Developmental Disabilities: Availability of Financial Assistance for Projects of National Significance for Fiscal Year 1994

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Administration for Children and Families

[Program Announcement No. 93631-94-02]

Developmental Disabilities: Availability of Financial Assistance

for Projects of National Significance for Fiscal Year 1994

AGENCY: Administration on Developmental Disabilities (ADD),

Administration for Children and Families (ACF).

ACTION: Announcement of availability of financial assistance for

Projects of National Significance for Fiscal Year 1994.

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SUMMARY: The Administration on Developmental Disabilities,

Administration for Children and Families, announces that applications

are being accepted for funding of Fiscal Year 1994 Projects of National

Significance.

This program announcement consists of five parts. Part I, the

Introduction, discusses the goals and objectives of ACF and ADD. Part

II provides the necessary background information on ADD for applicants.

Part III describes the review process. Part IV describes the priorities

under which ADD solicits applications for Fiscal Year 1994 funding of

projects. Part V describes in detail how to prepare and submit an

application. All of the forms and instructions necessary to submit an

application are published as part of this announcement following Part

V.

No separate application kit is either necessary or available for

submitting an application. If you have a copy of this announcement, you

have all the information and forms required to submit an application.

Grants will be awarded under this program announcement subject to

the availability of funds for support of these activities.

DATE: Closing date for submittal of applications under this

announcement is August 8, 1994.

ADDRESSES: Applications should be mailed to: Department of Health and

Human Services, ACF/Division of Discretionary Grants, Sixth Floor, 370

L'Enfant Promenade SW., Washington, DC 20447, Attn: 93.631 ADD--

Projects of National Significance.

Hand delivered applications are accepted during the normal working

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

established closing date at: Administration for Children and Families,

Division of Discretionary Grants, 6th Floor OFM/DDG, 901 D Street SW.,

Washington, DC 20447.

FOR FURTHER INFORMATION CONTACT: Gail Evans, Program Development

Division, Administration on Developmental Disabilities, (202) 690-5911.

SUPPLEMENTARY INFORMATION:

Part I. Introduction

A. Goals of the Administration on Developmental Disabilities

The Administration on Developmental Disabilities (ADD) is located

within the Administration for Children and Families (ACF), Department

of Health and Human Services (DHHS). Although different from the other

ACF program administrations in the specific populations it serves, ADD

shares a common set of goals that promote the economic and social well-

being of families, children, individuals and communities. Through

national leadership, ACF and ADD envision:

Families and individuals empowered to increase their own

economic independence and productivity;

Strong, healthy, supportive communities having a positive

impact on the quality of life and the development of children;

Partnerships with individuals, front-line service

providers, communities, States and Congress that enable solutions which

transcend traditional agency boundaries;

Services planned and integrated to improve client access;

and

A strong commitment to working with Native Americans,

persons with developmental disabilities, refugees and migrants to

address their needs, strengths and abilities.

Emphasis on these goals and progress toward them will help more

individuals, including people with developmental disabilities, to live

productive and independent lives integrated into their communities. The

Projects of National Significance Program is one means through which

ADD promotes the achievement of these goals.

B. Purpose of the Administration on Developmental Disabilities

The Administration on Developmental Disabilities (ADD) is the lead

agency within ACF and DHHS responsible for planning and administering

programs which promote the self-sufficiency and protect the rights of

persons with developmental disabilities.

The Developmental Disabilities Assistance and Bill of Rights Act

(42 U.S.C. 6000, et seq.) (the Act) supports and provides assistance to

States and public and private nonprofit agencies and organizations to

assure that individuals with developmental disabilities and their

families participate in the design of and have access to culturally

competent services, supports, and other assistance and opportunities

that promote independence, productivity and integration and inclusion

into the community.

The Act points out that:

Disability is a natural part of the human experience that

does not diminish the right of individuals with developmental

disabilities to enjoy the opportunity for independence, productivity

and inclusion into the community;

Individuals whose disabilities occur during their

developmental period frequently have severe disabilities that are

likely to continue indefinitely;

Individuals with developmental disabilities often require

lifelong specialized services and assistance, provided in a coordinated

and culturally competent manner by many agencies, professionals,

advocates, community representatives, and others to eliminate barriers

and to meet the needs of such individuals and their families;

The Act further finds that:

Individuals with developmental disabilities, including

those with the most severe developmental disabilities, are capable of

achieving independence, productivity, and integration and inclusion

into the community, and often require the provision of services,

supports and other assistance to achieve such;

Individuals with developmental disabilities have

competencies, capabilities and personal goals that should be

recognized, supported, and encouraged, and any assistance to such

individuals should be provided in an individualized manner, consistent

with the unique strengths, resources, priorities, concerns, abilities,

and capabilities of the individual;

Individuals with developmental disabilities and their

families are the primary decision makers regarding the services and

supports such individuals and their families receive; and play decision

making roles in policies and programs that affect the lives of such

individuals and their families; and

It is in the nation's interest for people with

developmental disabilities to be employed, and to live conventional and

independent lives as a part of families and communities.

