DEPARTMENT OF HEALTH AND HUMAN SERVICES

FEDERAL TRADE COMMISSION

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Administration for Children and Families

[Program Announcement No. ACF-94-X]

Youth Gang Drug Prevention Program; Availability of Fiscal Year 1994

Funds and Request for Applications

AGENCY: Administration on Children, Youth and Families (ACYF);

Administration for Children and Families (ACF); Department of Health

and Human Services (DHHS).

ACTION: Announcement of the availability of funds and request for

applications under the Youth Gang Drug Prevention Program.

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SUMMARY: The Family and Youth Services Bureau (FYSB) of the

Administration on Children, Youth and Families (ACYF) announces the

availability of funds for competing discretionary grants under the

Youth Gang Drug Prevention Program. The purpose of this program is to

conduct community-based, comprehensive and coordinated activities to

reduce and prevent the involvement of youth in gangs that engage in

illicit drug-related activities. This announcement is a departure from

ACYF's traditional approach to youth gang prevention. ACYF intends to

demonstrate that multi-dimensional prevention strategies concentrated

in small socially and economically isolated communities have great

potential for positively impacting young adolescents as they develop to

adulthood.

This announcement describes the grant application process and

covers the single demonstration priority area for which new grants will

be awarded in Fiscal Year 1994: Community Planning Grants.

DATES: The closing date for submittal of applications under this

announcement is July 8, 1994.

ADDRESSES: Applications may be mailed to the Department of Health and

Human Services, Administration for Children and Families, Division of

Discretionary Grants, 370 L'Enfant Promenade, SW., 6th Floor East, OFM/

DDG, Washington, DC 20447.

Hand delivered applications are accepted during the normal working

hours of 8 a.m. to 4:30 p.m., Monday through Friday, on or prior to the

established closing date at: Administration for Children and Families,

Division of Discretionary Grants, 370 L'Enfant Promenade, SW., 6th

Floor, OFM/DDG, 901 D Street, SW., Washington, DC 20447.

FOR FURTHER INFORMATION CONTACT: Department of Health and Human

Services, ACF/ACYF, Family and Youth Services Bureau, Division of

Program Support, P.O. Box 1182, Washington, DC 20013. Telephone (202)

205-8074.

SUPPLEMENTARY INFORMATION: This program announcement consists of six

parts. Part I briefly discusses the importance of addressing the

developmental needs of youth, especially those who live in socially and

economically isolated communities, and provides background information

on the Youth Gang Drug Prevention Program. Part II describes the

programmatic priority area under which applications are being

solicited. Part III describes the evaluation criteria that will be used

to review grant applications and make funding decisions. Part IV

describes the application process. Part V provides instructions for the

development and submission of applications. Part VI provides

information on the State Single Points of Contact and all the necessary

forms and instructions for applying for a grant under this

announcement. No additional materials are available or needed to submit

an application.

Applicants should note that grants to be awarded under this program

announcement are subject to the availability of funds.

Table of Contents

Part I: General Information

A. Reframing the Youth Agenda

B. Legislative Authority and Funding History

C. Purpose and Goals of the Youth Gang Drug Prevention Program

D. Models and Programmatic Approaches of Youth Gang Drug Prevention

Grantees

1. Gang Prevention Models

2. Programmatic Approaches

Part II: Priority Area--Community Planning Grants

Part III: Evaluation Criteria

Part IV: Application Process

A. Application Requirements

B. Paperwork Reduction Act of l980

C. Notification Under Executive Order 12372

D. Availability of Forms and Other Materials

E. Application Consideration

Part V: Application Assembly and Submission

Part VI: Appendices

A. State Single Points of Contact

B. Forms and Instructions

Part I. General Information

A. Reframing the Youth Agenda

Today, as always, most American youth complete school, avoid

committing or being victimized by violence, avoid substance abuse, and

stay on track for a healthy and successful adulthood. Yet at the same

time, too many youth have far less successful outcomes, and the rapid

proliferation of youth gangs, alcohol and drug activity, and violence

has become an ever-greater concern for youth themselves, their

families, communities, and the broader public.

Public and private systems, such as schools and community programs

that traditionally support the successful healthy development of

children through adolescence to adulthood are underfunded and

frequently unable to keep pace with the changing developmental needs of

youth. They are also increasingly asked to provide primary support to

youth in response to the weakening role of the family in youth's lives.

Gangs and their violent activities are too often a lure for youth

who perform marginally in or drop out of school. Approximately one

quarter of all urban schools have dropout rates around 50 percent. Of

the 400,000 young people who dropped out of high school between October

1989 and October 1990, one-third were unemployed in 1991. The

relationship between dropping out of high school and unemployment is

especially strong in socially and economically isolated communities. In

the 50 largest U.S. cities in 1991, the higher the poverty rate of a

census tract, the more likely adolescent males were to be unemployed

and to have dropped out of school. While there is no definitive data on

how many of these youth were involved in gangs, there is anecdotal data

from FYSB grantees and other practitioners which suggest a strong

correlation between school failure and gang involvement. The diminished

opportunities and stressful environmental circumstances in socially and

economically isolated communities coupled with the risk-taking behavior

normally associated with adolescent development become critical

obstacles for adolescents to overcome if they are to develop into

healthy and positive adults.

Over the past decade we have seen ever increasing numbers of

adolescents become involved in violent and illegal risk-taking behavior

that negatively impacts on them, their families and communities. The

following data exemplify this trend:

In 1992, juveniles were responsible for 17.5 percent of

all violent crime arrests.

Between 1990 and 1992, the number of juveniles under age

15 arrested for violent crimes increased 25 percent.

Arrests of juveniles under age 15 increased 23.2 percent

for weapons violations and 18.8 percent for drug abuse violations in

the most recent one year reporting period of the Uniform Crime Reports.

Youth Agenda Within the Context of the Social Environment

Promoting individual change is difficult in an environment that

does not support positive and healthy outcomes. Likewise, effecting

community- or neighborhood-level change outside the context of the

wider society is also difficult. For this reason, prevention strategies

must be comprehensive, intensive and multi-dimensional, reaching across

all aspects of a youth's social environment to effect individual

change. At the same time, it is important to realize that individual

change depends in part on changing community attitudes and norms.

Our traditional, categorical perspective has tended to ignore the

major influence that the social environment has on the behavior and

life outcomes of youth. It has also tended to ignore the vast social

isolation and alienation from the wider society that many youth

experience. Increasingly, we are becoming aware that youth living in

areas with high concentrations of poverty, unemployment, weak family

structures, poor role models and violence have fewer opportunities for

successful outcomes than do their counterparts in other communities.

The normal adolescent dependence on the peer environment is greatly

exaggerated and increasingly dangerous in many of these communities.

Youth with little or no family and/or community supports are frequently

prone to involvement in activities that adversely affect their life

outcomes, such as high rates of adolescent child bearing, gang

involvement and school dropout.

Prevention strategies designed to counteract the attractions of

destructive behaviors such as gang participation must take into account

that as youth develop they need an environment that provides safety and

comfort as well as challenging new opportunities for growth. It is our

belief that the combination of a safe environment and access to

opportunities and experiences allow youth to develop the self-esteem

and decisionmaking abilities necessary to avoid non-constructive,

delinquent, and dangerous behaviors and thereby exhibit constructive

behaviors and participate in healthy activities. It is especially

important that these opportunities be focused on 9 to 12 year olds and

their families, a critical developmental stage from childhood to

adolescence.

Flaws in the Present Response to These Needs

For several reasons, our programmatic responses have been unable to

keep up with the burgeoning needs of youth, their families and

communities. Among the reasons identified by practitioners and

observers:

1. Public and community-based service systems are unable to

compensate as families become more isolated from traditional sources of

support and as youth become more isolated from both families and

communities. Often, parents are unable to provide their children with

the necessary emotional, psychological and material support. In

response, parents turn to underfunded and overburdened community

agencies such as schools, day care centers and recreation centers to

fulfill their children's social and developmental needs.

2. Publicly funded programs are too often defined in narrow

categorical terms that fail to respond to the reality of youth's

experiences, goals, strengths, and needs. Rather than providing youth a

supportive environment that will help them develop into socially

productive, healthy adults, we have developed a diversity of public and

private programs that, too often, respond only to a small percentage of

youth on a short-term basis and that provide fragmented funding for

narrow categorical purposes.

