[No title available]

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Availability of Discretionary Grants to Promote Increased Placement

of Newly Arrived Refugees* in Preferred Communities, or to Respond

to Unanticipated Arrivals or Significant Increases in Arrivals of

Refugees to Communities Where Adequate or Appropriate Services Do

Not Exist

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*In addition to persons who meet all requirements of 45 CFR

400.43, eligibility for refugee social services also includes: (1)

Cuban and Haitian entrants, under section 501 of the Refugee

Education Assistance Act of 1980 (Pub. L. No. 96-422); (2) certain

Amerasians from Vietnam who are admitted to the U.S. as immigrants

under section 584 of the Foreign Operations, Export Financing, and

Related Programs Appropriations Act, 1988, as included in the FY

1988 Continuing Resolution (Pub. L. No. 100-202); and (3) certain

Amerasians from Vietnam, including U.S. citizens, under title II of

the Foreign Operations, Export Financing, and Related Programs

Appropriations Act, 1989 (Pub. L. No. 100-461), 1990 (Pub. L. No.

101-167), and 1991 (Pub. L. No. 101-513). For convenience, the term

refugee is used in this notice to encompass all such eligible

persons unless the specific context indicates otherwise.

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AGENCY: Office of Refugee Resettlement (ORR).

SUMMARY: This Standing Announcement invites submission of grant

applications for funding, on a competitive basis, in two categories:

Category 1--Preferred Communities: To promote increased placement

of arriving refugees in Preferred Communities where refugees have the

best opportunities to achieve early employment and sustain economic

independence without public assistance. Preferred communities should

have a history of low welfare utilization by newly arriving refugees.

In addition, refugees should have a favorable earned income potential

relative to the cost of living and to public assistance benefits in

such communities. Quality of life and sociocultural adjustment factors

will also be considered. Concurrently, ORR seeks to decrease placements

in communities where there has been a history of extended welfare use.

Awards in this category will be made as Cooperative Agreements.

Category 2--Unanticipated Arrivals or Significant Increases in

Arrivals of Refugees to Communities where Adequate or Appropriate

Services do not Exist: To provide services to significant numbers of

refugee arrivals, who were previously unanticipated, in communities

that are unable to provide appropriate services. Such communities must

demonstrate a specific need for supplementation of available resources

for such populations. The arrivals may be new populations to the U.S.

or merely new to the location requesting additional resources.

Alternatively, the arrivals may be a significant and unanticipated

number of an already existing ethnic group in the community. Awards in

this category will be grants and not Cooperative Agreements.

Projects and services allowed under this announcement are described

in Sections I and II listed below. The application must state

specifically for which of the two types of projects the application is

being submitted.

Awards for Preferred Communities will be for one-year budget

periods, although project periods may be for up to three years.

Applications for continuation grants to extend activities funded beyond

the one-year budget period will be entertained in subsequent years on a

noncompetitive basis, subject to availability of funds, timely and

successful completion of activities during the budget period, and the

Administration for Children and Families (ACF) determination that such

continuations would be in the best interest of the Government.

Awards for Unanticipated Arrivals will be for a single 17-month

budget period. Applicants should view these resources as a temporary

solution to the problem of inadequate resources for services to be

provided to the unanticipated arrivals.

Available Funds: In FY 1994, ORR expects to make individual grant

awards in amounts ranging from $20,000 to $100,000. Amounts in

subsequent years will depend upon the availability of funding, need,

and the best interests of the Government. In FY 1994, approximately

$400,000 will be available for awards for Preferred Communities and

$200,000 for Unanticipated Arrivals.

The Director reserves the right to award more or less than the

funds described above depending upon the quality of the applications or

such other circumstances as may be deemed to be in the best interest of

the Government.

Authorization: Authority for this activity is contained in section

412(c)(1)(A) of the Immigration and Nationality Act, as amended by the

Refugee Act of 1980, section 311, Pub. L. No. 96-212 (8 U.S.C.

1522(c)), the Refugee Education Assistance Act of 1980, section 501(a),

Pub. L. No. 96-422 (8 U.S.C. 1522 note), insofar as it incorporates by

reference with respect to Cuban and Haitian entrants the authorities

pertaining to assistance for refugees established by section 412(c) of

the INA, as cited above, and the Refugee Assistance Extension Act of

1986, Pub. L. No. 99-605. Section 412(c)(1)(A) authorizes the

Director--

To make grants to, and enter into contracts with, public or

private nonprofit agencies for projects specifically designed--(1)

to assist refugees in obtaining the skills which are necessary for

economic self-sufficiency, including projects for job training,

employment services, day care, professional refresher training, and

other recertification services; (ii) to provide training in English

where necessary (regardless of whether the refugees are employed or

receiving cash or other assistance); and (iii) to provide where

specific needs have been shown and recognized by the Director,

health (including mental health) services, social services,

educational and other services.