Toward these ends, ADD seeks to enhance the capabilities of

families in assisting people with developmental disabilities to achieve

their maximum potential to support the increasing ability of people

with developmental disabilities to exercise greater choice and self-

determination; to engage in leadership activities in their communities;

as well as to ensure the protection of their legal and human rights.

Programs funded under the Act are:

Federal assistance to State developmental disabilities

councils;

State system for the protection and advocacy of individual

rights;

Grants to university affiliated programs for

interdisciplinary training, exemplary services, technical assistance,

and information dissemination; and

Grants for Projects of National Significance.

Part II. Background Information

A. Description of Projects of National Significance

Under Part E of the Act, grants and contracts are awarded for

projects of national significance that support the development of

national and State policy to enhance the independence, productivity,

and integration and inclusion of individuals with developmental

disabilities through:

Data collection and analysis;

Technical assistance to enhance the quality of State

developmental disabilities councils, protection and advocacy systems,

and university affiliated programs; and

Other projects of sufficient size and scope that hold

promise to expand or improve opportunities for people with

developmental disabilities, including:

--Technical assistance for the development of information and referral

systems;

--Educating policy makers;

--Federal interagency initiatives;

--The enhancement of participation of racial and ethnic groups in

public and private sector initiatives in developmental disabilities;

--Transition of youth with developmental disabilities from school to

adult life; and

--Special pilots and evaluation studies to explore the expansion of

programs under part B (State developmental disabilities councils) to

individuals with severe disabilities other than developmental

disabilities.

B. Comments on FY 1994 Proposed Priority Areas

The notice soliciting comments on the FY 1994 proposed priority

areas was published in the Federal Register on February 24, 1994. A 60

day period was required to allow the public to comment on the proposed

areas. After review and analysis of these comments, ADD is publishing

its final priorities in this announcement.

The public comment notice requested specific comments and

suggestions on the proposed funding priorities, in addition to

recommendations for additional priority areas which would assist in

bringing about the increased independence, productivity, and

integration into the community of people with developmental

disabilities.

ADD received a total of 52 letters and 93 individual comments in

response to the public comment notice. The majority of the comments

expressed support of the priority areas. Other comments were supportive

of the priority areas, but suggested changes.

Agencies which commented were identified as follows:

Advocacy agencies, which includes national organizations

and associations, national advocacy groups and State/local advocacy

groups;

Service organizations, which includes agencies that

provide services for individuals with developmental disabilities as

well as providing advocacy services on behalf of a particular

disability, including developmental disabilities councils;

Educational systems, which includes schools, colleges and

universities, programs located within a university setting (CA/N, R&TC,

youth w/disabilities) and university affiliated programs;

Private agencies, which includes national, State and local

non-profit organizations;

Government agencies, which includes Federal, State, county

and local government agencies;

Private individuals; and

Foundations.

The comments ranged from requests for copies of the final

application solicitation to general support to substantive, insightful

responses for this year's proposed funding priorities and

recommendations for other priority areas. Few of the comments provided

specific guidance on the development of the final priority areas.

Rather, the majority were supportive of and expanded upon what we

proposed in the announcement, in addition to relating specifically to

the program goals and priorities of the particular agencies submitting

the comments.

The comments received were helpful in highlighting the concerns of

the developmental disabilities field and have been used in refining the

final priority areas.

Comment: 24 letters were submitted to ADD recommending additional

funding priorities for FY 1994. Suggestions included best practice and

systems change, development of standards, and training in Personal

Assistance Services (PAS); projects that focus on the integration into

community activities of families who have a child who is medically

fragile and severely disabled; a project that cares for children with

HIV/AIDS; projects on home ownership; dissemination of information to

families and practitioners; and aging and developmental disabilities.

Response: ADD funded five PAS projects in FY 1993. We continue to

fund those projects and support a variety of other activities in the

area of personal assistance services.

