25342 Federal Register / Vol. 61, No. 98 / Monday, May 20, 1996 / Notices

DEPARTMENT OF HEALTH AND

HUMAN SERVICES

Office of Community Services

[Program Announcement No. OCS 96–07]

Request for Applications Under the

Office of Community Services’ Fiscal

Year 1996 Community Food and

Nutrition Program

AGENCY: Office of Community Services,

Administration for Children and

Families, Department of Health and

Human Services.

ACTION: Request for applications under

the Office of Community Services’

Community Food and Nutrition

Program.

SUMMARY: The Office of Community

Services (OCS) announces that

competing applications will be accepted

for new grants pursuant to the

Secretary’s discretionary authority

under Section 681A of the Community

Services Block Grant Act of 1981 as

amended. This Program Announcement

contains forms and instructions for

submitting an application. The

awarding of grants under this Program

Announcement is subject to the

availability of funds for support of these

activities.

CLOSING DATE AND TIME: The closing date

and time for receipt of applications is

July 19, 1996 at 4:30 p.m., eastern time

zone. Applications received after 4:30

p.m. on that day will be classified as

late.

Deadline: Mailed applications shall be

considered as meeting an announced

deadline if they are received on or

before the deadline date and time at the

U.S. Department of Health and Human

Services, Administration for Children

and Families, Division of Discretionary

Grants, 370 L’Enfant Promenade, S.W.,

Mail Stop 6C–462, Washington, D.C.

20447, Attention: Application for

Community Food and Nutrition

Program. Applicants are responsible for

mailing applications well in advance,

when using all mail services, to ensure

that the applications are received on or

before the deadline date and time.

Applications handcarried by

applicants, applicant couriers, or by

overnight/express mail couriers shall be

considered as meeting an announced

deadline if they are received on or

before the deadline date, between the

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

U.S. Department of Health and Human

Services, Administration for Children

and Families, Division of Discretionary

Grants, ACF Mailroom, 2nd Floor

Loading Dock, Aerospace Center, 901 D

Street, S.W., Washington, D.C. 20024,

between Monday and Friday (excluding

Federal holidays).

(Applicants are cautioned that express/

overnight mail services do not always

deliver as agreed)

ACF cannot accommodate

transmission of applications by fax or

through other electronic media.

Therefore, applications transmitted to

ACF electronically will not be accepted

regardless of date or time of submission

and time of receipt.

Late applications: Applications which

do not meet the criteria above are

considered late applications. ACF shall

notify each late applicant that its

application will not be considered in

the current competition.

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

widespread disruption of the mails.

However, if ACF does not extend the

deadline for all applicants, it may not

waive or extend the deadline for any

applicants.

FOR FURTHER INFORMATION CONTACT:

Joseph Carroll, Acting Director, OCS,

Division of Community Discretionary

Programs, Attention: CFN Programs, 370

L’Enfant Promenade S.W., Washington,

D.C. 20447, (202) 401–9345.

Table of Contents

Part A—Preamble

1. Legislative Authority

2. Definitions of Terms

3. Purpose of Community Food and

Nutrition Program

4. Project Requirements

Part B—Application Requirements

1. Eligible applicants

2. Availability of Funds and Grant

Amounts

3. Project Periods and Budget Periods

4. Administrative Costs/Indirect Costs

5. Program Beneficiaries

6. Number of Projects in Application

7. Multiple Submittal

8. Sub-Contracting or Delegating Projects

Part C—Program Area

General Projects

Part D—Review Criteria

Criteria for Review and Evaluation of

Application Submitted Under this

Program Announcement

Part E—Instructions for Completing

Application Package

1. SF–424—Application for Federal

Assistance

2. SF–424A—Budget Information—NonConstruction

3. SF–424B—Assurances—NonConstruction

4. Project Narrative

Part F—Application Procedures

1. Availability of Forms

2. Application Submission

3. Intergovernmental Review

4. Application Consideration

5. Criteria for Screening Applications

a. Initial Screening

b. Pre-Rating Review

c. Evaluation Criteria

Part G—Contents of Application Package and

Receipt Process

Part H—Post Award Information and

Reporting Requirements

Part A—Preamble

1. Legislative Authority

The Community Services Block Grant

Act, as amended, authorizes the

Secretary of Health and Human Services

to make funds available under several

programs to support program activities

which will result in direct benefits

targeted to low-income people. This

Program Announcement covers the

grant authority found at Section 681A,

Community Food and Nutrition, which

authorizes the Secretary to make funds

available for grants to be awarded on a

competitive basis to eligible entities for

local and statewide programs (1) to

coordinate existing private and public

food assistance resources, whenever

such coordination is determined to be

inadequate, to better serve low-income

communities; (2) to assist low-income

communities to identify potential

sponsors of child nutrition programs

and to initiate new programs in

underserved or unserved areas; and (3)

to develop innovative approaches at the

State and local levels to meet the

nutrition needs of low-income people.

2. Definitions of Terms

For purposes of this Program

Announcement the following

definitions apply:

—Displaced worker: An individual who

is in the labor market but has been

unemployed for six months or longer.

—Indian tribe: A tribe, band, or other

organized group of Native American

Indians recognized in the State or

States in which it resides or

considered by the Secretary of the

Interior to be an Indian tribe or an

Indian organization for any purpose.

—Innovative project: One that departs

from or significantly modifies past

program practices and tests a new

approach.

—Migrant Farmworker: An individual

who works in agricultural

employment of a seasonal or other

temporary nature who is required to

be absent from his/her place of

permanent residence in order to

secure such employment.

—Seasonal farmworker: Any individual

employed in agricultural work of a

seasonal or other temporary nature

who is able to remain at his/her place

of permanent residence while

employed.
Federal Register / Vol. 61, No. 98 / Monday, May 20, 1996 / Notices 25343

—Underserved area (as it pertains to

child nutrition programs): A locality

in which less than one-half of the

low-income children eligible for

assistance participate in any child

nutrition program.

—Budget Period: The term ‘‘budget

period’’ refers to the interval of time

into which a grant period of

assistance (project period) is divided

for budgetary and funding purposes.

—Eligible Entity: States and other public

and private non-profit agencies/

organizations including Community

Action Agencies. (See Part B.1.)

—Project Period: The term ‘‘project

period’’ refers to the total time for

which a project is approved for

support, including any approved

extensions.

—Self-Sufficiency: A condition where

an individual or family does not need

and is not eligible for public

assistance.

3. Purpose of Community Food and

Nutrition Program

The Department of Health and Human

Services (DHHS) is committed to

improving the overall health and

nutritional well-being of individuals

through improved preventive health

care and promotion of personal

responsibility. The DHHS encourages

the approach to health promotion and

nutritional responsibility with personal

messages aimed at families and

communities, in various settings and

environments in which individuals and

groups can most effectively be reached.

The DHHS is specifically interested in

improving the health and nutrition

status of low-income persons through

improved access to healthy nutritious

foods or by other means. DHHS

encourages community efforts to

improve the coordination and

integration of health and social services

for all low-income families, and to

identify opportunities for collaborating

with other programs and services for

this population. Such collaboration can

increase a community’s capacity to

leverage resources and promote an

integrated approach to health and

nutrition through existing programs and

services.

4. Project Requirements

Projects funded under this program

should:

(a) Be designed and intended to

provide nutrition benefits, including

those which incorporate the benefits of

disease prevention, to a targeted lowincome group of people;

(b) Provide outreach and public

education to inform eligible low-income

individuals and families of other

nutritional services available to them

under the various Federally assisted

programs;

(c) Carry out targeted

communications/social marketing to

improve dietary behavior and increase

program participation among eligible

low-income populations. Populations to

be targeted can include displaced

workers, elderly people, children, and

the working poor.

