Request for Applications Under the Office of Community Services' FY 1994 Demonstration Partnership Program; Notice DEPARTMENT OF HEALTH AND HUMAN SERVICES

SUMMARY: The Office of Community Services (OCS) announces that, based

on availability of funds, applications will be accepted for grants

pursuant to the Secretary's authority under Section 408(a) as amended

(Pub. L. 99-425), of the Human Services Reauthorization Act of 1986.

This program announcement follows the previous announcement published

May 5, 1994 (59 FR 86 pp. 23209 et seq.) of a special set-aside of up

to two million dollars ($2,000,000) of Fiscal Year 1994 DPP funds for

Technical Assistance/Planning in connection with strategic planning for

Empowerment Zones/Enterprise Communities (of which approximately $1.2

million has been disbursed) and deals with the remaining FY 1994 DPP

funds of up to approximately six million dollars ($6,000,000). This

program announcement consists of eight parts.

Part I covers information on the legislative authority, describes

the Departmental goals, defines terms used in the program announcement

and describes the purposes of the program.

Part II describes the types of projects that will be considered for

funding.

Part III provides details on application requirements including

project elements, definition of eligible applicants, availability of

funds, prohibition on the use of funds, project periods and budget

periods, the amount of matching funds applicants are required to

commit, limitations on administrative costs, and program beneficiaries,

partnership agreement, sub-contracting, third-party evaluation and

maintenance of effort.

Part IV provides application review criteria for the four

identified program priority categories.

Part V provides information on application procedures including the

availability of forms, where to submit an application, and criteria for

initial screening of applications.

Part VI provides instructions for completing an application.

Part VII details the contents of the application and receipt

process and Part VIII details post-award requirements.

CLOSING DATES: The closing date for submission of applications is

August 8, 1994.

FOR FURTHER INFORMATION CONTACT: Office of Community Services,

Administration for Children and Families Attn: Demonstration

Partnership Program, 370 L'Enfant Promenade, S.W., Fifth Floor,

Washington, D. C. 20447, (202) 401-9233.

This Announcement is accessible on the OCS Electronic Bulletin

Board for downloading through your computer modem by calling 1-800-627-

8886. For assistance in accessing the Bulletin Board, a Guide to

Accessing and Downloading is available from Ms. Minnie Landry at (202)

401-5309.

Table Of Contents

Part I--Preamble

A. Legislative Authority

B. Departmental Goals

C. Definitions of Terms

D. Purpose

Part II--Program Priority Areas

A. General Demonstration Projects 1.0

B. Replication Projects 2.0

C. Renewal Projects 3.0

D. Special Populations Set-Aside 4.0

Part III--Application Requirements

A. Project Elements

B. Background Information

1. Eligible applicants

2. Availability of Funds and Grant Amounts

3. Prohibition on the Use of Funds

4. Project Periods and Budget Periods

5. Matching Funds

6. Program Beneficiaries

7. Partnership Agreement

8. Sub-Contracting or Delegating Projects

9. Third-Party Evaluation

10. Maintenance of Effort

Part IV. Application Review Criteria

A. Review and Assessment of Applications in Priority Areas 1.0,

2.0, and 4.0

B. Review and Assessment of Applications for Renewal Projects

only, Priority Area 3.0

Part V. Application Procedures

A. Availability of Forms

B. Application Submission

C. Intergovernmental Review

D. Application Consideration

E. Criteria for Screening Applications

Part VI. Instructions for Completing Applications

A. SF-424--Application for Federal Assistance

B. SF-424A--Budget Information--Non-Construction

C. SF-424B--Assurances--Non-Construction

Part VII. Contents of Application and Receipt Process

A. Contents of Application

B. Acknowledgement of Receipt

Part VIII. Post-Award Information and Reporting Requirements

Part I--Preamble

A. Legislative Authority

Section 408 of the Human Services Reauthorization Act of 1986, as

amended (Pub. L. 99-425), entitled Demonstration Partnership Agreements

Addressing the Needs of the Poor, authorizes the Secretary to make

grants to eligible entities in order to stimulate the development of

new approaches to provide for greater self-sufficiency of the poor and

for the development and implementation of new and innovative approaches

to deal with particularly critical needs or problems of the poor which

are common to a number of communities.

B. Departmental Themes:

The Department has identified themes which guide the Department of

Health and Human Services' priorities and budget choices, as well as

the way the Department is run and how its services are delivered. These

are 1) preventing future problems which require identifying and

supporting early interventions; 2) fostering independence among the

people we serve which means developing strategies to ensure that

welfare recipients and other targeted populations have the means to

become as self-sufficient as possible; and 3) improving services to

customers through modern management approaches which means ensuring

that services and programs are as efficient and effective as possible.

C. Definitions of Terms

For purposes of this program announcement, the following

definitions apply:

--Budget Period: The term ``budget period'' refers to the interval of

time (usually 12 months) into which a multi-year period of assistance

(project period) is divided for budgetary and funding purposes.

--Case Management: For purposes of this announcement, case management

includes but is not limited to: assessment of the client's needs,

development of a holistic, comprehensive service plan, and delivery of

the most efficient and effective mix of services and support in the

implementation of that plan.

--Eligible entity: Any organization which is officially designated as a

community action agency or a community action program under Section

673(1) of the Community Services Block Grant (CSBG) Act, and meets all

the requirements under Section 675(c)(3) of the CSBG Act. All

``eligible entities'' are current recipients of Community Services

Block Grant funds, including Migrant and Seasonal Farmworker programs

which received CSBG funding in the previous fiscal year (FY 1993).

In those cases where ``eligible entity'' status is unclear, final

determination will be made by OCS/ACF.

--Family: For purposes of this announcement, family includes the

definition of nuclear family, as well as the inclusion of household

members and/or the extended family.

--Hypothesis: An assumption made in order to test its validity. It

should assert a relationship between an intervention and an outcome on

a target population. For example, there will be a significant increase

in the proportion of (target population) making progress toward self-

sufficiency (outcome) who receive and/or participate in (intervention)

as compared to those who do not. The outcome must be measurable.

--Innovative project: One that departs from or significantly modifies

past program practices and tests a new approach(es).

--Intervention: Any planned activity within a project that is intended

to produce changes in the target population or the environment, and can

be formally evaluated.

--Outcome evaluation: An assessment of measured results designed to

provide a valid determination of the net effects attributable to the

intervention. An outcome evaluation will produce and interpret findings

related to whether the intervention produced desirable changes and its

potential for replicability. It should answer the question, ``Did this

program work?''

--Partnership: A formal negotiated arrangement between an eligible

entity and another organization (or organizations) that provides for

substantive collaborative policy and service provision roles for each

of the partners in the planning and conduct of the project, the results

of which should be better integration of resources and services

delivery at the community level.

--Process evaluation: Descriptive information that is gathered on the

development and implementation of a program/intervention that may serve

as a document for replicating the program elsewhere. The evaluation

should also identify problems that occurred and how they were dealt

with and recommend improved means of future implementation. It should

answer the question: ``How was the program carried out?'' In concert

with the outcome evaluation, it should also help explain, ``Why did

this program work/not work?''

--Project period: The term ``project period'' refers to the total time

for which a project is approved for support, including any extensions.

--Self-sufficiency: A condition where an individual or family, by

reason of employment, does not need and is not eligible for, public

assistance.

D. Purpose

The purposes of this program are: (1) to stimulate eligible

entities to develop new approaches to provide for greater self-

sufficiency of the poor; (2) to test and evaluate the new approaches;

(3) to disseminate project results and evaluation findings so that

successful approaches can be replicated; and (4) to strengthen the

ability of eligible entities through the creation and/or strengthening

of community partnerships to integrate, coordinate, and redirect

activities to promote maximum self-sufficiency among the poor.

Part II: Program Priority Areas

Priority Area 1.0 General Demonstration Projects: (Up to approximately

$2 million)

All applications submitted under this category must focus on

developing new and innovative ways of promoting individual and family

self-sufficiency among the poor within the context of the communities

in which they live. The applicant will be expected to propose solutions

that show promise of increasing self-sufficiency and that depart from

or modify conventional approaches used by eligible entities. At a

minimum, every individual should achieve an economic self-sufficiency

goal appropriate to the age group. For adult populations (18 years of

age or more) that goal should include a job which will allow

individuals to provide for basic needs with the potential for career

development that will lead to self-sufficiency within a reasonable

period of time, enrollment in an educational program which will lead to

such a job, or interim goals on the ladder to self-sufficiency. OCS

understands that there are many rungs on that ladder, many of which

relate to the cohesiveness, resources, stability and socio-economic

infrastructure of the community, and which include, for example, safe,

affordable housing and the stabilization of living situations, adequate

child care, medical care, transportation, an emotional support network,

and skills and resourcefulness required to access needed support and

entitlement services.

OCS is interested in demonstrations that test the targeting of

services to special groups that will also improve the community in

which they live. Applications should include partnerships with

organizations which are providers of services within the community and

one of the goals of the partnerships should be a developing shift of

focus within these organizations from maintenance to the transformation

of their clientele, and a growing recognition of the value of their

services as investments in their clients' communities.

The proposed interventions should be multi-dimensional. They may

address both individual and family progress toward greater socio-

economic and psychological self-sufficiency; involve two or more

generations as both providers and beneficiaries of services; and should

address neighborhood conditions and community and institutional change.

In the spirit of ``local initiative'' OCS looks forward to

innovative proposals that grow out of the experience of eligible

entities and the needs of their clientele and communities, and that

will make the fruits of local creativity available broadly to others

seeking solutions to similar problems.

At the same time, OCS is particularly interested in receiving a

number of applications which address environmental justice and

sustainable community development in ways which will offer the poor

opportunities for long term career development as well as improving the

supportive economic infrastructure and facilities of the community.

Environmental Justice and Sustainable Community Development are

terms that have come into common usage only recently, with the growing

realization that low income and minority people and communities have

long suffered inequitable and life and health-threatening environmental

degradation. A 1987 report by the Commission for Racial Justice of the

United Church of Christ, Toxic Waste and Race in the United States,

concluded that race has been a factor in the locating of commercial

hazardous waste facilities in the United States, and that the clean-up

of uncontrolled toxic waste sites in Black and Hispanic communities

should be given the highest possible priority. The findings of this

report were confirmed by the Environmental Protection Agency in its own

study: Environmental Equity: Reducing Risks For All Communities, Vols.

