executive Order 12372 to determine whether

the application is subject to the State

intergovernmental review process.

17. This question applies to the applicant

organization, not the person who signs as the

authorized representative. Categories of debt

include delinquent audit disallowances,

loans and taxes.

18. To be signed by the authorized

representative of the applicant. A copy of the

governing body’s authorization for you to

sign this application as official representative

must be on file in the applicant’s office.

(Certain Federal agencies may require that

this authorization be submitted as part of the

application.)

BILLING CODE 4184–01–P
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BILLING CODE 4184–01–C
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Instructions for the SF–424A

General Instructions

This form is designed so that application

can be made for funds from one or more grant

programs. In preparing the budget, adhere to

any existing Federal grantor agency

guidelines which prescribe how and whether

budgeted amounts should be separately

shown for different functions or activities

within the program. For some programs,

grantor agencies may require budgets to be

separately shown by function or activity. For

other programs, grantor agencies may require

a breakdown by function or activity. Sections

A, B, C, and D should include budget

estimates for the whole project except when

applying for assistance which requires

Federal authorization in annual or other

funding period increments. In the latter case,

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

budget for the first budget period (usually a

year) and Section E should present the need

for Federal assistance in the subsequent

budget periods. All applications should

contain a breakdown by the object class

categories shown in Lines a–k of Section B.

Section A. Budget Summary

Lines 1–4, Columns (a) and (b)—For

applications pertaining to a single Federal

grant program (Federal Domestic Assistance

Catalog number) and not requiring a

functional or activity breakdown, enter on

Line 1 under Column (a) the catalog program

title and the catalog number in Column (b).

For applications pertaining to a single

program requiring budget amounts by

multiple functions or activities, enter the

name of each activity or function on each

line in Column (a), and enter the catalog

number in Column (b). For applications

pertaining to multiple programs where none

of the programs require a breakdown by

function or activity, enter the catalog

program title on each line in Column (a) and

the respective catalog number on each line in

Column (b).

For applications pertaining to multiple

programs where one or more programs

require a breakdown by function or activity,

prepare a separate sheet for each program

requiring the breakdown. Additional sheets

should be used when one form does not

provide adequate space for all breakdown of

data required. However, when more than one

sheet is used, the first page should provide

the summary totals by programs.

Lines 1–4, Columns (c) through (g)

For new applications, leave Columns (c)

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

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

the appropriate amounts of funds needed to

support the project for the first funding

period (usually a year).

For continuing grant program applications,

submit these forms before the end of each

funding period as required by the grantor

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

estimated amounts of funds which will

remain unobligated at the end of the grant

funding period only if the Federal grantor

agency instructions provide for this.

Otherwise, leave these columns blank. Enter

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

needed for the upcoming period. The

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

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

For supplemental grants and changes to

existing grants, do not use Columns (c) and

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

increase or decrease of Federal funds and

enter in Column (f) the amount of the

increase or decrease of non-Federal funds. In

Column (g) enter the new total budgeted

amount (Federal and non-Federal) which

includes the total previous authorized

budgeted amounts plus or minus, as

appropriate, the amounts shown in Columns

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

should not equal the sum of amounts in

Columns (e) and (f).

Line 5—Show the totals for all columns

used.

Section B. Budget Categories

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

enter the titles of the same programs,

functions, and activities shown on Lines 1–

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

sheets are prepared for Section A, provide

similar column headings on each sheet. For

each program, function or activity, fill in the

total requirements for funds (both Federal

and non-Federal) by object class categories.

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

6h in each column.

Line 6j—Show the amount of indirect cost.

Line 6k—Enter the total of amounts on

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

grants and continuation grants the total

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

same as the total amount shown in Section

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

grants and changes to grants, the total

amount of the increase or decrease as shown

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

same as the sum of the amounts in Section

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

Line 7—Enter the estimated amount of

income, if any, expected to be generated from

this project. Do not add or subtract this

amount from the total project amount. Show

under the program narrative statement the

nature and source of income. The estimated

amount of program income may be

considered by the federal grantor agency in

determining the total amount of the grant.

Section C. Non-Federal Resources

Lines 8–11—Enter amounts of non-Federal

resources that will be used on the grant. If

in-kind contributions are included, provide a

brief explanation on a separate sheet.