(d) Consult with and/or inform local

offices that administer other food

programs such as W.I.C. and Food

Stamps, where applicable, to ensure

effective coordination which can jointly

target services to increase their

effectiveness. Such consultation may

include involving these offices in the

planning of grant applications.

(e) Focus on one or more legislatively

mandated program activities: (1)

Coordination of existing private and

public food assistance resources,

whenever such coordination is

determined to be inadequate, to better

serve low-income populations; (2)

assistance to low-income communities

in identifying potential sponsors of

child nutrition programs and initiating

new programs in unserved or

underserved areas; and (3) development

of innovative approaches at the state or

local levels to meet the nutrition needs

of low-income people.

OCS views this program as a capacity

building program, rather than as a

service delivery program.

Part B—Application Requirements

1. Eligible Applicants

Eligible applicants are States and

public and private non-profit agencies/

organizations with a demonstrated

ability to successfully develop and

implement programs and activities

similar to those enumerated above. OCS

encourages Historically Black Colleges

and Universities and minority

institutions to submit applications.

Eligible applicants with programs

benefitting Native Americans and

Migrant Farmworkers are also

encouraged to submit applications.

Any non-profit organization

submitting an application must submit

proof of its non-profit status in its

application at the time of submission.

The non-profit agency can accomplish

this by providing a copy of the

applicant’s listing in the Internal

Revenue Services’s (IRS) most recent list

of tax-exempt organizations described in

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

by providing a copy of the currently

valid IRS tax exemption certificate or by

providing a copy of the applicant’s

Articles of Incorporation bearing the

seal of the State in which the

corporation or association is domiciled.

2. Availability of Funds and Grant

Amounts

a. Fiscal Year 1996 Funding

The funds expected to be available for

grant awards under the CFN Program in

fiscal year 1996 are $1,600,000 for

General Projects.

b. Grant Amounts

No individual grant application will

be considered for an amount which is in

excess of $50,000.

c. Mobilization of Resources

OCS would like to mobilize as many

resources as possible to enhance

projects funded under this program.

OCS supports and encourages

applications submitted by applicants

whose programs will leverage other

resources, either cash or third-party inkind.

3. Project Periods and Budget Periods

For most projects OCS will grant

funds for one year. However, in rare

instances, depending on the

characteristics of any individual project

and on the justification presented by the

applicant in its application, a grant may

be made for a period of up to 17 months.

4. Administrative Costs/Indirect Costs

There is no administrative cost

limitation for projects funded under this

program. Indirect costs consistent with

approved Indirect Cost Rate Agreements

are allowable. Applicants should

enclose a copy of the current approved

rate agreement. However, it should be

understood that indirect costs are part

of, and not in addition to, the amount

of funds awarded in the subject grant.

5. Program Beneficiaries

Projects proposed for funding under

this Announcement must result in

direct benefits targeted toward lowincome people as defined in the most

recent Annual Update of Poverty

Income Guidelines published by DHHS.

Attachment A to this Announcement is

an excerpt from the most recently

published guidelines. Annual revisions

of these guidelines are normally

published in the Federal Register in

February or early March of each year

and are applicable to projects being

implemented at the time of publication.

Grantees will be required to apply the

most recent guidelines throughout the

project period. The Federal Register

may be obtained from public libraries,

Congressional offices, or by writing the

Superintendent of Documents, U.S.

Government Printing Office,
25344 Federal Register / Vol. 61, No. 98 / Monday, May 20, 1996 / Notices

Washington, D.C. 20402. No other

government agency or privately defined

poverty guidelines are applicable to the

determination of low-income eligibility

for this OCS program.

6. Number of Projects in Application

An application may contain only one

project and this project must address the

basic criteria found in Parts C and D.

Applications which are not in

compliance with these requirements

will be ineligible for funding.

7. Multiple Submittal

There is no limit to the number of

applications that can be submitted as

long as each application is for a

different project. However, no applicant

can receive more than one grant.

8. Sub-Contracting or Delegating

Projects

OCS will not fund any project where

the role of the eligible applicant is

primarily to serve as a conduit for funds

to other organizations.

Part C—Program Area

General Projects

The application should include a

description of the target area and

population to be served as well as a

discussion of the nature and extent of

the problem to be solved. The

application must contain a detailed and

specific work program that is both

sound and feasible. Projects funded

under this Announcement must

produce permanent and measurable

results that fulfill the purposes of this

program as described above. The OCS

grant funds, in combination with private

and/or other public resources, must be

targeted to low-income individuals and

communities.

Applicants will certify in their

submission that projects will only serve

the low-income population as stipulated

in the DHHS Poverty Income Guidelines

(Attachment A). Failure to comply with

the income guidelines may result in the

application being ineligible for

consideration for funding.

If an 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,

applicant should consult with the State

Historic Preservation Officer. 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 DHHS.

In the case of projects proposed for

funding which mobilize or improve the

coordination of existing public and

private food assistance resources, the

guidelines governing those resources

apply. However, in the case of projects

providing direct assistance to

beneficiaries through grants funded

under this program, beneficiaries must

fall within the official DHHS Poverty

Income Guidelines as set forth in

Attachment A.

Applications which propose the use

of grant funds for the development of

any printed or visual materials must

contain convincing evidence that these

materials are not available from other

sources. OCS will not provide funding

for such items if justification is not

sufficient. Approval of any films or

visual presentations proposed by

applicants approved for funding will be

made part of the grant award. In cases

where material outlays for equipment

(audio and visual) are requested,

specific evidence must be presented that

there is a definite programmatic

connection between the equipment

(audio and visual) usage and the

outreach requirements described in Part

A.3 of this Announcement.

OCS is also interested in projects that

address the needs of homeless families

and welcomes applications which seek

to develop innovative approaches to

promote health, and nutritional

awareness among low-income

populations.

Part D—Review Criteria

Applications which pass the initial

screening and pre-rating review (See

Part F, Section 5) 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 evaluation and review

process will use the following criteria

coupled with the specific requirements

as described in Part F.

When writing their Project Narrative

applicants should respond to the review

criteria using the same sequential order.

(Note: The following review criteria

reiterate the information requirements

contained in Part B of this Announcement.)

Criteria for Review and Evaluation of

Applications Submitted Under This

Program Announcement

Criterion I

Analysis of Needs/Priorities (Maximum:

10 Points)

(a) Target area and population to be

served are adequately described (0–4

Points).

In addressing the above criterion, the

applicant should include a description

of the target area and population to be

served including specific details on any

minority population(s) to be served.

(b) Nature and extent of problem(s)

and/or need(s) to be addressed are

adequately described and documented

(0–6 Points).

In addressing the above criterion, the

applicant should include a discussion of

the nature and extent of the problem(s)

and/or need(s), including specific

information on minority populations(s).

Criterion II

Adequacy of Work Program (Maximum:

25 Points)

(a) Realistic quarterly time targets are

set forth by which the various work

tasks will be completed (0–10 Points).

(b) Activities are adequately described

and appear reasonably likely to achieve

results which will have a desired impact

on the identified problems and/or needs

(0–15 Points).

In addressing the above Criterion, the

applicant should address the basic

criteria and legislatively-mandated

activities found in Parts A–1 and A–3

and should include:

1. Project priorities and rationale for

selecting them which relate to the

specific nutritional problem(s) and/or

need(s) of the target population which

were identified under Criterion I;

2. Goals and objectives which speak

to the(se) problem(s) and/or need(s); and

3. Project activities which if

successfully carried out can be

reasonably expected to result in the

achievement of these goals and

objectives.

Criterion III

Significant and Beneficial Impact

(Maximum: 30 Points)

(a) Applicant proposes to significantly

improve or increase nutrition services to

low-income people and such

improvements or increases are

quantified (0–15 Points).