In addition, section 412(a)(2)(B)-(C) gives the Director the

responsibility to promote/encourage refugee resettlement in communities

where the prospects for early self-sufficiency are good and the history

of welfare utilization is low.

Application Submission: Forms and instructions for submitting an

application may be obtained by contacting the Office of Refugee

Resettlement at the address below. Applications which fail to stipulate

the category for which funding is being sought will not be considered

for funding.

An original and two copies of all applications should be submitted

to: Administration for Children and Families, Division of Discretionary

Grants, 370 L'Enfant Promenade SW, Sixth Floor, Washington, DC 20447.

Standing Announcement: This is a standing announcement, effective

until canceled by the Director of the Office of Refugee Resettlement.

The closing date for submission of applications to be considered for FY

1994 is July 18, 1994. In future fiscal years, closing dates will be on

November 15, March 15, and July 15 of each year.

FOR FURTHER INFORMATION CONTACT:

Preferred Communities: Ms. Marta Brenden

Unanticipated Arrivals: Ms. Judith May, Office of Refugee Resettlement,

370 L'Enfant Promenade S.W., Washington, D.C. 20447, Telephone: Ms.

Brenden (202) 205-3589, Ms. May (202) 205-3586

I. Category 1: Preferred Communities

A. Purpose and Scope:

The purpose of this program is to enable successful applicants to

defray the costs associated with resettling arriving refugees in

preferred communities and with reducing the numbers of refugees placed

in high impact sites. To be considered under the announcement, a

proposed preferred community would need to receive a minimum of 100

refugees annually.

Preferred Community sites refer to those localities where refugees

have the best opportunities to achieve early employment and sustain

economic independence without public assistance. Preferred communities

should have a history of low welfare utilization by newly arriving

refugees. In addition, refugees should have a favorable earned income

potential relative to the cost of living and to public assistance

benefits in such communities. These communities would also have a

moderate cost of living, good employment opportunities in a strong

entry level labor market, affordable housing, low out-migration rates

for refugees, religious facilities--if important to the refugees--local

community support, receptive school environments, and related community

features which contribute to a favorable quality of life for arriving

refugees.

ORR suggests that applicants will want to consider arriving

refugees for preferred community sites who have the following

characteristics:

Free cases: Those refugees who are determined in the

allocation process to be free cases, which means they are unrelated to

persons already living in high-impact communities.

New refugee populations: Those refugees from populations

recently determined to be refugees who have no/few existing communities

within the impacted areas of the United States.

Other refugees: The applicant may identify refugees who

would accept the opportunity for resettlement (diversion to) in the

preferred community: i.e., there are refugees who are resettled under

the rubric of family reunification, but in fact are distant relatives

and friends. These refugees may voluntarily elect placement in the

designated sites.

B. Preferred Community Site Selection:

ORR recognizes that extensive planning has to occur in order to

increase placements to preferred communities while concurrently

reducing placements in impacted sites. Thus, under the Cooperative

Agreement it will be incumbent upon ORR and the grantee to assure that

planning and coordination occur locally and nationally. This means that

the grantee and its local sites will plan and coordinate with ORR, the

Department of State and other voluntary agencies where their local

affiliates place refugees in the same sites, and State governments for

both site selection and the program strategies to be developed.

The application may be from an agency placing refugees in one

community, or a national resettlement agency which has multiple local

agencies as affiliates. The national agency may want to structure the

application to cover multiple sites during the three-year project

period.

The application may be submitted with or without selected sites. If

the sites have been selected, the application shall include the sites

with a description of the site, the rationale for selection, the

planning process and coordination activities that occurred prior to

selection. If the sites are not yet selected, the application shall

describe the planning process, the rationale to be used for site

selection, and planning and coordination activities that are to occur

prior to selection. In all cases, site selection that occurs after

application approval will require ORR concurrence under the terms of

the Cooperative Agreement.

The site selected may be one that has had successful refugee

placements and may have capacity for additional successful placements.

Or the site may be one where refugees have not previously been placed,

but which has all the elements of a successful refugee resettlement

community, listed in section E. 2, below.

To successfully resettle refugees, the community must have adequate

social services. ORR formula social services funding is awarded

proportionate to the number of new arrivals in the previous three

years. This announcement recognizes that increasing resettlement in

specific sites will not get reflected fully in the ORR formula social

services awards until three years after the placements. For this

reason, services that would otherwise be provided through the State

formula social services allocations may be included in the application

for this announcement. Planning to assure an orderly transition and

complement of services must be done in concert with the State. The

applicant shall describe and document this coordination and planning.