I and II, U.S.EPA, June 1992. A study by the National Law Journal

published in 1992 included among many of its findings that over the

last ten years EPA fines against polluters, on average for all types of

cases, were 54 percent lower in poor neighborhoods than in wealthy

communities; and in the case of violators of RCRA, (the Resource

Conservation and Recovery Act), which is the law that governs hazardous

waste sites, violators in minority communities were fined on average

one-fifth the amounts of violators in white areas. EPA's Office of

Environmental Justice reports that as a result of both these studies

the agency is currently carrying out a comprehensive demographic study,

based on 1990 census data, of EPA enforcement and toxic waste sites.

On a related and equally critical front, a Public Health Service

Report to the Congress in 1988 stated that 55 percent of Black children

below the poverty level have toxic levels of lead in their blood whose

permanent effects include reduced intellectual function, aggressive

behavior, hearing loss and growth impairment. Since that time the

Centers for Disease Control have significantly lowered the threshold

for the blood-lead levels that it considers toxic. See: Preventing Lead

Poisoning in Young Children, A Statement By The Centers For Disease

Control--October 1991, U.S. Department of Health and Human Services,

Public Health Service.

While the environmental consciousness of many civil rights leaders

is thus being raised, many low income and minority persons and

communities still see environmental concerns and laws aimed at

protecting the environment as roadblocks to their economic advancement,

keeping needed jobs out of their communities or causing businesses to

move or retrench because of the perceived high costs of practices and

safeguards which are required as measures to protect the environment.

What they often have not understood is the degree to which they are

being subjected to life--and health-threatening conditions such as

illegal dumping of toxics, indiscriminate use of pesticides, or homes

laden with asbestos, lead, and Radon, and that these very conditions

cause physical and mental deterioration of residents and the breakdown

of community infrastructure. For low income and minority communities

are often contaminated to the point that it presents a serious barrier

to economic revitalization. For example, EPA's Office of Solid Waste

and Emergency Response (OSWER) reports that Cleveland Tomorrow, that

city's forward looking Chamber of Commerce, has after extended study

concluded that the ``economic rebirth'' of Cleveland will never happen

until the clean-up of contaminated sites in that city has been

accomplished.

By the same token, there is a growing realization that long term

survival on the planet will only be possible if we develop a

sustainable economy which husbands resources and eliminates waste. The

President's Council on Sustainable Development (PCSD) was established

by President Clinton and charged with a mandate to develop specific

policy recommendations for a national strategy for sustainable

development that can be implemented by the public and private sectors.

The Council has written: ``* * * sustainable development means a

program of domestic economic and political reform that * * * yields

broad-based economic progress accomplished in a manner that protects

and restores the quality of the natural environment, improves the

quality of life for individuals and broadens the prospects for future

generations. It means, in other words, maintaining economic growth

while producing the absolute minimum of pollution, repairing the

environmental damages of the past, using far fewer non-renewable

resources, producing much less waste, and extending the opportunity to

live in a pleasant and healthy environment to the whole population.''

The Council's Sustainable Communities Task Force suggests that:

``General principles of community sustainability include social equity,

racial justice, population stabilization, improved quality of life,

participation of stakeholders invested in the outcome, elimination of

waste, reduced consumption, encouragement of local self-reliance,

recognition of local ecosystem assets and limitations, urban

rehabilitation and clean-up, and improved public health.''

For the purposes of this Announcement, programs falling within the

rubric of Environmental Justice and Sustainable Community Development

might include community-based job development around lead abatement in

low-income dwellings, toxic clean-up of communities, holistic ``livable

house'' treatment of low-income dwellings which would combine lead

abatement with weatherization and the mitigation of other hazards such

as asbestos or radon, installation and maintenance of alternative and

renewable energy technologies in the homes of the poor, recycling, new

and non-traditional uses of agricultural crops and products, urban

pesticide programs designed to reduce the use of toxic pesticides in

low income urban communities through Integrated Pest Management and

similar techniques, or the launching of enterprises involving new and

non-polluting manufacturing or other commercial methodologies which can

provide needed goods and services in ways which are consistent with

sustainable community development.

Applications which include job and career development dependent on

the securing of contracts for services or successful marketing of goods

and/or services must include assurance that such contracts will be

forthcoming or assurance based on market surveys or other means that

sufficient markets for the proposed goods or services exist to promise

a reasonable expectation of project success. Where the development and

management of business ventures are involved in the proposed work plan,

applicant must provide evidence that such activities will be under the

direction of a person or persons having documented business experience.

Applicants seeking to identify additional resources and/or persons

within their communities who can provide guidance and expertise in the

areas of environmental justice and sustainable community development

may wish to contact one of the following offices for information and

assistance:

Sustainable Communities Task Force, President's Council on Sustainable

Development, 1849 C Street NW., Mail Stop 7456-MIB, Washington, D.C.

20240, Contact: (Ask for Staff Liaison to Task Force) (202) 208-7411,

Information on local and national organizations involved with

Sustainable Community Development.

Rural Development Administration, U.S. Department of Agriculture, AG

3202, Washington, D.C. 20250-3202, Contact: Beverly Gillot, Rural

Development Specialist, (202) 690-2516, Information on RDA programs and

resource persons at State level, and other USDA resources

Cooperative State Research Service, U.S. Department of Agriculture, 370

L'Enfant Promenade SW., 3rd Floor, Washington, D.C. 20250-2260,

Contact: Dr. Dan Kugler, Deputy Administrator for Special Programs,

(202) 401-6861, Information on New Uses and Markets for Agricultural

Products, Sustainable Agriculture, and Aquaculture.

Office of Community Planning and Development, Department of HUD, 451

7th Street SW., Room 7244, Washington, D.C. 20410, Contact: Andy

Euston, Senior Urban Design and Energy Program Officer, (202) 708-1911,

Information on Sustainable Community Development; referral to local and

regional resources.

Office of Assistant to the Secretary for Labor Relations, Department of

HUD, 451 7th Street SW., Room 7118, Washington, D.C. 20410, Contact:

Richard S. Allan, Deputy Assistant to the Sect'y, (202) 708-0370,

Information on training for lead abatement and toxic materials handling

and disposal, and Project Step-Up.

Regional and State Planning Branch, Office of Policy Planning and

Evaluation, U.S. Environmental Protection Agency, 401 M Street SW.,

Washington, DC 20460, Contact: Deborah Martin, Branch Chief, (202) 260-

2729, Environmental planning and assistance in understanding and

assessing environmental risks.

Office of Lead Paint Abatement and Poisoning Prevention, Department of

HUD, 451 7th Street SW., Room B133, Washington, DC 20410, Contact:

Dorothy Allen, (202) 755-1771, Information on funded lead abatement

projects and resources and T/TA available.

Energy-Efficiency and Renewable Energy Clearinghouse, U.S. Department

of Energy, Write: EREC, P.O. Box 3048, Merrifield, VA 22116, Call Toll-

Free: 1-800-523-2929, Publications, source lists, bibliographies;

detailed technical responses on energy efficiency and renewables;

business assistance, referrals to associations, labs, state energy

offices, and special interest groups.

Priority Area 2.0 Replication Projects: (No less than $800,000)

The Demonstration Partnership Program is required to spend at least

10% but no more than 25% of its FY 1994 appropriation to make grants to

replicate in additional geographic areas previously funded programs

that have demonstrated a significant potential for dealing with

particularly critical needs or problems of the poor that exist in a

number of communities.

For FY 1994, OCS will accomplish this by funding eligible entities

to adapt the best practices models in the following program areas which

have been shown to be effective in enhancing self-sufficiency:

--Micro-Enterprise--a combination of capital, technical business

assistance and oversight monitoring of loans, along with comprehensive

case management and supportive services can provide low-income

individuals with assistance in developing their own businesses as one

path toward self-sufficiency and reduce their need for public

assistance. Successful programs have had realistic expectations and

have provided an appropriate range of services. Applications in this

Priority Area should be based on the experiences and learning of past

DPP projects in their project design, selection of staff, range of

interventions and support services, and identification and surmounting

of structural and programmatic barriers.

At a minimum, interventions should include selective client

recruitment, business training, business plan development, strong

partnerships, multiple flexible loan sources, loan circles (or

structures that provide similar on-going peer support), and marketing

assistance. Mentoring programs are optional. Partnerships that include

Community Development Financial Institutions are particularly

encouraged. A critical support function for this program is

comprehensive case management, which may include services such as

counselling, family goal setting, training in communications and other

basic skills, home management and child development. Programs in this

category must show how case management services will be provided.

Program design should include a continuing peer support structure which

includes access to assistance in marketing, bookkeeping, and personal

or family crisis intervention.

FOR INFORMATION ON SUCCESSFUL MICRO-ENTERPRISE PROGRAMS, PLEASE

CALL THE OFFICE OF COMMUNITY SERVICES AT (202) 401-9233.

Priority Area 3.0 Renewal Projects (Up to approximately $600,000)

The factors which contribute to unemployment and welfare dependency

are complex. OCS recognizes that in seeking viable solutions to these

problems time is required to:

--establish program operations and data collection procedures;

--test assumptions regarding the population;

--achieve client stability and build client resource infrastructures;

--pilot the program and revise the approach as needed in order for the

program to have its intended effect.

For these reasons, OCS has established a priority of renewal

funding of programs that show strong process progress, and have

reasonable evaluation designs and protocols in place, and show promise

of yielding more useful results through extension of their operations.

Eligible entities which have been conducting DPP projects whose

initial approved Project Periods expire or have expired in calendar

years 1993, 1994, or 1995 may apply for a renewal grant on a

competitive basis.

OCS is interested in renewing projects for which there is evidence

that (1) the particular approach being tested is likely to yield

important results if the project is operational for a longer period of

time, (2) the additional documentation made possible by the renewal

grant will result in a more valid and useful study and (3) the renewal

grant will strengthen the partnership collaboration and will result in

a better delivery and coordination of the continued services.

The DPP legislation limits any grant made subsequent to the initial

grant to 80 percent of the total amount of the grant previously

received. Therefore, in keeping with the legislative requirements, only

one renewal grant will be made for a particular project and funding

will not exceed 80% of the total amount received for the original

project period of up to thirty (30) months.

Applications for renewal grants must contain the following

components of the initial project: the same hypotheses and

interventions, the same characteristics of the target population, the

same partnerships and third-party evaluator. However, the renewal grant

may expand the original treatment and comparison groups to increase the

number of clients and to allow for attrition. Since applicants for

renewal grants already have in place a valid third-party evaluation

contract which was initially competed, the inclusion of such contracts

are considered competitive and not sole source, (but will not have to

be competed again).