3. Programs targeted to youth have been slow to acknowledge the

developmental needs of youth and the effect of changes in social and

economic structures on youth's life choices. In developing youth

programs, we frequently fail to realize that adolescence is a

developmental stage when youth typically experiment with different

activities, distance themselves from family, identify more with peers,

and develop more independent behaviors. Historically, youth programs

have been focused on intervening once youth have participated in

delinquent or negative behaviors, rather than on preventing these

behaviors and working with youth during the critical transition stage

from childhood to adolescence (ages 9 to 12).

Reframing the Youth Agenda to Respond to Youth's Needs

Recently, the Department of Health and Human Services along with

the Departments of Justice, Education, Labor, and Housing and Urban

Development participated in an effort aimed at identifying how to

prevent youth from becoming involved in violence as perpetrators and/or

victims. Discussions with those involved in youth issues, including

representatives from programs, foundations, research institutions and

universities, identified a set of core strategies that have been

effective in involving youth in more socially positive and productive

behaviors. They emphasized that first and foremost prevention

strategies have to be grounded within a youth development framework

rather than the usual problem-oriented approach. Included among their

strategies are:

Intervening early and providing sustained services to

youth over a long period of time. Youth need to be connected to a

stable force which can help them make a successful transition from

childhood to adolescence and ultimately to adulthood. Too often youth

in this critical age range of 9 to 12 are finding gangs the most

stable, nurturing force in their lives.

Involving youth in the formation and development of

policies and programs that focus on their strengths, address their

needs and reduce their involvement in violence and other destructive

behaviors. The social environment in which youth develop is a critical

factor affecting their perspective of the future and their connection

to the broader society; thus, their environment must provide

opportunities for youth to establish their self-worth and receive

affirmation of their importance to society.

Promoting the economic and social competence of youth;

connecting them to their families, communities and society at-large;

and fostering their ability to make positive contributions. Current

society has developed no clear social or economic role for youth. As a

result, it is difficult for youth to envision the positive

contributions they can make as they move from adolescence to adulthood.

Responding to youth as individuals, not merely as a

monolithic group. Youth are diverse and have differing needs. They need

services that are multi-disciplinary, gender-specific, age-appropriate,

and culturally appropriate.

Supporting the involvement of families (however they

define themselves) in programs that respond to youth issues.

Empowering community leaders and institutions in socially

and economically isolated communities to play a more active role in

guiding and assisting youth and in identifying and responding to the

specific needs of youth in their communities. Local leaders must work

collaboratively with families and other residents to change the overall

attitudes about what is acceptable behavior in the community, and these

attitudes and expectations must be communicated effectively to youth.

Connecting youth services to existing institutions,

particularly educational institutions, strengthens their role in the

lives of youth, and enhances the ability of institutions to provide

comprehensive and responsive care and education to youth.

Individual strategies alone, however, do not work. Communities must

come together to identify the developmental needs of their local youth

and how these needs can best be addressed.

B. Legislative Authority and Funding History

Congress enacted the Drug Education and Prevention Relating to

Youth Gangs (Youth Gang Drug Prevention) Program as part of the Anti-

Drug Abuse Act of 1988. See 42 U.S.C. 11801-11806. The legislation

specifically identifies the Administration on Children, Youth and

Families (ACYF) as the administering agency.

The program received its first appropriation of $15 million in

Fiscal Year 1989. In response to ACYF's first announcement soliciting

proposals for the Youth Gang Drug Prevention Program, applications were

received from public and private agencies in 36 States and the District

of Columbia.

The ACYF solicited proposals again in Fiscal Years 1990 and 1992,

and applications again were received from large and small cities,

suburbs and rural areas all over the country.

Since 1989, ACYF has awarded almost $76.5 million to fund 112 State

and local efforts to respond to the nation's youth gang problem. These

grants ranged from $1,000,000 community-based consortia projects in

large urban centers to $50,000 planning projects in small communities.

C. Purpose and Goals of the Youth Gang Drug Prevention Program

The Administration on Children, Youth and Families (ACYF) has

implemented the Youth Gang Drug Prevention Program to help communities

experiencing gang crime and violence take a proactive approach to

halting the escalation of illegal gang activity by funding prevention

activities targeting youth in at-risk situations. Prevention is

increasingly at the heart of local efforts to deal with an emerging

gang problem. It recognizes that gangs are a symptom of larger

community problems, such as poverty, unemployment, and feelings of

disenfranchisement due to race or socio-economic status. In

jurisdictions with a chronic gang problem, prevention of youth

involvement in gangs remains a critical strategy for keeping the

situation from worsening over time.

The Family and Youth Service Bureau's demonstration grant efforts

are designed to:

Expand our understanding of why youth become involved in

gangs and in behaviors leading to gang participation and similarly

destructive outcomes. Of equal importance is to identify factors which

help youth develop positively especially through the difficult

transition from childhood to adolescence and into adulthood;

Demonstrate and assess various methods of preventing the

further recruitment and involvement of youth in at-risk situations in

gang activities; and

Develop successful, replicable approaches that prevent

youth involvement in gangs, illegal drug activities and related

violence and delinquency.

D. Models and Programmatic Approaches of Youth Gang Drug Prevention

Grantees

Since there is no single cause for youth involvement in gangs,

there is no single prevention model. Previously funded Youth Gang Drug

Prevention Program grantees have implemented a number of different

models and strategies designed to meet various prevention goals.

Evaluation results of some of these previously funded projects suggest

that those that work with the same children, youth and families over

several years have a greater potential for positively affecting their

lives than projects which focus on short-term (weeks, months, one-year)

interventions. These results and feedback from grantees, coupled with

the recommendations of the Inter-Departmental youth workgroup, have led

to our refocusing our prevention efforts toward a youth development

approach. Gang participation should not be viewed as a single problem

in and of itself, but rather as part of a multi-dimensional array of

risks facing youth. Many youth do not have the positive support systems

necessary to transition successfully into adolescence and later into

adulthood. Prevention and intervention strategies should seek to

establish or strengthen neighborhood and family-based support systems

that will enhance youth's potential for success.

D.1. Gang Prevention Models

Community-based consortia: A major emphasis of the Youth Gang Drug

Prevention Program has been on supporting the development of community-

based consortia to conduct innovative, comprehensive approaches to the

current and emerging problems of youth gangs and their involvement with

illicit drugs. Each consortium is a broad-based partnership which draws

upon the resources, expertise, energies and commitments of many

different groups within the community. These groups represent both the

public and private sectors and include representatives of human service

agencies, schools, juvenile justice system, mental health agencies,

housing authorities, businesses, churches, media, and community-based

organizations. The organizational structures and operational procedures

of the community consortia vary, but the most promising consortia

brought together a broad array of public and private agencies,

community groups and youth to design and implement their local

prevention strategies. As important as the comprehensive mix of

services that these agencies brought together was the consortia's focus

on youth gang prevention as a community-wide issue in which all parties

have a stake.

Community planning efforts: In order to help communities with

emerging gang problems and those with established gangs but with no

cohesive prevention strategies, 12 community planning grants were

awarded in Fiscal Year 1990. It was hoped that by the end of the two-

year funding period, these grantees would be able to build the

framework for successful consortia and/or other prevention strategies.

The most promising grantees focused planning and community organizing

strategies on local neighborhoods or target areas within larger

communities. One grantee began its planning efforts by conducting a

needs assessment to identify the specific high-need neighborhoods where

it would focus its strategy development. Another grantee found that

different problems and issues required different approaches and levels

of organizing groups. For example, school issues required a

neighborhood group organized around the school feeder areas, while a

city-wide steering committee was essential for garnering the necessary

political support and media attention.

These grantees centered their activities around planning and

organizing efforts, not on direct service delivery to youth and

families. In several cases, these planning grantees were prohibited by

their own charters from delivering direct services or came to a

realization in the course of the project that they could not

effectively facilitate planning while at the same time delivering

services. One grantee developed action plans that addressed the

specific needs of eight neighborhoods in a large inner city. Various

components of these action plans were implemented, some as service

programs and others as pilot projects to test their viability. Perhaps

more important than the services and projects, this planning effort

enabled the organizing group and neighborhood action teams to market

their needs and proposed responses more effectively to other funding

sources.

D.2. Programmatic Approaches

Based on the experience of the Youth Gang Drug Prevention Program,

we have found that no single prevention model fits the needs of all

communities. Therefore, each community must assess its own needs,

strengths, weaknesses, and resources and design a model which has the

greatest potential for success. In developing individually appropriate

models, communities should take advantage of adapting and using

programmatic approaches which have shown promise in other communities.