Although ADD has not funded any recent projects on community

integration of individuals with severe disabilities or medically

fragile children through the PNS program, we continue to support

projects and activities in this area through the university affiliated

program.

ADD funded five HIV/AIDS projects from FY 1990-1992. We continue to

support HIV/AIDS projects and activities through the university

affiliated program.

ADD funded two projects on home ownership from FY 1991-1994. We

also awarded a five year grant in FY 1993 to the university affiliated

program at the University of New Hampshire to establish a national

information network on consumer based housing.

ADD supports a number of grant-related activities that focus on

dissemination of information on issues relating to developmental

disabilities. It has become a requirement of each grant award made.

We continue to fund projects on elderly persons with disabilities

through the university affiliated program's Training Initiative

component.

ADD appreciates the suggestions for additional priority areas for

this fiscal year. While we are unable to add new priority areas at this

time because of budget constraints, we will consider these suggestions

and recommendations for future grant announcements.

Comment: ADD received 34 comments on Proposed Priority Area 1,

Leadership Education and Development of Individuals with Disabilities

and Their Families from Culturally Diverse Backgrounds. The majority of

the comments received in this priority area were supportive of what was

proposed in the published notice. However, some of the comments

provided recommendations for project design and specific suggestions

for how the projects should be funded (based on the particular focus of

the organization submitting the comments). There was also a letter

writing campaign from advocacy groups supporting strong linkages to and

between ADD's national network associations. That writing campaign also

included adding a qualifier to the grant requirements regarding

composition of the funded agencies board of directors (at least 51%

individuals with disabilities or family members of individuals with

disabilities). Another letter writer suggested that we collaborate our

activities with other Federal and State agencies. There was a

suggestion that the requirements of the final priority area be specific

about how information would be disseminated as well as how the project

would be evaluated. There were also numerous recommendations for ADD to

specifically focus its FY 1994 efforts on Youth Leadership Development.

Response: The above comments are representative of the comments

received in this priority area. We will make every effort to coordinate

this priority area's activities with the Department of Education and

other Federal agencies. We will also make every effort to collaborate

with our national network associations during the funded projects'

grant period. We agree with the recommendation for information

dissemination and evaluation. The final priority area project design

requirements include dissemination, evaluation, and composition of the

project's advisory body. In addition, because there was interest

expressed that ADD focus this priority area on youth leadership

development, the final leadership education and development priority

area will be an inclusive one--to cover individuals and families of all

ages.

Comment: ADD received fifteen comments on Proposed Priority Area 2,

Expanding the Scope of Developmental Disabilities Councils. The

majority of the comments received in this priority area were supportive

of what ADD proposed in the published notice. Some of the comments also

provided recommendations for project length, specific suggestions for

which Councils should be eligible for funding, and ideas on project

design. There were two non-supportive letters submitted in this

priority area. Those letters will be addressed at the end of this

discussion.

There was a recommendation that the project conduct an assessment

of the population of persons with disabilities served by the

developmental disabilities network (Developmental Disabilities

Councils, University Affiliated Programs, and Protection and Advocacy

Systems) in their States. Several writers suggested that participation

in the fifteen month pilot studies not be limited to just the

additional five States. It was also noted that six months to complete

the short-term study would be too short of a time frame. ADD was also

encouraged to receive input for the studies from the States and not

limit participation to the network associations. We were cautioned that

each of the DD program components not lose sight of their specific

mission and focus during the expansion studies. This was reiterated in

one of the non-supportive letters, in addition to the fact that

expansion would duplicate the efforts of other State and Federally

funded agencies. The other non-supportive letter indicated that the

Councils were not adequately addressing the issues of the disability

groups they already serve, and suggested that the Councils make some

changes in the way they do business before they take on expansion.

Response: The expansion priority area is a legislatively mandated

activity. ADD is limited in the number of States to participate in the

pilot studies or the length of time to complete each phase of the

expansion study. In addition, the short term study of Councils and the

national study have already been funded under a separate contractual

solicitation. The fifteen month pilot studies are the only part of the

expansion study to be funded through this grant announcement. We do,

however, agree with the remainder of the comments (including the non-

supportive ones) and the final priority area reflects such, as well as

a sensitivity to specific foci of Councils and their ability to take on

expansion activities without negatively impacting their original

mission.