Priority Area 4.0 Special Populations Set-Aside (up to $2 million)

For Fiscal Year 1994, a set-aside fund of up to $2,000,000 will be

included for Special Populations. Grants will be made to eligible

entities for the purpose of demonstrating new and innovative approaches

to increasing the self-sufficiency of disadvantaged youth, particularly

among minority populations, between the ages of 10 and 25. Recognizing

that self-sufficiency does not take place in isolation, all proposals

submitted under this category must address 1) educational success for

the identified target group, 2) community involvement, 3) leadership

development, and 4) violence prevention.

Applicants should identify and address any individual, community,

and environmental barriers, particularly violence, which may hinder

efforts by community organizations to help the target population become

self-sufficient. OCS is particularly interested in partnerships that

address violence as a response to conditions in the family and in the

community. OCS encourages proposals that include linkages with existing

nationwide or local organizations that have experience establishing

programs that address violence as a community issue, and welcomes

proposals that address the problems and needs of people who have been

subjected to historical patterns of oppression. OCS feels that to

assure the safety of all program participants and staff it is essential

that programs be closely coordinated with local law enforcement

agencies.

Disadvantaged youth as the target population to be served should

not be considered in isolation from the community in which they live

and grow; and at a minimum, applicants should seek to involve partners

that will make possible a comprehensive, holistic approach to family

and community development, including such components as provision of

adequate housing, vocational training, apprenticeship and employment

opportunities, parenting, family mentoring, provision of daycare and

transportation, and interventions in individual and group violence. It

is particularly important that contacts and project activities be

frequent and intense enough so that the day-to-day experiences of

participating youth are affected. OCS would welcome proposals which

seek to develop career opportunities for disadvantaged youth through

job and career development in the areas of Environmental Justice and

Sustainable Community Development discussed under Priority 1, above.

Where projects propose to address populations 10 to 15 years old,

applicants should consider the stages of youth development and aim to

counter unhealthy and destructive influences on youths' lives. Projects

should aim to enhance the sense of community among young community

residents which will reduce their sense of isolation from the community

and from society at large.

OCS is interested in demonstrations that test the targeting of

services to special groups and the neighborhoods in which they live, go

to school, and work. Proposals should include partnerships with

organizations which are providers of services within the community and

one of the goals of the partnerships should be a developing shift of

focus within these organizations from maintenance to the transformation

of their clientele, and a growing recognition of the value of their

services as investments in their clients' communities. In keeping with

the Departmental theme of improving services to customers through

modern management approaches, multimedia strategies which provide more

efficient and effective delivery of services are welcomed.

Applicants seeking guidance on program design, availability of

resources, or the identification of persons or organizations in their

communities that can provide additional guidance, support, and

expertise in the areas of disadvantaged youth and violence prevention

may wish to contact one of the following persons for information and

assistance:

Clifton Mitchell, Chief, Special Projects Branch, Center for Substance

Abuse Treatment, 5515 Security Lane, Rockwall II, 7th Floor, Rockville,

MD 20852, (301) 443-6533

Warren W. Hewitt, Jr., Director, Division of Clinical Programs, Center

for Substance Abuse Treatment, 55-5 Security Lane, Rockwall II, 7th

Floor, Rockville, MD 20852, (301) 443-8160

Dr. Donald Vereen, M.D, M.P.H., Special Assistant to the Director,

National Institute on Drug Abuse, National Institutes of Health, 5600

Fishers Lane, Room 10-05, Rockville, MD 20857, (301) 443-6480

Timothy Thornton, Associate Director for Youth Programs, Division of

Violence Prevention, National Center for Injury Prevention and Control

(NCIPC), Centers for Disease Control, 4770 Buford Highway NE, Atlanta,

GA 30341, (404) 488-4646

Marilyn Silver, Information Specialist, Office of Juvenile Justice and

Delinquency Prevention, Office of Justice Programs, Department of

Justice, 633 Indiana Avenue NW., Washington, DC 20531, (202) 616-3551

and Juvenile Justice Clearinghouse, 1-800-638-8736

Part III: Application Requirements

A. Project Elements

All projects must:

1. Involve new and innovative approaches and/or significant new

combinations of resources, both of which should be identified in the

partnership agreements;

2. Include activities which can be incorporated into, or be closely

coordinated with, eligible entities' ongoing programs;

3. Be structured in a way that will, within the limits of the type

of assistance or activities contemplated, most fully and effectively

promote the purposes of the Community Services Block Grant Act as

amended;

4. Include plans for an independent, methodologically sound process

and outcome evaluation of the effectiveness of the activities carried

out with the grant;

5. Clearly specify the intended target groups;

6. Include partnership(s) between the applicant and one or more

other organizations resulting in improved methods of assisting low-

income families and individuals to achieve self-sufficiency (applicants

are encouraged to collaborate with other eligible entities and State

agencies with whom they have a history of successful joint endeavors);

7. Have the potential for producing a measurable and major impact

on the causes of poverty, be applicable to other localities with

similar problems, and have the potential for replication by eligible

entities; and

8. Be conducted on a scale broad enough to permit a valid

evaluation.

B. Background Information

This part provides necessary background information for potential

applicants. The specific information to be used in developing an

application is contained in Part IV.

1. Eligible Applicants

Eligible applicants are those ``eligible entities'' defined in Part

I, Section C., Definitions of Terms, of this announcement and whose

eligibility status and capability have been certified by the State

Director of the Community Services Block Grant program. (See Part V,

Section E.2 (a) for certification requirements.) Eligible entities

submitting applications for renewal grants must have received a

Demonstration Partnership Program grant in a prior fiscal year and

which grant expired or will expire during the calendar years of 1993 or

1994.

2. Availability of Funds

The total appropriated amount for the FY 1994 Demonstration

Partnership Program is $8,000,000, however a Set-Aside of up to

$2,000,000 for Technical Assistance/Planning Grants for EZ/EC was

issued under a separate Announcement. Approximately $6,000,000 is

available to support approximately 20 new project grant awards,

replication projects, and renewal projects for the priorities published

in this Federal Register Program Announcement.

The maximum Federal share is not to exceed $350,000 for the total

project and budget period of up to thirty-six months, which includes a

start-up period of up to six months, an operational period of twenty

four months, and an evaluation period of six months at the conclusion

of the project.

(a) For all priority areas except renewal projects, grant requests

will be considered for an amount up to $350,000 in OCS funds for the

total budget/project period of up to thirty-six months.

(b) For renewal projects under Priority Area 3.0, grant requests

will be considered for an amount not to exceed 80% of the total amount

received for the original Project Period of up to thirty (30) months.

The project period for renewal grants may be up to thirty months,

including a six month concluding evaluation period (no start-up period

being required).

3. Prohibition on the Use of Funds

The use of funds for the purchase, construction or improvement of

real property is prohibited. This prohibition includes expenditures for

weatherization and home repairs.

4. Project Periods and Budget Periods

(See Part I, C, Definitions)

Project periods for Renewal grants will be for a minimum of

eighteen months and a maximum of thirty months. Each project period

will include a basic service period of twelve to twenty-four months

plus a six month evaluation follow-up period. (This evaluation follow-

up may extend beyond the project period of the grant)

Project periods for all other grants will be for a minimum of 30

months and a maximum of 36 months (a 24 months operational period and 6

months evaluation follow-up) plus a start-up period of up to 6 months.

To insure funding stability throughout the project period, proposed

projects must have sufficient non-OCS funds committed so that, combined

with FY 94 OCS grant funds, grantees will have sufficient resources to

complete their proposed projects.

5. Matching Funds

An applicant is required to obtain commitment of at least one

private or public sector dollar or equivalent in-kind contribution for

each dollar of OCS funds awarded for all priority categories except the

Special Populations. Thus, if an applicant is requesting $250,000 in

OCS funds, at least $250,000 worth of additional resources must be

committed to the project from private or public sector sources. Public

sector resources that can be counted toward the minimum match include

funds from State and local governments, and funds from various block

grants allocated to the States by the Federal Government providing the

authorizing legislation for these grants permits such use. (Note, for

example, that CDBG funds may be counted as matching funds; CSBG funds

may not.)

Funds identified by the applicant as those to be counted toward the

minimum match requirement may be in the form of grantee-incurred costs,

cash, or third-party in-kind contributions fairly valued. OCS is

recommending that at least 50% of the match be provided by the proposed

partners through the delivery of specific services to the client

population. Such funds must be definitely committed or contingent only

upon receipt of an OCS grant, and must be applied to specific project

activities within the OCS-approved project and used only for project

purposes for the duration of the OCS grant. The firm commitment of the

specific amounts of matching funds and/or the dollar value of third-

party in-kind contributions must be documented in the project

application. Documentation of matching funds must be in the form of

letters of commitment or intent to commit from the donor, contingent

only upon receipt of OCS grant funds.

If the match is to be used as a revolving loan fund, the funds must

be cash, specifically set-aside for eligible low-income recipients of

the project.

Funds expended prior to the approved OCS starting date for a grant

cannot be considered as matching funds.

For Special Populations, Priority Area 4.0, OCS will fund 80% of

the total cost of each project. Thus, if an applicant is requesting

$200,000 in OCS funds, at least $50,000 in additional resources must be

committed to the project from private or public sector sources

(excepting those Federal funds which do not permit such use).

6. Program Beneficiaries

Projects proposed for funding under this announcement must result

in direct benefits to low-income persons whose incomes are up to 125%

of the DHHS poverty income guidelines as defined in the most recent

Annual Revision of Poverty Income Guidelines published by DHHS.

Attachment A to this announcement is an excerpt from the guidelines

currently in effect. Annual revisions of these guidelines are normally

published in February or early March of each year. These revised

guidelines may be obtained at public libraries, Congressional offices,

or by writing the Superintendent of Documents, U. S. Government

Printing Office, Washington, DC 20402.

No other government agency or privately defined poverty guidelines

are applicable for the determination of low-income eligibility for this

OCS program.

7. Partnership Agreement

An applicant is required to include in the application a signed

agreement which describes the role of the prospective partner(s) in the

project and its implementation, and which includes a commitment or

intent to commit resources from the prospective partner(s) contingent

only upon receipt of OCS funds. [See Part III, Section B 6.]

8. Sub-Contracting or Delegating Projects

An applicant will not be funded where the proposal is for a grantee

to act as a straw-party, that is, to act as a mere conduit of funds to

a third party without performing a substantive role itself. This

prohibition does not bar subcontracting or subgranting for specific

services or activities needed to conduct the project.