The following approaches are meant to be illustrative, not exhaustive.

Many agencies focused on community organizing activities

in an effort to assist the community in solving its own problems. For

example, one previously-funded agency instituted community support

groups which met monthly on block and school safety issues and

developed a newsletter and a youth resource directory. Another agency

used block-by-block organizing to mobilize neighborhood residents

against drug trafficking and gang violence. Residents operated phone-

trees to gather information on new drug trafficking sites, graffiti or

gang meeting sites. This information was then relayed to law

enforcement officials. Residents also marched as a group through these

areas to bring unwanted publicity to the dealers and gangs.

Other grantees centered many of their activities around or

in the local schools. Many grantees conducted tutoring, recreation,

outward bound activities, and cultural programs on school grounds or in

nearby locations after normal school hours or during summer vacation.

One grantee instituted school-based leadership clubs and community-

based outreach clubs. Many grantees developed cooperative agreements

with schools to use their facilities after school hours and on weekends

to provide a wide range of recreational, social and cultural activities

for youth. In another community, a grantee worked with two elementary

schools to implement a self-esteem curriculum which included planning

for a successful journey, maintaining a healthy attitude and using

common sense.

Another popular approach tested by many of the grantees

involved the use of empowerment strategies with families. The intent of

the approach was to draw on the strength of the family and its values

in promoting the healthy development of youth. Parenting classes were

conducted to help parents understand and use effective techniques for

dealing with discipline, setting goals, understanding their

responsibilities and rights and developing positive relationships with

their children. One grantee established a School for Parents. In order

to develop an effective curriculum, the instructors met with the

children of the enrollees to explore their particular needs. These

needs provided the basis for the content of the school sessions for the

parents.

Some grantees designed positive activities that were

centered around cultural values to help youth accomplish the transition

from childhood to adulthood. One grantee developed a culturally-based

leadership training program for 13- to 18-year old youth. To

participate in the program, youth must be recommended by a faculty

member, maintain a 2.0 grade point average, write an essay and have a

parent/guardian attend an orientation meeting. The youth attended a 60-

hour classroom course, including a 3-day live-in seminar, and were

evaluated during a 60-hour field experience. The curriculum included

philosophy and styles of leadership, perceptions and beliefs, group

process and dynamics, individual and group assessment processes, and

yin/yang theory.

The common elements apparent in successful projects are the focus

on the developmental needs of youth and their families and an emphasis

on the provision of appropriate positive developmental opportunities

for them.

Part II. Priority Area--Community Planning Grants

Eligible applicants: Any State, unit of local government,

combination of units of local government, public or nonprofit private

agency, organization, institution, other nonprofit entity or individual

is eligible to apply for these funds. Successful applicants under this

competition will be eligible to compete for five year grants to

implement the plans they develop.

Grantees with current Youth Gang Drug Prevention Community-Based

Consortia grants (funded under the FY 1992 announcement) are not

eligible to apply under this announcement.

Program purpose, goals, and objectives: The Administration on

Children, Youth and Families (ACYF) will award approximately 10-30

community planning grants during Fiscal Year 1994. The purpose of these

grants is to help community and neighborhood groups organize into

formal coalitions which will be responsible for developing five-year

action plans that concentrate prevention resources on a specific

socially and economically isolated neighborhood or target area. Only

those applicants who receive planning grants under this announcement

and who perform satisfactorily will be eligible to apply for the 8 to

15 implementation grants, which ACYF plans to announce in Fiscal Year

1995, subject to the availability of funds.

Plans developed under this priority area should articulate a vision

for youth and include community-wide strategies and interventions

designed to change the environment, circumstances and attitudes which

put youth at risk of unhealthy and destructive behavior so that these

youth may develop into healthy, productive and responsible adults.

The planning processes used by the coalitions should be

characterized by broad consultation and involvement of youth, families,

businesses and community organizations in identifying the developmental

needs of youth; deciding what existing services and strategies are

available and effective in addressing these needs; identifying gaps in

services; and, how these gaps can best be addressed, while

strengthening the permanent institutions (e.g., school, social,

community health and justice systems) dedicated to the development of

individuals and communities. The coalitions will also address the

communities' particular youth violence problems, and the resources that

can be brought to bear so that the developmental needs of youth are met

and the problems of violence can be alleviated.

Successful grantees under this announcement must participate in

activities leading to a rigorous third-party evaluation of the program

strategies to be funded under the Fiscal Year 1995 announcement. Active

participation in the evaluation will be a requirement of program

implementation funding. Evaluation activities will be funded by the

Administration for Children and Families and will focus on measuring

the interventions' effects on positive community and behavioral change

and the processes by which these changes take place.

The specific goals of this priority area are to:

Demonstrate the feasibility of developing comprehensive

youth development policies and programs targeting socially and

economically isolated communities;

Demonstrate the viability of supporting concerted planning

efforts prior to committing Federal resources to long-term

demonstration and evaluation efforts;

Demonstrate the effectiveness of awarding planning grants

that are accompanied by intensive training and technical assistance to

narrow the field of eligible applicants for subsequent implementation

demonstration grants;

Evaluate whether conducting a comprehensive multi-agency

planning effort leads to the development of more effective strategies

for integrating and coordinating efforts to address the developmental

needs of youth and, thereby, the issues related to youth violence;

Rigorously evaluate whether comprehensive youth

development policies and strategies are effective in reducing the

amount and intensity of youth violence in targeted socially and

economically isolated neighborhoods; and

Identify critical elements that are needed within each

community to positively impact community norms and to increase the

opportunities for youth to develop into adults with a positive future.

Background: Since 1989 the ACYF has funded a variety of activities

aimed at aiding communities in the development of strategies for

helping youth avoid illegal gang and drug activities and adopt positive

lifestyles. Based on the experience of the youth gang consortia and

planning grantees, it is clear that gang prevention is only one part of

a continuum of integrated services that promotes healthy lifestyles for

children and youth ranging in age from pre-school through early

adulthood. This announcement supports the creation of community

coalitions and the development of five-year community action plans

which focus on comprehensive strategies that target the broader needs

and experiences of youth in high-risk situations. The goal of these

action plans is to concentrate services and interventions so that the

day-to-day experiences of youth are affected. This requires focusing

services on limited areas such as specific neighborhoods or groups of

small community areas.

The community action plans developed by the coalitions must

identify a continuum of services in specifically defined socially and

economically isolated neighborhoods that will meet the developmental

needs of the youth residing there and foster behaviors which will

enable youth to function positively both within and outside their

community. The plan should incorporate existing as well as proposed

prevention services aimed at 9 to 12 year olds and their families.

These include, but are not limited to, educational enrichment,

tutoring, recreational activities, conflict mediation, individual and

family counseling, cultural enrichment, skills training, employment

services/job counseling, support groups, mentoring, alcohol and drug

abuse prevention education and parenting skills.

The plan should address existing service delivery systems, their

adequacy, and the manner of involvement of a variety of organizations

representing the disciplines of education, social services, health and

mental health, labor and housing in the community. The plan must

indicate how services will be provided to meet the developmental needs

of youth within the context of their families, their communities and

the broader society in a manner that is culturally appropriate both in

terms of race/ethnicity and family dynamics.

The coalitions will also be responsible for cooperating with

research and evaluation activities to be funded and coordinated by

ACYF. Willingness and commitment to participate in a rigorous

evaluation of the effectiveness of program services will be a critical

consideration in the award of the FY 1995 implementation grants.

Training and technical assistance (T&TA) funded by ACYF will be

provided to planning grantees. The T&TA will include information on

action planning, consensus building, and the developmental needs of

youth and will include training on violence prevention and intervention

methods.

These are not service delivery grants. Applications that propose to

deliver services will not be considered for funding. Agencies receiving

funds under this priority area shall not use these funds for direct

service provision to youth or families.

Successful applicants who perform satisfactorily under the terms of

this grant may be invited to apply for five-year grants to assist them

in implementing the action plan they develop. The community action plan

will become part of an implementation proposal they will develop and

submit to this agency in response to a future announcement of the

availability of funds for implementation grants. Subject to the

availability of funds, approximately 8-15 implementation grants will be

awarded in Fiscal Year 1995.