(b) Project incorporates promotional

health and social services activities for

low-income people, along with

nutritional services (0–5 Points).

(c) Project will significantly leverage

or mobilize other community resources
Federal Register / Vol. 61, No. 98 / Monday, May 20, 1996 / Notices 25345

and such resources are detailed and

quantified (0–5 Points).

(d) Project addresses problem(s)

which can be resolved by one-time OCS

funding or demonstrates that nonFederal funding is available to continue

the project without Federal support (0–

5 Points).

In addressing the above Criterion, the

applicant must include quantitative data

for Items (a), (b), and (c), and discuss

how the beneficial impact relates to the

relevant legislatively-mandated program

activities identified in Part A.1 and the

problems and/or needs described under

Criterion I.

Criterion IV

Coordination/Services Integration

(Maximum: 15 Points)

(a) Project shows evidence of

coordinated community-based planning

in its development, including strategies

in the Work Program to carry on

activities in collaboration with other

locally funded Federal programs (such

as DHHS health and social services and

USDA Food and Consumer Service

programs) in ways that will eliminate

duplication and will, for example, (1)

unite funding streams at the local level

to increase program outreach and

effectiveness, (2) facilitate access to

other needed social services by

coordinating and simplifying intake and

eligibility certification processes for

clients, or (3) bring project participants

into direct interaction with holistic

family development resources in the

community where needed. (0–10 Points)

(b) 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 percent, designation as an

Empowerment Zone or Enterprise

Community, 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.

(0–5 Points)

If the applicant is receiving funds

from the State for community food and

nutrition activities, the applicant should

address how the funds are being

utilized, and how they will be

coordinated with the proposed project

to maximize the effectiveness of both. If

State funds are being used in the project

for which OCS funds are being

requested, their usage should be

specifically described.

Criterion V

Organization Experience in Program

Area and Staff Responsibilities

(Maximum 15 Points)

(a) Organizational experiences in

program area (0–5 Points)

Documentation provided indicates

that projects previously undertaken

have been relevant and effective and

have provided permanent benefits to the

low-income population. Organizations

which propose providing training and

technical assistance have detailed

competence in the program area and as

a deliverer with expertise in the fields

of training and technical assistance. If

applicable, information provided by

these applicants also addresses related

achievements and competence of each

cooperating or sponsoring organization.

(b) Management History (0–5 Points)

Applicants must demonstrate their

ability to implement sound and effective

management practices and if they have

been recipients of other Federal or other

governmental grants, they must also

document that they have consistently

complied with financial and program

progress reporting and audit

requirements. Such documentation may

be in the form of references to any

available audit or progress reports and

should be accompanied by a statement

by a Certified or Licensed Public

Accountant as to the sufficiency of the

applicant’s financial management

system to protect adequately any

Federal funds awarded under the

application submitted.

(c) Staffing Skills, Resources and

Responsibilities (0–5 Points)

The application adequately describes

the experience and skills of the

proposed project director showing that

the individual is not only well qualified,

but that his/her professional capabilities

are relevant to the successful

implementation of the project. If the key

staff person has not yet been identified,

the application contains a

comprehensive position description

which indicates that the responsibilities

to be assigned to the project director are

relevant to the successful

implementation of the project. The

application must indicate that the

applicant has adequate facilities and

resources (i.e. space and equipment) to

successfully carry out the work plan.

In addressing the above Criterion, the

applicant must clearly show that

sufficient time of the Project Director

and other senior staff will be budgeted

to assure timely implementation and

oversight of the project and that the

assigned responsibilities of the staff are

appropriate to the tasks identified for

the project.

Criterion VI

Adequacy of Budget (Maximum: 5

Points)

The budget is adequate and

administrative costs are appropriate in

relation to the services proposed. (0–5

Points)

Part E—Instructions for Completing

Application Package

The standard forms attached to this

Announcement shall be used when

submitting applications for all funds

under this Announcement. It is

recommended that you reproduce

single-sided copies of the SF–424, SF–

424A and SF–424B, 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:

1. SF–424—Application for Federal

Assistance (Attachment B–1)

Item 1. Type of Submission—For the

purposes of this Announcement, all

projects are considered Applications;

there are no Pre-Applications.

Item 2. Date Submitted and Applicant

Identifier—Enter the date the

application is submitted to the

Administration for Children and

Families (ACF) and the applicant’s

internal control number, if applicable.

Item 3. Date Received by State—N/A

Item 4. Date Received by Federal

Agency—Leave blank

Items 5. & 6. Applicant Information &

Employer Identification Number—The

legal name of the applicant must match

that listed as corresponding to the

Employer Identification Number. Where

the applicant is a previous DHHS

grantee, enter the Central Registry

System/Employee Identification

Number (CRS/EIN) and the Payment

Identifying Number (PIN), if one has

been assigned, in the Block entitled

Federal Identifier located at the top right

hand corner of the form.

Item 7. Type of Applicant—If the

applicant is a non-profit corporation,

enter the letter ‘‘N’’ in the box and

specify non-profit corporation in the

space marked ‘‘Other’’. Proof of nonprofit status, such as IRS certification,

Articles of Incorporation, or By-laws,

must be included as an appendix to the

project narrative.

Item 8. Type of Application—Check

‘‘New’’

Item 9. Name of Federal Agency—

Enter ‘‘DHHS–ACF/OCS’’
25346 Federal Register / Vol. 61, No. 98 / Monday, May 20, 1996 / Notices

Item 10. The Catalog of Federal

Domestic Assistance (CFDA) Number—

The CFDA number for the OCS program

covered under this Announcement is

93.571. The title is ‘‘Community

Services Block Grant Discretionary

Awards—Community Food and

Nutrition Program’’.

Item 11. Descriptive Title of Project—

Enter a brief descriptive title of the

project.

Item 12. Areas Affected by Project—

List only the largest unit or units

affected, such as State, county or city.

Item 13. Proposed Project Dates—

Show 12-month project period. (See Part

B.3) In addition, the project period start

date must be on or before September 30,

1996.

Item 14. Congressional District of

Applicant/Project—Enter the number(s)

of the Congressional District where the

applicant’s principal office is located

and the number(s) of the Congressional

District(s) where the project will be

located.

Item 15. Estimated Funding—(15a.)

Show the total amount requested for the

entire project period; (15b. thru 15e.)

For each line item, show both cash and

third-party in-kind contributions for the

total project period; (15f.) Show the

estimated amount of program income

for the total project period; (15g.) Enter

the sum of all the lines.

2. SF–424A—Budget Information—NonConstruction Programs (Attachment

B–2)

See the Instructions accompanying

the Attachment as well as the

Instructions set forth below.

In completing these sections, the

Federal Funds budget entries will relate

to the requested OCS Community Food

and Nutrition Program funds only, and

Non-Federal will include mobilized

funds from all other sources—

applicants, State, and other. Federal

funds other than those requested from

the Community Food and Nutrition

Program should be included in NonFederal entries.

Sections A and D of SF–424A must

contain entries for both Federal (OCS)

and non-Federal (mobilized) funds.

Section A—Budget Summary

Lines 1–4

Column (a) Line 1—Enter OCS CFN

Program

Column (b) Line 1—Enter 93.571

Columns (c) and (d)—Not Applicable

Columns (e), (f), and (g)—For lines 1

through 4, enter in appropriate

amounts needed to support the

project for the entire project period.

Line 5

Enter the figures from Line 1 for all

columns completed, (e), (f), and (g).

Section B—Budget Categories

This section should contain entries

for OCS funds only. For all projects, the

first budget period of 12 months will be

entered in Column (1).

Allocability of costs is governed by

applicable cost principles set forth in

the Code of Federal Regulations (CFR),

Title 45, Parts 74 and 92.