Comment: ADD received three comments on providing technical

assistance (through separate contractual solicitations) to improve the

functions of the developmental disabilities planning council,

protection and advocacy system, and the university affiliated program;

and to develop information and referral systems. Two letters supported

and expanded upon what we proposed. One letter was non-supportive. The

supportive letters recommended specific technical assistance

activities, i.e., ongoing technical assistance and information and

referral on cultural diversity; and technical assistance activities on

self-advocacy of consumers. The one non-supportive letter requested

that the technical assistance contract solicitations be provided to all

Councils, P&As, and UAPs, and not a sole source contractor.

Response: The technical assistance component of the PNS program is

a legislatively mandated activity targeted at supporting and improving

the functions of the developmental disabilities program components

(Councils, P&As, and UAPs). Contract awards for technical assistance to

UAPs and P&As are in their last year of funding. A full and open

competition for UAP and P&A technical assistance funds will be

announced during the FY 1995 PNS funding cycle. Likewise, an

announcement for a full and open competition for technical assistance

funds for Councils has been made through the ACF procurement process.

Technical assistance for information and referral systems will not be

announced this fiscal year, but considered for future PNS funding

announcements.

Comment: ADD received two comments on funding projects through

demonstrations as well as procurements that would ensure the

integration and active participation of racial and ethnic groups into

the ``mainstream'' of theservice delivery system. Both letters

recommended that we offer an additional solicitation for a data

collection and analysis project to establish a national multicultural

database.

Response: The FY 1994 PNS program budget is limited in providing

funds for additional grants and contracts. Therefore, these

recommendations will not be considered this fiscal year, but considered

for future PNS announcements.

Comment: ADD received fifteen general comments, the majority of

which were supportive of what we proposed for our FY 1994 funding

priorities. Several comments were received that commended us for the

way in which we approached this year's priorities, but wanted to see

changes in the focus of the priority areas.

Response: We appreciate the input and commendations given for this

year's priority areas. We believe the final priority areas reflect the

input received from the public comment process and a sensitivity to the

concerns expressed in each of the letters received.

Part III. The Review Process

A. Eligible Applicants

Before applications are reviewed, each will be screened to

determine that the applicant is eligible for funding, as specified

under the selected priority area. Applications from organizations which

do not meet the eligibility requirements for the priority area will not

be considered or reviewed in the competition, and the applicant will be

so informed.

Only public or non-profit private entities, not individuals, are

eligible to apply under any of the priority areas. On all applications

developed jointly by more than one agency or organization, the

applications must identify only one organization as the lead

organization and official applicant. The other participating agencies

and organizations can be included as co-participants, subgrantees or

subcontractors.

Any non-profit organization submitting an application must submit

proof of its non-profit status in its application at the time of

submission. One means of accomplishing this is by the non-profit agency

providing a copy of the applicant's listing in the Internal Revenue

Service's most recent list of tax-exempt organizations described in

section 501(c)(3) of the IRS code or by providing a copy of the

currently valid IRS tax exemption certificate.

ADD cannot fund a non-profit applicant without acceptable proof of

its non-profit status.

B. Review Process and Funding Decisions

Applications from eligible applicants that meet the deadline date

requirements under Part V, Section C will be reviewed and scored

competitively. Experts in the field, generally persons from outside of

the Federal government, will use the appropriate evaluation criteria

listed later in this part to review and score the applications. The

results of this review are a primary factor in making funding

decisions.

ADD reserves the option of discussing applications with, or

referring them to, other Federal or non-Federal funding sources when

this is determined to be in the best interest of the Federal government

or the applicant. It may also solicit comments from ADD Regional Office

staff, other Federal agencies, interested foundations, national

organizations, specialists, experts, States and the general public.

These comments, along with those of the expert reviewers, will be

considered by ADD in making funding decisions.

In making decisions on awards, ADD may give preference to

applications which focus on or feature: Culturally diverse racial or

ethnic populations; a substantially innovative strategy with the

potential to improve theory or practice in the field of human services;

a model practice or set of procedures that holds the potential for

replication by organizations involved in the administration or delivery

of human services; substantial involvement of volunteers; substantial

involvement (either financial or programmatic) of the private sector; a

favorable balance between Federal and non-Federal funds available for

the proposed project; the potential for high benefit for low Federal

investment; a programmatic focus on those most in need; and/or

substantial involvement in the proposed project by national or

community foundations.

To the greatest extent possible, efforts will be made to ensure

that funding decisions reflect an equitable distribution of assistance

among the States and geographical regions of the country, rural and

urban areas, and ethnic populations. In making these decisions, ADD may

also take into account the need to avoid unnecessary duplication of

effort.