It should be noted that newly arriving refugees are eligible for any

existing services provided under the State's social service formula

allocation and that the State is required to make an appropriate

portion of such funds available for new arrivals. Therefore, the

application shall show specifically how the funds being requested will

complement the services made availble by the State. [It should also be

noted that while a State should not duplicate services, a State must

provide services pursuant to 45 CFR 400.145 to a refugee resettled to a

preferred community site if funds are available and the refugee is not

receiving such services from a voluntary agency and is otherwise

eligible.]

C. Eligible Applicants:

Eligible Applicants are public and private non-profit agencies

which currently resettle newly arriving refugees under a Reception and

Placement Grant with the Department of State or with the Department of

Justice. This announcement is restricted to these agencies, because

placements of new arrivals are implemented under the terms of these

grants and no other agencies place new arrivals or participate in

determining the sites where they will be placed. Applications shall

include documentation that the applicant is a recipient of a Reception

and Placement Grant. Applications lacking this documentation will not

be considered.

D. Allowable Activities

ORR will accept applications under this announcement for the costs

incurred in diverting new refugee placements from one area, for

increasing placements in preferred communities, for services needed for

the increased placements in the preferred communities, for the planning

and coordination processes, and for the national and local program

management costs associated with these activities.

E. Application Content:

In preparing the application, the applicant must include the

following:

1. Description of the proposed program. Description should include

anticipated improved resettlement opportunities, the employment

services to be provided and the cost implications in both the impacted

and preferred sites for local resettlement services.

2. A description of sites from which placements will be diverted

and the rationale. A list of the designated and potential sites and the

rationale for each site with respect to the following criteria:

(a) Local community support: show by letters, financial and in-kind

donations, news clippings, etc. that the community supports the

placement of these refugees in their area;

(b) State consultation: provide copies of letters indicating

consultation;

(c) Evidence of availability of entry level and other appropriate

employment opportunities: for example, letters from employers who have

refugees working for them and would hire more;

(d) History of low out-migration rates for proposed sites: show

documentation for the last two years;

(e) Moderate cost of living: for example, statements of volag

affiliates, statements from refugees;

(f) Low welfare grant level relative to earnings potential;

(g) Qualified staff: give job description and show how they will be

linguistically and culturally appropriate to the prospective

refugee(s);

(h) Affordable housing: provide average rental costs for apartments

of specified number of bedrooms and describe access to and distance

from services and potential employment;

3. A description of the caseload(s) (free cases, ethnicity, new or

existing ethnic group, etc.) to be served, what interventions will be

used to promote stability of placements, proposed numbers, proposed

placement schedule, back-up strategy should the proposed placement

schedule fail.

4. Budget, including line items and a narrative justification for

each line. Discuss relationship between costs proposed for this grant

and costs, e.g., for services, which will be covered by existing

refugee or mainstream funding and which will be covered by this grant.

5. A description of the national and local planning process,

establishment of coalitions to support the new placements, and the

consultative process used to support the application and envisioned

during implementation. If several local agencies are planning a

coordinated project, e.g., placing refugees from the same ethnic groups

in the same designated sites, describe the coordination of these plans.

Include discussion of anticipated outcomes of the placement strategy

for new arrivals.

6. A description of national/local project management. A discussion

of the project's anticipated outcomes, e.g., employment and retention

rates, welfare avoidance, reductions, and terminations. A discussion of

proposed monitoring.

F. Application Review Criteria

Preferred Communities applications will be reviewed, scored and

ranked utilizing the following criteria:

1. Description of proposed program, including cost implications in

both the impacted and preferred communities. Description should include

the anticipated improved resettlement opportunities and the employment

services to be provided. (20 Points)

2. Description of the preferred sites proposed in terms of

community support, State/local government consultation, cost-of-living,

out-migration history, housing, and employment availability, welfare

grant levels relative to potential earnings, and quality of life

features, such as school environment and available religious

facilities. Include a description of the sites from which refugees will

be diverted. (25 Points)

3. Appropriateness to the targeted population of the proposed

shift, and strategies to be used to promote stability of placements.

