Availability of Financial Assistance To Expand Head Start Enrollment

Federal RegisterMay 18, 1994

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

[Program Announcement No. ACYF-HS 93.600-94-1]

Availability of Financial Assistance To Expand Head Start

Enrollment

agency: Administration on Children, Youth and Families (ACYF),

Administration for Children and Families (ACF), HHS.

action: Announcement of financial assistance to expand Head Start

enrollment.

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summary: The Head Start Bureau of the Administration on Children, Youth

and Families announces that competing applications will be accepted to

establish new Head Start programs or to expand current programs in

geographical areas, including Federally recognized Indian Reservations,

not currently served by Head Start.

dates: The closing date for submission of applications is July 18,

1994.

addresses: Address applications to: Department of Health and Human

Services, Administration for Children and Families, Division of

Discretionary Grants, 370 L'Enfant Plaza, SW., 6th floor, Washington,

DC 20447.

for further information contact: For applications under Category 1--The

ACF Regional Office which is responsible for the Head Start programs in

your State. Regional Office telephone numbers are listed in appendix A.

For applications under Category 2--Lee Fields, Chief, American

Indian Programs Branch, Program Operations Division, Head Start Bureau;

(202) 205-8437.

Applicants interested in receiving copies of applicable law and

regulations should address their requests to the persons referred to

above.

SUPPLEMENTARY INFORMATION:

Part I. General Information

A. Background

This announcement solicits applications from eligible applicants

that wish to compete for Head Start grants to serve low-income

preschool children in areas not currently served by Head Start.

In fiscal year (FY) 1994 Head Start received an increase in funding

of $550 million. Most of this money will be allocated to Head Start

programs to improve program quality and responsiveness and to increase

enrollment in areas currently served by Head Start. Although the great

majority of children eligible for Head Start live in areas served by

current programs, we are committed to assuring that eligible children

in all communities have access to Head Start. Therefore, a share of the

new FY 1994 funds--$5,048,000--is being reserved, as discussed in this

announcement, to either establish new Head Start programs in unserved

areas or to expand current programs into neighboring areas that are

currently unserved. We plan to fund approximately 25 new or expanded

programs.

Applicants seeking funds to establish Head Start programs in

currently unserved areas are expected to establish programs which will

be of high quality and responsive to the needs of the community.

Applicants should address how program characteristics such as staff

compensation, child-staff ratios, transportation, training, and

facilities will ensure that the needs of the communities' children and

families are well met. Applicants may propose to use a portion of their

funding to provide full-day, full-year child care services to Head

Start families who need such services. Proposals should include a

discussion of the need of the community for full-day and full-year

services and, for applicants proposing to provide such services,

describe how the program proposes to meet those needs.

Expansion applications under this announcement should be submitted

under one of the following two categories:

Category 1 Children living in geographical areas that are not

currently served by Head Start. A list of unserved areas is included

in Table A.

Eligible applicants are (a) local public or private nonprofit

organizations that wish to initiate a Head Start program in one or

more unserved geographical areas and (b) Head Start grantees from

nearby geographical areas that wish to expand their programs into

unserved geographical areas.

Category 2 Children living on Federally recognized Indian

reservations where a Head Start program does not currently operate.

Eligible applicants are Tribal governments, or agencies

designated by the Tribal government, of unserved reservations that

wish to initiate a Head Start program.

Applicants must designate the category for which they are

applying.

B. Program Purpose

Head Start is a national program providing comprehensive

developmental services primarily to low-income preschool children and

their families. To help enrolled children achieve their full potential,

Head Start programs provide comprehensive health, nutritional,

educational, social, and other services. In addition, Head Start

programs are required to provide for the direct participation of the

parents of enrolled children in the development, conduct, and direction

of local programs. Head Start currently serves approximately 714,000

children through a network of 1,395 grantees.

While Head Start is targeted primarily towards children whose

families have incomes at or below the poverty line or who are eligible

for public assistance, regulations permit up to 10 percent of the Head

Start children in local programs to be from families which do not meet

these low-income criteria. Head Start regulations also require that a

minimum of 10 percent of enrollment opportunities in each program be

made available to children with disabilities. Such children are

expected to be enrolled in the full range of Head Start services and

activities in a mainstream setting with their non-disabled peers and to

receive needed special education and related services.

Statutory and Regulatory Authority

The Head Start program is authorized by the Head Start Act, 42

U.S.C. 9801 et seq.

The relevant regulations are:

45 CFR part 1301, Head Start grants administration.

45 CFR part 1302, Policies and procedures for selection, initial

funding, and refunding of Head Start grantees, and for selection of

replacement grantees.

45 CFR part 1303, Appeal Procedures for Head Start grantees and

current or prospective delegate agencies.

45 CFR part 1304, Program Performance Standards for the operation

of Head Start programs by grantees and delegate agencies.