9. Third-Party Evaluation

A third-party evaluation is required for each project under this

program, and must be conducted by an independent evaluator, i.e., a

person with recognized evaluation skills who is organizationally

distinct from, and not under the control of, the applicant. It is

important that each successful applicant have a third-party evaluator

selected, procured and performing at the very latest by the time the

work program of the project is begun, and if possible before that time

so that he or she can participate in the final design of the program,

in order to assure that data necessary for the evaluation will be

collected and available. In addition to other relevant experience, the

evaluator must have skills in evaluating social service delivery

programs. Plans for selection and securing an evaluator should be

included in the application narrative (See Review Criterion IV).

Applicants may write or phone OCS to request a copy of the DPP

Evaluation Guidebook which includes a Guide to Selecting a Third-Party

Evaluator as well as discussions of the evaluation process and steps in

developing an evaluation program.

10. Maintenance of Effort

The activities funded under this program announcement must be in

addition to, and not in substitution for, activities previously carried

on without Federal assistance. Also, funds or other resources currently

devoted to activities designed to meet the needs of the poor within a

community, area, or State must not be reduced in order to provide the

required matching contributions. When legislation for a particular

block grant permits the use of its funds as match, the applicant must

show that it has received a real increase in its block grant allotment

and must certify that other anti-poverty programs will not be scaled

back to provide the match required for this project. The applicant must

also provide a current listing of all sources of funds and projects

conducted in the applicant's current operating year. A signed

certificate of Maintenance of Effort must be included with the

application (see Appendix).

Part IV: Application Review Criteria

Applications which pass the initial screening and pre-rating review

(see Part V, section 5) will be assessed and scored by reviewers. Each

reviewer will give a numerical score for each application reviewed.

These numerical scores will be supported by explanatory statements on a

formal rating form describing major strengths and major weaknesses

under each applicable criterion published in this program announcement.

The review process will use the following criteria coupled with the

specific requirements contained in Part III. [Applicants should write

their project narrative so that it is responsive to the review

criteria, using the same sequential order.] It is most important for

applicants to address each and every review criterion in their

applications. Failure to do so can so reduce the score of an otherwise

competitive application as to eliminate it from contention.

(Note: The following review criteria reiterate the collection of

information requirements contained in Part VI of this announcement.

These requirements are approved under OMB Control Number 0970-0062).

A. CRITERIA FOR REVIEW AND ASSESSMENT OF APPLICATIONS IN PRIORITY AREAS

1.0; 2.0; AND 4.0

Criterion I: Organizational History and Management Capability (Maximum:

10 points)

--The application recites relevant experience and capability of

applicant organization and key personnel in developing and operating

projects which deal with the poverty problems to be addressed by the

project, including experience in collaborative programming and

operations which involve evaluations and data collection;

--the application includes resumes and/or position descriptions which

demonstrate that the proposed project director, third-party evaluator,

and other key staff are well-qualified with professional experience

relevant to the successful implementation of the project. [Note: The

evaluator must be available to the project at or before the beginning

of the operational period, and in addition to other relevant

experience, must have skills in evaluating social service delivery

programs. Also: where the proposed project involves business or

entrepreneurship activities, appropriate staff must have relevant

business experience.]

Criterion II: Analysis of Need (Maximum: 15 points) (i) The poverty

problem (0-10 points)

The application includes a description of the geographic area and

population to be served, including documentation of the incidence of

poverty, unemployment rates, number and percentage of families

receiving A.F.D.C. and other relevant indicators of problems to be

addressed by the project such as school drop-out rates, teen pregnancy,

housing conditions, vacancy rates in commercial property, access to

transportation, or existence of superfund sites or other hazardous

conditions inimical to economic growth and a healthy and prosperous

community.

(ii) Innovation (0-5 points)

Applicant evidences a thorough understanding of the causes of the

problems to be addressed, and explains convincingly how the approach of

the proposed project represents an innovative departure from past

attempts to overcome or impact on the problem(s) described.

Criterion III: Project Design Maximum: 25 points) (i) The

Hypothesis(es) (0-10 points)

The hypothesis is significant, relevant, and can be reliably tested

through the planned project implementation in order to determine

validity, permitting measurement of the extent to which the target

population has achieved greater self-sufficiency as a result of its

involvement in the project.

(i-a) Additional Hypothesis Criterion for proposals under Priority Area

4.0 (0-5 of the above 10 points under (i))

The application includes demographic data such as income, age,

ethnic origin, sex and marital and parent status of the target

population, showing that the choice of target groups is relevant to the

hypothesis; or includes a survey for the collection of such data as an

early stage of the work program.

(ii) The Work Plan (0-15 points)

The application includes a Work Plan which is both sound and

feasible, covers all project activities, and is reasonably related to

the capabilities and resources of the applicant and its partner(s). It

clearly describes the implementation and conduct of the major

activities (interventions) which relate to the stated hypothesis(es),

including specific plans for conducting measurable activities in a

quarterly time frame, identifying projected lengths of time for each

proposed intervention and project milestone, and quarterly targets by

which various tasks will be completed. Critical issues or potential

problems that might impact negatively on the project are identified

with an explanation of how project objectives will be attained

notwithstanding any such potential problems.

(ii-a) Additional Work Plan Criterion for proposals under Priority Area

IV (0-5 of the above 15 points under (ii))

The proposed work plan includes methods of outreach to recruit

adequate numbers in both participant and (where appropriate) control

groups to permit reliable evaluation findings and for achieving

significant impact in the community. [The proposal should identify a

large enough group to allow for attrition and still result in

participant and control groups of at least 60 to 75 members at the

termination of the project.]

Criterion IV: Evaluation (0-15 points)

The application includes an Evaluation Plan which:

--Includes a specific working definition of ``self-sufficiency'',

consistent with the definition contained in Part I, that permits the

measurement of incremental movement of individuals and families from

dependency toward self-sufficiency;

--Provides for the completion of a process evaluation covering critical

elements of project design and implementation, including partnerships

and linkages to other community resources, and any changes in the

original plan; identifies problems that occurred and how they were

dealt with, and recommends improved means of future implementation; and

--Provides for the completion of an outcome evaluation which describes

the basic project design and specific interventions, hypothesis(es)

tested, procedures for data collection and maintenance of data

integrity, outcome measures and analytical procedures, and identifies

the factors which contributed to the success or failure of the project

to achieve its stated goals, as the case may be, and what steps could

be or were taken to reinforce or overcome them, as appropriate.

Criterion V: Partnerships (Maximum: 15 points)

--The application includes a copy of a partnership agreement which

clearly states how the partnership arrangements relate to and

adequately support the objectives of the proposed project; indicates

the role of the primary partner(s) in the planning and implementation

of the project; and provides that at least 50% of the match is provided

by the partners through delivery of specific services or resources to

the project and/or client population.

--The application includes supporting documentation that identifies the

skills, services, and/or resources that the partners have committed to

this project to fulfill the objectives of the partnership agreement.

Criterion VI: Significant and Beneficial Impact Maximum: 8 points)

--The proposed project is expected to produce permanent and measurable

results that will reduce the incidence of poverty in the community and

lead to greater self-sufficiency of the client population(s). Expected

results are quantifiable in terms of the goals discussed for each of

the priority areas which contribute to the socio-economic and

psychological self-sufficiency of the client population;

--The application includes information that shows the ways in which the

project will be incorporated into the community economic and/or service

delivery infrastructure and shows how the implementation, if

successful, will be self-sustaining and enhance integration,

coordination and access to services and community facilities for the

target population; and

--The project, if successful, will result in either or both of the

following: continued provision of services after completion of the

demonstration project without additional OCS or other Federal funds;

and/or more efficient use of existing community and anti-poverty

resources.

Criterion VII: Budget Appropriateness and Match (Maximum: 7 points)

--The applicant has provided sufficient detailed information for each

budget category;

--Funds requested are commensurate with the level of effort necessary

to accomplish the goals and objectives of the project; and

--The match resources are sufficient, necessary, reasonable and

allocable to the proposed project.

Criterion VIII: Focused, Targeted Projects (Maximum: 5 Points)

Due to the strong successes of carefully scoped, focused and

targeted projects, favorable consideration will be given to applicants

who do the following:

--Selectively identify their target populations, clearly identifying

the characteristics and requirements of the population they will be

serving, and the criteria for selecting both experimental and, if

appropriate, control group members;

--Specify effective and realistic methods for recruiting members of the

target population;

--Identify specific, targeted goals and objectives that are directly

related to the proposed interventions;

--Select a set of specific interventions that are appropriate,

necessary and sufficient to achieve the intended goals and objectives;

--Select a limited number of committed partners; and

--Demonstrate that a working relationship exists or has existed among

proposed partners.

B. CRITERIA FOR REVIEW AND ASSESSMENT OF APPLICATIONS FOR RENEWAL

PROJECTS ONLY, PRIORITY AREA 3.0

Criterion I: Project Design and Proposed Work Plan (Maximum: 25 points)

--The application has briefly restated the key elements of the initial

grant's approved work plan, including the hypothesis(es) and

interventions, quarterly timelines of interventions, description of

target population and comparison group, partnerships and the third-

party evaluator and evaluation plan. In describing the target group(s),

applicant has included the number of participants and beneficiaries

together with their major characteristics that are relevant to the

hypothesis, as well as a similarly definitive description of the

comparison group.

--The application includes a work plan for the renewal period,

including quarterly timelines, which is sound and feasible, and

reasonably related to the applicant's capabilities and project

resources. If any changes are proposed, the applicant provides

rationale and demonstrates that the proposed changes will enhance the

original project and not distort it.

Criterion II: Preliminary Evaluation Results (Maximum 15 points)

The application provides sufficient preliminary evidence of

positive outcomes demonstrating that:

--The mix of interventions for the clients have already had an impact

on their expected movement toward self-sufficiency. This has been

documented in both qualitative and quantitative terms, such as income-

producing employment secured, wages earned, educational attainments,

and stabilization of living conditions; and

--In-take procedures are adequate, including assessment, sample size,

assignment to treatment and comparison groups, measurement instruments

and data collection procedures on which preliminary analyses have been

based.

Criterion III: Research Significance (Maximum 20 points)

--The applicant has demonstrated that a longer project operational

period is needed to assure evaluation results that will have greater

significance.

--The applicant has documented that the renewal of its project will

result in more substantial progress toward self-sufficiency of the

targeted client population.

--The applicant has demonstrated that a renewal of the grant will

result in a more valid and useful study including what the anticipated

contributions to policy, practice, theory and/or research will be.

--In those instances where there has been a gap in the provision of

services to the treatment group since the expiration of the initial DPP

grant, the applicant has provided convincing evidence demonstrating

that neither the validity of the evaluation data nor the research

design will be negatively affected thereby.