Budget estimates for 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 travel;

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:

Line 6a

Personnel—Enter the total costs of

salaries and wages.

Justification—Identify the project

director. 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.

Line 6b

Fringe Benefits—Enter the total costs

of fringe benefits unless treated as part

of an approved indirect cost rate which

is entered on Line 6j.

Justification—Enter the total costs of

fringe benefits, unless treated as part of

an approved indirect cost rate.

Line 6c

Travel—Enter total cost of all travel

by employees of the project. Do not

enter costs for consultant’s travel.

Justification—Include the name(s) of

traveler(s), total number of trips,

destinations, length of stay, mileage

rate, transportation costs and

subsistence allowances.

Line 6d

Equipment—Enter the total costs of

all equipment to be acquired by the

project. Equipment means an article of

nonexpendable, tangible personal

property having a useful life of more

than one year and an acquisition cost

which equals or exceeds the lesser of (a)

the capitalization level established by

the organization for financial statement

purposes, or (b) $5,000. [Note: If an

applicant’s current rate agreement was

based on another definition for

equipment, such as ‘‘tangible personal

property $500 or more’’, the applicant

shall use the definition used by the

cognizant agency in determining the

rate(s). However, consistent with the

applicant’s equipment policy, lower

limits may be set.]

Justification—Equipment to be

purchased with Federal funds must be

required to conduct the project, and the

applicant organization or its subgrantees

must not already have the equipment or

a reasonable facsimile available to the

project.

Line 6e

Supplies—Enter the total costs of all

tangible personal property (surplus)

other than that included on line 6d.

Line 6f

Contractual—Enter the total costs of

all contracts, including (1) procurement

contracts (except those which belong on

other lines such as equipment, supplies,

etc.) and (2) 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 A. All procurement transactions

shall be conducted in a manner to provide,

to the maximum extent practical, open and

free competition.
Federal Register / Vol. 61, No. 98 / Monday, May 20, 1996 / Notices 25347

Line 6g

Construction—Not applicable.

Line 6h

Other—Enter the total of all other

costs. Such costs, where applicable, may

include, but are not limited to,

insurance, food, medical and dental

costs (non-contractual), 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.

Line 6j

Indirect Charges—Enter the total

amount of indirect costs. This line

should be used only when the applicant

currently has an indirect cost rate

approved by DHHS or other Federal

agencies.

If the applicant organization is in the

process of initially developing or

renegotiating a rate, it should,

immediately upon notification that an

award will be made, develop a tentative

indirect cost rate proposal based on its

most recently completed fiscal year in

accordance with the principles set forth

in the pertinent DHHS Guide for

Establishing Indirect Cost Rates and

submit it to the appropriate DHHS

Regional Office. It should be noted that

when an indirect cost rate is requested,

those costs included in the indirect cost

pool cannot be also budgeted or charged

as direct costs to the grant. Indirect costs

consistent with approved Indirect Cost

Rate Agreements are allowable.

Line 6k

Totals—Enter the total amount of

Lines 6i and 6j.

Line 7

Program Income—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.

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 other than OCS funds

for which the applicant has received a

commitment. Provide a brief

explanation, on a separate sheet,

showing the type of contribution,

broken out by Object Class Category,

(See SF–424A, Section B.6) and whether

it is cash or third-party in-kind. The

firm commitment of these required

funds must be documented and

submitted with the application in order

to be given credit in the criterion.

Except in unusual situations, this

documentation must be in the form of

letters of commitment or letters of intent

from the organization(s)/individuals

from which funds will be received.

Line 8

Column (a)—Enter the project title.

Column (b)—Enter the amount of cash

or donations to be made by the

applicant.

Column (c)—Enter the State

contribution.

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).

Lines 9, 10 and 11

Leave Blank

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).

Justification—Describe third party inkind contributions, if included.

Section D—Forecasted Cash Needs

Line 13

Federal—Enter the amount of Federal

(OCS) cash needed for this grant, by

quarter, during the 12 month budget

period.

Line 14

Non-Federal—Enter the amount of

cash from all other sources needed by

quarter during the first year.

Line 15

Totals—Enter the total of Lines 13 and

14.

Section F—Other Budget Information

Line 21

Direct Charges—Include narrative

justification required under Section B

for each object class category for the

total project period.

Line 22

Indirect Charges—Enter the type of

DHHS or other 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, where

applicable. Attach a copy of the

approved rate agreement.

Line 23

Provide any other explanations and

continuation sheets required or deemed

necessary to justify or explain the

budget information.

3. SF–424B—Assurances NonConstruction Programs (Attachment

B–3)

All applicants must sign and return

the ‘‘Assurances’’ with the application.

4. Project Narrative

Each narrative should include the

following major sections:

a. Analysis of Need

b. Project Design (Work Programs)

c. Organizational Experience in the

Program Area

d. Management History

e. Staffing and Resources

f. Staff Responsibilities

The project narrative must address the

specific purposes mentioned in Part A

of this Program Announcement. The

narrative should provide information on

how the application meets the

evaluation criteria in Part D of this

Program Announcement.

Part F—Application Procedures

1. Availability of Forms

Applications for awards under this

OCS program must be submitted on

Standard Forms (SF) 424, 424A, and

424B. Part E and the Attachments to this

Program Announcement contain all the

instructions and forms required for

submittal of applications. The forms

may be reproduced for use in submitting

applications.

A copy of the Federal Register

containing this Announcement is

available for reproduction at most local

libraries and Congressional District

Offices. If this Program Announcement

is not available at these sources it may

be obtained by writing or telephoning

the office listed in the section entitled

FOR FURTHER INFORMATION CONTACT at

the beginning of this Announcement.

The information requested under this

Program Announcement is covered

under the following OMB information

collection clearances: SF–424 (OMB No.
25348 Federal Register / Vol. 61, No. 98 / Monday, May 20, 1996 / Notices

0348–0043), SF–424A (OMB No. 0348–

0044), SF–424B (OMB No. 0348–0040),

and other requirements for OCS

applications (OMB No. 0970–0062).

2. Application Submission

Applications, once submitted, are

considered final and no additional

materials will be accepted.

Applicants must submit one signed

original application and four copies.

3. 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.

As of January, 1996, the following

jurisdictions have elected not to

participate in the Executive Order

process. Applicants from these

jurisdictions or for projects

administered by Federally-recognized

Indian Tribes need take no action in

regard to E.O. 12372:

Alaska

Colorado

Connecticut

Hawaii

Idaho

Kansas

Louisiana

Massachusetts

Minnesota

Montana

Nebraska

Oklahoma

Oregon

Pennsylvania

South Dakota

Tennessee

Virginia

Washington

American Samoa

Palau

All remaining jurisdictions participate

in the Executive Order process and have

established Single Points of Contact

(SPOCs). Applicants from participating

jurisdictions should contact their SPOCs

as soon as possible to alert them of the

prospective applications and receive

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.

The applicant must 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 the proposed new award.

The 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, S.W., Mail Stop 6C–462,

Washington, D.C. 20447

A list of the Single Points of Contact

for each State and Territory is included

as Attachment G of this Announcement.

4. Application Consideration

Applications which meet the

screening requirements in Section 5

below will be reviewed competitively.

Such applications will be referred to

reviewers for a numerical score and

explanatory comments based solely on

responsiveness to program guidelines

and evaluation criteria published in this

Announcement. Applications will be

reviewed by persons outside of the OCS

unit which would be directly

responsible for programmatic

management of the grant. The results of

these reviews will assist the Director

and OCS program staff in considering

competing applications. Reviewers’

scores will weigh heavily in funding

decisions but will not be the only

factors considered. Applications will

generally be considered in order of the

average scores assigned by reviewers.