45 CFR part 1305, Eligibility, Recruitment, Selection, Enrollment

and Attendance in Head Start.

45 CFR part 1306, Head Start Staffing Requirements and Program

Options.

45 CFR part 1308, Head Start Program Performance Standards on

Services for Children with Disabilities.

45 CFR part 74, Administration of Grants, and 45 CFR part 92,

Uniform Administrative Requirements for Grants and Cooperative

Agreements to State and Local Governments.

C. Available Funds

Category 1. A total of approximately $4,298,000 will be made

available under Category 1 of this announcement for establishing new

Head Start programs in currently unserved geographical areas, pursuant

to the authority of section 640(a)(2)(D) of the Head Start Act. The

available funds for this category, which are based on the relative

unmet need for Head Start services in a State's unserved counties as

compared to all other counties in the State, are provided in Table B.

To assure that the program can operate cost-efficiently, applicants

that are not current Head Start grantees will generally not be funded

to initiate a new program in unserved geographical areas for less than

60 children unless the applicant can justify why a smaller enrollment

level is appropriate for the geographical area proposed for expansion.

Current Head Start grantees may be funded for as little as one class

when they expand into an unserved geographical area if such an

expansion would be cost efficient. We anticipate awarding 20 to 25

grants in this category.

Category 2. A total of approximately $750,000 will be made

available under Category 2 of this announcement for applicants applying

to serve children on unserved Federally recognized Indian reservations.

Applicants will generally not be funded for less than 60 children

unless the applicant can justify why a lower enrollment level is

appropriate. We anticipate awarding no more than three grants in this

category.

D. Eligible Applicants

Eligible applicants are those described in section A above.

Part II. Specific Responsibilities

A. Application Requirements

Applicants should address the following requirements in their

applications for financial assistance. In carrying out the proposed

expansion of Head Start enrollment under this announcement, applicants

should:

1. Demonstrate that there is a need for assistance based on the

stated objectives of the program the applicant intends to operate.

2. Assure that services will be provided to those families and

children who have the most serious need for Head Start services. All

applicants must clearly document the number of unserved Head Start

eligible children living in their proposed recruitment area.

3. Demonstrate that the proposed program is consistent with the

needs of the intended participants and the community proposed to be

served and that the program will assure a plan to provide

comprehensive health, nutritional, educational, social, and other

services. Applicants should state which program option or options

would be most appropriate for the community (e.g., part or full day

center-based, home-based, or combination option) and should include

a plan to meet the needs of non-English language children in the

community, when appropriate.

4. Demonstrate how the children and families proposed to be

enrolled will benefit from the services provided and the degree to

which the community (or communities) to be served will benefit from

the proposed Head Start program. Applicants should provide evidence

that the proposed Head Start program enjoys the support of the

community to be served.

5. Assure that program enrollment opportunities are made

available to children with disabilities, that children with

disabilities would be enrolled in the full range of Head Start

services and activities in a mainstream setting, and that children

with disabilities would receive needed special education and related

services.

6. Indicate the ages of the children to be included in the

expansion effort and explain why children of those ages are

proposed.

7. Provide for the involvement of parents and other community

members and organizations in the development and planning of the

application. Applicants should ensure that the plan for parent

involvement includes efforts to involve Head Start parents in

appropriate educational activities in order to aid their children to

attain their full potential.

8. Demonstrate the ability and experience to administer a Head

Start program. Programs that have past performance in providing

services comparable to Head Start should provide information on the

provision of such services. Applicants must also demonstrate the

ability to provide comprehensive health, nutritional, educational,

social, and other services.

9. Propose to implement the increase in enrollment in a timely

and efficient manner. This includes assuring the availability of

classroom space which meets required licensing standards, the

ability to provide adequate transportation, and the ability to

recruit eligible children and families.

10. Indicate what types of cooperative arrangements have been

made with other public or private agencies which would assist the

applicant in providing quality Head Start services. Such cooperative

arrangements must include a plan to coordinate the proposed Head

Start program with other preschool programs and with the educational

programs the children to be served will enter when they leave Head

Start.

11. Describe the mechanisms for hiring teachers who have

received appropriate training or have experience in early childhood

education and for providing employment opportunities for residents

from the service area.

12. Propose a staffing pattern that will enable high quality

services to be provided in all component areas. Identify all

proposed staff or staff positions, their proposed salary rates, and

the length of time they would be employed each year.

13. Propose a plan to provide child development and family

literacy skills training to parents of children who will participate

in the program. These services may be provided either directly or

through referral to educational services available in the community.

14. State how health services will be obtained from other

sources for the younger siblings of children who will participate in

the program, if the applicant chooses to assist the younger

siblings.

15. Indicate what geographical area or areas the applicant is

proposing to serve. Applicants may provide additional, verifiable

demographic data if they wish to demonstrate that the number of

eligible children in the area or areas proposed for service has

increased at a significantly faster rate than it has in the rest of

the State.