Criterion IV: Continuation of Third-Party Evaluation (Maximum: 15

points)

--The evaluation plan addresses key issues of continuing the process

evaluation covering the following elements: critical elements of

program implementation and an implementation summary, partnerships,

staffing, client outreach, case management and/or support services,

policies and procedures identified for project implementation, program

linkages to other community resources, and any changes from the

original plan. The process evaluation should identify problems that

occurred and how they were dealt with, and should, if appropriate,

recommend improved means of future implementation.

--The applicant provides for the completion of the outcome evaluation

which describes the basic design and interventions and specifies the

hypotheses to be tested, sample size and selection, data collection

procedures, outcome measures, data collection instruments, timing of

measurements and analytical procedures. The outcome evaluation should

identify the significant factors which contributed to the success or

failure of the project to achieve its stated goals, as the case may be,

and what steps could be or were taken to reinforce or overcome them, as

appropriate. The outcomes evaluation report will yield findings, an

interpretation of findings and identify major issues for replication.

--The applicant indicates how it will evaluate the impact of the longer

service period on the treatment group.

Criterion V: Institutional and Community Integration Maximum: 15

points)

--The applicant shows that there has been a continuing involvement

among the partners and an increased coordination in service delivery as

a result of its initial grant.

--The applicant demonstrates how the initial grant has had a positive

impact toward strengthening community socio-economic infrastructure,

and toward achieving greater access to community facilities and/or

greater integration of available social service delivery systems.

Criterion VI: Budget Appropriateness and Match (Maximum 10 points)

--The applicant has provided sufficient detailed information in each

budget category;

--Funds requested are commensurate with the level of effort necessary

to accomplish the goals and objectives of the project; and

--The match resources are necessary and reasonable for the proposed

project.

Part V--Application Procedures

A. Availability of Forms

Attachments B, C, and D contain all of the standard forms necessary

for the application for awards under this OCS program. These

attachments and Parts VI and VII of this announcement contain all the

instructions required for submittal of applications.

Additional copies of the Federal Register containing this

announcement 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 office

listed under the section entitled FOR FURTHER INFORMATION CONTACT at

the beginning of this announcement.

B. Application Submission

The closing date for submission of applications is [Insert date 45

days from date of publication in the Federal Register].

1. Deadlines: Application shall be considered as meeting the

deadline if they are either:

a. Received on or before the deadline date at the ACF Office of

Financial Management, Division of Discretionary Grants, 6th Floor OFM/

DDG, 370 L'Enfant Promenade, S.W., Washington, D.C. 20447, or

b. Sent on or 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.)

2. Applications submitted by other means. Applications which are

not submitted in accordance with the above criteria shall be considered

as meeting the deadline only if they are physically received before the

close of business on or before the deadline date. Hand delivered

applications will be accepted at the ACF Office of Financial

Management, Division of Discretionary Grants, 6th Floor OFM/DDG, 901 D

Street, S.W. Washington, D.C. during the normal working hours of 8:30

a.m. to 5 p.m., Monday through Friday.

3. Late Applications: Applications which do not meet one of these

criteria are considered late applications. The ACF Division of

Discretionary Grants will notify each late applicant that its

application will not be considered in this competition.

4. Extension of Deadline. The ACF Office of Community Services 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 Office of Community Services does not extend the

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

for any applicant.

One signed original application and four copies should be

submitted.

C. Intergovernmental Review

This program is covered under Executive Order 12372,

``Intergovernmental Review of Federal Programs'' and 45 CFR Part 100,

``Intergovernmental Review of Department of Health and Human Services

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, Oregon,

Oklahoma, Pennsylvania, South Dakota, Virginia, Washington, American

Samoa and Palau have elected to participate in the Executive Order

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

Applicants from these eighteen jurisdictions need take no action

regarding E.O. 12372. All other applicants should contact their SPOC 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 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. However, for this program announcement, the SPOC comment period

has been reduced to thirty (30) days in order to ensure sufficient time

for preparation and submission of applications and the making of timely

awards. These comments are reviewed as part of the award process.

Failure to notify the SPOC can result in a delay in grant award.

SPOCs are encouraged to eliminate the submission of routine

endorsements as official recommendations. Additionally, SPOCs are

requested to differentiate clearly between mere advisory comments and

those official State process recommendations which they intend to

trigger the ``accommodate or explain'' rule under 45 CFR 100.10. It is

helpful in tracking SPOC comments if the SPOC will clearly indicate the

applicant organization as it appears on the application SF-424.

When comments are submitted directly to ACF, they should be

addressed to: Department of Health and Human Services, Administration

for Children and Families, Office of Financial Management, Division of

Discretionary Grants, 6th Floor, 370 L'Enfant Promenade, S.W.,

Washington, D.C. 20447. A list of the Single Points of Contact for each

State and Territory is included at Appendix G of this announcement.

D. Application Consideration of OCS Specific Requirements

Applications which meet the screening requirements in Section E

below will be reviewed competitively. Such applications will be

referred to reviewers for a numerical score and explanatory comments

based solely on responsiveness to the purposes outlined in Part I,

Section D, the Priority Areas outlined in Part II, and the evaluation

criteria set forth in Part IV of this announcement.

Applications will be reviewed by persons outside of the OCS unit

which will be directly responsible for management of the grant. The

results of these reviews will assist the Director and OCS program staff

in considering competing applications. Reviewers' scores will weigh

heavily in funding decisions but will not be the only factors

considered. Applications will be considered in rank order of the

averaged scores. However, highly ranked applications are not guaranteed

funding since other factors are taken into consideration, including:

the timely and proper completion of projects funded with OCS funds

granted in the last (5) years; comments of reviewers and government

officials; staff evaluation and input; geographic distribution;

previous program performance of applicants; compliance with grant terms

under previous DHHS grants; audit reports; investigative reports; and

applicant's progress in resolving any final audit disallowances on OCS

or other Federal agency grants.

OCS reserves the right to discuss applications with other Federal

or non-Federal funding sources to determine the applicant's performance

record.

E. Criteria for Screening Applications

1. Initial Screening

All applicants will receive an acknowledgement with an assigned

identification number. This number, along with any other identifying

codes, must be referenced in all subsequent communications concerning

the application. If an acknowledgement is not received within three

weeks after the deadline date, please notify ACF by telephone at (202)

401-9234.

All applications that meet the published deadline for submission

will be screened to determine completeness and conformity to the

requirements of this announcement. Only those applications meeting the

following requirements will be reviewed and evaluated competitively:

a. The application must contain a Standard Form 424 ``Application

for Federal Assistance'' (SF-424), a budget (SF-424A) and signed

``Assurances'' (SF-424B) completed according to instructions published

in Part VI and Attachments B, C and D of this program announcement.

b. A project narrative must also accompany the standard forms. OCS

requires that the narrative portion of the application be limited to 50

pages, typewritten on one side of the paper only. Charts, exhibits,

letters of support and cooperative agreements are not counted against

this page limit. It is strongly recommended that you follow the format

for the narrative in Part VII, A, 10.

c. The SF-424 and the SF-424B must be signed by an official of the

organization applying for the grant who has authority to obligate the

organization legally.

2. Pre-Rating Review

Applications which pass the initial screening will be forwarded to

OCS staff prior to the programmatic review to verify that the

applications comply with this program announcement in the following

areas:

(a) Eligibility: Applicant is an ``eligible entity'' as defined in

Part I, Section C. In order to establish eligibility, the application

must contain a letter signed by the State Director of the Community

Services Block Grant program certifying that the applicant is an

``eligible entity'' as defined by this program announcement and that it

has the capacity to operate the proposed project.

Applicants must also be aware that the applicant's legal name as

required on the SF-424 (Item 5) must match that listed as corresponding

to the Employer Identification Number (Item 6).

(b) Grant Amount: The amount of funds requested does not exceed

$350,000 in OCS funds for general, replication or special populations

projects. The amount requested for renewal projects must not exceed 80

percent of the initial grant.

(c) Matching Funds: The required match has been firmly committed in

the form of letters of commitment or intent to commit a portion of the

matching funds contingent only upon receipt of OCS funds by the donors

which are included in the application.

(d) Target Populations: The application clearly serves low-income

participants and beneficiaries as defined in Part III, Section A. 6.

(e) Partnership Agreements: A copy of the partnership agreement

which states the partnership arrangements and/or contains a letter of

commitment or intent to commit contingent only upon receipt of OCS

funds from the prospective partner(s) is included.

(f) Project Evaluation: A third-party project evaluation plan is

included.

(g) Replication Project (Priority Area 2) only: The proposed

project will be operated in a geographic area other than that in which

the project being replicated was carried out.

An application may be disqualified from the competition and

returned if it fails to conform to one or more of the above

requirements.

Part VI--Instructions for Completing Applications

(Approved by the Office of Management and Budget under Control Number

0970-0062.)

The standard forms attached to this announcement shall be used when

submitting applications for all funds under this announcement. It is

suggested that you reproduce single-sided copies of the SF-424, SF-

424A, and SF-424B, and type your application on the copies. Please

prepare your application in accordance with instructions provided on

the forms as well as with the OCS specific instructions set forth

below:

A. SF-424--Application for Federal Assistance

Top of Page. Please enter the single priority area number under

which the application is being submitted. An application should be

submitted under only one priority area.

Item 1. For the purposes of this announcement, all projects are

considered Applications; there are no Pre-Applications. Also for the

purposes of this announcement, there are no Construction projects.

Item 2. Date Submitted and Applicant Identifier--Date application

is submitted to ACF and applicant's own internal control number, if

applicable.

Item 3. Date Received by State--N/A.

Item 4. Date Received by Federal Agency--Leave blank.

Item 5 and 6. The legal name of the applicant must match that

listed as corresponding to the Employer Identification Number. Where

the applicant is a previous Department of Health and Human Services

grantee, enter the Central Registry System Employee Identification

Number (CRS/EIN) and the Payment Identifying Number, if one has been

assigned, in the Block entitled Federal Identifier located at the top

right hand corner of the form.

Item 7. If the applicant is a non-profit corporation, enter N in

the box and specify non-profit corporation in the space marked Other.

Item 8. Type of Application--Please check the type of application.

Item 9. Name of Federal Agency--Enter DHHS/ACF/OCS.

Item 10. The Catalog of Federal Domestic Assistance Number for OCS

programs covered under this announcement is 93.573. The title is

Community Services Block Grant Discretionary Awards--Demonstration

Partnership Program.

Item 11. Descriptive Title of Applicant's Project--Enter the

project title (a brief descriptive title). The following letter

designations must be used:

General Projects: DP

Replication Projects: DR

Renewal Projects: RD

Special Populations: DS

Item 12. Areas Affected by Project--List only the larger unit or

units affected, such as State, county or city.