However, highly ranked applications are

not guaranteed funding since the

Director may also consider other factors

deemed relevant including, but not

limited to, the timely and proper

completion of projects funded with OCS

funds granted in the last five (5) years;

comments of reviewers and government

officials; staff evaluation and input;

geographic distribution; previous

program performance of applicant;

compliance with grant terms under

previous DHHS grants; audit reports;

investigative reports; and applicant’s

progress in resolving any final audit

disallowances on OCS or other Federal

agency grants. OCS reserves the right to

discuss applications with other Federal

or non-Federal funding sources to

ascertain the applicant’s performance

record.

5. Criteria for Screening Applications

a. Initial Screening—All applications

that meet the application deadline will

be screened to determine completeness

and conformity to the requirements of

this Announcement. Only those

applications meeting the below listed

requirements will be reviewed and

evaluated competitively. Others will be

returned to the applicants with a

notation that they were unacceptable.

(1) The application must contain a

completed and signed Standard Form

SF–424.

(2) The SF–424 must be signed by an

official of the organization applying for

the grant who has authority to obligate

the organization legally.

b. Pre-rating Review—Applications

which pass the initial screening will be

forwarded to reviewers for analytical

comment and scoring based on the

criteria detailed in the Section below

and the specific requirements contained

in Part A of this Announcement. Prior

to the programmatic review, these

reviewers and/or OCS staff will verify

that the applications comply with this

Program Announcement in the

following areas:

(1) Eligibility—Applicant meets the

eligibility requirements found in Part B.

(2) Number of Projects—The

application contains only one project.

(3) Target Populations—The

application clearly targets the specific

outcomes and benefits of the project to

low-income participants and

beneficiaries as defined in the DHHS

Poverty Income Guidelines (Attachment

A).

(4) Grant Amount—The amount of

funds requested does not exceed

$50,000.

(5) Program Focus—The application

addresses the purposes described in Part

A of this Announcement.

c. Evaluation Criteria—Applications

which pass the initial screening and

pre-rating review will be assessed and

scored by reviewers. Each reviewer will

give a numerical score for each

application reviewed. These numerical

scores will be supported by explanatory

statements on a formal rating form

describing major strengths and major

weaknesses under each applicable

criterion published in this

Announcement.

Part G—Contents of Application and

Receipt Process

1. Contents of Application

Each application submission must

include a signed original and four
Federal Register / Vol. 61, No. 98 / Monday, May 20, 1996 / Notices 25349

additional copies of the application.

Each copy of the application must

contain, in the order listed, each of the

following:

a. Table of Contents with page

numbers noted for each major section

and subsection of the application,

including the appendices. Each page in

the application, including those in all

appendices, must be numbered

consecutively.

b. A Project Abstract which is a

succinct description of the project in

200 words or less.

c. The SF–424 (Application for

Federal Assistance) should be

completed in accordance with

instructions provided with the form, as

well as OCS specific instructions set

forth in Part E of this Announcement.

The SF–424 must contain an original

signature of the certifying representative

of the applicant organization.

Applicants must also be aware that the

applicant’s legal name (Item 5) must

match the Employer Identification

Number (Item 6).

d. SF–424A (Budget Information)

must be completed.

e. SF–424B (Assurances—NonConstruction Programs) must be filed by

applicants requesting financial

assistance for a non-construction

project. Applicants must sign and return

the SF–424B with their applications.

f. Restriction on Lobbying Activities

Applicants must provide a certification

concerning lobbying. Prior to receiving

an award in excess of $100,000,

applicants shall furnish an executed

copy of the lobbying certification.

Applicants must sign and return the

certification with their applications.

g. Disclosure of Lobbying Activities

(SF-LLL) Fill-in, sign and date form

found at Attachment F, (required only if

lobbying has actually taken place or is

expected to take place in trying to

obtain the grant for which the applicant

is applying.)

h. Project Narrative (See Part E,

Section 4)

i. Certification Regarding Drug-Free

Workplace Requirements (Attachment

C) Applicants must make the

appropriate certification of their

compliance with the Drug-Free

Workplace Act of 1988. By signing and

submitting the applications, applicants

are providing the certification and need

not mail back the certification with the

applications.

j. Certification Regarding Debarment,

Suspension, Etc. (Attachment D)

Applicants must make the appropriate

certification that they are not presently

debarred, suspended or otherwise

ineligible for award. By signing and

submitting the applications, applicants

are providing the certification and need

not mail back the certification with the

applications.

k. Certification Regarding

Environmental Tobacco Smoke

(Attachment E) Applicants must make

the appropriate certification of their

compliance with the Pro-Children Act

of 1944. By signing and submitting the

applications, applicants are providing

the certification and need not mail back

the certification with the applications.

The total number of pages for the

narrative portion of the application

package must not exceed 30 pages in

their entirety. Applications must be

uniform in composition since OCS may

find it necessary to duplicate them for

review purposes. Therefore,

applications must be submitted on

81⁄2×11 inch paper only. They must not

include colored, oversized or folded

materials, organizational brochures, or

other promotional materials, slides,

films, clips, etc. Such materials will be

discarded if included.

Applications should be two-holed

punched at the top center and fastened

separately with a compressor slide

paper fastener or a binder clip.

While applications must be

comprehensive, OCS encourages

conciseness and brevity in the

presentation of materials and cautions

the applicant to avoid unnecessary

duplication of information.

2. Acknowledgement of Receipt

An acknowledgement will be mailed

to all applicants with an identification

number which will be noted on the

acknowledgement. This number must be

referred to in all subsequent

communications with OCS concerning

the application. If an acknowledgment

is not received within three weeks after

the application deadline, applicants

must notify ACF by telephone (202)

401–9365. Applicant should also submit

a mailing label for the

acknowledgement.

Part H—Post Award Information and

Reporting Requirements

Following approval of the

applications selected for funding, notice

of project approval and authority to

draw down project funds will be made

in writing. The official award document

is the Financial Assistance Award

which provides the amount of Federal

funds approved for use in the project,

the budget period for which support is

provided, and the terms and conditions

of the award.

In addition to the General Conditions

and Special Conditions (where the latter

are warranted) which will be applicable

to grants, grantees will be subject to the

provisions of 45 CFR Parts 74 (nongovernmental) and 92 (governmental)

along with OMB Circulars 122 (nongovernmental) and 87 (governmental).

Grantees will be required to submit

semi-annual progress and financial

reports (SF–269) as well as a final

progress and financial report.

Grantees are subject to the audit

requirements in 45 CFR Parts 74 and 92.

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 when

applicant has engaged in lobbying

activities or is expected to lobby in

trying to obtain the grant. 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 nonappropriated funds

and (3) to file quarterly up-dates about

the use of lobbyists if any 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 H indicates the

regulations which apply to all

applicants/grantees under the

Discretionary Grants Program.

Dated: May 13, 1996.

Donald Sykes,

Director, Office of Community Services.

BILLING CODE 4184–01–P
25350 Federal Register / Vol. 61, No. 98 / Monday, May 20, 1996 / Notices

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 $2,580 for each additional member.

(The same increment applies to smaller

family sizes also, as can be seen in the

figures above.)

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–M
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BILLING CODE 4184–01–C
25352 Federal Register / Vol. 61, No. 98 / Monday, May 20, 1996 / Notices

Instructions for the SF 424

This is a standard form used by applicants

as a required facesheet for preapplications

and applications submitted for Federal

assistance. It will be used by Federal agencies

to obtain applicant certification that States

which have established a review and

comment procedure in response to Executive

Order 12372 and have selected the program

to be included in their process, have been

given an opportunity to review the

applicant’s submission.