16. Explain why the proposed recruitment area has been chosen as

opposed to other possible recruitment areas in the unserved

geographical areas. Provide information on the types of problems

confronting those eligible residents of the proposed service area,

including data on the extent of poverty in the area and what other

services are available to the proposed service area's low-income

residents.

17. Describe how high quality ongoing services will be provided

at a reasonable cost. Provide two budgets, one for start-up costs,

the other for ongoing operating costs.

18. Explain what other resources in the community would help

support the proposed expansion in enrollment.

Waiver of Non-Federal Share Requirement

Section 640(b) of the Head Start Act requires that at least 20

percent of the total cost of Head Start projects come from sources

other than the Federal government. The non-Federal share may be in cash

or in kind. In-kind contributions must be fairly valued and may include

facilities, equipment, or volunteer services. Section 640(b) of the

Head Start Act permits a grantee to request a waiver of part or all of

the required non-Federal share. The grantee must demonstrate that it

has made a reasonable effort to meet the non-Federal share requirement

and is unable to do so. In deciding whether to grant the waiver

request, the Department will take into consideration (1) the lack of

resources available in the community that may prevent the Head Start

agency from providing all or a portion of the non-Federal contribution

*-*-*; (2) the impact of the cost the Head Start agency may incur in

the initial years it carries out such program; (3) the impact of an

unanticipated increase in the cost the Head Start agency may incur to

carry out such program; (4) whether the Head Start agency is located in

a community adversely affected by a major disaster; and (5) the impact

on the community that would result if the Head Start agency ceased to

carry out such program.

While some of these criteria will likely not be relevant for the

purposes of this announcement, any applicant which believes it

satisfies one or more of the above criteria may choose to request an

annual wavier of non-Federal share. Such requests will not be

considered by the panel reviewing the application, but will be

evaluated by the responsible ACF staff for those applicants selected

for funding. Any discussions necessary to determine the appropriateness

of granting a waiver will be between the responsible ACF staff and the

applicant.

B. Optional Application Requirements To Purchase Facilities

Section 644(f) of the Head Start Act allows Head Start agencies to

request approval to purchase facilities to be used to carry out Head

Start programs. We are hopeful that many programs will be able to

obtain donated facilities. We suggest the each applicant contact its

local Public Housing Authority to discuss the possibility of obtaining

donated space, especially when proposing to serve children living in

public housing. Where donated space cannot be found, programs may

choose to use grant funds to rent facilities. Applicants may request

one-time funds to renovate facilities which they will be renting.

Applicants proposing to purchase a facility as part of the FY 1994

expansion must include the following information in their applications,

as required by section 644(f)(2) of the Act, which is quoted below in

the underlined text:

(A) A description of the site of the facility proposed to be

purchased;

In describing the site, applicants should explain how the location

of the proposed facility is appropriate, given the applicant's proposed

service and recruitment area.

(B) The plans and specifications of such facility;

Applicants must provide the plans and specifications of the

proposed facility, i.e., the type of structure, its square footage,

number of rooms, bathrooms facilities, kitchen space, etc. Applicants

must also provide information on the property on which the facility is

located, including such information as the location of proposed

playground equipment and the availability of parking.

Applicants must demonstrate that any facility proposed for purchase

complies or will be able to comply, after renovation, with all State

and local licensing requirements and all accessibility requirements of

the Americans with Disabilities Act.

Applicants must describe the proposed uses of the facility proposed

for purchase. This facility should be one which will be used primarily

to provide classroom services to the children who will be enrolled if

the applicant receives a grant award in FY 1994. Part of the facility

may be used for non-classroom purposes, such as parent meeting rooms.

Applicants must provide information on what, if any, renovations

will be required to make the facility suitable for Head Start.

(C) information demonstrating that--

(i) The proposed purchase will result in savings when compared to

the costs that would be incurred to acquire the use of an alternative

facility to carry out such program; or * * *.

Applicants must develop complete business proposals which show the

costs and benefits of purchase as compared to rental. In developing

these proposals applicants should consider not only the relative costs

of a mortgage versus rent but any related costs, such as transportation

and utilities. Applicants must also describe the proposed one-time

costs necessary to purchase the facility.

Applicants must clearly state what method is being proposed to

purchase the requested facility; that is, whether the applicant is

seeking one-time funds to buy the facility outright, thus incurring no

mortgage obligation, or whether the request is to use grant funds to

offset mortgage costs. In either situation the applicant must also

clearly state what the anticipated costs will be for any proposed down

payment, necessary closing costs, and any renovation costs necessary to

make the facility suitable for Head Start.

All relevant cost allocation principles will apply if applicants

are proposing to purchase facilities which will not be used exclusively

by the Head Start program.

(ii) the lack of alternative facilities will prevent the operation

of such program * * *.

Any applicant asserting that alternative facilities are lacking

must include with its proposal an explanation of the process that was

used to determine that there were no alternative facilities available.