(15 Points)

4. Reasonableness of the budget and adequacy of line item

narrative; coordination of these grant funds with other funds. (15

Points)

5. Adequacy of planning process and reasonableness of anticipated

outcomes. (15 Points)

6. Description of national/local management, including objectives

and outcomes, reporting procedures, data collection and monitoring. (10

Points)

II. Category 2: Unanticipated Arrivals or Increases in Arrivals of

Refugees to Communities where Adequate or Appropriate Services Do Not

Exist

A. Purpose and Scope

The purpose of this program is to enable communities to respond to:

(1) The arrival of new ethnic populations of refugees and entrants in

communities where the existing services system does not have

appropriate bi-lingual capacity, or where the arrivals of such

populations are in communities where refugee services do not presently

exist; or (2) significant increases in arrivals of an already existing

ethnic group where the existing service capacity is not sufficient to

accommodate them. This grant program is intended to provide an

emergency response capability to provide services to unanticipated new

arrivals and arrivals for which the existing services system cannot

respond adequately because available funds are already obligated.

Applications will be accepted only for proposals of service in

communities which have received, or expect to receive, minimally 100 or

more persons annually as an unexpected population to a single local

community. This is a minimum, not a standard. The reasonableness of the

proposal will depend on the number of unanticipated arrivals relative

to the anticipated number. The applicant will need to make the case

that the unanticipated number is significant in the local context.

Applications which do not satisfactorily document all arrivals, both

anticipated and unanticipated, will not be considered.

ORR encourages the formation of coalitions of organizations which

propose to serve the new population(s) jointly, but only one agency may

be designated as grantee, and that agency will be responsible for

administration of the project.

As noted above, grantees should view these resources as a temporary

solution to the challenge of program transition. This grant program is

intended to supplement a State's existing refugee services network by

responding to unmet needs of the new refugee populations, with the

expectation that a State will have incorporated services for these new

populations into their refugee services network, funded by formula

social service dollars, by the end of the grant project period.

B. Eligible Applicants

Public and private non-profit organizations are eligible to apply.

C. Allowable Services

ORR will accept applications under this announcement for the types

of activities generally funded by States under their social services

formula allocation, in accordance with section 412(c)(1) of the

Immigration and Nationality Act for refugee social services. In

general, such service categories are defined as employment services,

language services, and support services. Applications under this

section should contain references to provision of appropriate bi-

lingual and bi-cultural service delivery and the development and

dissemination of appropriate orientation materials. Services provided

by all grantees, whether private or public, must comport with the

regulations at 45 CFR parts 147(b), 150, and 153-156 regarding

eligibility for services, scope of services and priorities for

services.

D. Application Content

1. A description of the applicant agency's qualifications,

including key personnel, to carry out the proposed activities for the

target population to be served.

2. A discussion of the characteristics of the target population and

the needs which cannot be addressed with the refugee program currently

in existence in the community. Include a letter from the sponsoring

national voluntary agency or agencies substantiating that there will be

the unanticipated arrival of at least 100 or more refugees or entrants

from the target population.

3. A Description of the planning process used in developing the

proposal, and the names and roles of the organizations participating in

this process, as well as the roles of all organizations which will be

involved in serving the population.

4. A description of the strategy to be used and services to be

provided. If the proposal was developed by a consortium or other

combination of entities, the role of each must be detailed. The

applicant must describe the specific geographic area(s) and client

group(s). Include a letter from the State verifying that the services

are needed, not currently available and not fundable from existing

resources, and discussing whether the State intends to integrate these

services into the State refugee services network.

5. A description of the anticipated outcomes, including the number

of job placements and 90-day retentions; and the anticipated cases of

welfare avoidance, reductions and terminations.

6. A management plan providing for oversight, monitoring, and

submission of reports.

7. A line-item budget with narrative justification for each line,

including a description of the staffing plan.

E. Application Review Criteria:

Applications in the Unanticipated Arrivals category will be

reviewed, scored, and ranked in accordance with the following criteria:

1. Qualifications of the applicant agency to carry out the proposed

activities for the target population to be served. (15 Points)

2. Adequate discussion of the unique characteristics of the target

population to demonstrate that the applicant understands the

characteristics requiring the additional services. (10 Points)

3. Demonstration that the planning process leading to development

of the proposal was appropriate. (15 Points)

4. Appropriateness of the strategy and operational plan in meeting

the needs of the target population, including joint planning activities

and leveraging of other Refugee Program or mainstream service

providers. (20 Points)

5. Appropriateness of the anticipated outcomes. (15 Points)

6. Adequacy of management plan. (10 points)

7. Appropriateness, cost-effectiveness, and reasonableness of the

budget, including the staffing plan and qualifications of key

personnel. (15 Points)

III. Administrative Requirements

A. Availability of Application Forms

Federal forms necessary for submission of an application, as

described below, are available at most local libraries and

Congressional District Offices for reproduction. If copies are not

available at these sources, they may be obtained by writing or

telephoning the following office: Office of Refugee Resettlement, 370

L'Enfant Promenade SW., Washington, DC. 20447, Telephone: (202) 401-

9251.