Part III. Evaluation Criteria

The five criteria that follow will be used to review and evaluate

each application and should be used in developing the program

narrative. The point values following each criterion heading indicate

the numerical weight each criterion will be accorded in the review

process. In the section following the Evaluation Criteria are detailed

descriptions of the minimum requirements for project design, in terms

of each criterion. The Program Narrative information provided by the

applicant in response to the priority area description identified in

Part II of this announcement should be organized and presented

according to these five evaluation criteria.

Criterion 1. Objectives and need for assistance (15 Points).

Pinpoint any relevant physical, economic, social, financial,

institutional, or other problems requiring a solution. Demonstrate the

need for the assistance and state the goals or service objectives of

the project. Supporting documentation or other testimonies from

concerned interests other than the applicant may be used. Give a

precise location of the project site(s) and area(s) to be served by the

proposed project. Maps or other graphic aids may be attached.

Criterion 2. Results or benefits expected (20 Points). Identify the

results and benefits to be derived from the project. Estimate the

number and characteristics of the youth population this project will

possibly affect in the future as a result of implementation of the

community plan and the nature of the changes in services expected.

Identify the kinds of data to be collected and maintained.

Criterion 3. Approach (35 Points). Outline a plan of action

pertaining to the scope of the project and detail how the planning

coalition's work will be accomplished. Describe any unusual features of

the project, such as extraordinary social and community involvement.

Explain the planning methodology that will be used and how the

objectives listed in Objectives and Need for Assistance will be

achieved.

Criterion 4. Staff background and organizational experience (20

Points). List each organization, consultant, or other key individual(s)

who will work on the project along with a short description of the

nature of their effort or contribution. Summarize the background and

experience of the project director and key project staff and the

history of the organization(s). Demonstrate the ability to effectively

manage the project including the ability to lead community planning/

organizing efforts and to coordinate activities with other agencies.

(Applicants may refer to the staff resumes and to the Organizational

Capability Statement included in the submission.)

Criterion 5. Budget appropriateness (10 Points). Demonstrate that

the project's costs are reasonable in view of the anticipated results

and benefits. (Applicants may refer (1) to the budget information

presented in Standard Forms 424 and 424A and in the associated budget

justification, and (2) to the results or benefits expected as

identified under Criterion 2.)

Minimum requirements for project design: As part of addressing the

evaluation criteria outlined above, each applicant must respond to the

following items in the program narrative section of their application.

Objectives and Need for Assistance

Identify the geographic area that the planning effort will

target. Describe the targeted area, provide data on its general

population and explain what makes the area an identifiable community or

neighborhood. The area must have boundaries recognized by the residents

in the community and be small enough to allow a concentration of

resources that result in an appreciable difference for the youth in the

community as a result of the proposed project.

Describe the developmental needs of youth in the target

community, the known strategies and services currently in place to

address these needs and preliminary views of gaps in current plans and

services.

Discuss the emerging or current youth gang and violence

problems and prevalence of other destructive behaviors among youth in

the target community. Provide data on the number, age, gender, ethnic/

cultural background of youth in the target area, as well as data on

family characteristics and dynamics, drug-related youth gang activity,

and other non-constructive and health-compromising activities of

community youth.

Describe the goals and objectives of the proposal and how

the proposal builds upon or differs from previous planning efforts.

Indicate how this proposal builds upon the existing

service delivery systems (e.g., health, mental health, child welfare,

substance abuse) and how it could result in more relevant and/or

expanded service delivery capabilities in the targeted area.

Results and Benefits

Describe how this proposal will result in the development

of a five-year action plan that describes the specific strategies and

activities that the coalition will undertake to address the

developmental needs of youth and to prevent or intervene in youth

violence, especially as it relates to youth at-risk of or involved with

gang activity and other dangerous outcomes.

Describe how this effort will expand our knowledge and

understanding of the critical issues surrounding: (1) Identification of

models and strategies that will serve to meet the developmental needs

of youth, (2) the circumstances and factors in the community which

contribute to socially unproductive and destructive youth behavior and

which will be affected by this effort, (3) the circumstances and

factors in the community that contribute to positive youth development,

(4) youth gang members, their families, and youth at risk of gang

participation or other violent and health-compromising conduct in the

community, and (5) how individuals' behaviors affect the overall health

of the community or neighborhood.

Estimate the number and characteristics of the youth

population this project will possibly affect in the future as a result

of implementation of the community action plan and the nature of the

change in strategies or services expected.

Describe how the quality of the targeted community is

expected to improve because of the project.

Provide evidence that the planning coalition can and

intends to generate the financial, programmatic, policy and other types

of support and commitments that will be required to implement the

action plan once it is developed.

Provide evidence that the planning coalition can secure

the support and participation of youth, families, and community members

in this effort.

Approach

Describe a process for conducting an in-depth needs

assessment of the target community following grant award.

Describe what makes the proposal innovative.

Describe the planning process to be used, including

methodology, timelines and task charts as well as a discussion of why

this methodology was chosen as most appropriate for the youth and

families in the targeted community.

Indicate how the planning effort will be documented as it

unfolds so as to communicate information on successes and lessons

learned for dissemination to and use in other communities.

Describe planning activities which may involve locally

sponsored forums or hearings to gather citizen and youth input and

reaction, data collection and analysis regarding the extent of youth

violence, community assessments of community needs and available

resources, and development of strategies to access foundation, local,

State and Federal resources.

Describe the applicant's ability to coordinate with other

Federally-funded programs which are State or locally administered. The

applicant should specifically address the proposed inter-relationship

between this effort and Family Support and Family Preservation State

Planning Councils, National Service Projects, Empowerment Zones and

Enterprise Communities, where applicable.

In addition to the agencies mentioned above, identify and

describe the proposed role of additional groups or organizations within

the community such as neighborhood associations, churches, youth

groups, local civic organizations, local businesses and community-based

nonprofit organizations, as well as local, county or State units of

government that might also be invited to participate as coalition

members. Identify strategies for encouraging them to actively

participate.

Describe the applicant's ability to provide leadership and

facilitate coordination and cooperation among local education, juvenile

justice, law enforcement, employment and social services agencies; drug

abuse referral, treatment and rehabilitation programs; mental health

and other health care providers for the purposes of producing a plan

which attempts to meet the developmental needs of youth; helping youth

develop productive and healthy lifestyles; and preventing or reducing

the participation of youth in the illegal and violent activities of

gangs.

Describe in detail how the applicant will achieve each of

the goals and objectives listed above in Objectives and Need for

Assistance.

Provide: (1) An assurance that the applicant will

cooperate with any data collection, research or evaluation efforts

independently funded and sponsored by the Administration for Children

and Families and (2) a commitment to participate in a rigorous

evaluation of the effectiveness of proposed program services should the

applicant be chosen for an implementation grant in FY 1995.

Provide assurance that the applicant will cooperate with,

and participate in the activities of, training and technical assistance

providers sponsored by the Administration for Children and Families.

Staff Background and Organizational Experience

Identify skills and experience criteria, as well as a

recruitment strategy, that will be used for hiring the project director

and other key staff.

Demonstrate that the project director and/or other key

staff have the knowledge and experience needed to participate in and

collaborate with a third-party evaluator.

Provide information on the proposed project director and

other key staff regarding skills and experience in community planning/

organizing efforts and knowledge of youth and family issues or

programs.

Demonstrate the applicant agency's ability to work

effectively with the community and to organize and coordinate a

community-wide planning effort.

Include letters of endorsement and/or commitment that show

evidence of broad youth, family and community support in the geographic

area to be served by the plan, specifying any type of direct

involvement that organizations or individuals will have with the

planning process and indicating the level of effort committed to the

project.

Budget Appropriateness

Discuss and justify the costs of the proposed project in

terms of the size of and conditions in the target area that the plan

will affect.

Describe the fiscal control and accounting procedures that

will be used to ensure prudent use, proper disbursement and accurate

accounting of funds received under this program announcement.

Include in the proposed budget a four-day trip to

Washington, DC, for the project director and four other key staff

persons to attend a grant implementation training session. For planning

purposes the training session will be held during the first quarter of

the grant project period (October 1-December 31, 1994). The applicant

should plan for covering travel and per diem expenses; lodging will be

prepaid by ACYF's contractor.

Include in the proposed budget funds for travel to a

Family and Youth Services Bureau-sponsored national conference in the

Washington, DC, area during the second quarter of Fiscal Year 1995

(January-March 1995). At a minimum, the project director must attend

this three-day conference. All applicants must include in their budgets

funds for this conference.