(D) Such other information and assurances as the Secretary may

require.

Applicants must address whether the facility proposed to be

purchased will make it easier for the applicant to collaborate with

other service providers in such areas as child care and health.

Applicants must certify that they understand that 45 CFR 74.32 (or

45 CFR 92.31, in the case of State and local governments and Federally

recognized Indian tribes), regarding the Government's rights and

responsibilities for properties bought in whole or in part with Federal

funds, will be applicable. A Notice of Federal Interest in any facility

purchased with grant funds will be required.

Applicants are reminded that the grantee agency will need to apply

for and obtain a mortgage without assistance from the Administration

for Children and Families.

The merits of any applicant's facility request will not be judged

by the review panel. For applications approved for funding, requests to

purchase facilities will be reviewed by the Administration for Children

and Families which will determine whether or not to approve such

requests.

III. Criteria for Review and Evaluation of the Grant Application

In considering how applicants will carry out the responsibilities

addressed under Part II of this announcement, competing applications

for financial assistance will be reviewed and evaluated against the

following criteria.

A. Objectives and Need for Assistance (20 points)

The extent to which the application pinpoints any relevant

physical, economic, social, financial, institutional, or other problems

requiring a grant; demonstrates the need for assistance; states the

principal and subordinate objectives of the project; and provides

supporting documentation or other testimonies from concerned interests

in the community to be served other than the applicant.

Information provided in response to Part II, Section A, Numbers 1,

2, and 3 will be used to review and evaluate applicants on the above

criterion.

B. Results or Benefits Expected (10 points)

The extent to which the application identifies the results and

benefits to be derived and describes the anticipated contribution to

policy, practice, theory, and/or research.

Information provided in response to Part II, Section A, Number 4

will be used to review and evaluate applicants on the above criterion.

C. Approach (45 points)

The extent to which the application outlines an acceptable plan of

action pertaining to the scope of the project which details how the

proposed work will be accomplished; lists each organization,

consultant, or other key individuals who will work on the project along

with a short description of the nature of their effort or contribution;

and demonstrates that the program would employ residents of the

applicant's proposed service area.

Information provided in response to Part II, Section A, Numbers 5-

14 of this announcement will be used to review and evaluate applicants

on the above criterion.

d. Geographic Location (15 points)

The extent to which the application gives a precise location of the

project and area to be served by the proposed project and describes the

families to be served.

Information provided in response to Part II, Section A, Numbers 15

and 16 of this announcement will be used to review and evaluate

applicants on the above criterion.

E. Budget Appropriateness and Reasonableness (10 points)

The extent to which the project's costs are reasonable in view of

the activities to be carried out and the anticipated outcomes. The

extent to which assurances are provided that the applicant can and will

contribute the required non-Federal share of the total project cost.

Information provided in response to Part II, Section A, Numbers 17

and 18 of this announcement will be used to review and evaluate

applicants on the above criterion.

Part IV. The Application Process

A. Availability of Forms

Eligible agencies interested in applying for funds must submit all

of the required forms included at the end of this announcement in

Appendix C.

In order to be considered for a Head Start grant, an application

must be submitted on Standard Form 424. Each application must be signed

by an individual authorized to act for the applicant agency and to

assume responsibility for the obligations imposed by the terms and

conditions of the grant award and must contain the certification

regarding lobbying. Applications must be prepared in accordance with

the guidance provided in this announcement.

B. Conference for Prospective Applicants

A conference for prospective applicants will, if requested, be

conducted at the appropriate ACF Regional Office between two and four

weeks after the publication date of this announcement. A conference

will also, if requested, be held in Washington, D.C., for prospective

applicants for programs proposing to serve American Indian families.

At these conferences, staff will answer questions about this

announcement and about the Head Start program. It is not necessary to

attend the conference to submit a grant application.

Information about the location and time of the conferences may be

obtained by calling, for applications under Category 1, the appropriate

Regional Office at the number shown in Appendix A; and for applications

under Category 2, Lee Fields, Chief, American Indian Programs Branch,

Program Operations Division, Head Start Bureau (202) 205-8437.

C. Application Submission

One signed original and two copies of the grant application,

including all attachments, are required. Completed applications must be

sent to Department of Health and Human Services, Administration for

Children and Families, Division of Discretionary Grants, 370 L'Enfant

Plaza, S.W., 6th Floor, Washington, D.C. 20447. The program

announcement number (ACYF-HS 93.600-94-1) must be clearly identified on

the application. Applicants must also indicate in Box 11 on Standard

Form 424 which of the two categories in Section A above is being

applied for.

Pleas note that, in order to make the review of their applications

easier, applicants should include in their proposals a Table of

Contents, page numbers, and an abstract or brief summary statement of

the proposal.

D. Application Consideration

Applicants will be reviewed against the evaluation criteria

outlined in Part III. The review will be conducted in Washington, D.C.