B. Application Format and Procedures

Applications for awards under this program announcement must be

submitted on Standard Form (SF) 424 provided for that purpose. Each

application should include one signed original and two additional

copies of the following:

l. The completed Standard Form 424 which has been signed by an

official of the organization applying for the grant who has authority

to obligate the organization legally. The applicant must be aware that

in signing and submitting the application for this award, he or she is

certifying that he or she will comply with the Federal requirements

concerning the drug-free workplace and debarment regulations.

2. A completed Budget Information--Non-Construction Programs form

(SF-424A).

3. A signed Assurances--Non-Construction Programs form (SF-424B).

4. A Project Narrative consisting of the elements described under

Category I, Part E, or Category II, Part D, above.

C. Deadlines

1. Applications will be considered to have met the announced

deadline if they are either:

(a) Received on or before the deadline date at the address

specified in this announcement, or

(b) Sent on or before the deadline date and received by the

granting agency, Administration for Children and Families (ACF), in

time for the independent review. (Applicants must be 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 shall not be acceptable as proof of timely

mailing.)

2. Applications which do not meet the criteria in paragraph a. of

this section are considered late applications. The ACF shall notify

each late applicant that its application will not be considered in the

current competition.

3. The ACF may extend the deadline for all applicants because of

acts of God such as floods, hurricanes, etc., or when there is a

widespread disruption of the mails. However, if the ACF does not extend

the deadline for all applicants, it may not waive or extend the

deadline for any applicant.

4. Once an application has been submitted, it is considered as

final and no additional materials will be accepted by ORR. An

application with an original signature and two copies is required.

Applications, if mailed, should be addressed to: Administration for

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

Promenade, SW, 6th Floor, Washington, DC 20447.

Applications, if hand delivered, should be taken to: Administration

for Children and Families, Division of Discretionary Grants, 901 D

Street SW, 6th Floor, Washington, DC 20447.

IV. Intergovernmental Review

This program is covered by Executive Order 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, South Dakota, Virginia, Washington, Pennsylvania,

American Samoa and Palau have elected to participate in the Executive

Order process and have established Single Points of Contact (SPOCs).

Applicants from these eighteen jurisdictions need take no action

regarding Executive Order 12372. Applicants for projects to be

administered by Federally-recognized Indian Tribes are also exempt from

the requirements of E.O. 12372. Otherwise, applicants should contact

their SPOCs as soon as possible to alert them of the prospective

applications and receive any necessary instructions. Applicants must

submit any required material to the SPOCs as soon as possible so that

the program office can obtain and review SPOC comments as part of the

award process. It is imperative that the applicant submit all required

materials, if any, to the SPOC and indicate the date of this submittal

(or the date of contact if no submittal is required) on the Standard

Form 424, item 16a.

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

deadline date to comment on proposed new or competing continuation

awards.

SPOCs are encouraged to eliminate the submission of routine

endorsements as official recommendations. Additionally, SPOCs are

requested to clearly differentiate between mere advisory comments and

those official State process recommendations which they intend to

trigger the accommodate or explain rule.

When comments are submitted directly to ACF, they should be

addressed to: Department of Health and Human Services, Administration

for Children and Families, Division of Discretionary Grants, 6th Floor,

OFM/DDG, 370 L'Enfant Promenade SW., Washington, DC 20447.

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

included as Appendix A of this announcement.

V. Applicable Regulations

Applicable HHS regulations will be provided to grantees upon award.

VI. Post-Award Requirements--Records and Reports

Grantees are required to file Financial Status (SF-269) on a semi-

annual basis and Program Progress Reports on a quarterly basis. Funds

shall be accounted for and reported upon separately from all other

grant activities. Successful applicants will be given specific

instructions by ORR, following the award of the grant, for reporting

grant performance.

The official recipient of all correspondence is the Division of

Discretionary Grants. The original copy of each report shall be

submitted to the Grants Management Specialist, Department of Health and

Human Services, Administration for Children and Families, Division of

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

Washington, DC 20447. A copy should be sent simultaneously to the

Division of Operations, ORR. The mailing address is: Office of Refugee

Resettlement, Division of Operations, Aerospace Building, Sixth Floor,

370 L'Enfant Promenade, SW., Washington, DC 20447.

The final Financial and Program Progress Reports shall be due 90

days after the project expiration date or termination of grant support.

ORR expects grantees to maintain adequate records to track and

report on project outcomes and expenditures by budget line item.