Item 13. Proposed Project--Enter the desirable starting date for

the project (start of start-up) and the proposed completion date.

Projects may not exceed the maximum duration specified: 30 months for

Renewal Project Applications (including 6 months for evaluation) 36

months for all other Applications (including up to 6 months start-up

and 6 months for evaluation).

Item 14. Congressional District of Applicant/Project--Enter the

number of the Congressional District where the applicant's principal

office is located and the number(s) of the Congressional district(s)

where the project will be located.

Item 15a-e. Estimated Funding: Enter the amounts requested or to be

contributed by Federal and non-Federal sources for the total project

period. Items b, c, d and e should reflect both cash and third-party,

in-kind contributions for the total project period.

Item 15f. N/A.

Item 15g. Enter the sum of Items 15a-15e.

B. SF-424A--Budget Information-Non-Construction Programs

See Instructions accompanying this page as well as the instructions

set forth below:

In completing these sections, the Federal Funds budget entries will

relate to the requested OCS Demonstration Partnership Program funds

only, and Non-Federal will include mobilized funds from all other

sources--applicant, state, and other. Federal funds other than those

requested from the Demonstration Partnership Program should be included

in Non-Federal entries.

Sections A and D of SF-424A must contain entries for both Federal

(OCS) and non-Federal (matching) funds for the entire project period.

Section B contains entries for Federal (OCS) funds only.

Section A--Budget Summary

Lines 1-4.

Col. (a):

Line 1--Enter OCS Demonstration Partnership Program: Col. (b):

Line 1--Catalog of Federal Domestic Assistance Number is 93.573.

Col. (c) and (d): Not Applicable.

Column (e)-(g).

Line 1-4. Enter in columns (e), (f) and (g) the appropriate amounts

needed to support the entire project period.

Line 5--Enter the figures from Line 1 for all columns completed,

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

Section B--Budget Categories

This Section should contain entries for OCS funds only. Please

note: This information supersedes the instructions provided following

the SF-424A.

Enter in Column 1: the amounts covering the first 12 months of the

project (including any start-up period).

Enter in Column 2: the amounts covering the second twelve months of

the project.

Enter in Column 3: the amounts covering the third twelve months of

the project (including the six-month evaluation period).

Under Column (5) enter the total funds requested by the Object

Class Categories of this section (6a-6j).

Allocability of costs are governed by applicable cost principles

set forth in 45 CFR Parts 74 and 92.

Budget estimates for administrative costs (not to exceed 10 percent

of the grant amount) must be supported by adequate detail for the

grants officer to perform a cost analysis and review. Adequately

detailed calculations for each object class are those which reflect

estimation methods, quantities, unit costs, salaries, and other similar

quantitative detail sufficient for the calculation to be duplicated.

For any additional object class categories included under the object

class Other, identify the additional object class(es) and provide

supporting calculations.

Supporting narratives and justifications are required for each

budget category, with emphasis on unique/special initiatives, large

dollar amounts; local, regional, or other travels, new positions, major

equipment purchases and training programs as indicated below:

Object Class Categories--Line 6: Enter the total amount of Federal

funds required by the Object Class Categories of this section.

Personnel--Line 6a. Enter the total costs of salaries and wages.

Justification

Identify the principal investigator or project director, if known.

Specify by title or name the percentage of time allocated the project,

the individual annual salaries, and the cost to the project of the

organization's staff who will be working on the project.

Fringe Benefits-Line 6b: Enter the total costs of fringe benefits

unless treated as part of an approved indirect cost rate which is

entered on line 6j.

Justification

Provide a breakdown of amounts and percentages that comprise fringe

benefit costs, such as health insurance, FICA, retirement insurance,

taxes, etc.

Travel-Line 6c: Enter total costs of all travel by employees of the

project. Do not enter costs for consultant's travel.

Justification

Include the total number of traveler(s), total number of trips,

destinations, number of days, transportation costs and subsistence

allowances. Travel costs to attend two national workshops in

Washington, D.C. by the project director should be included.

Equipment-Line 6d: Enter the total costs of all non-expendable

personal property to be acquired by the project. Non-expendable

personal property means tangible personal property having a useful life

of more than one year and an acquisition cost of $5,000 or more per

unit.

Justification

Only equipment required to conduct the project may be purchased

with Federal funds. The applicant organization or its subgrantees must

not already have such equipment, or a reasonable facsimile, available

for use in the project. The justification also must contain plans for

future use or disposal of the equipment after the project ends.

Supplies-Line 6e: Enter the total costs of all tangible personal

property (supplies) other than that included on line 6d.

Justification

Specify general categories of supplies and their costs.

Contractual-Line 6f: Enter the total costs of all contracts,

including the estimated cost of a third-party evaluation contract.

Travel costs for the chief evaluator to attend two national workshops

in Washington, D.C. should be included. OCS' experience with this

program has shown that a quality evaluation contract can be purchased

for 8%--10% of the OCS grant funds. [This percentage is a guide for the

applicants' use in planning its request for procurement and should not

be construed as a minimum nor maximum allowable amount.]

Justification

Attach a list of contractors, indicating the names of the

organizations, the purposes of the contracts, the estimated dollar

amounts, and selection process of the awards as part of the budget

justification. Also provide back-up documentation identifying the name

of contractor, purpose of contract, and major cost elements.

Note: Whenever the applicant/grantee intends to delegate part of

the program to another agency, thus entering into an interagency

agreement, the applicant/grantee must submit Sections A and B of

this Form SF-424A, completed for each delegate agency by agency

title, along with the required supporting information referenced in

the applicable instructions. The total costs of all such agencies

will be part of the amount shown on Line 6f. Provide draft Request

for Proposal in accordance with 45 CFR Part 74, Appendix H. Free and

open competition is encouraged for any procurement Activities

planned using ACF grant funds. Prior approval is required when

applicants anticipate evaluation procurements that will exceed

$25,000 and are requesting an award without competition.

The applicant's procurement procedures should outline the type of

advertisement appropriate to the nature and anticipated value of the

contract to be awarded. Advertisements are typically made in city,

regional, and local newspapers; trade journals; and/or through

announcements by professional associations.

Construction-Line 6g: Construction costs are not permitted under

the Demonstration Partnership Program.

Other-Line 6h: Enter the total of all other costs. Such costs,

where applicable, may include, but are not limited to, insurance, food,

medical and dental costs (non-contractual), fees and travel paid

directly to individual consultants, space and equipment rentals,

printing and publication, computer use, training costs including

tuition and stipends, training service costs including wage payments to

individuals and supportive service payments, and staff development

costs.

Total Direct Charges-Line 6i. Show the total of Lines 6a through

6h.

Indirect Charges-Line 6j: Enter the total amount of indirect costs.

This line generally should be used only when the applicant currently

has an indirect cost rate approved by the Department of Health and

Human Services or other Federal agencies. With the exception of local

governments, applicants should enclose a copy of the current rate

agreement if it was negotiated with a Federal agency other than the

Department of Health and Human Services. If the applicant organization

is renegotiating a rate, it should immediately upon notification that

an award will be made, develop a tentative indirect cost rate proposal

based on its most recently completed fiscal year in accordance with the

principles set forth in the pertinent DHHS Guide for Establishing

Indirect Cost Rates, and submit it to the appropriate DHHS Regional

Office.

It should be noted that when an indirect cost rate is requested,

those costs included in the indirect cost pool should not also be

charged as direct costs to the grant. The total amount shown in Section

B, Column (5), Line 6k, should be the same as the amount shown in

Section A, Line 5, Column (e).

Totals-Line 6k: Enter total amounts of lines 6i and 6j.

Program Income-Line 7: Enter the estimated amount of income, if

any, expected to be generated from this project. Separately show

expected program income generated from OCS support and income generated

from other mobilized funds. Do not add or subtract this amount from the

budget total. Show the nature and source of income in the program

narrative statement.

Justification

Describe the nature, source and anticipated use of program income

in the Program Narrative Statement.

Column 5: Carry totals from Column 1 to Column 5 for all line

items.

Section C--Non-Federal Resources

This section is to record the amounts of non-Federal resources that

will be used to support the project. Non-Federal resources mean other

than OCS funds for which the applicant is applying. Provide a brief

explanation, on a separate sheet, showing the type of contribution,

broken out by Object Class Category, (See Section Part VI, Section B.

Item 6) and whether it is cash or third-party in-kind. The firm

commitment of these required funds must be documented and submitted

with the application in order to be given credit in the Partnerships'

criterion.

Except in unusual situations, this documentation must be in the

form of letters of commitment or intent to commit contingent only upon

receipt of OCS funds from the organization(s) and/or individuals from

which funds will be received.

Justification

Describe all non-Federal resources including third-party, cash and/

or in-kind contributions.

Grant Program-Line 8. Grant Program.

Column (a): Enter the project title.

Column (b): Enter the amount of cash or donations to be made by the

applicant.

Column (c): Enter the State contribution.

Column (d): Enter the amount of cash and third-party in-kind

contributions to be made from all other sources.

Column (e): Enter the total of columns (b), (c), and (d).

Grant Program-Lines 9, 10, and 11 should be left blank.

Grant Program-Line 12.

Carry the total of each column of Line 8, (b) through (e). The

amount in Column (e) should be equal to the amount on Section A, Line

5, column (f).

Section D--Forecasted Cash Needs

Federal-Line 13. Enter the amount of Federal (OCS) cash needed for

this grant, by quarter, during the first year.

Non-Federal-Line 14. Enter the amount of cash from all other

sources needed by quarter during the first year.

Total-Line 15. Enter the total of Lines 13 and 14.

Section E--Budget Estimates of Federal Funds Needed for Balance of

Project--Not Applicable

Section F--Other Budget Information

Direct Charges-Line 21. Include a narrative justification for each

Object Class Category required under Section B for the total project

period. This narrative justification should be on a separate page and

should immediately follow the SF-424A in the application package.

Indirect Charges-Line 22. Enter the type of HHS or other Federal

agency's approved indirect cost rate (provisional, predetermined, final

or fixed) that will be in effect during the funding period, the

estimated amount of the base to which the rate is applied and the total

indirect expense. Also, enter the date the rate was approved and attach

a copy of the rate agreement.

Remarks-Line 23. Please provide any other explanations and/or

continuation sheets required or deemed necessary to justify or explain

the budget information.

C. SF-424B Assurances-Non-Construction

All applicants must fill out, sign, date and return the Assurances

(see Attachment B) with the application.