Reviewers will be persons knowledgeable about the Head Start program

and early childhood education and development, including parents of

Head Start children, Federal staff, and other experts, such as

university staff or the staff of child development projects.

The results of the competitive review will be taken into

consideration by the Associate Commissioner, Head Start Bureau, who, in

consultation with ACF Regional officials, will recommend projects to be

funded. The Commissioner of ACYF will make the final selection of the

applicants to be funded. Applications may be funded in whole or in part

depending on relative need, applicant ranking, and funds available.

The Commissioner may elect not to fund any applicants that have

management, fiscal, or other problems and situations which make it

unlikely that they would be able to provide effective Head Start

services. For example, this might apply to a current Head Start grantee

which had large, chronic balances of unobligated funds due to poor

management, or one that has failed to serve the agreed upon numbers of

children. Also, the Commissioner may decide not to fund projects which

would require unreasonably large initial start-up costs for facilities

or equipment. In addition, ACYF will assess the quality of current Head

Start programs applying for expansion funding, using information from

the program Information Report, on-site reviews, cost studies, etc.,

and may elect not to provide expansion funding to programs experiencing

problems in providing quality services. The degree of community support

will be considered when selecting among applicants for an unserved

geographical area whose rankings are similar. The Commissioner may also

take into consideration the nature and extent of poverty in different

unserved geographical areas when making decisions among applicants with

similar rankings.

Successful applicants will be notified through the issuance of a

Financial Assistance Award which sets forth the amount of funds

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

the grant the budget period for which support is given, the non-Federal

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

provided.

E. Closing Date for Receipt of Applications

The closing date for the submission of applications is July 18,

1994.

Deadline. Applications shall be considered as meeting the deadline

if they are either:

1. Received on or before the deadline date at the address specified

in the program announcement, or

2. Sent on before the deadline date and received by the granting

agency in time for the independent review under DHHS GAM Chapter 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 U.S. Postal Service. Private metered postmarks are not

acceptable as proof of timely mailing.)

Late Applications. Applications which do not meet the criteria

stated above are considered late applications. The granting agency

shall notify each late applicant that its application will not be

considered in the current competition.

Extension of deadlines. The granting agency may extend the deadline

for all applicants because of acts of God such as floods, hurricanes,

etc., or when there is a disruption of the mails. However, if the

granting agency does not extend the deadline for all applicants, it may

not waive or extend the deadline for any applicants.

F. Paperwork Reduction Act of 1980

Under the Paperwork Reduction Act of 1980, Public Law 96-511, the

Department is required to submit to the Office of Management and Budget

(OMB) for review and approval any reporting and recordkeeping

requirements in regulations, including program announcements. This

program announcement does not contain information collection

requirements beyond those approved for ACF grant applications under OMB

Control Number 0348-0043.

G. Executive Order 12372--Notification Process

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 Order, States may design their own

processes for reviewing and commenting on proposed Federal assistance

under covered programs.

All States and territories except Alabama, Alaska, 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). Applications

from Federally recognized Indian Tribes are exempt from E.O. 12372.

Applicants from these eighteen jurisdictions and from Federally

recognized Indian tribes need take no action regarding E.O. 12372. All

other applicants should contact their SPOCs as soon as possible to

alert them of the prospective application and to receive any necessary

instructions. Applicants must submit any required material to the SPOCs

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

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

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

indicate the date of this submittal (or date of contact if no submittal

is required) on the SF 424, item 16a.

Under 45 CFR 100.8(a)(2), a SPOC has 60 days from the application

deadline date to comment on applications submitted under this

announcement. Therefore, the comment period for State processes will

end on September 15, 1994.

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 should be

addressed to the Department of Health and Human Services,

Administration for Children and Families, Division of Discretionary

Grants, 370 L`Enfant Plaza S.W., 6th Floor, Washington, D.C. 20447.

A list of Single Points of Contact for each State and territory is

included at Appendix B.

(Catalog of Federal Domestic Assistance Program Number 93.600,

Project Head Start)

Dated: April 12, 1994.

Olivia A. Golden,

Commissioner, Administration on Children, Youth and Families.

Table A

Counties Not Currently Service by Head Start Programs Funded by ACF

Regional Offices

Alabama

No unserved counties.

Alaska

Aleutian Islands, Juneau, Lake and Peninsula Borough, North Slope,

Northwest Arctic Borough, Sitka, Skagway-Yakutat, Southeast Fairbanks,

Yukon-Koyukuk.

Arizona

No unserved counties.

Arkansas

No unserved counties.

California

Alpine.

Colorado

Cheyenne, Custer, Dolores, Douglas, Elbert, Grand, Gunnison,

Jackson, Kiowa, Kit Carson, Lincoln, Mineral, Moffat, Ouray, Phillips,

Pitkin, Rio Blanco, Routt, San Juan, San Miguel, Sedgwick, Summit,

Teller; The cities of Golden, Wheatridge, Columbine, Morrison,

Evergreen, and Mountain View in Jefferson County; The city of Brush in

Morgan County; The city of Estes Park in Larimer County.