Column (a)—Enter the program titles

identical to Column (a), Section A. A

breakdown by function or activity is not

necessary.

Column (b)—Enter the contribution to be

made by the applicant.

Column (c)—Enter the amount of the

State’s cash and in-kind contribution if the

applicant is not a State or State agency.

Applicants which are a State or State

agencies should leave this column blank.

Column (d)—Enter the amount of cash and

in-kind contributions to be made from all

other sources.

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

(c), and (d).

Line 12—Enter the total for each of

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

should be equal to the amount on Line 5,

Column (f), Section A.

Section D. Forecasted Cash Needs

Line 13—Enter the amount of cash needed

by quarter from the grantor agency during the

first year.

Line 14—Enter the amount of cash from all

other sources needed by quarter during the

first year.

Line 15—Enter the totals of amounts on

Lines 13 and 14.

Section E. Budget Estimates of Federal Funds

Needed for Balance of the Project

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

grant program titles shown in Column (a),

Section A. A breakdown by function or

activity is not necessary. For new

applications and continuation grant

applications, enter in the proper columns

amounts of Federal funds which will be

needed to complete the program or project

over the succeeding funding periods (usually

in years). This section needs not be

completed for revisions (amendments,

changes, or supplements) to funds for the

current year of existing grants.

If more than four lines are needed to list

the program titles, submit additional

schedules as necessary.

Line 20—Enter the total for each of the

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

are prepared for this Section, annotate

accordingly and show the overall totals on

this line.

Section F. Other Budget Information

Line 21—Use this space to explain

amounts for individual direct object-class

cost categories that may appear to be out of

the ordinary or to explain the details as

required by the Federal grantor agency.

Line 22—Enter the type of indirect rate

(provisional, predetermined, final or fixed)

that will be in effect during the funding

period, the estimated amount of the base to

which the rate is applied, and the total

indirect expense.

Line 23—Provide any other explanations or

comments deemed necessary.

Assurances—Non-Construction Programs

Note: Certain of these assurances may not

be applicable to your project or program. If

you have questions, please contact the

awarding agency. Further, certain Federal

awarding agencies may require applicants to

certify to additional assurances. If such is the

case, you will be notified.

As the duly authorized representative of

the applicant I certify that the applicant:

1. Has the legal authority to apply for

Federal assistance, and the institutional,

managerial and financial capability

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

proper planning, management and

completion of the project described in this

application.

2. Will give the awarding agency, the

Comptroller General of the United States, and

if appropriate, the State, through any

authorized representative, access to and the

right to examine all records, books, papers,

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
17078 Federal Register / Vol. 60, No. 64 / Tuesday, April 4, 1995 / Notices

purpose that constitutes or presents the

appearance of personal or organizational

conflict of interest, or personal gain.

4. Will initiate and complete the work

within the applicable time frame after receipt

of approval of the awarding agency.

5. Will comply with the Intergovernmental

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

4763) relating to prescribed standards for

merit systems for programs funded under one

of the nineteen statutes or regulations

specified in Appendix A of OPM’s Standards

for a Merit System of Personnel

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

6. Will comply with all Federal statutes

relating to nondiscrimination. These include

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

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

prohibits discrimination on the basis of race,

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

Education Amendments of 1972, as amended

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

which prohibits discrimination on the basis

of sex; (c) Section 504 of the Rehabilitation

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

which prohibits discrimination on the basis

of handicaps; (d) the Age Discrimination Act

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

6107), which prohibits discrimination on the

basis of age;

(e) the drug Abuse Office and Treatment

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

relating to nondiscrimination on the basis of

drug abuse; (f) the Comprehensive Alcohol

Abuse and Alcoholism Prevention,

Treatment and Rehabilitation Act of 1970

(P.L. 91–616), as amended, relating to

nondiscrimination on the basis of alcohol

abuse or alcoholism; (g) §§ 523 and 527 of the

Public Health Service Act of 1912 (42 U.S.C.

290 dd-3 and 290 ee-3), as amended, relating

to confidentiality of alcohol and drug abuse

patient records; (h) Title VIII of the Civil

Rights Act of 1968 (42 U.S.C. § 3601 et seq.),

as amended, relating to nondiscrimination in

the sale, rental or financing of housing; (i)

any other nondiscrimination provisions in

the specific statute(s) under which

application for Federal assistance is being

made; and (j) the requirements of any other

nondiscrimination statute(s) which may

apply to the application.