Item and Entry

1. Self-explanatory.

2. Date application submitted to Federal

agency (or State if applicable) & applicant’s

control number (if applicable).

3. State use only (if applicable).

4. If this application is to continue or

revise an existing award, enter present

Federal identifier number. If for a new

project, leave blank.

5. Legal name of applicant, name of

primary organizational unit which will

undertake the assistance activity, complete

address of the applicant, and name and

telephone number of the person to contact on

matters related to this application.

6. Enter Employer Identification Number

(EIN) as assigned by the Internal Revenue

Service.

7. Enter the appropriate letter in the space

provided.

8. Check appropriate box and enter

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

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

—‘‘Continuation’’ means an extension for an

additional funding/budget period for a

project with a projected completion date.

—‘‘Revision’’ means any change in the

Federal Government’s financial obligation

or contingent liability from an existing

obligation.

9. Name of Federal agency from which

assistance is being requested with this

application.

10. Use of the Catalog of Federal Domestic

Assistance number and title of the program

under which assistance is requested.

11. Enter a brief descriptive title of the

project, if more than one program is

involved, you should append an explanation

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

construction or real property projects), attach

a map showing project location. For

preapplications, use a separate sheet to

provide a summary description of this

project.

12. List only the largest political entities

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

13. Self-explanatory.

14. List the applicant’s Congressional

District and any District(s) affected by the

program or project.

15. Amount requested or to be contributed

during the first funding/budget period by

each contributor. Value of in-kind

contributions should be included on

appropriate lines as applicable. If the action

will result in a dollar change to an existing

award, indicate only the amount of the

change. For decreases, enclose the amounts

in parentheses. If both basic and

supplemental amounts are included, show

breakdown on an attached sheet. For

multiple program funding, use totals and

show breakdown using same categories as

item 15.

16. Applicants should contact the State

Single Point of Contact (SPOC) for Federal

Executive Order 12372 to determine whether

the application is subject to the state

intergovernmental review process.

17. This question applies to the applicant

organization, not the person who signs as the

authorized representative. Categories of debt

include delinquent audit disallowances,

loans and taxes.

18. To be signed by the authorized

representative of the applicant. A copy of the

governing body’s authorization for you to

sign this application as official representative

must be on file in the applicant’s office.

(Certain Federal agencies may require that

this authorization be submitted as part of the

application.)

BILLING CODE 4184–01–M
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25354 Federal Register / Vol. 61, No. 98 / Monday, May 20, 1996 / Notices

BILLING CODE 4184–01–C
Federal Register / Vol. 61, No. 98 / Monday, May 20, 1996 / Notices 25355

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).

Lines 1–4, Columns (c) through (g.)

(continued)

For continuing grant program applications,

submit these forms before the end of each

funding period as required by the grantor

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

estimated amounts of funds which will

remain unobligated at the end of the grant

funding period only if the Federal grantor

agency instructions provide for this.

Otherwise, leave these columns blank. Enter

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

needed for the upcoming period. The

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

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

For supplemental grants and changes to

existing grants, do not use Columns (c) and

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

increase or decrease of Federal funds and

enter in Column (f) the amount of the

increase or decrease of non-Federal funds. In

Column (g) enter the new total budgeted

amount (Federal and non-Federal) which

includes the total previous authorized

budgeted amounts plus or minus, as

appropriate, the amounts shown in Columns

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

should not equal the sum of amounts in

Columns (e) and (f).

Line 5—Show the totals for all columns used.

Section B Budget Categories

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

enter the titles of the same programs,

functions, and activities shown on Lines 1–

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

sheets are prepared for Section A, provide

similar column headings on each sheet. For

each program, function or activity, fill in the

total requirements for funds (both Federal

and non-Federal) by object class categories.

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

in each column.

Line 6j—show the amount of indirect cost.

Line 6k—Enter the total of amounts on Lines

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

and continuation grants the total amount in

column (5), Line 6k, should be the same as

the total amount shown in Section A,

Column (g), Line 5. For supplemental grants

and changes to grants, the total amount of the

increase or decrease as shown in Columns

(1)–(4), Line 6k should be the same as the

sum of the amounts in Section A, Columns

(e) and (f) on Line 5.

Line 7—Enter the estimated amount of

income, if any, expected to be generated from

this project. Do not add or subtract this

amount from the total project amount. Show

under the program narrative statement the

nature and source of income. The estimated

amount of program income may be

considered by the federal grantor agency in

determining the total amount of the grant.

Section C. Non-Federal-Resources

Lines 8–11—Enter amounts of non-Federal

resources that will be used on the grant. If

in-kind contributions are included, provide a

brief explanation on a separate sheet.

Column (a)—Enter the program titles

identical to Column (a), Section A. A

breakdown by function or activity is not

necessary.

Column (b)—Enter the contribution to be

made by the applicant.

Column (c)—Enter the amount of the

State’s cash and in-kind contribution if the

applicant is not a State or State agency.

Applicants which are a State or State

agencies should leave this column blank.

Column (d)—Enter the amount of cash and

in-kind contributions to be made from all

other sources.

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

(c), and (d).

Line 12—Enter the total for each of

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

should be equal to the amount on Line 5,

Column (f), Section A.

Section D. Forecasted Cash Needs

Line 13—Enter the amount of cash needed

by quarter from the grantor agency during the

first year.

Line 14—Enter the amount of cash from all

other sources needed by quarter during the

first year.

Line 15—Enter the totals of amounts on

Lines 13 and 14.

Section E. Budget Estimates of Federal Funds

Needed for Balance of the Project

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

grant program titles shown in Column (a),

Section A. A breakdown by function or

activity is not necessary. For new

applications and continuation grant

applications, enter in the proper columns

amounts of Federal funds which will be

needed to complete the program or project

over the succeeding funding periods (usually

in years). This section need not be completed

for revisions (amendments, changes, or

supplements) to funds for the current year of

existing grants.

If more than four lines are needed to list

the program titles, submit additional

schedules as necessary.

Line 20—Enter the total for each of the

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

are prepared for this Section, annotate

accordingly and show the overall totals on

this line.

Section F. Other Budget Information

Line 21—Use this space to explain

amounts for individual direct object-class

cost categories that may appear to be out of

the ordinary or to explain the details as

required by the Federal grantor agency.

Line 22—Enter the type of indirect rate

(provisional, predetermined, final or fixed)

that will be in effect during the funding

period, the estimated amount of the base to

which the rate is applied, and the total

indirect expense.

Line 23—Provide any other explanations or

comments deemed necessary.

Attachment B–3

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.
25356 Federal Register / Vol. 61, No. 98 / Monday, May 20, 1996 / Notices

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. §§ 4278–

4763) relating to prescribed standards for

merit systems for programs funded under one

of the nineteen statutes or regulations

specified in Appendix A of OPM’s Standards

for a Merit System of Personnel

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

6. Will comply with all Federal statutes

relating to nondiscrimination. These include

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

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

prohibits discrimination on the basis of race,

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

Education Amendments of 1972, as amended

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

which prohibits discrimination on the basis

of sex; (c) Section 504 of the Rehabilitation

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

which prohibits discrimination on the basis

of handicaps; (d) the Age Discrimination Act

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

6107), which prohibits discrimination on the

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

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

amended, relating to nondiscrimination on

the basis of drug abuse; (f) the

Comprehensive Alcohol Abuse and

Alcoholism Prevention, Treatment and

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

amended, relating to nondiscrimination on

the basis of alcohol abuse or alcoholism; (g)

§§ 523 and 527 of the Public Health Service

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

3), as amended, relating to confidentiality of

alcohol and drug abuse patient records; (h)

Title VIII of the Civil Rights Act of 1968 (42

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

nondiscrimination in the sale, rental or

financing of housing; (i) any other

nondiscrimination provisions in the specific

statute(s) under which application for

Federal assistance is being made; and (j) the

requirements of any other nondiscrimination

statute(s) which may apply to the

application.