Connecticut

No unserved counties.

Delaware

No unserved counties.

District of Columbia

No unserved counties.

Florida

No unserved counties.

Georgia

Echols, Taliaferro.

Hawaii

No unserved counties.

Idaho

Adams, Boise, Butte, Clark, Fremont, Jefferson, Lemhi, Madison.

Illinois

No unserved counties.

Indiana

Kosciusko.

Iowa

Adair.

Kansas

Anderson, Barber, Chase, Chautauqua, Cheyenne, Clark, Coffey,

Comanche, Edwards, Elk, Ellsworth, Gray, Greeley, Greenwood, Hamilton,

Harper, Haskell, Hodgeman, Kingman, Kiowa, Lane, Lincoln, Logan,

Marion, Meade, Mitchell, Morris, Morton, Ness, Norton, Osborne, Ottawa,

Pawnee, Phillips, Pratt, Rawlins, Rooks, Sheridan, Smith, Stafford,

Stanton, Stevens, Wallace; All areas outside Hutchinson Board of

Education School District in Reno County.

Kentucky

No unserved counties.

Louisiana

West Feliciana.

Maine

No unserved counties.

Maryland

No unserved counties.

Massachusetts

No unserved counties.

Michigan

No unserved counties.

Minnesota

No unserved counties.

Mississippi

No unserved counties.

Missouri

No unserved counties.

Montana

Big Horn, Carbon, Carter, Chouteau, Daniels, Fallon, Lake, Pondera,

Powder River, Prairie, Richland, Roosevelt, Rosebud, Sheridan,

Stillwater, Sweet Grass, Teton, Treasure, Wibaux, Yellowstone National

Park.

Nebraska

Arthur, Banner, Blaine, Boyd, Chase, Cuming, Dixon, Dundy,

Franklin, Frontier, Furnas, Garfield, Gosper, Grant, Harlan, Hayes,

Hitchcock, Hooker, Johnson, Keya Paha, Logan, Loup, McPherson,

Nuckolls, Pawnee, Perkins, Pierce, Rock, Sioux, Thomas, Washington,

Wheeler.

Nevada

Douglas, Esmeralda, Eureka, Lander, Lincoln, Nye, Pershing, Storey.

New Hampshire

No unserved counties.

New Jersey

No unserved counties.

New Mexico

Harding, Los Alamos.

New York

No unserved counties.

North Carolina

Polk.

North Dakota

Burke, Cavalier, Dickey, Divide, Eddy, Emmons, Foster, Grant,

Kidder, La Moure, Logan, McIntosh, McKenzie, McLean, Mercer, Mountrail,

Oliver, Renville, Rolette, Sargent, Sheridan, Sioux, Slope.

Ohio

No unserved counties.

Oklahoma

Dewey, Grant, Harper.

Oregon

Gilliam, Harney, Lake, Sherman, Wheeler.

Pennsylvania

No unserved counties.

Puerto Rico

No unserved counties.

Rhode Island

No unserved counties.

South Carolina

No unserved counties.

South Dakota

Corson, Harding, Perkins.

Tennessee

No unserved counties.

Texas

Brewster, Coke, Culberson, Delta, Franklin, Jack, Jeff Davis,

Kennedy, Kent, McMullen, Presidio, Rains, Sterling, Stonewall, Terrell,

Throckmorton, Winkler; All areas outside of Tyler ISD in Smith County;

All areas outside of Beaumont ISD and Port Arthur ISD in Jefferson

County; All areas outside of Midland ISD in Midland County; All areas

outside of West-Orange Cove ISD in Orange County; All areas outside of

Denton ISD in Denton County.

Utah

Daggett, Sanpete.

Vermont

No unserved counties.

Virginia

Bath, Clarke, Frederick, Highland, King George, Prince George, The

cities of Colonial Heights, Manassas City, Manassas Park, Poquoson

City, Winchester.

Washington

Columbia, Garfield, Lincoln, Wahkiakum.

West Virginia

No unserved counties.

Wisconsin

Kewaunee, Ozaukee; All areas outside of the Merrill Area School

District in Lincoln County; All areas west of Interstate 94 in Kenosha

County.

Wyoming

Lincoln, Teton, Uinta.