Duration of project: This announcement solicits applications for

one-year planning projects. Grant awards, made on a competitive basis,

will be for a one-year (12-month) budget period. Grantees who perform

satisfactorily will be eligible to compete for five-year implementation

grants contingent upon the availability of funds.

Maximum Federal share and grantee share of the project: The maximum

Federal share of project costs is $100,000 for 12 months. The applicant

share of project costs is 25 percent of total project costs. For

example, a project requesting $100,000 in Federal funds must include a

match of at least $33,333 (25 percent of a total project cost of

$133,333).

The non-Federal share may be met by cash or in-kind contributions.

Federal funds provided to States and services or other resources

purchased with Federal funds may not be used to match project grants.

Applicants which do not provide the required percentage of non-Federal

share will not be funded.

Part IV. Application Process

A. Application Requirements

To be considered for a Youth Gang Drug Prevention grant, each

application must be submitted on the forms provided at the end of this

announcement (see Part VI, Appendix B of this announcement) and in

accordance with the guidance provided herein. The application must be

signed by an individual authorized both to act for the applicant agency

and to assume responsibility for the obligations imposed by the terms

and conditions of the grant award.

All applicants must indicate in their applications their

willingness to fully cooperate in any data collection, research and/or

evaluation efforts mandated by ACF.

If more than one agency is involved in submitting a single

application, one entity must be identified as the applicant

organization which will have legal responsibility for the grant.

B. Paperwork Reduction Act of 1980

Under the Paperwork Reduction Act of 1980, Pub.L. 96-511, as

amended, the Department is required to submit to the Office of

Management and Budget (OMB) for review and approval any reporting and

record-keeping requirements in regulations, including program

announcements. This program announcement does not contain information

collection requirements beyond those approved for ACF grant

applications by OMB.

C. Notification Under Executive Order 12372

This program is covered under Executive Order (E.O.) 12372,

Intergovernmental Review of Federal Programs, and 45 CFR part 100,

Intergovernmental Review of Department of Health and Human Services

Programs and Activities. Under the E.O., States may design their own

processes for reviewing and commenting on proposed Federal assistance

under covered programs.

All States and Territories except Alabama, Alaska, Connecticut,

Hawaii, Idaho, Kansas, Louisiana, Minnesota, Montana, Nebraska,

Oklahoma, Oregon, Pennsylvania, Virginia, Washington, American Samoa

and Palau have elected to participate in the Executive Order process

and have established Single Points of Contact (SPOCs). Applicants from

these 17 jurisdictions need take no action regarding E.O. 12372.

Applications for projects to be administered by Federally-recognized

Indian Tribes are also exempt from the requirements of E.O. 12372.

Otherwise, applicants must contact their SPOCs as soon as possible to

alert them to the prospective applications and receive any necessary

instructions. Applicants must submit any required material to the SPOCs

as early as possible so that the program office can obtain and review

SPOC comments as part of the award process. It is imperative that the

applicant submit all required materials, if any, to the SPOC and

indicate the date of this submittal (or 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 date to comment on proposed new or competing continuation

awards.

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 they intend to

trigger the accommodate or explain rule.

When comments are submitted directly to ACF, they must be addressed

to: Youth Gang Drug Prevention Program, Department of Health and Human

Services, Administration for Children and Families, Division of

Discretionary Grants, 370 L'Enfant Promenade, SW., 6th Floor East, OFM/

DDG, Washington, DC 20447.

A list of the Single Points of Contact for each State and Territory

is included as Part VI, Appendix A of this announcement.

D. Availability of Forms and Other Materials

A copy of the forms required to be submitted as part of each

application for a youth gang drug prevention grant, and instructions

for completing the application, are provided in Part VI, Appendix B.

Addresses of the State Single Points of Contact (SPOCs) to which

applicants must submit review copies of their proposals are listed in

Part VI, Appendix A.

E. Application Consideration

All applications which are complete and conform to the requirements

of this program announcement will be subject to a competitive review

and evaluation process against the specific criteria and the Minimum

Requirements for Project Design contained in Part III of this

announcement. This review will be conducted in Washington, DC, by teams

of experts knowledgeable in the areas of youth development and family

support, youth gang prevention programs and other youth service

programs. Applications for grants will be reviewed as a part of a

national competition.

The experts will review the applications based on the Evaluation

Criteria and the specific Minimum Requirements for Project Design

contained in Part III of this announcement and will assign a score to

each application. The results of the competitive review will be

analyzed by Federal staff who will select those applications to be

recommended for funding to the Commissioner, ACYF.

The Commissioner will make the final selection of the applicants to

be funded. As required by the Anti-Drug Abuse Act of 1988, priority for

funding under the Youth Gang Drug Prevention Program will be given to

applicants who propose to carry out projects and activities (1) in

geographical areas in which frequent and severe drug-related crimes are

committed by gangs whose membership is composed primarily of youth, and

(2) that the applicant demonstrates broad support of community-based

organizations in such geographical areas.

In addition to scores assigned by non-Federal reviewers,

consideration also will be given to adequate geographic distribution of

projects and the Commissioner may show preference for applications

proposing projects in areas that would not otherwise be served. The

Commissioner also may elect to consider an applicant's past performance

in providing services to at-risk youth and also may elect not to fund

any applicants having known management, fiscal or other problems which

make it unlikely that they would be able to perform effectively.

Grant awards will be made by September 30, 1994. Successful

applicants will be notified through the issuance of a Financial

Assistance Award which will set forth the amount of funds granted, the

terms and conditions of the grant, the effective date of the grant, the

budget period for which support will be given, the non-Federal share to

be provided, and the total project period for which support is

contemplated.

Organizations whose applications will not be funded will be

notified of that decision in writing by the Commissioner of the

Administration on Children, Youth and Families. Every effort will be

made to notify all unsuccessful applicants as soon as possible after

final decisions are made.

Part V. Application Assembly and Submission

A. Contents of application. Each application must contain the

following items in the order listed:

1. Application for Federal Assistance (Standard Form 424, REV 4-88)

(page i).

2. Budget Information (Standard Form 424A, REV 4-88) (pages ii-

iii).

3. Budget Justification (Typed on standard size plain white paper)

(pages iv-v).

4. Assurances--Non-Construction Programs (Standard Form 424B, REV

4-88) (pages vi-vii).

5. Certification Regarding Lobbying (page viii).

6. Project Summary Description (page ix).

7. Program Narrative Statement (pages 1 and following; 30 pages

maximum, double-spaced, at least half-inch margins).

Special Note: Applicants are strongly encouraged to limit the

program narrative statement portion of the application to 30 double-

spaced pages. Pages exceeding this limit will be discarded and not

reviewed by panel.

8. Organizational Capability Statement (pages OC-1 and following; 3

pages maximum).

9. Supporting Documents (pages SD-1 and following; 10 pages

maximum, exclusive of letters of support or agreement).

B. Instructions for Preparing Application Components

Standard Forms 424 and 424A: Follow the instructions in Part VI,

Appendix B. In Item 8 of Form 424, check New. In Item 10 of the 424,

clearly identify the Catalog of Federal Domestic Assistance Program

Number and Title for the program for which funds are being requested

(93.660, Youth Gang Drug Prevention Program).

Budget justification: Provide breakdowns for major budget

categories and justify significant costs. List amounts and sources of

all funds, both Federal and non-Federal, that will be used for this

project.

Standard Form 424B, Certification Regarding Drug-Free Workplace,

Certification Regarding Debarment, and Certification Regarding

Lobbying: Of these forms, only the Standard Form 424B and the

Certification Regarding Lobbying need to be signed and returned with

the application. By signing and submitting its application, the

applicant is certifying its compliance with the requirements set forth

in the attached Drug-Free Workplace and Debarment certification

notices.

Project summary description: Clearly mark this separate page with

the applicant name as shown in item 5 of the SF 424 and the title of

the project as shown in item 11 of the SF 424. The summary description

should not exceed 1,200 characters, including words, spaces and

punctuation. These 1,200 characters become part of the computer

database on each project.

Care should be taken to produce a summary description which

accurately and concisely reflects the proposal. It should describe the

objectives of the project, the approaches to be used and the outcomes

expected. The description should also include a list of major products

(such as plans, training materials, manuals, etc.) that will result

from the proposed project. The project summary description, together

with the information on the SF 424, will constitute the project

abstract. It is the major source of information about the proposed

project and is usually the first part of the application that the

reviewers read in evaluating the application.