Part VII--Contents of Application and Receipt Process

A. Contents of Application

Each application submission should include a signed original and

four additional copies of the application. Each application must

include all of the following, in the order listed below:

1. An Abstract of the proposal--very brief, on one page, not to

exceed 250 words, which identifies the type of project, the target

population, the partner(s), and the major elements of the work plan,

and that would be suitable for use in an announcement that the

application has been selected for a grant award;

2. Table of Contents;

3. A 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; [Note: The original SF-424 must

bear the original signature of the authorizing representative of the

applicant organization]

4. Budget Information-Non-Construction Programs (SF-424A);

5. A narrative budget justification for each object class category

required under Section B, SF-424A;

6. Filled out, signed and dated Assurances--Non-Construction

Programs (SF-424B), Attachment B;

7. By signing and submitting the SF-424, the applicant is

certifying that it will comply with the Federal requirements concerning

the drug-free workplace and debarment regulations set forth in

Attachments C and D.

8. Restrictions on Lobbying--Certification for Contracts, Grants,

Loans, and Cooperative Agreements: fill out, sign and date form found

at Attachment F;

9. Disclosure of Lobbying Activities, SF-LLL: Fill out, sign and

date form found at Attachment F, if appropriate;

10. A project narrative that will include all of the following

components according to the project type;

[Specific information/data required under each component is described

in Part IV, Application Review Criteria.]

Applicable to Renewal Projects (Priority 3.0) Only

(a) Project Design

(b) Preliminary Evaluation Results (A copy of the preliminary

evaluation results should be attached in appendices.)

(c) Research Significance

(d) Continuation of Third-Party Evaluation

(e) Institutional and Community Impact

(f) Budget Appropriateness

Applicable to All Other Projects (Priorities 1.0, 2.0, and 4.0)

(a) Organizational History and Management Capability

(b) Analysis of Need

(c) Project Design

(d) Third-Party Evaluation

(e) Partnerships

(f) Significant and Beneficial Impact

(g) Budget Appropriateness and Match and,

11. Appendices, including Maintenance of Effort Certification (See

Attachment H); letter signed by State CSBG Director; partnership

agreements signed by the partners; statement regarding the date of

incorporation; IRS letter on non-profit status, where applicable;

Single Point of Contact comments, if applicable and available; resumes;

Certification Regarding Lobbying; letters of match commitment or

letters of intent; a current listing of all sources of funds and

projects operated in the applicant's current operating year; and, for

continuation projects only, the preliminary evaluation results of the

original project.

The total number of pages for the narrative portion of the

application package must not exceed 50 pages, excluding Appendices.

Pages should be numbered sequentially throughout the application

package, excluding Appendices, beginning with the Proposal Abstract as

Page #1. The application may also contain letters that show

collaboration or substantive commitments to the project by

organizations other than partners with committed match. Such letters

are not part of the narrative and should be included in the Appendices.

These letters are, therefore, not counted against the fifty-page limit.

Applications must be uniform in composition since OCS may find it

necessary to duplicate them for review purposes. Therefore,

applications must be submitted on white 8\1/2\ x 11 inch paper only.

They must not include colored, oversized or folded materials. Do not

include organizational brochures or other promotional materials,

slides, films, clips, etc. in the proposal. They will be discarded if

included. The applications should be two-holed punched at the top

center and fastened separately with a compressor slide paper fastener,

or a binder clip. The submission of bound applications, or applications

enclosed in binders is specifically discouraged.

Attachment I provides a checklist to applicants in preparing a

complete application package.

B. Acknowledgement of Receipt

Applicants who meet the initial screening criteria outlined in Part

V, Section E, 1, will receive an acknowledgement postcard with an

assigned identification number. Applicants are requested to supply a

self-addressed mailing label with their application which can be

attached to this acknowledgement post-card. This number and the program

priority area letter code must be referred to in all subsequent

communication with OCS concerning the application. If an

acknowledgement is not received within three weeks after the deadline

date, please notify ACF by telephone at (202) 401-9234.

Part VIII--Post-Award Information and Reporting Requirements

Following approval of the applications selected for funding, notice

of project approval and authority to draw down project funds will be

made in writing. The official award document is the Financial

Assistance Award which provides the amount of Federal funds approved

for use in the project, the project and budget periods for which

support is provided, the terms and conditions of the award, the total

project period for which support is contemplated, and the total

required financial grantee participation.

In addition to the General Conditions and Special Conditions (where

the latter are warranted) which will be applicable to grants, grantees

will be subject to the provisions of 45 CFR Part 74 or 92.

Project directors and chief evaluators will be required to attend a

national DPP evaluation workshop in Washington, D.C. which will be

scheduled shortly after the effective date of the grant. They also will

be required to attend, as presenters, a workshop on utilization and

dissemination to be held after the end of the project period.

Grantees will be required to submit quarterly progress and

financial reports (SF 269) throughout the project period, as well as a

final progress and financial report within 90 days of the termination

of the project. An interim evaluation report, along with the written

policies and procedures resulting from the process evaluation, will be

due 30 days after the first twelve months of the project period and a

final evaluation report will be due 90 days after the expiration of the

grant. These reports will be submitted in accordance with instructions

to be provided by OCS, and will be the basis for the dissemination

effort to be conducted by the Office of Community Services.

Grantees are subject to the audit requirements in 45 CFR Parts 74

(non-governmental), 92 (governmental), OMB Circular A-133 and OMB

Circular A-128.

Section 1352 of Public Law 101-121, signed into law on October 23,

1989, imposes new prohibitions and requirements for disclosure and

certification related to lobbying on recipients of Federal contracts,

grants, cooperative agreements, and loans. It provides exemptions for

Indian tribes and tribal organizations. Current and prospective

recipients (and their subtier contractors and/or grantees) are

prohibited from using Federal funds, other than profits from a Federal

contract, for lobbying Congress or any Federal agency in connection

with the award of a contract, grant, cooperative agreement or loan. In

addition, for each award action in excess of $100,000 (or $150,000 for

loans) the law requires recipients and their subtier contractors and/or

subgrantees (1) to certify that they have neither used nor will use any

appropriated funds for payment to lobbyists; (2) to disclose the name,

address, payment details, and purpose of any agreements with lobbyists

whom recipients or their subtier contractors or subgrantees will pay

with profits or nonappropriated funds on or after December 22, 1989 and

(3) to file quarterly up-dates about the use of lobbyists if material

changes occur in their use. The law establishes civil penalties for

noncompliance. See Attachment H for certification and disclosure forms

to be submitted with the applications for this program.

Attachment G indicates the regulations which apply to all

applicants/grantees under the Demonstration Partnership Program.

Dated: June 17, 1994.

Thornell Page,

Acting Director, Office of Community Services.

Attachment A

1994 Poverty Income Guidelines for All States (Except Alaska and Hawaii)

and the District of Columbia

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

Poverty

Size of family unit guideline

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

1.......................................................... $7,360

2.......................................................... 9,840

3.......................................................... 12,320

4.......................................................... 14,800

5.......................................................... 17,280

6.......................................................... 19,760

7.......................................................... 22,240

8.......................................................... 24,720

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

For family units with more than 8 members, add $2,480 for each

additional member.

Poverty Income Guidelines for Alaska

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

Poverty

Size of family unit guideline

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

1.......................................................... $9,200

2.......................................................... 12,300

3.......................................................... 15,400

4.......................................................... 18,500

5.......................................................... 21,600

6.......................................................... 24,700

7.......................................................... 27,800

8.......................................................... 30,900

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

For family units with more than 8 members, add $3,100 for each

additional member.

Poverty Income Guidelines for Hawaii

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

Poverty

Size of family unit guideline

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

1.......................................................... $8,470

2.......................................................... 11,320

3.......................................................... 14,170

4.......................................................... 17,020

5.......................................................... 19,870

6.......................................................... 22,720

7.......................................................... 25,570

8.......................................................... 28,420

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

For family units with more than 8 members, add $2,850 for each

additional member. (The same increment applies to smaller family

sizes also, as can be seen in the figures above.)

BILLING CODE 4184-01-P

TN23JN94.108

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 of 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.)

0BILLING CODE 4184-01-P

TN23JN94.109

TN23JN94.110

BILLING CODE 4184-01-C

Instructions for the SF-424A

General Instructions

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

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

any existing Federal grantor agency guidelines which prescribe how

and whether budgeted amounts should be separately shown for

different functions or activities within the program. For some

programs, grantor agencies may require budgets to be separately

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

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

and D should include budget estimates for the whole project except

when applying for assistance which requires Federal authorization in

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

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

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

for Federal assistance in the subsequent budget periods. All

applications should contain a breakdown by the object class

categories shown in Lines a-k of Section B.

Section A. Budget Summary

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

For applications pertaining to a single Federal grant program

(Federal Domestic Assistance Catalog number) and not requiring a

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

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

For applications pertaining to a single program requiring budget

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

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

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

multiple programs where none of the programs require a breakdown by

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

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

Column (b).

For applications pertaining to multiple programs where one or

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

separate sheet for each program requiring the breakdown. Additional

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

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

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

programs.

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

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

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

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

for the first funding period (usually a year).

For continuing grant program applications, submit these forms

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

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

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

only if the Federal grantor agency instructions provide for this.

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

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

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

For supplemental grants and changes to existing grants, do not

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

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

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

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

which includes the total previous authorized budgeted amounts plus

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

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

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 totals of Lines 6a to 6h in each column.

Line 6j--Show the amount of indirect cost.

Line 6k--Enter the total of amounts on Lines 6i and 6j. For all

applications for new grants and continuation grants the total amount

in column (5), Line 6k, should be the same as the total amount shown

in Section A, Column (g), Line 5. For supplemental grants and

changes to grants, the total amount of the increase or decrease as

shown in Columns (1)-(4), Line 6k should be the same as the sum of

the amounts in Section A, Columns (e) and (f) on Line 5.

Line 7--Enter the estimated amount of income, if any, expected

to be generated from this project. Do not add or subtract this

amount from the total project amount. Show under the program

narrative statement the nature and source of income. The estimated

amount of program income may be considered by the federal grantor

agency in determining the total amount of the grant.

Section C. Non-Federal-Resources

Lines 8-11--Enter amounts of non-Federal resources that will be

used on the grant. If in-kind contributions are included, provide a

brief explanation on a separate sheet.

Column (a)--Enter the program titles identical to Column (a),

Section A. A breakdown by function or activity is not necessary.

Column (b)--Enter the contribution to be made by the applicant.

Column (c)--Enter the amount of the State's cash and in-kind

contribution if the applicant is not a State or State agency.

Applicants which are a State or State agencies should leave this

column blank.