7. Will comply, or has already complied,

with the requirements of Titles II and III of

the uniform Relocation Assistance and Real

Property Acquisition Policies Act of 1970

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

equitable treatment of persons displaced or

whose property is acquired as a result of

Federal or federally assisted programs. These

requirements apply to all interests in real

property acquired for project purposes

regardless of Federal participation in

purchases.

8. Will comply with the provisions of the

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

7328) which limit the political activities of

employees whose principal employment

activities are funded in whole or in part with

Federal funds.

9. Will comply, as applicable, with the

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

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

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

Contract Work Hours and Safety Standards

Act (40 U.S.C. §§ 327–333), regarding labor

standards for federally assisted construction

subagreements.

10. Will comply, if applicable, with flood

insurance purchase requirements of Section

102(a) of the Flood Disaster Protection Act of

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

in a special flood hazard area to participate

in the program and to purchase flood

insurance if the total cost of insurable

construction and acquisition is $10,000 or

more.

11. Will comply with environmental

standards which may be prescribed pursuant

to the following: (a) institution of

environmental quality control measures

under the National Environmental Policy Act

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

(EO) 11514; (b) notification of violating

facilities pursuant to EO 11738; (c) protection

of wetlands pursuant to EO 11990; (d)

evaluation of flood hazards in floodplains in

accordance with EO 11988; (e) assurance of

project consistency with the approved State

management program developed under the

Coastal Zone Management Act of 1972 (16

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

Federal actions to State (Clear Air)

Implementation Plans under Section 176(c)

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

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

ground sources of drinking water under the

Safe Drinking Water Act of 1974; as

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

endangered species under the Endangered

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

205).

12. Will comply with the Wild and Scenic

Rivers Act of 1968 (16 U.S.C §§ 1271 et seq.)

related to protecting components or potential

components of the national wild and scenic

rivers system.

13. Will assist the awarding agency in

assuring compliance with Section 106 of the

National Historic Preservation Act of 1966, as

amended (16 U.S.C. 470), EO 11593

(identification and protection of historic

properties), and the Archaeological and

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

469a–1 et seq.).

14. Will comply with P.L. 93–348

regarding the protection of human subjects

involved in research, development, and

related activities supported by this award of

assistance.

15. will comply with the Laboratory

Animal Welfare Act of 1996 (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.

Signature of Authorized Certifying Official

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Title

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Applicant Organization

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Date Submitted

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BILLING CODE 4184–01–P
Federal Register / Vol. 60, No. 64 / Tuesday, April 4, 1995 / Notices 17079
17080 Federal Register / Vol. 60, No. 64 / Tuesday, April 4, 1995 / Notices

BILLING CODE 4184–01–C
Federal Register / Vol. 60, No. 64 / Tuesday, April 4, 1995 / Notices 17081

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

antitrust statutes or commission of

embezzlement, theft, forgery, bribery,

falsification or destruction of records, making

false statements, or receiving stolen property;

(c) are not presently indicted or otherwise

criminally or civilly charged by a

governmental entity (Federal, State or local)

with commission of any of the offenses

enumerated in paragraph (1)(b) of this

certification; and

(d) have not within a 3-year period

preceding this application/proposal had one

or more public transactions (Federal, State, or

local) terminated for cause or default.

The inability of a person to provide the

certification required above will not

necessarily result in denial of participation in

this covered transaction. If necessary, the

prospective participant shall submit an

explanation of why it cannot provide the

certification. The certification or explanation

will be considered in connection with the

Department of Health and Human Services

(HHS) determination whether to enter into

this transaction. However, failure of the

prospective primary participant to furnish a

certification or an explanation shall

disqualify such person from participation in

this transaction.

The prospective primary participant agrees

that by submitting this proposal, it will

include the clause entitled ‘‘Certification

Regarding Debarment, Suspension,

Ineligibility, and Voluntary Exclusion—

Lower Tier Covered Transaction.’’ Provided

below without modification in all lower tier

covered transactions and in all solicitations

for lower tier covered transactions.