7. Will comply, or has already complied,

with the requirements of Titles II and III of

the Uniform Relocation Assistance and Real

Property Acquisition Policies Act of 1970

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

equitable treatment of persons displaced or

whose property is acquired as a result of

Federal or federally assisted programs. These

requirements apply to all interests in real

property acquired for project purposes

regardless of Federal participation in

purchases.

8. Will comply with the provisions of the

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

7328) which limit the political activities of

employees whose principal employment

activities are funded in whole or in part with

Federal funds.

9. Will comply, as applicable, with the

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

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

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

Contract Work Hours and Safety Standards

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

standards for federally assisted construction

subagreements.

10. Will comply, if applicable, with flood

insurance purchase requirements of Section

102(a) of the Flood Disaster Protection Act of

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

in a special flood hazard area to participate

in the program and to purchase flood

insurance if the total cost of insurable

construction and acquisition is $10,000 or

more.

11. Will comply with environmental

standards which may be prescribed pursuant

to the following: (a) institution of

environmental quality control measures

under the National Environmental Policy Act

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

(EO) 11514; (b) notification of violating

facilities pursuant to EO 11738; (c) protection

of wetlands pursuant to EO 11990; (d)

evaluation of flood hazards in floodplains in

accordance with EO 11988; (e) assurance of

project consistency with the approved State

management program developed under the

Coastal Zone Management Act of 1972 (16

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

Federal actions to State (Clear Air)

Implementation Plans under Section 176(c)

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

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

underground sources of drinking water under

the Safe Drinking Water Act of 1974, as

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

endangered species under the Endangered

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

205).

12. Will comply with the Wild and Scenic

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

related to protecting components or potential

components of the national wild and scenic

rivers system.

13. Will assist the awarding agency in

assuring compliance with Section 106 of the

National Historic Preservation Act of 1966, as

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

(identification and protection of historic

properties), and the Archaeological and

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

469a–1 et seq.).

14. Will comply with P.L. 93–348

regarding the protection of human subjects

involved in research, development, and

related activities supported by this award of

assistance.

15. Will comply with the Laboratory

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

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

the care, handling, and treatment of warm

blooded animals held for research, teaching,

or other activities supported by this award of

assistance.

16. Will comply with the Lead-Based Paint

Poisoning Prevention Act (42 U.S.C. §§ 4801

et seq.) which prohibits the use of lead based

paint in construction or rehabilitation of

residence structures.

17. Will cause to be performed the required

financial and compliance audits in

accordance with the Single Audit Act of

1984.

18. Will comply with all applicable

requirements of all other Federal laws,

executive orders, regulations and policies

governing this program.

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Signature of Authorized Certifying Official

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Title

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Applicant Organization

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Date Submitted

BILLING CODE 4184–01–M
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BILLING CODE 4184–01–C
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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 belief 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 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 indicated 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

participate 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

Transactions’’ 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

Certification Regarding Environmental

Tobacco Smoke

Public Law 103–227, Part C—

Environmental Tobacco Smoke, also

known as the Pro-Children Act of 1944

(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

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.

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

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
25360 Federal Register / Vol. 61, No. 98 / Monday, May 20, 1996 / Notices

attempting to influence an officer or

employee of any agency, a Member of

Congress, an officer or employee of

Congress, or an employee of a Member

of Congress in connection with this

commitment providing for the United

States to insure or guarantee a loan, the

undersigned shall complete and submit

Standard Form–LLL ‘‘Disclosure Form

to Report Lobbying,’’ in accordance with

its instructions.

Submission of this statement is a

prerequisite for making or entering into

this transaction imposed by section

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

who fails to file the required statement

shall be subject to a civil penalty of not

less than $10,000 and not more than

$100,000 for each such failure.

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Signature

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Title

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Organization

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Date

BILLING CODE 4184–01–M
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BILLING CODE 4184–01–C
25362 Federal Register / Vol. 61, No. 98 / Monday, May 20, 1996 / Notices

Attachment G—OMB State Single Point

of Contact Listing

Arizona

Joni Saad, Arizona State Clearinghouse, 3800

N. Central Avenue, Fourteenth Floor,

Phoenix, Arizona 85012, Telephone: (602)

280–1314, FAX: (602) 280–1305

Arkansas

Mr. Tracy L. Copeland, Manager, State

Clearinghouse, Office of Intergovernmental

Services, Department of Finance and

Administration, 1515 W. 7th St., Room

412, Little Rock, Arkansas 72203,

Telephone: (501) 682–1074, FAX: (501)

682–5206

Alabama

Jon C. Strickland, Alabama Department of

Economic and Community Affairs,

Planning and Economic Development

Division, 401 Adams Avenue,

Montgomery, Alabama 36103–5690,

Telephone: (205) 242–5483, FAX: (205)

242–5515

California

Grants Coordinator, Office of Planning &

Research, 1400 Tenth Street, Room 121,

Sacramento, California 95814, Telephone:

(916) 323–7480, FAX: (916) 323–3018

Delaware

Francine Booth, State Single Point of Contact

Executive Department, Thomas Collins

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

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

(302) 739–5661

District of Columbia

Charles Nichols, State Single Point of

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

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

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

FAX: (202) 727–1617

Florida

Florida State Clearinghouse, Department of

Community Affairs, 2740 Centerview

Drive, Tallahassee, Florida 32399–2100,

Telephone: (904) 922–5438, FAX: (904)

487–2899

Georgia

Tom L. Reid, III, Administrator, Georgia State

Clearinghouse, 254 Washington Street,

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

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

3829, FAX: (404) 656–7938

Illinois

Barbara Beard, State Single Point of Contact,

Department of Commerce and Community

Affairs, 620 East Adams, Springfield,

Illinois 62701, Telephone: (217) 782–1671,

FAX: (217) 534–1627

Indiana

Amy Brewer, State Budget Agency, 212 State

House, Indianapolis, Indiana 46204,

Telephone: (317) 232–5619, FAX: (317)

233–3323

Iowa

Steven R. McCann, Division for Community

Assistance, Iowa Department of Economic

Development, 200 East Grand Avenue, Des

Moines, Iowa 50309, Telephone: (515)

242–4719, FAX: (515) 242–4859

Kentucky

Ronald W. Cook, Office of the Governor,

Department of Local Government, 1024

Capitol Center Drive, Frankfort, Kentucky

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

FAX: (502) 573–2512

Maine

Joyce Benson, State Planning Office, State

House Station #38, Augusta, Maine 04333,

Telephone: (207) 287–3261, FAX: (207)

287–6489

Maryland

William G. Carroll, Manager State

Clearinghouse for Intergovernmental

Assistance, Maryland Office of Planning,

301 W. Preston Street—Room 1104,

Baltimore, Maryland 21201–2365, Staff

Contact: Linda Janey, Telephone: (410)

225–4490, FAX: (410) 225–4480

Michigan

Richard Pfaff, Southeast Michigan Council of

Governments, 1900 Edison Plaza, 660 Plaza

Drive, Detroit, Michigan 48226, Telephone:

(313) 961–4266

Mississippi

Cathy Malette, Clearinghouse Officer,

Department of Finance and

Administration, 455 North Lamar Street,

Jackson, Mississippi 39202–3087,

Telephone: (601) 359–6762, FAX: (601)

359–6764

Missouri

Lois Pohl, Federal Assistance Clearinghouse,

Office of Administration, P.O. Box 809,

Room 760, Truman Building, Jefferson

City, Missouri 65102, Telephone: (314)

751–4834, FAX: (314) 751–7819

Nevada

Department of Administration, State

Clearinghouse, Capitol Complex, Carson

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

4065, FAX: (702) 687–3983

New Hampshire

Jeffrey H. Taylor, Director, New Hampshire

Office of State Planning, Attn:

Intergovernmental Review Process, Mike

Blake, 21⁄2 Beacon Street, Concord, New

Hampshire 03301, Telephone: (603) 271–

2155, FAX: (603) 271–1728

New Jersey

Gregory W. Adkins, Assistant Commissioner,

New Jersey Department of Community

Affairs.