C. Evaluation Criteria

Using the evaluation criteria below, a panel of at least three

reviewers (primarily experts from outside the Federal government) will

review the applications. Applicants should ensure that they address

each minimum requirement in the priority area description under the

appropriate section of the Program Narrative Statement.

Reviewers will determine the strengths and weaknesses of each

proposal in terms of the evaluation criteria, provide comments and

assign numerical scores. The point value following each criterion

heading indicates the maximum numerical weight that each section may be

given in the review process.

1. Objectives and Need for Assistance (20 points)

The extent to which the application pinpoints any relevant

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

requiring a solution; demonstrates the need for the assistance; States

the principal and subordinate objectives of the project; provides

supporting documentation or other testimonies from concerned interests

other than the applicant; and includes and/or footnotes relevant data

based on the results of planning studies. The application must identify

the precise location of the project and area to be served by the

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

2. Results or Benefits Expected (20 points)

The extent to which the application identifies the results and

benefits to be derived, the extent to which they are consistent with

the objectives of the proposal, and the extent to which the application

indicates the anticipated contributions to policy, practice, theory

and/or research. The extent to which the proposed project costs are

reasonable in view of the expected results.

3. Approach (35 points)

The extent to which the application outlines a sound and workable

plan of action pertaining to the scope of the project, and details how

the proposed work will be accomplished; cites factors which might

accelerate or decelerate the work, giving acceptable reasons for taking

this approach as opposed to others; describes and supports any unusual

features of the project, such as design or technological innovations,

reductions in cost or time, or extraordinary social and community

involvements; and provides for projections of the accomplishments to be

achieved. It lists the activities to be carried out in chronological

order, showing a reasonable schedule of accomplishments and target

dates.

The extent to which, when applicable, the application identifies

the kinds of data to be collected and maintained, and discusses the

criteria to be used to evaluate the results and successes of the

project. The extent to which the application describes the evaluation

methodology that will be used to determine if the needs identified and

discussed are being met and if the results and benefits identified are

being achieved. The application also lists each organization, agency,

consultant, or other key individuals or groups who will work on the

project, along with a description of the activities and nature of their

effort or contribution.

4. Staff Background and Organization's Experience (25 points)

The application identifies the background of the project director/

principal investigator and key project staff (including name, address,

training, educational background and other qualifying experience) and

the experience of the organization to demonstrate the applicant's

ability to effectively and efficiently administer this project. The

application describes the relationship between this project and other

work planned, anticipated or underway by the applicant which is being

supported by Federal assistance.

D. Structure of Priority Area Descriptions

Each priority area description is composed of the following

sections:

Eligible Applicants: This section specifies the type of

organization which is eligible to apply under the particular priority

area.

Purpose: This section presents the basic focus and/or

broad goal(s) of the priority area.

Background Information: This section briefly discusses the

legislative background as well as the current state-of-the-art and/or

current state-of-practice that supports the need for the particular

priority area activity. Relevant information on projects previously

funded by ACF and/or other State models are noted, where applicable.

Minimum Requirements for Project Design: This section

presents the basic set of issues that must be addressed in the

application. Typically, they relate to project design, evaluation, and

community involvement. This section also asks for specific information

on the proposed project. Inclusion and discussion of these items is

important since they will be used by the reviewers in evaluating the

applications against the evaluation criteria. Project products,

continuation of the project effort after the Federal support ceases,

and dissemination/utilization activities, if appropriate, are also

addressed.

Project Duration: This section specifies the maximum

allowable length of time for the project period; it refers to the

amount of time for which Federal funding is available.

Federal Share of Project Costs: This section specifies the

maximum amount of Federal support for the project.

Matching Requirement: This section specifies the minimum

non-Federal contribution, either through cash or in-kind match, that is

required to the maximum Federal funds requested for the project.

Anticipated Number of Projects To Be Funded: This section

specifies the number of projects that ADD anticipates it will fund in

the priority area.

CFDA: This section identifies the Catalog of Federal

Domestic Assistance (CFDA) number and title of the program under which

applications in this priority area will be funded. This information is

needed to complete item 10 on the SF 424.

Please note that applicants that do not comply with the specific

priority area requirements in the section on ``Eligible Applicants''

will not be reviewed.

Applicants must clearly identify the specific priority area under

which they wish to have their applications considered, and tailor their

applications accordingly. In addition, previous experience has shown

that an application which is broader and more general in concept than

outlined in the priority area description is less likely to score as

well as one which is more clearly focused on and directly responsive to

the concerns of that specific priority area.