The following certifications are attached: Drug-Free Workplace,

Debarment, and Anti-Lobbying.

The Catalog of Federal Domestic Assistance (CFDA) number assigned

to this announcement is 93.576.

Dated: May 12, 1994.

Lavinia Limon,

Director, Office of Refugee Resettlement.

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

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, SW., 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 (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

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

TN18MY94.008

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) & 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 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

TN18MY94.009

TN18MY94.010

BILLING CODE 4184-01-C

Instruction for the SF-424A

General Instructions

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

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

any existing Federal grantor agency guidelines which prescribe how

and whether budgeted amounts should be separately shown for

different functions or activities within the program. For some

programs, grantor agencies may require budgets to be separately

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

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

and D should include budget estimates for the whole project, except

when applying for assistance which requires Federal authorization in

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

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

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

for Federal assistance in the subsequent budget periods. All

applications should contain a breakdown by the object class

categories shown in Lines a-k of Section B.

Section A. Budget Summary

Lines 1-4, Columns (a) and (b)

For applications pertaining to a single Federal grant program

(Federal Domestic Assistance Catalog number) and not requiring a

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

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

For applications pertaining to a single program requiring budget

amounts by multiple functions or activities, enter the name of each

activity of 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

program.

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 Column (e) and (f).

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

Columns (e) and (f).

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

Section B. Budget Categories

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

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

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

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

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

Federal and non-Federal) by object class categories.

Lines 6 a-i--Show that totals of Liens 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 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

Line 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 time.

Section F. Other Budget Information

Line 21--Enter 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 explanation 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 517 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

patients records; (h) Title VIII of the Civil Rights Act of 1968 (42

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

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

nondiscrimination provisions in the specific statute(s) under which

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

requirements of any other nondiscrimination statute(s) which may

apply to the application.

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

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

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

provide for fair and equitable treatment of persons displaced or

whose property is acquired as a result of Federal or federally

assisted programs. These requirements apply to all interests in real

property acquired for project purposes regardless of Federal

participation in purchases.

8. Will comply with the provisions of the Hatch Act (5 U.S.C.

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. Sec. 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 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

Date Submitted--------------------------------------------------------

BILLING CODE 4184-01-P

TN18MY94.011

TN18MY94.012

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 of 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

solicitation for lower tier covered transactions.

Certification Regarding Debarment, Suspension, Ineligibility and

Voluntary Exclusion--Lower Tier Covered Transactions

(To Be Supplied to Lower Tire Participants)

By signing and submitting this lower tier proposal, the

prospective lower tier participant, as defined in 45 CFR Part 76,

certifies to the best of its knowledge and belief that it and its

principals:

(a) are not presently debarred, suspended, proposed for

debarment, declared ineligible, or voluntarily excluded from

participation in this transaction by any federal department or

agency.

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

certify to any of the above, such prospective participant shall

attach an explanation to this proposal.

The prospective lower tier participant further agrees by

submitting this proposal that it will include this clause entitled

``certification Regarding Debarment, Suspension, Ineligibility, and

Voluntary Exclusion--Lower Tier Covered Transactions.'' without

modification in all lower tier covered transactions and in all

solicitations for lower tier covered transactions.

Certification Regarding Lobbying

Certification for Contracts, Grants, Loans, and Cooperative

Agreements

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

and belief, that:

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

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

influencing or attempting to influence an officer or employee of any

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

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

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

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

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

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

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

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

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

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

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

loan or cooperative agreement, the undersigned shall complete and

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

accordance with its instructions.

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

certification be included in the award documents for all subawards

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

grants, loans, and cooperative agreements) and that all

subrecipients shall certify and disclose accordingly.

This certification is a material representation of fact upon

which reliance was placed when this transaction was made or entered

into. Submission of this certification is a prerequisite for making

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

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

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

more than $100,000 for each such failure.

State for Loan Guarantee and Loan Insurance

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

belief, that:

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

influencing or attempting to influence an officer or employee of any

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

an employee of a Member of Congress in connection with this

commitment providing for the United States to insure or guarantee a

loan, the undersigned shall complete and submit Standard Form-LLL

``Disclosure Form to Report Lobbying,'' in accordance with its

instructions.