Table B

[State Allocations--Estimated State Funding Levels for Unserved

Counties]

------------------------------------------------------------------------

State Amount

------------------------------------------------------------------------

Colorado..................................................... $420,000

Indiana...................................................... 300,000

Kansas....................................................... 370,000

Montana...................................................... 239,000

Texas........................................................ 420,000

Virginia..................................................... 320,000

Wisconsin.................................................... 225,000

*Alaska, California, Georgia, Idaho, Iowa, Louisiana,

Nebraska, Nevada, North Carolina, North Dakota, New Mexico,

Oklahoma, Oregon, South Dakota, Utah, Washington, and

Wyoming..................................................... 2,004,000

------------------------------------------------------------------------

*The States listed above did not have sufficient funds available in

their unserved counties allocation to allow the funding of a new Head

Start grantee. Therefore, allocations for these States are being

pooled together and applicants from these States will have the

opportunity to apply for a portion of these pooled funds. In the

following States all counties are served by Head Start and thus there

are no competitive funds available for expanding into unserved areas:

Alabama, Arizona, Arkansas, Connecticut, Delaware, Dist. of Columbia,

Florida, Hawaii, Illinois, Kentucky, Maine, Maryland, Massachusetts,

Michigan, Minnesota, Mississippi, Missouri, New Hampshire, New Jersey,

New York, Ohio, Pennsylvania, Puerto Rico, Rhode Island, South

Carolina, Tennessee, Vermont, and West Virginia.

Appendix A

ACF Regional Offices

Region I: (617) 565-1150, Connecticut, Maine, Massachusetts, New

Hampshire, Rhode Island, Vermont

Region II: (212) 264-2974, New Jersey, New York, Puerto Rico, Virgin

Islands

Region III (215) 596-1224, Delaware, District of Columbia, Maryland,

Pennsylvania, Virginia, West Virginia

Region IV (404) 331-2398, Alabama, Florida, Georgia, Kentucky,

Mississippi, North Carolina, South Carolina, Tennessee

Region V (312) 353-4241, Illinois, Indiana, Michigan, Minnesota,

Ohio, Wisconsin

Region VI (214) 767-2981, Arkansas, Louisiana, New Mexico, Oklahoma,

Texas

Region VII (816) 426-5401, Iowa, Kansas, Missouri, Nebraska

Region VIII (303) 844-3106, Colorado, Montana, North Dakota, South

Dakota, Utah, Wyoming

Region IX (415) 556-1039, Arizona, California, Hawaii, Nevada, Outer

Pacific

Region X (206) 553-0838, Alaska, Idaho, Oregon, Washington

American Indian Programs (202) 205-8437

Appendix B

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

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

Intergovernmental Service, Department of Finance and Administration,

P.O. Box 3278, Little Rock, Arkansas 72203, Telephone (501) 682-1074

California

Mr. 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

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

Grants Mgmt and Development, 717 14th Street, N.W., Suite 500,

Washington, D.C. 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-

8114

Georgia

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

254 Washington Street, S.W., room 534A, Atlanta, Georgia 30334,

Telephone (404) 656-3855

Illinois

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

Governor, 107 Stratton Building, Springfield, Illinois 62706,

Telephone (217) 782-1671

Indiana

Ms. 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

Mr. 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

Ms. Karen Arone, State Clearinghouse, Executive Office of

Communities and Development, 100 Cambridge Street, room 1803,

Boston, Massachusetts 02202, Telephone (617) 727-7001

Michigan

Mr. 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) 949-2174

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, ATTN: Mr. Ron

Sparks, Clearinghouse Coordinator

New Hampshire

Mr. Jeffery 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

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

Resources, New Jersey 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

Mr. 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 (318) 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

North Dakota 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

Mr. 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 Burgees, State Single Point of Contact, Grant Services,

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

South Carolina 29201, Telephone (803) 734-0494

Tennessee

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

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

Tennessee 37219, Telephone (615) 741-1676

Texas

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

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

Utah

Utah State Clearinghouse, Office of Planning and Budget, ATTN: Ms.

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,

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 Office,

Wisconsin Department of Administration,

101 South Webster Street,

P.O. Box 7864,

Milwaukee, Wisconsin 53707,

Telephone (608) 266-0267

Wyoming

Ms. Sheryl Jeffries,

State Single Point of Contact,

Herachler 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 E. 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, No. 41

Norregade Emancipation Garden Station, Second Floor, Saint Thomas,

Virgin Islands 00802

Please direct correspondence to: Ms. Linda Clarke, Telephone (809)

774-0750

BILLING CODE 4184-01-P

TN18MY94.002

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 if

applicable) and 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 Employment 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.

--``Constitution'' 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 Catelog of Federal Domestic Assistance number and

title of the program under which assistance is requested.

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

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

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

projects), attach a map showing project location. For

preapplications, use a separate sheet to provide a summary

description of this project.

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

State, counties, cities).

13. Self-explanatory.

14. List the applicant's Congressional District and any

District(s) affected by the program or project.

15. Amount requested or to be contributed during the first

funding/budget period by each contributor. Value of in-kind

contributions should be included on appropriate lines as applicable.

If the action will result in a dollar change to an existing award,

indicate only the amount of the change. For decreases, enclose the

amounts in parentheses. If both basic and supplemental amounts are

included, show breakdown on an attached sheet. For multiple program

funding, use totals and show breakdown using same categories as item

15.