Certification Regarding Debarment,

Suspension, Ineligibility and Voluntary

Exclusion—Lower Tier Covered Transactions

(To Be Supplied to Lower Tier

Participants)

By signing and submitting this lower tier

proposal, the prospective lower tier

participant, as defined in 45 CFR Part 76,

certifies to the best of its knowledge and

belief that it and its principals:

(a) are not presently debarred, suspended,

proposed for debarment, declared ineligible,

or voluntarily excluded from participation in

this transaction by 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.

Certification Regarding Lobbying

Certification for Contracts, Grants, Loans,

and Cooperative Agreements

The undersigned certifies, to the best of his

or her knowledge and belief, that:

(1) No Federal appropriated funds have

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

the undersigned, to any person for

influencing or attempting to influence an

officer or employee of any agency, a Member

of Congress, an officer or employee of

Congress, or an employee of a Member of

Congress in connection with the awarding of

any Federal contract, the making of any

Federal grant, the making of any Federal

loan, the entering into of any cooperative

agreement, and the extension, continuation,

renewal, amendment, or modification of any

Federal contract, grant, loan, or cooperative

agreement.

(2) If any funds other than Federal

appropriated funds have been paid or will be

paid to any person for influencing or

attempting to influence an officer or

employee of any agency, a Member of

Congress, an officer or employee of Congress,

or an employee of a Member of Congress in

connection with this Federal contract, grant,

loan or cooperative agreement, the

undersigned shall complete and submit

Standard Form-LLL, ‘‘Disclosure Form to

Report Lobbying,’’ in accordance with its

instructions.

(3) The undersigned shall require that the

language of this certification be included in

the award documents for all subawards at all

tiers (including subcontracts, subgrants, and

contracts under grants, loans, and

cooperative agreements) and that all

subrecipients shall certify and disclose

accordingly.

This certification is a material

representation of fact upon which reliance

was placed when this transaction was made

or entered into. Submission of this

certification is a prerequisite for making or

entering into this transaction imposed by

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

who fails to file the required certification

shall be subject to a civil penalty of not less

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

each such failure.

State for Loan Guarantee and Loan Insurance

The undersigned states, to the best of his

or her knowledge and belief, that:

If any funds have been paid or will be paid

to any person for influencing or attempting

to influence an officer or employee of any

agency, a Member of Congress, an officer or

employee of Congress, or an employee of a

Member of Congress in connection with this

commitment providing for the United States

to insure or guarantee a loan, the

undersigned shall complete and submit

Standard Form-LLL ‘‘Disclosure Form to

Report Lobbying,’’ in accordance with its

instructions.

Submission of this statement is a

prerequisite for making or entering into this

transaction imposed by section 1352, title 31,

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

require statement shall be subject to a civil

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

than $100,000 for each such failure.

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Signature

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Title

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Organization

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Date

BILLING CODE 4184–01–P
17082 Federal Register / Vol. 60, No. 64 / Tuesday, April 4, 1995 / Notices

BILLING CODE 4184–01–C
Federal Register / Vol. 60, No. 64 / Tuesday, April 4, 1995 / Notices 17083

Certification Regarding Environmental

Tobacco Smoke

Public Law 103–227, Part C—

Environmental Tobacco Smoke, also known

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

requires that smoking not be permitted in any

portion of any indoor facility owned or

leased or contracted for by an entity and used

routinely or regularly for the provision of

health, day care, education, or library

services to children under the age of 18, if

the services are funded by Federal programs

either directly or through State or local

governments, by Federal grant, contract, loan,

or loan guarantee. The law does not apply to

children’s services provided in private

residences, facilities funded solely by

Medicare or Medicaid funds, and portions of

facilities used for inpatient drug or alcohol

treatment. Failure to comply with the

provisions of the law may result in the

imposition of a civil monetary penalty of up

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

administrative compliance order on the

responsible entity.

By signing and submitting this application

the applicant/grantee certifies that it will

comply with the requirements of the Act. The

applicant/grantee further agrees that it will

require the language of this certification be

included in any subawards which contain

provisions for children’s services and that all

subgrantees shall certify accordingly.