E. Available Funds

ADD intends to award new grants resulting from this announcement

during the fourth quarter of fiscal year 1994, subject to the

availability of funding. The size of the actual awards will vary. Each

priority area description includes information on the maximum Federal

share of the project costs and the anticipated number of projects to be

funded.

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. The term

``project period'' refers to the total time a project is approved for

support, including any extensions.

Where appropriate, applicants may propose project periods which are

shorter than the maximums specified in the various priority areas. Non-

Federal share contributions may exceed the minimums specified in the

various priority areas when the applicant is able to do so.

For multi-year projects, continued Federal funding beyond the first

budget period, but within the approved project period, is subject to

the availability of funds, satisfactory progress of the grantee and a

determination that continued funding would be in the best interest of

the Government.

F. Grantee Share of Project Costs

Other than the exception described below, Federal funds will be

provided to cover up to 75% of the total allowable project costs. The

total allowable project costs are the sum of the ACF share and the non-

Federal share. Therefore, the non-Federal share must amount to at least

25% of the total (Federal plus non-Federal) project cost. This means

that, for every $3 in Federal funds received, up to the maximum amount

allowable under each priority area, applicants must contribute at least

$1. For example, the cost breakout for a project costing $100,000 to

implement would be:

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

Federal request Non-Federal share Total cost

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

$75,000................ $25,000 $100,000

75%.................... 25% 100%

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

The exception to the grantee cost sharing requirement relates to

applications originating from American Samoa, Guam, the Virgin Islands,

and the Commonwealth of the Northern Mariana Islands. Applications from

these areas are covered under section 501(d) of Pub. L. 95-134, which

requires that the Department waive ``any requirement for local matching

funds for grants under $200,000.''

The applicant contribution must generally be secured from non-

Federal sources. Except as provided by Federal statute, a cost-sharing

or matching requirement may not be met by costs borne by another

Federal grant. However, funds from some Federal programs benefitting

Tribes and Native American organizations have been used to provide

valid sources of matching funds. If this is the case for a Tribe or

Native American organization submitting an application to ADD, that

organization should identify the programs which will be providing the

funds for the match in its application. If the application successfully

competes for PNS grant funds, ADD will determine whether there is

statutory authority for this use of the funds. The Administration for

Native Americans and the DHHS Office of General Counsel will assist ADD

in making this determination.

The non-Federal share of total project costs may be in the form of

grantee-incurred costs and/or third party in-kind contributions. ADD

strongly encourages applicants to meet their match requirement through

a cash contribution, as opposed to an in-kind contribution. For further

information on in-kind contributions, refer to the instructions for

completing the SF 424A--Budget Information, in Part IV.

The required amount of non-Federal share to be met by the applicant

is the amount indicated in the approved application. Grant recipients

will be required to provide the agreed upon non-Federal share, even if

this exceeds 25% (or other required portion) of the project costs.

Therefore, an applicant should ensure the availability of any amount

proposed as match prior to including it in its budget.

The non-Federal share must be met by a grantee during the life of

the project. Otherwise, ADD will disallow any unmatched Federal funds.

G. Cooperation in Evaluation Efforts

Grantees funded by ADD may be requested to cooperate in evaluation

efforts funded by ADD. The purpose of these evaluation activities is to

learn from the combined experience of multiple projects funded under a

particular priority area.

H. Closed Captioning for Audiovisual Efforts

Applicants are encouraged to include ``closed captioning'' in the

development of any audiovisual products.

Part IV. Fiscal Year 1994 Priority Areas for Projects of National

Significance

The following section presents the final priority areas for Fiscal

Year 1994 Projects of National Significance (PNS) and solicits the

appropriate applications.

Fiscal Year 1994 Priority Area 1: Leadership Education and Development

of Individuals With Disabilities and Their Families From Culturally

Diverse Backgrounds

Eligible Applicants: State agencies, public or private

nonprofit organizations, institutions or agencies.

Purpose: Under this priority area, ADD will award

demonstration grant funds on Leadership Education and Development of

Individuals With Disabilities and Their Families From Culturally

Diverse Backgrounds. The lead initiative intends to target individuals

with developmental disabilities and their families from culturally

diverse backgrounds to enable them to impact service delivery and fully

access the services they need. This priority area is also a very

inclusive one meant to cover individuals and families of all ages.