16. Applicants should contact the State Single Point of Contact

(SPOC) for Federal Executive Order 12372 to determine whether the

application is subject to the State intergovernmental review

process.

17. This question applies to the applicant organization, not the

person who signs as the authorized representative. Categories of

debt include delinquent audit disallowances, loans and taxes.

18. To be signed by the authorized representative of the

applicant. A copy of the governing body's authorization for you to

sign this application as official representative must be on file in

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

this authorization be submitted as part of the application.)

BILLING CODE 4184-01-P

TN18MY94.003

TN18MY94.004

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 be 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) and should not equal the sum of amounts

in Columns (e) and (f).

Line 5--Show the totals for all columns used.

Section B Budget Categories

In the column headings (1) through (4), enter the titles of the

same programs, functions, and activities shown on Lines 1-4, Column

(a), Section A. When additional sheets are prepared for Section A,

provide similar column headings on each sheet. For each program,

function or activity, fill in the total requirements for funds (both

Federal and non-Federal) by object class categories.

Lines 6a-i--show the total 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

Line 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 inkind 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 establish safeguards to prohibit employees from using

their positions for a purpose that constitutes or presents the

appearance of personal or organizational conflict of interest, or

personal gain.

4. Will initiate and complete the work within the applicable

time frame after receipt of approval of the awarding agency.

5. Will comply with the Intergovernmental Personnel Act of 1970

(42 U.S.C. 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) Secs. 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. Sec. 3601 et seq.), as amended, relating to non-

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

other nondiscrimination provisions in the specific statute(s) under

which application for Federal assistance is being made; and (j) the

requirements of any other nondiscrimination statute(s) which may

apply to the application.

7. Will comply, or has already complied, with the requirements

of Titles II and III of the Uniform Relocation Assistance and Real

Property Acquisition Policies Act of 1970 (P.L. 91-646) which

provide for fair and equitable treatment of persons displaced or

whose property is acquired as a result of Federal or federally

assisted programs. These requirements apply to all interests in real

property acquired for project purposes regardless of Federal

participation in purchases.

8. Will comply with the provisions of 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 (P.L. 93-234) which requires recipients in a special flood

hazard area to participate in the program and to purchase flood

insurance if the total cost of insurable construction and

acquisition is $10,000 or more.

11. Will comply with environmental standards which may be

prescribed pursuant to the following: (a) institution of

environmental quality control measures under the National

Environmental Policy Act of 1969 (P.L. 91-190) and Executive Order

(EO) 11514; (b) notification of violating facilities pursuant to EO

11738; (c) protection of wetlands pursuant to EO 11990; (d)

evaluation of flood hazards in floodplains in accordance with EO

11988; (e) assurance of project consistency with the approved State

management program developed under the Coastal Zone Management Act

of 1972 (16 U.S.C. Secs. 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 of the national wild and scenic river 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.

----------------------------------------------------------------------

Signature of Authorized Certifying Official

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Applicant Organization

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Title

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BILLING CODE 4184-01-P

TN18MY94.005

TN18MY94.006

BILLING CODE 4184-01-P

Appendix E

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 indicated or otherwise criminally or

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

with commission of any of the offenses enumerated in paragraph

(1)(b) of this certification; and

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

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

local) terminated for cause or default.

The inability of a person to provide the certification required

above will not necessarily result in denial of participation in this

covered transaction. If necessary, the prospective 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 had 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.

Appendix F

Certification Regarding Lobbying

Certification for Contracts, Grants, Loans, and Cooperative

Agreements

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

and belief, that:

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

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

influencing or attempting to influence an officer or employee of any

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

an employee of a Member of Congress in connection with the awarding

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

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

and the extension, continuation, renewal, amendment, or modification

of any Federal contract, grant, loan, or cooperative agreement.

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

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

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

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

Member of Congress in connection with this Federal contract, grant,

loan or cooperative agreement, the undersigned shall complete and

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

accordance with its instructions.

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

certification be included in the award documents for all subawards

at all tiers (including subcontracts, subgrants, and contracts under

grants, loans, and cooperative agreements) and that all

subrecipients shall certify and disclose accordingly.

This certification is a material representation of fact upon

which reliance was placed when this transaction was made or entered

into. Submission of this certification is a prerequisite for making

or entering into this transaction imposed by section 1352, title 31,

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

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

more than $100,000 for each such failure.

State for Loan Guarantee and Loan Insurance

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

belief, that:

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

influencing or 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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Date

BILLING CODE 4184-01-P

TN18MY94.007

[FR Doc. 94-12028 Filed 5-17-94; 8:45 am]

BILLING CODE 4184-01-C

This is a copy of a public record, reproduced as it was published. It is not legal advice, and it may not be the version a court would rely on. Check the official source before you cite it.

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