Submission of this statement is a prerequisite for making or

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

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

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[FR Doc. 94-12027 Filed 5-17-94; 8:45 am]

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ILLING CODE 4184-01-C

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Agency For Health Care Policy and Research

Requests for Nominations of Members of Clinical Practice

Guideline Panel on Prevention of Osteoporosis

The Agency for Health Care Policy and Research (AHCPR) has

announced a request for proposals and intends to award a contract to a

non-profit organization to develop a clinical practice guideline and to

develop related medical review criteria, standards of quality, and

performance measures for Prevention of Osteoporosis. The contractor

will establish a panel of health care experts and consumers to assist

in developing a clinical practice guideline on Prevention of

Osteoporosis and to assist in developing medical review criteria,

standards of quality, and performance measures. The AHCPR, on behalf of

the contractor, invites nominations of qualified individuals to serve

as chairperson(s) and members of the panel.

Background

The Omnibus Budget Reconciliation Act of 1989 (Pub. L. 101-239)

added a new title IX to the Public Health Service Act (the Act), which

established the Agency for Health Care Policy and Research (AHCPR) to

enhance the quality, appropriateness, and effectiveness of health care

services, and access to such services. (See 42 U.S.C. 299-299c-6 and

1320b-12.) The Agency for Health Care Policy and Research

Reauthorization Act of 1992 (Pub. L. 102-410), enacted on October 13,

1992, extended the authorization of AHCPR and amended certain

provisions related to the development of clinical practice guidelines.

In keeping with its legislative mandates, AHCPR is arranging for the

development, periodic review, and updating of clinically relevant

guidelines that may be used by physicians, other health care

practitioners, educators, and consumers to assist in determining how

diseases, disorders, and other health conditions can most effectively

and appropriately be prevented, diagnosed, treated, and clinically

managed. Medical review criteria, standards of quality, and performance

measures are then developed based on the guidelines produced.

Section 912 of the Act (42 U.S.C. 299b-1(b)), as amended by Public

Law 102-410, requires that the guidelines:

1. Be based on the best available research and professional

judgment;

2. Be presented in formats appropriate for use by physicians, other

health care practitioners, medical educators, medical review

organizations, and consumers;

3. Be presented in treatment-specific or condition specific forms

appropriate for use in clinical practice, educational programs, and

reviewing quality and appropriateness of medical care;

4. Include information on the risks and benefits of alternative

strategies for prevention, diagnosis, treatment, and management of the

particular health condition(s); and

5. Include information on the costs of alternative strategies for

prevention, diagnosis, treatment, and management of the particular

health condition(s), where cost information is available and reliable.

Section 913 of the Act (42 U.S.C. 299b-2) describes two mechanisms

through which AHCPR may arrange for development of guidelines:

1. Panels of qualified experts and health care consumers may be

convened; and

2. Contracts may be awarded to public and private non-profit

organizations. The AHCPR has elected to use the contract process for

development of a clinical practice guideline for Prevention of

Osteoporosis.

Section 914 of the Act (42 U.S.C. 299b-3(a)), as amended by Public

Law 102-410, identifies factors to be considered in establishing

priorities for guidelines, including the extent to which the guidelines

would:

1. Improve methods for disease prevention;

2. Improve methods of diagnosis, treatment, and clinical

management, and thereby benefit a significant number of individuals;

3. Reduce clinically significant variations among clinicians in the

particular services and procedures utilized in making diagnoses and

providing treatments; and

4. Reduce clinically significant variations in the outcomes of

health care services and procedures.

Also, in accordance with title IX of the PHS Act and section 1142

of the Social Security Act, the AHCPR Administrator is to assure that

the needs and priorities of the Medicare program are reflected

appropriately in the agenda and priorities for development of

guidelines.

Panel Nominations

The panel that will assist the contractor in developing the

clinical practice guideline for Prevention of Osteoporosis will consist

of two co-chairpersons and ten to fifteen other members. The work will

be divided into two phases. Phase I is development of the clinical

practice guideline. Phase II is development of medical review criteria,

standards of quality, and performance measures based on the guideline.

The role of the panel members is to assist the contractor to:

develop a decisionmaking process; determine the focus of the guideline

and the questions to be addressed; advise and monitor the review and

analysis of the scientific literature; consider and advise on principal

health care issues; monitor and provide counsel on development of

medical review criteria, standards of quality, and performance

measures; and review and approve the interim and final drafts of the

different versions of the guideline. The co-chairpersons will provide

leadership in carrying out these roles.

To assist in identifying members for the panel, AHCPR is requesting

recommendations from a broad range of interested individuals and

organizations, including physicians representing primary care and

relevant specialties, physicians' assistants, nurses, nurse

practitioners, pharmacists, allied health and other health care

practitioners, health care institutions, and consumers with pertinent

experience or information. In making panel selections, AHCPR will

maintain, to the extent possible, a balance of individuals selected

from academic settings and individuals selected without full-time

academic appointments. At least two members of this panel shall be

individuals who do not derive their primary source of revenue directly

from the performance of procedures discussed in this guideline. Some

participants in the guideline process (panel members, consultants, peer

or pilot reviewers) should have expertise in epidemiology, health

services research, or health economics, and familiarity with the

clinical condition being studied. To the extent possible, the panel

should have appropriate representation in terms of gender, minority

populations, and geographic areas of the United States.