Please direct all correspondence and

questions about intergovernmental review to:

Andrew J. Jaskolka, State Review Process,

Intergovernmental Review Unit CN 800,

Room 813A, Trenton, New Jersey 08625–

0800, Telephone: (609) 292–9025, FAX: (609)

633–2132

New Mexico

Robert Peters, State Budget Division, Room

190 Bataan Memorial Building, Santa Fe,

New Mexico 87503, Telephone: (505) 827–

3640

New York

New York State Clearinghouse, Division of

the Budget, State Capitol, Albany, New

York 12224, Telephone: (518) 474–1605

North Carolina

Chrys Baggett, Director, N.C. State

Clearinghouse, Office of the Secretary of

Admin., 116 West Jones Street, Raleigh,

North Carolina 27603–8003, Telephone:

(919) 733–7232, FAX: (919) 733–9571

North Dakota

North Dakota Single Point of Contact, Office

of Intergovernmental Assistance, 600 East

Boulevard Avenue, Bismarck, North

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

2094, FAX: (701) 224–2308

Ohio

Larry Weaver, State Single Point of Contact,

State Clearinghouse, Office of Budget and

Management, 30 East Broad Street, 34th

Floor, Columbus, Ohio 43266–0411

Please direct correspondence and

questions about intergovernmental review to:

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

FAX: (614) 466–5400.

Rhode Island

Daniel W. Varin, Associate Director,

Department of Administration/Division of

Planning, One Capitol Hill, 4th Floor,

Providence, Rhode Island 02908–5870,

Telephone: (401) 277–2656, FAX: (401)

277–2083

Please direct correspondence and

questions to: Review Coordinator, Office of

Strategic Planning.

South Carolina

Omeagia Burgess, State Single Point of

Contact, Grant Services, Office of the

Governor, 1205 Pendleton Street—Room

477, Columbia, South Carolina 29201,

Telephone: (803) 734–0494, FAX: (803)

734–0385

Texas

Tom Adams, Governor’s Office, Director,

Intergovernmental Coordination, P.O. Box

12428, Austin, Texas 78711, Telephone:

(512) 463–1771, FAX: (512) 463–1880

Utah

Carolyn Wright, Utah State Clearinghouse,

Office of Planning and Budget, Room 116

State Capitol, Salt Lake City, Utah 84114,

Telephone: (801) 538–1535, FAX: (801)

538–1547

Vermont

Nancy McAvoy, State Single Point of

Contact, Pavilion Office Building, 109 State

Street, Montpelier, Vermont 95609,

Telephone: (802) 828–3326, FAX: (802)

828–3339

West Virginia

Fred Cutlip, Director, Community

Development Division, W. Virginia

Development Office, Building #6, Room

553, Charleston, West Virginia 25305,

Telephone: (304) 558–4010, FAX: (304)

558–3248

Wisconsin

Martha Kerner, Section Chief, State/Federal

Relations, Wisconsin Department of

Administration, 101 East Wilson Street—

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

Wisconsin 53707, Telephone: (608) 266–

2125, FAX: (608) 267–6931
Federal Register / Vol. 61, No. 98 / Monday, May 20, 1996 / Notices 25363

Wyoming

Sheryl Jeffries, State Single Point of Contact,

Herschler Building 4th Floor, East Wing,

Cheyenne, Wyoming 82002, Telephone:

(307) 777–7574, FAX: (307) 638–8967

Territories

Guam

Mr. Giovanni, T. Sgambelluri, Director,

Bureau of Budget and Management

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

2950, Agana, Guam 96910, Telephone:

011–671–472–2285, FAX: 011–671–472–

2825

Puerto Rico

Norma Burgos/Jose E. Caro, Chairwoman/

Director, Puerto Rico Planning Board,

Federal Proposals Review Officer, Minillas

Government Center, P.O. Box 41119, San

Juan, Puerto Rico 00940–1119, Telephone:

(809) 727–4444, (809) 723–6190, FAX:

(809) 724–3270, (809) 724–3103

North Mariana Islands

State Single Point of Contact, Planning and

Budget Office, Office of the Governor,

Saipan, CM, Northern Mariana Islands

96950

Virgin Islands

Jose George, Director, Office of Management

and Budget, #41 Norregade Emanicipation

Garden Station, Second Floor, Saint

Thomas, Virgin Islands 00802

Please direct all questions and

correspondence about intergovernmental

review to: Linda Clarke, Telephone: (809)

774–0750, FAX: (809) 776–0069.

Attachment H—Department of Health

and Human Services (DHHS)

Regulations Applying to All Applicants/

Grantees Under the Community Food

and Nutrition Program

Title 45 of the Code of Federal

Regulations

Part 16—DHHS Grant Appeals Process

Part 74—Administration of Grants (nongovernmental)

Part 74—Administration of Grants (state

and local governments and Indian

Tribal affiliates):

Sections

74.26—Non-Federal Audits

74.27—Allowable cost for hospitals

and non-profit organizations among

other things

74.32—Real Property

74.34—Equipment

74.35—Supplies

74.24—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 DHHS

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—Regulation for the

Administration and Enforcement of

Sections 799A and 845 of the Public

Health Service Act

Part 84—Non-discrimination on the

Basis of Handicap in Programs and

Activities Receiving Federal

Financial Assistance

Part 85—Enforcement of Nondiscrimination on the Basis of

Handicap in Programs or Activities

Conducted by DHHS

Part 86—Non-discrimination on the

Basis of Sex in Education Programs

and Activities Receiving or

Benefitting from Federal Financial

Assistance

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

DHHS Programs and Activities

Attachment I

Optional Checklist (for use of applicant

only) to verify contents of application

Check

A. Application contains:.

Check

1. Table Contents ..................... [ ]

2. A project Abstract (no more

than 200 words) .................... [ ]

3. Completed SF–424, Application for Federal Assistance [ ]

4. Completed SF–424A, Budget Information—Non-construction Programs ............... [ ]

5. Signed SF 424B, Assurances—Non-Construction

Programs ............................... [ ]

6. A project narrative with the

following components:

a. Analysis of need ............... [ ]

b. Project design ................... [ ]

c. Organizational experience

in program ......................... [ ]

d. Management history ........ [ ]

e. Staffing and resources (resume or job description) [ ]

f. Staff responsibilities ......... [ ]

7. Relevant portions of the organization’s By-Laws or Articles of Incorporation confirming eligibility ................. [ ]

8. A signed copy of Certification Regarding the AntiLobbying Provision .............. [ ]

9. A completed Disclosures of

Lobbying Activities Form, if

appropriate ............................ [ ]

10. A self-addressed mailing

label which can be used to

acknowledge receipt of application ................................ [ ]

B. Application does not exceed a

total of 30 pages ....................... [ ]

C. Application includes one

original and four copies, printed on white 81⁄2 by 11 inch

paper ......................................... [ ]

D. Applicant is aware that in

signing and submitting the application for funds under the

CFN Program, it is certifying

that it has read and understood the Federal Guidelines

concerning a drug-free workplace, the debarment regulations, and environmental tobacco smoke, set forth in Attachments C, D and E respectively ......................................... [ ]

[FR Doc. 96–12566 Filed 5–17–96; 8:45 am]

BILLING CODE 4184–01–M