33924 Federal Register / Vol. 61, No. 127 / Monday, July 1, 1996 / Notices

(b) have not within a 3-year period

preceding this proposal been convicted of or

had a civil judgment rendered against them

for commission of fraud or a criminal offense

in connection with obtaining, attempting to

obtain, or performing a public (Federal, State,

or local) transaction or contract under a

public transaction; violation of Federal or

State antitrust statutes or commission of

embezzlement, theft, forger, bribery,

falsification or destruction of records, making

false statement, or receiving stolen property;

(c) are not presently indicted or otherwise

criminally or civilly charged by a government

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

for this covered transaction. If necessary, the

prospective participant shall submit an

explanation of why it cannot provide the

certification. The certification or explanation

will be considered in connection with the

Department of Health and Human Services

(HHS) determination whether to enter into

this transaction. However, failure of the

prospective primary participant to furnish a

certification or an explanation shall

disqualify such person from participation in

this transaction.

The prospective primary participant agrees

that by submitting this proposal, it will

include the clause entitled ‘‘Certification

Regarding Debarment, Suspension,

Ineligibility, and Voluntary Exclusion—

Lower Tier Covered Transactions’’, provided

below, without modification in all lower tier

covered transactions and in all solicitations

for lower tier covered actions.

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 an 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 of

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

Exclusions—Lower Tier Covered

Transactions’’ without modification in all

lower tier covered transactions and in all

solicitations for lower tier covered

transactions.

Signature llllllllllllllll

Date llllllllllllllllll

Title llllllllllllllllll

Organization llllllllllllll

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

instruction.

(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.

lllllllllllllllllllll

Organization

lllllllllllllllllllll

Authorized Signature Title Date

Note: If disclosure Forms are required,

please contact: Mr. William Sexton, Deputy

Director, Grants and Contracts Management

Division, Room 341F, HHH Building, 200

Independence Avenue, SW., Washington,

D.C. 20201–0001.

[FR Doc. 96–16681 Filed 6–28–96; 8:45 am]

BILLING CODE 4130–01–M

Centers for Disease Control and

Prevention

[30DAY–15]

Agency Forms Undergoing Paperwork

Reduction Act Review

The Centers for Disease Control and

Prevention (CDC) publishes a list of

information collection requests under

review by the Office of Management and

Budget (OMB) in compliance with the

Paperwork Reduction Act (44 U.S.C.

Chapter 35). To request more

information on these projects or to

obtain a copy of the data collection

plans and instruments, call the CDC

Reports Clearance Officer at (404) 639–

7090. Send written comments to Wilma

Johnson, CDC Reports Clearance Officer,

1600 Clifton Road, MS–D24, Atlanta,

GA 30333. Written comments should be

received within 30 days of this notice.

The following requests have been

submitted for review since the last

publication date on June 21, 1996.

Proposed Projects

1. Ethnographic Study of Tuberculosis

Outreach Worker Activities—New—

This data collection will generate

descriptive data from those directly

involved and responsible for providing

outreach to identified TB patients to

gain an understanding of outreach

activities, how they occur, and their

level of effectiveness. Three interview

guides have been developed for use

with TB outreach workers, their

supervisor and a small number of

outreach patients. This effort will result

in a more comprehensive picture of

effective and efficient TB outreach

activities. The major product of this

effort will be a descriptive analytical

report detailing the ‘‘lessons learned’’.

Respondents Number of

respondents

Number of

responses/

respondents

Average

burden

(in hrs.)

Outreach Workers .................................................................................................................................... 36 1 0.75

Outreach Workers’ Supervisor ................................................................................................................. 36 1 0.75

TB Patients ............................................................................................................................................... 72 1 0.33
Federal Register / Vol. 61, No. 127 / Monday, July 1, 1996 / Notices 33925

The total annual burden is 78.00.

Send comments to Desk officer, CDC;

Human Resources and Housing Branch,

New Executive Office Building, Room

10235; Washington, DC 20503.

Dated: June 25, 1996.

Wilma G. Johnson,

Acting Associate Director for Policy Planning

and Evaluation, Centers for Disease Control

and Prevention (CDC).

[FR Doc. 96–16648 Filed 6–28–96; 8:45 am]

BILLING CODE 4163–18–P

National Center for Environmental

Health; Meeting

The National Center for

Environmental Health (NCEH), of the

Centers for Disease Control and

Prevention (CDC) will convene the

following meeting cosponsored by the

American Association for Clinical

Chemistry and the American Heart

Association.

Name: Frontiers in Lipid and Lipoprotein

Research: Basic Science, Analytical, Clinical,

and Public Health Applications.