Column (d)--Enter the amount of cash and in-kind contributions to be

made from all other sources.

Column (e)--Enter totals of Columns (b), (c), and (d).

Line 12--Enter totals for each 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 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. 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 State 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 of rehabilitation of residence

structures.

17. Will cause to be performed the required financial and

compliance audits in accordance with the Single Audit Act of 1984.

18. Will comply with all applicable requirements of all other

Federal laws, executive orders, regulations and policies governing

this program.

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Signature of Authorized Certifying Official

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Title

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Applicant Organization

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Date Submitted

BILLING CODE 4184-01-P

TN23JN94.111

TN23JN94.112

BILLING CODE 4184-01-C

Attachment D

Certification Regarding Debarment, Suspension, and Other

Responsibility Matters--Primary Covered Transactions

By signing and submitting this proposal, the applicant, defined

as the primary participant in accordance with 45 CFR Part 76,

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

principals:

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

debarment, declared ineligible, or voluntarily excluded from covered

transactions by any Federal Department or agency;

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

convicted of or had a civil judgment rendered against them for

commission of fraud or a criminal offense in connection with

obtaining, attempting to obtain, or performing a public (Federal,

State, or local) transaction or contract under a public transaction;

violation of Federal or State antitrust statutes or commission of

embezzlement, theft, forgery, bribery, falsification or destruction

of records, making false statements, or receiving stolen property;

(c) are not presently indicted or otherwise criminally or

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

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

(b) of this certification; and

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

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

local) terminated for cause or default.

The inability of a person to provide the certification required

above will not necessarily result in denial of participation in this

covered transaction. If necessary, the prospective participant shall

submit an explanation of why it cannot provide the certification.

The certification or explanation will be considered in connection

with the Department of Health and Human Services (HHS) determination

whether to enter into this transaction. However, failure of the

prospective primary participant to furnish a certification or an

explanation shall disqualify such person from participation in this

transaction.

The prospective primary participant agrees that by submitting

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

Regarding Debarment, Suspension, Ineligibility, and Voluntary

Exclusion--Lower Tier Covered Transaction.'' provided below without

modification in all lower tier covered transactions and in all

solicitations for lower tier covered transactions.

Certification Regarding Debarment, Suspension, Ineligibility and

Voluntary Exclusion--Lower Tier Covered Transactions

(To Be Supplied to Lower Tier Participants)

By signing and submitting this lower tier proposal, the

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

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

principals:

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

debarment, declared ineligible, or voluntarily excluded from

participation in this transaction by any federal department or

agency.

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

certify to any of the above, such prospective participant shall

attach an explanation to this proposal.

The prospective lower tier participant further agrees by

submitting this proposal that it will include this clause entitled

``certification Regarding Debarment, Suspension, Ineligibility, and

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

modification in all lower tier covered transactions and in all

solicitations for lower tier covered transactions.

Attachment E--Executive Order 12372--State Single Points of Contact

Arizona

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

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

Arkansas

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

Intergovernmental Services, Department of Finance and

Administration, P.O. Box 3278, Little Rock, Arkansas 72203,

Telephone (501) 682-1074

California

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

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

323-7480

Colorado

State Single Point of Contact, State Clearinghouse, Division of

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

80203, Telephone (303) 866-2156

Delaware

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

Department, Thomas Collins Building, Dover, Delaware 19903,

Telephone (302) 736-3326

District of Columbia

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

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

Washington, 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-

8441

Georgia

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

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

656-3855

Illinois

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

Governor, 107 Stratton Building, Springfield, Illinois 62706,

Telephone (217) 782-1671

Indiana

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

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

Iowa

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

Department of Economic Development, 200 East Grand Avenue, Des

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

Kentucky

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

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

Telephone (502) 564-2382

Maine

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

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

Maryland

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

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

2365, Telephone (301) 225-4490

Massachusetts

Karen Arone, State Clearinghouse, Executive Office of Communities

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

Massachusetts 02202, Telephone (617) 727-7001

Michigan

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

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

Mississippi

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

Management and Reporting, 301 West Pearl Street, Jackson,

Mississippi 39203, Telephone (601) 960-2174

Missouri

Ms. Lois Pohl, Federal Assistance Clearinghouse, Office of

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

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

Nevada

Department of Administration, State Clearinghouse, Capitol Complex,

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

Sparks, Clearinghouse Coordinator

New Hampshire

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

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

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

271-2155

New Jersey

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

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

0803, Telephone (609) 292-6613

Please direct correspondence and questions to: Andrew J. Jaskolka,

State Review Process, Division of Community Resources, CN 814, Room

609, Trenton, New Jersey 08625-0803, Telephone (609) 292-9025

New Mexico

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

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

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

New York

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

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

North Carolina

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

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

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

North Dakota

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

Assistance, Office of Management and Budget, 600 East Boulevard

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

Ohio

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

Coordinator, State Clearinghouse, Office of Budget and Management,

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

Telephone (614) 466-0698

Rhode Island

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

Department of Administration, Division of Planning, 265 Melrose

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

Please direct correspondence and questions to: Review Coordinator,

Office of Strategic Planning

South Carolina

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

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

South Carolina 29201, Telephone (803) 734-0494

Tennessee

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

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

Tennessee 37219, Telephone (615) 741-1676

Texas

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

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

Utah

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

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

Telephone (801) 538-1535

Vermont

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

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

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

West Virginia

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

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

Virginia 25305, Telephone (304) 348-4010

Wisconsin

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

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

Wisconsin 53707, Telephone (608) 266-0267

Wyoming

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

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

7574

Guam

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

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

Telephone (671) 472-2285

Northern Mariana Islands

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

the Governor, Saipan, CM, Northern Mariana Islands 96950

Puerto Rico

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

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

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

Virgin Islands

Jose L. George, Director, Office of Management and Budget, 3541

Norregade Emancipation Garden Station, Second Floor, Saint Thomas,

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

Telephone (809) 774-0750.

Attachment F.--Certification Regarding Lobbying

Certification for Contracts, Grants, Loans, and Cooperative Agreements

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

belief, that:

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

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

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

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

Member of Congress in connection with the awarding of any Federal

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

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

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

Federal contract, grant, loan, or cooperative agreement.

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

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

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

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

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

cooperative agreement, the undersigned shall complete and submit

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

accordance with its instructions.

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

certification be included in the award documents for all subawards at

all tiers (including subcontracts, subgrants, and contracts under

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

shall certify and disclose accordingly.

This certification is a material representation of fact upon which

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

Submission of this certification is a prerequisite for making or

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

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

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

$100,000 for each such failure.

State for Loan Guarantee and Loan Insurance

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

belief, that:

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

influencing or 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 require 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

TN23JN94.113

BILLING CODE 4184-01-C

Attachment G

The following DHHS regulations apply to all applicants/grantees

under the Demonstration Partnership Program, Special Set-Aside for

Empowerment Zone/Enterprise Community--Technical Assistance/Planning

Grants:

Title 45 of the Code of Federal Regulations:

Part 16--Procedures of the Departmental Grant Appeals Board

Part 74--Administration of Grants (non-governmental)

Part 74--Administration of Grants (state and local governments and

Indian Tribal affiliates):

Sections 74.62(a)--Non-Federal Audits

74.173--Hospitals

74.174(b)--Other Nonprofit Organizations

74.304--Final Decisions in Disputes

74.710--Real Property, Equipment and Supplies

74.715--General Program Income

Part 75--Informal Grant Appeal Procedures

Part 76--Debarment and Suspension form Eligibility for Financial

Assistance

Subpart F--Drug Free Workplace Requirements

Part 80--Non-discrimination Under Programs Receiving Federal Assistance

through the Department of Health and Human Services

Effectuation of Title VI of the Civil Rights Act of 1964

Part 81--Practice and Procedures for Hearings Under Part 80 of this

Title

Part 83--Nondiscrimination on the basis of sex in the admission of

individuals to training programs

Part 84--Non-discrimination on the Basis of Handicap in Programs

Part 91--Non-discrimination on the Basis of Age in Health and Human

Services Programs or Activities Receiving Federal Financial Assistance

Part 92--Uniform Administrative Requirements for Grants and Cooperative

Agreements to States and Local Governments (Federal Register, March 11,

1988)

Part 93--New Restrictions on Lobbying

Part 100--Intergovernmental Review of Department of Health and Human

Services Programs and Activities

Attachment H.--Certification Regarding Maintenance of Effort

The undersigned certifies that:

(1) activities funded under this program announcement are in

addition to, and not in substitution for, activities previously carried

on without Federal assistance.

(2) funds or other resources currently devoted to activities

designed to meet the needs of the poor within a community, area, or

State have not been reduced in order to provide the required matching

contributions.

When legislation for a particular block grant permits the use of

its funds as match, the applicant must show that it has received a real

increase in its block grant allotment and must certify that other anti-

poverty programs will not be scaled back to provide the match required

for this project.

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Organization

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Authorized Signature

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Title

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Date

Attachment I.--Checklist for Use in Submitting OCS Grant

Applications (Optional)

The application should contain:

1. Table of Contents

2. A completed, signed SF-424, ``Application for Federal

Assistance. The letter code for the priority area should be in the

lower right-hand corner of the page.

3. A completed SF-424A, ``Budget Information--Non-Construction''.

4. A signed SF-424B, ``Assurances--Non-Construction''.

5. A signed copy of ``Certification Regarding Anti-Lobbying

Activities''.

6. A completed Disclosure of Lobbying Activities, if applicable.

7. A Project Narrative beginning with a Table of Contents that

describes the project in the following order:

(a) Eligibility Confirmation

(b) Organizational Experience and Staff Responsibilities

(c) Analysis of Need

(d) Work Program

(e) Third Party Evaluation

8. A signed copy of the Cooperative Partnership Agreement or letter

of intent.

9. Appendices, including proof of non-profit status, Bylaws,

Articles of Incorporation, SPOC comments self-addressed mailing label

which can be affixed to a postcard to acknowledge receipt of

application.

The Project Narrative should not exceed a total of 50 pages. It

should include one original and four identical copies, printed on white

8\1/2\ by 11 inch paper, two-holed punched at the top center and

fastened separately with a compressor slide paper fastener, such as an

ACCO clip, or a binder clip. The submission of bound applications,

enclosed in binders, is specifically discouraged.

The applicant must be aware that in signing and submitting the

application for this award, it is certifying that it will comply with

the Federal requirements concerning the drug-free workplace and

debarment regulations set forth in Attachments C and D.

[FR Doc. 94-15342 Filed 6-22-94; 8:45 am]

BILLING CODE 4184-01-P