Program Narrative Statement: Use the Evaluation Criteria in Part

III as a way to organize the Narrative. Be sure to address all the

specifics contained in the Minimum Requirements for Project Design. The

narrative section is limited to 30 typed pages, double spaced, printed

only on one side, with at least \1/2\ inch margins. Pages over the 30-

page limit will be discarded and not reviewed by the panel. Past

attempts by applicants to exceed page limits or to circumvent space

limitations by using very small print have resulted in negative

responses from reviewers. It is, therefore, in the best interest of

applicants to ensure that the narrative statement is easy to read,

logically developed in accordance with the preceding evaluation

criteria and minimum requirements and adheres to page limitations.

Organizational Capability Statement: Applicants must provide a

description (no more than three pages, double-spaced) of how the

applicant agency is organized; its expertise in the area of youth

development and/or violence prevention; its ability to bring together a

broad coalition of agencies and organizations; and the planning and

management capabilities it possesses. Provide an organizational chart

showing the relationship of this project to the current organization.

If the agency is a recipient of funds from the Administration on

Children, Youth and Families for programs other than that applied for

in this application, identify those programs and explain the extent to

which they might be involved in this project.

Supporting Documentation: The maximum for supporting documentation

is 10 pages, double spaced, exclusive of letters of support or

agreement. These documents might include resumes, newspaper clippings,

and evidence of the program's efforts to coordinate youth services at

the local level. Documentation over the ten page limit will not be

reviewed. Applicants may include as many letters of support or

agreement as are appropriate.

C. Application Submission

To be considered for a grant, each applicant must submit one signed

original and two additional copies of the grant application, including

all attachments, to the application receipt point specified below. The

original copy of the application must have original signatures, signed

in black ink. Each copy must be stapled (back and front) in the upper

left corner. All copies of a single application must be submitted in a

single package.

Because each application will be duplicated by the government, do

not use or include separate covers, binders, clips, tabs, plastic

inserts, maps, brochures or any other items that cannot be processed

easily on a photocopy machine with an automatic feed. Do not bind,

clip, fasten or in any way separate subsections of the application,

including supporting documentation.

1. Closing Date for the Receipt of Applications

The closing date for submission of applications for the grant

program contained in this announcement is July 8, 1994. Applications

may be mailed to the Department of Health and Human Services,

Administration for Children and Families, Division of Discretionary

Grants, 370 L'Enfant Promenade, SW, 6th Floor East, OFM/DDG,

Washington, DC 20447.

Hand delivered applications are accepted during the normal working

hours of 8 a.m. to 4:30 p.m., Monday through Friday, on or prior to the

established closing date at: Administration for Children and Families,

Division of Discretionary Grants, 370 L'Enfant Promenade, SW, 6th

Floor, OFM/DDG, 901 D Street, SW, Washington, DC 20447.

Envelopes containing applications must clearly indicate the

specific program that the application is addressing: Youth Gang Drug

Prevention Program.

2. Deadline for Submission of applications

a. Deadline. Applications will be considered as meeting the

deadline if they are either:

i. Received on or before the deadline date at the above address, or

ii. Sent on or before the deadline date and received by the

granting agency in time for the independent review under DHHS GAM 1-62.

(Applicants are cautioned to request a legibly dated U.S. Postal

Service postmark or to obtain a legibly dated receipt from a commercial

carrier or the U.S. Postal Service as proof of timely mailing. Private

metered postmarks are not acceptable as proof of timely mailing.)

b. Late applications. Applications which do not meet the criteria

stated above are considered late applications. The Administration for

Children and Families (ACF) will notify each late applicant that its

application will not be considered in the current competition.

c. Extension of deadline. The granting agency may extend the

deadline for all applicants because of acts of God such as earthquakes,

floods or hurricanes, etc., or when there is a 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.

3. Checklist for a Complete Application

____ One original application signed in black ink and dated plus two

copies;

____ A completed SPOC certification with the date of SPOC contact

entered in item 16 on page 1 of SF 424, if applicable;

____ SF 424 (The original application must have the word ORIGINAL hand

printed in bold block letters at the top margin of its SF 424);

____ SF 424A;

____ Budget Justification;

____ SF 424B;

____ Certification Regarding Lobbying;

____ Project Summary Description;

____ Program Narrative Statement (maximum of 30 double-spaced pages);

____ Organizational Capability Statement (maximum of three pages

double-spaced); and

____ Supporting Documents (maximum of 10 pages double-spaced).

(Catalog of Federal Domestic Assistance Number 93.660, Youth Gang

Drug Prevention Program)

Dated: April 21, 1994.

Olivia A. Golden,

Commissioner, Administration on Children, Youth and Families.

Appendix A--Executive Order 12372--State Single Points of Contact

Arizona

Mrs. Janice Dunn, Attn: Arizona State Clearinghouse, 3800 N. Central

Avenue, 14th Floor, Phoenix, Arizona 85012, Telephone (602) 280-1315

Arkansas

Tracie L. Copeland, Manager, State Clearinghouse, Office of

Intergovernmental Services, Department of Finance and

Administration, PO Box 3278, Little Rock, Arkansas 72203, Telephone

(501) 682-1074

California

Glenn Stober, Grants Coordinator, Office of Planning and Research,

1400 Tenth Street, Sacramento, California 95814, Telephone (916)

323-7480

Colorado

State Single Point of Contact, State Clearinghouse, Division of

Local Government, 1313 Sherman Street, Room 520, Denver, Colorado

80203, Telephone (303) 866-2156

Delaware

Ms. Francine Booth, State Single Point of Contact, Executive

Department, Thomas Collins Building, Dover, Delaware 19903,

Telephone (302) 736-3326

District of Columbia

Rodney T. Hallman, State Single Point of Contact, Office of Grants

Management and Development, 717 14th Street NW, Suite 500,

Washington DC 20005, Telephone (202) 727-6551

Florida

Florida State Clearinghouse, Intergovernmental Affairs Policy Unit,

Executive Office of the Governor, Office of Planning and Budgeting,

The Capitol, Tallahassee, Florida 32399-0001, Telephone (904) 488-

8441

Georgia

Mr. Charles H. Badger, Administrator, Georgia State Clearinghouse,

254 Washington Street SW., Atlanta, Georgia 30334, Telephone (404)

656-3855

Illinois

Steve Klokkenga, State Single Point of Contact, Office of the

Governor, 107 Stratton Building, Springfield, Illinois 62706,

Telephone (217) 782-1671

Indiana

Jean S. Blackwell, Budget Director, State Budget Agency, 212 State

House, Indianapolis, Indiana 46204, Telephone (317) 232-5610

Iowa

Mr. Steven R. McCann, Division of Community Progress, Iowa

Department of Economic Development, 200 East Grand Avenue, Des

Moines, Iowa 50309, Telephone (515) 281-3725

Kentucky

Ronald W. Cook, Office of the Governor, Department of Local

Government, 1024 Capitol Center Drive, Frankfort, Kentucky 40601,

Telephone (502) 564-2382

Maine

Ms. Joyce Benson, State Planning Office, State House Station #38,

Augusta, Maine 04333, Telephone (207) 289-3261

Maryland

Ms. Mary Abrams, Chief, Maryland State Clearinghouse, Department of

State Planning, 301 West Preston Street, Baltimore, Maryland 21201-

2365, Telephone (301) 225-4490

Massachusetts

Karen Arone, State Clearinghouse, Executive Office of Communities

and Development, 100 Cambridge Street, Room 1803, Boston,

Massachusetts 02202, Telephone (617) 727-7001

Michigan

Richard S. Pastula, Director, Michigan Department of Commerce,

Lansing, Michigan 48909, Telephone (517) 373-7356

Mississippi

Ms. Cathy Mallette, Clearinghouse Officer, Office of Federal Grant

Management and Reporting, 301 West Pearl Street, Jackson,

Mississippi 39203, Telephone (601) 960-2174

Missouri

Ms. Lois Pohl, Federal Assistance Clearinghouse, Office of

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

City, Missouri 65102, Telephone (314) 751-4834

Nevada

Department of Administration, State Clearinghouse, Capitol Complex,

Carson City, Nevada 89710, Telephone (702) 687-4065, Attention: Ron

Sparks, Clearinghouse Coordinator

New Hampshire

Mr. Jeffrey H. Taylor, Director, New Hampshire Office of State

Planning, Attn: Intergovernmental Review, Process/James E. Bieber,

2\1/2\ Beacon Street, Concord, New Hampshire 03301, Telephone (603)

271-2155

New Jersey

Gregory W. Adkins, Acting Director, Division of Community Resources,

N.J. Department of Community Affairs, Trenton, New Jersey 08625-

0803, Telephone (609) 292-6613.