However, we are particularly interested in proposals that foster the

leadership development of young adults (15-25 years of age).

These projects would strengthen the ability of individuals with

developmental disabilities and their families from culturally diverse

backgrounds to serve as leaders and advocates on critical issues in the

developmental disabilities field in the nation, and in their own

communities.

Background Information: Demographic trends continue to

rapidly change the character of our Nation. As communities become more

culturally, ethnically, and racially diverse, the need has increased to

assist individuals from culturally diverse backgrounds and their

families in the development and implementation of effective methods of

communication that increase public awareness, inform individuals from

other ethnic groups with disabilities of issues and services, and

develop and implement networking strategies that improve access to

community resources. Therefore, it is imperative to include persons

with disabilities who are from diverse cultural and ethnic backgrounds

in all aspects of service delivery.

The institutionalization of action strategies that promote

culturally competent policies and practices which are family-centered

and community-based will depend on the ease with which physicians and

other practitioners successfully incorporate ethnic and cultural

factors in their work. For example, issues of importance may include:

cultural and ethnic background of the health care professionals;

sensitivity and competence of the health care professionals to deal

with cultural and ethnic factors; or language and the strength of

cultural and ethnic identification.

Minimum Requirements for Project Design: ADD is seeking

Historically Black Colleges and Universities (HBCUs), grassroots

organizations, racial and ethnic coalitions, civil rights and other

private non-profit organizations experienced in working with culturally

diverse populations to develop successful models for accessing

services; and supporting the ability of these constituencies with

developmental disabilities to perform leadership functions, and make

their own choices--personal or professional.

In order to successfully compete under this priority area, the

application must include activities which would:

Strengthen the ability of members of culturally diverse

racial and ethnic groups with disabilities to serve as leaders and

advocates on critical issues in the developmental disabilities field,

particularly in their own communities;

Enable and actively support members of culturally diverse

racial and ethnic groups with disabilities and their families to take

part in and benefit from advocacy in accessing health care services;

recreational activities, public education efforts and employment

programs;

Support and train members of culturally diverse racial and

ethnic groups with disabilities and their families to participate on

boards of organizations that plan for and make decisions on their

behalf;

Support and train members of culturally diverse racial and

ethnic groups and their families in establishing effective methods of

communication at the community level, and establishing collaborative

relationships between local systems in the provision of individualized

services that they have choice and control of;

Develop and implement public awareness campaigns and other

written materials specifically geared toward members of culturally

diverse groups with disabilities to inform them of the services

available in their catchment areas;

Provide evidence of the applicant's ability to establish

an advisory board comprised of 51% persons with disabilities and 51%

persons from culturally diverse groups. Applicants must also commit to

including members of the project's advisory body into the board

membership of the organization. A plan to accomplish this goal must be

submitted to ADD; and

Provide leadership development and training to increase

and strengthen active participation by individuals with developmental

disabilities and their families from culturally diverse racial and

ethnic backgrounds.

Proposals should also include provisions for the travel of

two key personnel during the first and last year of the project to

Washington, DC. for a one day meeting with ADD staff.

Describe an evaluation component which will measure the

project's effectiveness in achieving desired objectives.

In addition, proposals should provide for the widespread

dissemination of their products (reports, summary documents, audio-

visual materials, and the like) in accessible formats. A plan to

accomplish this goal must be submitted to ADD.

Project Duration: This announcement is soliciting

applications for project periods up to three years under this priority

area. Awards, on a competitive basis, will be for a one-year budget

period, although project periods may be for three years. Applications

for continuation grants funded under this priority area beyond the one-

year budget period, but within the three year project period, will be

entertained in subsequent years on a non-competitive basis, subject to

the availability of funds, satisfactory progress of the grantee and

determination that continued funding would be in the best interest of

the Government.

Federal Share of Project Costs: The maximum Federal share

is not to exceed $100,000 for the first 12-month budget period or a

maximum of $300,000 for a 3-year project period.

Matching Requirement: The minimum non-Federal matching

requirement in proportion to the maximum Federal share of $300,000 is

$100,000 for a 3-year project period. This constitutes 25 percent of

the total project budget.

Anticipated Number of Projects to be Funded: It is

anticipated that up to two (2) projects will be funded.

CFDA: ADD's CFDA (Code of Federal Domestic Assistance)

number is 93.631--Developmental Disabilities--Projects of National

Significance.