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

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, Action 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 Capital, 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, 1204 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
17084 Federal Register / Vol. 60, No. 64 / Tuesday, April 4, 1995 / Notices

Texas

Mr. Thomas Adams, Governor’s Office of

Budget and Planning, PO 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,

PO 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, PO Box 2950, Agana,

Guam 96910, Telephone (617) 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, PO 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

[FR Doc. 95–8131 Filed 4–3–95; 8:45 am]

BILLING CODE 4184–01–P

Administration for Native Americans

Statement of Organization, Functions,

and Delegations of Authority

This notice amends Part K of the

Statement of Organization, Functions,

and Delegations of Authority of the

Department of Health and Human

Services (DHHS), Administration for

Children and Families (ACF) as follows:

Chapter KE, Administration for Native

Americans (ANA) (56 FR 42340), as last

amended, August 27, 1991. Specifically,

delete Chapter KE in its entirety, and

replace it with the following:

KE.00 Mission. The Administration

for Native Americans (ANA) advises the

Secretary, through the Assistant

Secretary for Children and Families, on

matters relating to American Indians,

Alaskan Natives, Native American

Pacific Islanders and Native Hawaiians,

hereinafter referred to as Native

Americans. ANA represents the

concerns of Native Americans and

serves as the focal point in the

Department on the full range of

developmental, social and economic

strategies that support Native American

self-determination and self-sufficiency.

ANA administers grant programs to

eligible Indian tribes and Native

American organizations in urban and

rural areas with funds authorized under

the Native American Programs Act of

1974, as amended.

In conjunction with the Office of the

Assistant Secretary for Children and

Families, ANA serves as Departmental

liaison with other federal agencies on

Native American affairs, working to

promote social and economic selfsufficiency for Native Americans. In

concert with other components of ACF,

it develops and implements research,

demonstration and evaluation strategies

for discretionary funding of activities

designed to improve and enrich the

lives of Native Americans. Through its

policy, liaison, and programmatic grant

functions, ANA explores new program

concepts and new methods for

increasing the social and economic

development of Native Americans, and

ensures that information about

Departmental services and benefits and

eligibility criteria is available to Native

Americans and fosters the opportunity

for the exercise of self-determination by

Native Americans and their operation of

Native American programs and

enterprises.

KE.10 Organization. The

Administration for Native Americans is

headed by a Commissioner who reports

directly to the Assistant Secretary for

Children and Families and consists of:

Office of the Commissioner (KEA)

Intra-Departmental Council on Native

American Affairs (KEB)

Planning and Support Staff (KEC)

Program Operations Division (KED)

KE.20 Functions. A. The Office of

the Commissioner provides executive

direction and management strategy for

all components of ANA. The

Commissioner serves as the effective

and visible advocate on behalf of Native

Americans within the Department, and

with other departments and agencies of

the Federal Government regarding all

Federal policies affecting Native

Americans. The Commissioner serves as

advisor to the Assistant Secretary for

Children and Families, the Secretary,

and the heads of DHHS agencies

administering programs which have a

significant impact on Native Americans.

On behalf of the Department, the

Commissioner conducts liaison with

and obtains advice from Indian tribes

and Native American organizations. The

Commissioner provides policy direction

and guidance to the ACF regional offices

with respect to programs for Urban

Indians, off-reservation Indians, and

other Native American projects in

Hawaii and the Pacific Islands. The

Deputy Commissioner acts as

Commissioner in the absence of the

Commissioner. The Commissioner is

Chairperson of the Intra-Departmental

Council on Native American Affairs and

shall advise the Secretary on all matters

affecting Native Americans that involve

the Department.

B. Intra-Departmental Council on

Native American Affairs serves as the

focal point within the Department for

intra-agency activities related to Native

American affairs and effect

coordination, cooperation and

complementary utilization of the

Department’s resources for Native

Americans. It promotes consistent

policies on Native American affairs for

the entire Department and promotes the

full and continuous application of these

policies throughout the Department.

The Commissioner is the Chairperson of

the Council and advises the Secretary

on Native American issues. Council staff

provide support to the Commissioner of

ANA/Council Chair.

The Council identifies administrative,

legislative and regulatory changes or

developments necessary for the

applications of effective and consistent

Federal Indian policy.

C. Planning and Support Staff plans,

coordinates, and controls ANA policy,

planning, and management activities,

and manages the development of

regulations, policies, and guidelines for

ANA. It develops and recommends the

implementation of policies in

coordination and consultation with the

Office of Policy and Evaluation.

In coordination with the Office of

Policy and Evaluation and the Office of

Financial Management in ACF, the staff

directs the development of program

plans consistent with the Department’s