Please direct correspondence and questions to: Andrew J.

Jaskolka, State Review Process, Division of Community Resources, CN

814, Room 609, Trenton, New Jersey 08625-0803, Telephone (609) 292-

9025.

New Mexico

George Elliott, Deputy Director, State Budget Division, Room 190,

Bataan Memorial Building, Santa Fe, New Mexico 87503, Telephone

(505) 827-3640, FAX (505) 827-3006

New York

New York State Clearinghouse, Division of the Budget, State Capitol,

Albany, New York 12224, Telephone (518) 474-1605

North Carolina

Mrs. Chrys Baggett, Director, Office of the Secretary of Admin.,

N.C. State Clearinghouse, 116 W. Jones Street, Raleigh, North

Carolina 27603-8003, Telephone (919) 733-7232

North Dakota

N.D. Single Point of Contact, Office of Intergovernmental

Assistance, Office of Management and Budget, 600 East Boulevard

Avenue, Bismarck, North Dakota 58505-0170, Telephone (701) 224-2094

Ohio

Larry Weaver, State Single Point of Contact, State/Federal Funds

Coordinator, State Clearinghouse, Office of Budget and Management,

30 East Broad Street, 34th Floor, Columbus, Ohio 43266-0411,

Telephone (614) 466-0698

Rhode Island

Mr. Daniel W. Varin, Associate Director, Statewide Planning Program,

Department of Administration, Division of Planning, 265 Melrose

Street, Providence, Rhode Island 02907, Telephone (401) 277-2656,

Please direct correspondence and questions to: Review Coordinator,

Office of Strategic Planning

South Carolina

Omeagia Burgess, State Single Point of Contact, Grant Services,

Office of the Governor, 1205 Pendleton Street, Room 477, Columbia,

South Carolina 29201, Telephone (803) 734-0494

South Dakota

Ms. Susan Comer, State Clearinghouse Coordinator, Office of the

Governor, 500 East Capitol, Pierre, South Dakota 57501, Telephone

(605) 773-3212

Tennessee

Mr. Charles Brown, State Single Point of Contact, State Planning

Office, 500 Charlotte Avenue, 309 John Sevier Building, Nashville,

Tennessee 37219, Telephone (615) 741-1676

Texas

Mr. Thomas Adams, Governor's Office of Budget and Planning, P.O. Box

12428, Austin, Texas 78711, Telephone (512) 463-1778

Utah

Utah State Clearinghouse, Office of Planning and Budget, Attn:

Carolyn Wright, Room 116 State Capitol, Salt Lake City, Utah 84114,

Telephone (801) 538-1535

Vermont

Mr. Bernard D. Johnson, Assistant Director, Office of Policy

Research & Coordination, Pavilion Office Building, 109 State Street,

Montpelier, Vermont 05602, Telephone (802) 828-3326

West Virginia

Mr. Fred Cutlip, Director, Community Development Division, West

Virginia Development Office, Building #6, Room 553, Charleston, West

Virginia 25305, Telephone (304) 348-4010

Wisconsin

Mr. William C. Carey, Federal/State Relations, Wisconsin Department

of Administration, 101 South Webster Street, P.O. Box 7864, Madison,

Wisconsin 53707, Telephone (608) 266-0267

Wyoming

Sheryl Jeffries, State Single Point of Contact, Herschler Building,

4th Floor, East Wing, Cheyenne, Wyoming 82002, Telephone (307) 777-

7574

Guam

Mr. Michael J. Reidy, Director, Bureau of Budget and Management

Research, Office of the Governor, P.O. Box 2950, Agana, Guam 96910,

Telephone (671) 472-2285

Northern Mariana Islands

State Single Point of Contact, Planning and Budget Office, Office of

the Governor, Saipan, CM, Northern Mariana Islands 96950

Puerto Rico

Norma Burgos/Jose H. Caro, Chairman/Director, Puerto Rico Planning

Board, Minillas Government Center, P.O. Box 41119, San Juan, Puerto

Rico 00940-9985, Telephone (809) 727-4444

Virgin Islands

Jose L. George, Director, Office of Management and Budget, #41

Norregade Emancipation Garden Station, Second Floor, Saint Thomas,

Virgin Islands 00802, Please direct correspondence to: Linda Clarke,

Telephone (809) 774-0750.

BILLING CODE 4184-01-P

TN09MY94.011

BILLING CODE 4184-01-C

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 is

applicable) & applicant's control number (if applicable).

3. State use only (if applicable).

4. If this application is to continue or revise an existing

award, enter present Federal identifier number. If for a new

project, leave blank.

5. Legal name of applicant, name of primary organizational unit

which will undertake the assistance activity, complete address of

the applicant, and name and telephone number of the person to

contact on matters related to this application.

6. Enter Employer Identification Number (EIN) as assigned by the

Internal Revenue Service.

7. Enter the appropriate letter in the space provided.

8. Check appropriate box and enter appropriate letter(s) in the

space(s) provided:

--``New'' means a new assistance award.

--``Continuation'' means an extension for an additional funding/

budget period for a project with a projected completion date.

``Revision'' means any change in the Federal Government's financial

obligation or contingent liability from an existing obligation.

9. Name of Federal agency from which assistance is being

requested with this application.

10. Use the Catalog of Federal Domestic Assistance number and

title of the program under which assistance is requested.

11. Enter a brief descriptive title of the project. If more than

one program is involved, you should append an explanation on a

separate sheet. If appropriate (e.g., construction or real property

projects), attach a map showing project location. For

preapplications, use a separate sheet to provide a summary

description of this project.

12. List only the largest political entities affected (e.g.,

State, counties, cities)

13. Self--explanatory.

14. List the applicant's Congressional District and any

District(s) affected by the program or project.

15. Amount 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 file in the

applicant's office. (Certain Federal agencies may require that this

authorization be submitted as part of the application.)

BILLING CODE 4184-01-P

TN09MY94.012

TN09MY94.013

BILLING CODE 4184-01-C

General Instructions

This form is designed so that application can be made for funds

from one or more grant programs. In preparing the budget, adhere to

any existing Federal grantor agency guidelines which prescribe how

and whether budgeted amounts should be separately shown for

different functions or activities within the program. For some

programs, grantor agencies may require budgets to be separately

shown by function or activity. For other programs, grantor agencies

may require a breakdown by function or activity. Sections A, B, C,

and D should include budget estimates for the whole project except

when applying for assistance which requires Federal authorization in

annual or other funding period increments. In the latter case,

Sections A, B, C, and D should provide the budget for the first

budget period (usually a year) and Section E should present the need

for Federal assistance in the subsequent budget periods. All

applications should contain a breakdown by the object class

categories shown in Lines a-k of Section B.

Section A. Budget Summary Lines 1-4, Columns (a) and (b)

For applications pertaining to a single Federal grant program

(Federal Domestic Assistance Catalog number) and not requiring a

functional or activity breakdown, enter on Line 1 under Column (a)

the catalog program title and the catalog number in Column (b).

For applications pertaining to a single program requiring,

budget amounts by multiple functions or activities, enter the name

of each activity or function on each line in Column (a) and enter

the catalog number in Column (b). For applications pertaining to

multiple programs where none of the programs require a breakdown by

function or activity, enter the catalog program title on each line

in Column (a) and the respective catalog number on each line in

Column (b).

For applications pertaining to multiple programs where one or

more programs require a breakdown by function or activity, prepare a

separate sheet for each program requiring the breakdown. Additional

sheets should be used when one form does not provide adequate space

for all breakdown of data required. However, when more than one

sheet is used, the first page should provide the summary totals by

programs.

Lines 1-4, Columns (c) through (g)

For new applications, leave Columns (c) and (d) blank. For each

line entry in Columns (a) and (b), enter in Columns (e), (f), and

(g) the appropriate amounts of funds needed to support the project

for the first funding period (usually a year).

For continuing grant program applications, submit these forms

before the end of each funding period as required by the grantor

agency. Enter in Columns (c) and (d) the estimated amounts of funds

which will remain unobligated at the end of the grant funding period

only if the Federal grantor agency instructions provide for this.