The AHCPR is especially interested in receiving nominations of

individuals with:

(1) Experience in developing and/or commitment to developing

clinical guidelines, medical review criteria, standards of quality, and

performance measures;

(2) Relevant training and clinical experience;

(3) Relevant experience in basic and/or clinical research in

prevention of osteoporosis, including publication of relevant peer-

reviewed articles;

(4) Demonstrated interest in quality of care, medical outcomes, and

medical effectiveness;

(5) Knowledge of the epidemiology of prevention of osteoporosis;

(6) Experience in health services research or health economics,

with expertise in the areas of prevention of osteoporosis; and

(7) Personal experience of prevention of osteoporosis, either as a

patient, family member, or friend of a patient, or as a person who

actively works with consumer groups interested in prevention of

osteoporosis. The AHCPR encourages nominations of women and individuals

who are members of minority population groups. Nominees should have no

substantial financial interests or professional affiliations that would

significantly jeopardize the integrity of the guideline development

process or the final products.

This notice requests nominations of qualified individuals to serve

on the panel as members or as co-chairpersons. The functions of the

panel co-chairpersons are critical to the process of developing

guidelines. Co-chairpersons provide leadership regarding methodology,

literature review, panel deliberations, and preparation of the final

products. Nominations for co-chairpersons should take into

consideration the criteria specified below, which AHCPR will use in

approving final selections:

Relevant training and clinical experience;

Demonstrated interest in quality assurance and research on

the clinical condition(s) under consideration and the related treatment

of the condition(s), including publication of relevant peer-reviewed

articles;

Commitment to the need to produce clinical practice

guidelines;

Recognition in the field with a record of leadership in

relevant activities;

Broad public health view of the utility of particular

procedures or clinical services;

Demonstrated capacity to respond to consumer concerns;

Prior experience in developing guidelines for the clinical

condition in question; and

No substantial financial interests or professional

affiliations that would significantly impair the scientific integrity

of the guidelines or final products.

Subsequent to approval by AHCPR, the contractor will appoint the

panel co-chairpersons. After the panel co-chairpersons have been

appointed, nominations for members of the panel will be reviewed by the

contractor and the co-chairpersons, prior to proposing panel members to

AHCPR. Following AHCPR review and approval of proposed members'

qualifications, review of the overall composition of the panel to

ensure representation of a range of expertise and experience, and

review of potential conflict of interest, the contractor will appoint

panel members.

Nominations should indicate whether the individual is being

recommended to serve on the panel as a co-chairperson or as a member.

Each nomination must include two copies of the individual's curriculum

vitae or resume, and two copies of a letter of nomination with a

statement of the rationale for the specific nomination.

To be considered, nominations must be received by June 15, 1994 at

the following address: Jean R. Slutsky, Project Officer, Office of the

Forum for Quality and Effectiveness in Health Care, Agency for Health

Care Policy and Research, Willco Building, 6000 Executive Boulevard,

suite 310, Rockville, MD 20852, Phone: (301) 594-4015, Fax: (301) 594-

4027.

For Additional Information: Additional information on the guideline

development process is contained in the AHCPR Program Note, ``Clinical

Practice Guideline Development,'' dated August 1993. This document

describes AHCPR's activities with respect to clinical practice

guidelines, including the process and criteria for selecting panels.

This document may be obtained from the AHCPR Publications

Clearinghouse, P.O. Box 8547, Silver Spring, MD 20907; or call Toll-

Free: 1-800-358-9295.

Information may also be obtained by contacting Carole Hudgings,

Ph.D., Acting Director, Office of the Forum for Quality and

Effectiveness in Health Care, Agency for Health Care Policy and

Research, Willco Building, 6000 Executive Blvd, suite 310, Rockville,

MD. 20852. Information about this contract, RFP No. 282-94-2013, may be

obtained from Margaret S. Roseman, Division of Acquisition Management,

Government Acquisition Branch, room 5-101, Parklawn Bldg., 5600 Fishers

Lane, Rockville, MD 20857, (301)443-2475.

Requests for copies of the contract solicitation may be transmitted

by facsimile to 301-443-3238.

Dated: May 10, 1994.

Linda K. Demlo,

Acting Administrator.

[FR Doc. 94-12033 Filed 5-17-94; 8:45 am]

BILLING CODE 4160-90-P