Times and Dates: 8 a.m.–5 p.m., October 4,

1996; 8 a.m.–5 p.m., October 5, 1996; 8 a.m.–

12 noon, October 6, 1996.

Place: Renaissance Hotel—Dallas, 2222

Stemmons Freeway, Dallas, Texas 75207,

telephone 214/631–2222.

Status: Open to the public, limited only by

the space available. The meeting room

accommodates approximately 500 people.

Purpose: The purpose of this meeting is to

provide a forum for presentation of recent

advances in lipid and lipoprotein research by

recognized experts in the areas of clinical

practice, biochemistry, analytical

measurement, and public health.

Matters To Be Discussed: Agenda includes:

significant advances in lipid and lipoprotein

research and new observations that are of

critical importance to clinical practice and

public health; an integrated review of

relevant advances in basic science,

measurement technology, epidemiological

and clinical research, and public health

practice to clearly define the state of the art

for understanding and preventing morbidity

and mortality due to heart disease.

Contact Persons For More Information:

Mary M. Kimberly, Ph.D., Research Chemist,

Special Activities Branch, Division of

Environmental Health Laboratory Sciences,

M/S F25, NCEH, CDC, 4770 Buford Highway,

NE., Chamblee, Georgia 30341–3724,

telephone 770/488–4683, or Paula M. Steiner,

Medical Research Laboratories, 2 Tesseneer

Drive, Highland Heights, Kentucky 41076,

telephone 606/781–8877 extension 252, fax

606/781–9310.

Dated: June 24, 1996.

Carolyn J. Russell,

Director, Management Analysis and Services

Office, Centers for Disease Control and

Prevention (CDC).

[FR Doc. 96–16649 Filed 6–28–96; 8:45 am]

BILLING CODE 4163–18–M

Administration for Children and

Families

Proposed Information Collection

Activity; Comment Request

Proposed Projects

Title 45 CFR 303.7—Provision of

Services in Interstate Child Support

Enforcement Cases; Standard Forms.

OMB No.: 0970–0085.

Description: Regulations at 45 CFR

303.7 require a State child support

enforcement agency to transmit child

support case information on standard

interstate forms when referring a case to

another State for processing. The forms

promote uniformity and

standardization.

States will have the choice of using

one of two sets of forms—one set

accommodates the Uniform Reciprocal

Enforcement of Support Act (URESA)

and the other set accommodates the

Uniform Interstate Family Support Act

(UIFSA). The URESA forms are the

existing forms currently used by States.

The UIFSA forms were recently

developed by a workgroup of child

support practitioners; these forms have

been pilot-tested in several

jurisdictions. UIFSA has now been

adopted by over 30 States. OCSE

contemplates that UIFSA forms will

eventually be used for all cases.

Respondents: State Governments.

ANNUAL BURDEN ESTIMATES

Instrument Number of

respondents

Number of

responses

per respondent

Average

burden

hours per

response

Total burden hours

Standard forms ................................................................................................................. 54 3000 .2666667 43,200

Estimated Total Annual Hours:

43,200.

In compliance with the requirements

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

Paperwork Reduction Act of 1995, the

Administration for Children and

Families is soliciting public comment

on the specific aspects of the

information collection described above.

Copies of the proposed collection of

information can be obtained and

comments may be forwarded by writing

to the Administration for Children and

Families, Office of Information Services,

Division of Information Resource

Management Services, 370 L’Enfant

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

20447, Attn: ACF Reports Clearance

Officer. All requests should be

identified by the title of the information

collection.

The Department specifically requests

comments on: (a) whether the proposed

collection of information is necessary

for the proper performance of the

functions of the agency, including

whether the information shall have

practical utility; (b) the accuracy of the

agency’s estimate of the burden of the

proposed collection of information; (c)

ways to enhance the quality, utility, and

clarity of the information to be

collected; and (d) ways to minimize the

burden of the collection of information

on respondents, including through the

use of automated collection techniques

or other forms of information

technology. Consideration will be given

to comments and suggestions submitted

within 60 days of this publication.

Dated: June 25, 1996.

Larry Guerrero,

Director, Office of Information Services.

[FR Doc. 96–16694 Filed 6–28–96; 8:45 am]

BILLING CODE 4184–01–M

Submission for OMB Review;

Comment Request

Title: State Plan for Foster Care and

Adoption Assistance—Title IV–E.

OMB No.: 0980–0141.

Description: A State Plan for foster

care and adoption assistance is required

by section 471 of the Social Security Act

from any State wishing to claim Federal

Financial Participation for foster care

and adoption assistance. States may use

a preprinted format or may develop

their own format which meets the

requirements of the law. The Plan is