Otherwise, leave these columns blank. Enter in columns (e) and (f)

the amounts of funds needed for the upcoming period. The amount(s)

in Column (g) should be the sum of amounts in Columns (e) and (f).

For supplemental grants and changes to existing grants, do not

use Columns (c) and (d). Enter in Column (e) the amount of the

increase or decrease of Federal funds and enter in Column (f) the

amount of the increase or decrease of non-Federal funds. In Column

(g) enter the new total budgeted amount (Federal and non-Federal)

which includes the total previous authorized budgeted amounts plus

or minus, as appropriate, the amounts shown in Columns (e) and (f).

The amount(s) in Column (g) should not equal the sum of amounts in

Column (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.

Assurances--Non-Construction Programs

Note: Certain of these assurances may not be applicable to your

project or program. If you have questions, please contact the

awarding agency. Further, certain Federal awarding agencies may

require applicants to certify to additional assurances. If such is

the case, you will be notified.

As the duly authorized representative of the applicant I certify

that the applicant:

1. Has the legal authority to apply for Federal assistance, and

the institutional, managerial and financial capability (including

funds sufficient to pay the non-Federal share of project costs) to

ensure proper planning, management and completion of the project

described in this application.

2. Will give the awarding agency, the Comptroller General of the

United States, and if appropriate, the State, through any authorized

representative, access to and the right to examine all records,

books, papers, or documents related to the award; and will establish

a proper accounting system in accordance with generally accepted

accounting standards or agency directives.

3. Will established 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. Secs. 4728-4763) relating to prescribed standards for

merit systems for programs funded under one of the nineteen statutes

or regulations specified in Appendix A of OPM's Standards for a

Merit System of Personnel Administration (5 C.F.R. 900, subpart F).

6. Will comply with all Federal statutes relating to

nondiscrimination. These include but are not limited to:

(a) Title VI of the Civil Rights Act of 1964 (P.L. 88-352) which

prohibits discrimination on the basis of race, color or national

origin;

(b) Title IX of the Education Amendments of 1972, as amended (20

U.S.C. Secs. 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. Sec. 794), which prohibits discrimination on the basis of

handicaps;

(d) The Age Discrimination Act of 1975, as amended (42 U.S.C.

Secs. 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) Sections 523 and 527 of the Public Health Service Act of

1912 (42 U.S.C. 290 dd-3 and 290 ee-3), as amended, relating to

confidentiality of alcohol and drug abuse patient records;

(h) Title VIII of the Civil Rights Act of 1968 (42 U.S.C. 3601

et seq.), as amended, relating to non-discrimination in the sale,

rental or financing of housing;

(i) Any other nondiscrimination provisions in the specific

statue(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.

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

U.S.C. Sec. 276c and 18 U.S.C. Secs. 874), and the Contract Work

Hours and Safety Standards Act (40 U.S.C. Secs. 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 (Pub. 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 (Pub. 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. Sec. 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. Secs. 1271 et seq.) related to protecting components or

potential components for 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. Secs. 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-P

TN09MY94.014

TN09MY94.015

BILLING CODE 4184-01-C

Certification Regarding Debarment, Suspension, and Other Responsibility

Matters--Primary Covered Transactions

By signing and submitting this proposal, the applicant, defined as

the primary participant in accordance with 45 CFR Part 76, certifies to

the best of its knowledge and believe that it and its principals:

(a) Are not presently debarred, suspended, proposed for debarment,

declared ineligible, or voluntarily excluded from covered transactions

by any Federal Department or agency;

(b) Have not within a 3-year period preceding this proposal been

convicted of or had a civil judgment rendered against them for

commission of fraud or a criminal offense in connection with obtaining,

attempting to obtain, or performing a public (Federal, State, or local)

transaction or contract under a public transaction; violation of

Federal or State antitrust statutes or commission of embezzlement,

theft, forgery, bribery, falsification or destruction of records,

making false statements, or receiving stolen property;

(c) Are not presently indicted or otherwise criminally or civilly

charged by a governmental entity (Federal, State or local) with

commission of any of the offenses enumerated in paragraph (1) (b) of

this certification; and

(d) Have not within a 3-year period preceding this application/

proposal had one or more public transactions (Federal, State, or local)

terminated for cause or default.

The inability of a person to provide the certification required

above will not necessarily result in denial of participation in this

covered transaction. If necessary, the prospective participant shall

submit an explanation of why it cannot provide the certification. The

certification or explanation will be considered in connection with the

Department of Health and Human Services (HHS) determination whether to

enter into this transaction. However, failure of the prospective

primary participant to furnish a certification or an explanation shall

disqualify such person from participation in this transaction.

The prospective primary participant agrees that by submitting this

proposal, it will include the clause entitled ``Certification Regarding

Debarment, Suspension, Ineligibility, and Voluntary Exclusion--Lower

Tier Covered Transaction. ``provided below without modification in all

lower tier covered transactions and in all solicitations for lower tier

covered transactions.

Certification Regarding Debarment, Suspension, Ineligibility and

Voluntary Exclusion--Lower Tier Covered Transactions (To Be Supplied to

Lower Tier Participants)

By signing and submitting this lower tier proposal, the prospective

lower tier participant, as defined in 45 CFR Part 76, certifies to the

best of its knowledge and belief that it and its principals:

(a) Are not presently debarred, suspended, proposed for debarment,

declared ineligible, or voluntarily excluded from participation in this

transaction by any federal department or agency.

(b) Where the prospective lower tier participant is unable to

certify to any of the above, such prospective participant shall attach

an explanation to this proposal.

The prospective lower tier participant further agrees by submitting

this proposal that it will include this clause entitled ``Certification

Regarding Debarment, Suspension, Ineligibility, and Voluntary

Exclusion--Lower Tier Covered Transactions. ``without modification in

all lower tier covered transactions and in all solicitations for lower

tier covered transactions.

Certification Regarding Lobbying

Certification for Contracts, Grants, Loans, and Cooperative Agreements

The undersigned certifies, to the best of his or her knowledge and

belief, that:

(1) No Federal appropriated funds have been paid or will be paid,

by or on behalf of the undersigned, to any person for influencing or

attempting to influence an officer or employee of any agency, a member

of Congress, an officer or employee of Congress, or an employee of a

Member of Congress in connection with the awarding of any Federal

contract, the making of any Federal grant, the making of any Federal

loan, the entering into of any cooperative agreement, and the

extension, continuation, renewal, amendment, or modification of any

Federal contract, grant, loan, or cooperative agreement.

(2) If any funds other than Federal appropriated funds have been

paid or will be paid to any person for influencing or attempting to

influence an officer or employee of any agency, a Member of Congress,

an officer or employee of Congress, or an employee of a Member of

Congress in connection with this Federal contract, grant, loan or

cooperative agreement, the undersigned shall complete and submit

Standard Form-LLL, ``Disclosure Form to Report Lobbying,'' in

accordance with its instructions.

(3) The undersigned shall require that the language of this

certification be included in the award documents for all subawards at

all tiers (including subcontracts, subgrants, and contracts under

grants, loans, and cooperative agreements) and that all subrecipients

shall certify and disclose accordingly.

This certification is an material representation of fact upon which

reliance was placed when this transaction was made or entered into.

Submission of this certification is a prerequisite for making or

entering into this transaction imposed by section 1352, title 31, U.S.

Code. Any person who fails to file the required certification shall be

subject to a civil penalty of not less than $10,000 and not more than

$100,000 for each such failure.

State for Loan Guarantee and Loan Insurance

The undersigned states, to the best of his or her knowledge and

belief, that:

If any funds have been paid or will be paid to any person for

influencing or attempting to influence an officer or employee of any

agency, a Member of Congress, an officer or employee of Congress, or an

employee of a Member of Congress in connection with this commitment

providing for the United States to insure or guarantee a loan, the

undersigned shall complete and submit Standard Form-LLL ``Disclosure

Form to Report Lobbying,'' in accordance with its instructions.

Submission of this statement is a prerequisite for making or

entering into this transaction imposed by section 1352, title 31, U.S.

Code. Any person who fails to file the required statement shall be

subject to a civil penalty of not less than $10,000 and not more than

$100,000 for each such failure.

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Signature

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Title

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Organization

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Date

BILLING CODE 4184-01-P

TN09MY94.016

[FR Doc. 94-10647 Filed 5-6-94; 8:45 am]

BILLING CODE 4184-01-C