Fiscal Year 1993 Priority Area 2: Expanding the Scope of Developmental

Disabilities Planning Councils

Eligible Applicants: State Developmental Disabilities

Councils (DDCs) in States with approved State plans and assurances as

required by the Act which do not have a State mandate to focus on

individuals with disabilities other than developmental disabilities.

Purpose: Under this priority area, ADD will award up to

five (5) individual grants at a maximum of $150,000 and/or one or more

consortium grants to consortiums including a total of no more than five

States to explore the implications of expanding the current scope of

DDC activities to include individuals with a broad range of severe

disabilities. Individuals with severe disabilities other than

developmental disabilities can and have benefitted from the systems

change, capacity building and advocacy activities of the DDCs. ADD is

interested in determining the feasibility and implications of expanding

the focus constituency of the DDCs in States differing in size,

population, geographical distribution, and allotments received under

Part B of the Act.

Background Information: While individuals with

developmental disabilities and their families directly benefit from DDC

advocacy, systemic change, and capacity building activities, there are

many people with severe disabilities other than developmental

disabilities who might benefit further if their concerns were within

the purview of DDCs. Therefore, ADD is accepting proposals, as mandated

through a special initiative under Part E of the Act, for studies in

consultation with and active support from State Protection and Advocacy

Systems and University Affiliated Programs, to explore the feasibility

and implications of expanding the scope of DDC systems change, capacity

building, advocacy and other activities mandated under Part B of the

Act to address the issues and concerns of people with a broader range

of severe disabilities. ADD is looking for information which examines

the potential effect, positive and/or adverse, of expanding the target

constituency to include individuals with severe disabilities whose

eligibility will be based on an extended age of onset and other

determining criteria.

Minimum Requirements for Project Design: These projects

must be conducted in consultation with and active support from the

State Protection and Advocacy System and the University Affiliated

Program. Through this collaboration, DDCs should conduct an assessment

of the characteristics of individuals with disabilities currently

served by all three ADD-funded networks in their States and address

consumer comments and 1990 report findings, particularly those

pertaining to individuals who are unserved or underserved. The project

must address the needs of individuals with developmental disabilities

and other severe disabilities from culturally diverse racial and ethnic

backgrounds. Individuals with disabilities, advocacy groups, and State

and other service agencies must play a role in these studies.

ADD is particularly interested in supporting projects which include

the following:

Propose criteria which define the constituency to be

served through potential DDC expansion (e.g.; age, functional

limitations, or other factors such as individuals from culturally

diverse racial and ethnic backgrounds, disadvantaged individuals,

individuals with limited-English proficiency, individuals from

underserved geographic areas, or specific groups of individuals with

severe disabilities, including individuals with developmental or other

disabilities attributable to physical impairment, mental impairment, or

a combination of physical and mental impairments).

Identify the service and support needs of the expanded

population of individuals with severe disabilities other than

developmental disabilities, and provide strategies that will assist all

such individuals and their families, the developmental disabilities

network, and others, in effecting positive changes on their behalf.

Identify State and local linkages that would be essential

to establishing collaborative relationships with service organizations.

Delineate the barriers, opportunities, and critical issues

related to DDC expansion to a broader range of disabilities as well as

other economic and organizational implications, and the allocation of

resources.

Define outreach activities and collaborative relationships

with other State agencies, organizations, task forces and commissions,

and the impact of these relationships on systems change, advocacy and

capacity building for the expanded constituency.

Explore the effects of expansion activities on the staff

support and other resources of the DDC. Provide a cost analysis of the

proposed expansion.

Describe how Federal, State, or other funds would be used.

Identify the potential for, and the strategies to avoid,

duplication of activities funded by the State or by other Federal

agencies.

Describe the anticipated changes in DDC board membership,

agency policies and procedures, and other requirements necessary to

respond to the needs of the expanded constituency.

Project Duration: This announcement is soliciting

applications for a 15-month project period to meet the legislative

provision for a 15-month investigation under this priority area.

Awards, on a competitive basis, will be for a 15-month budget period.

Applications for continuation grants will not be entertained.

Federal Share of Project Costs: The maximum Federal share

is not to exceed $150,000 for the 15-month budget period for individual

DD Council grants and/or $750,000 for one or more consortium grants to

consortiums that include a total of no more than five States for the

15-month budget period.

Matching Requirement: The minimum non-Federal matching

requirement in proportion to the maximum Federal share of $150,000 is

$50,000 for a 15-month project period for individual DD Council grants.

The minimum non-Federal matching requirement in proportion to the

maximum Federal share of $750,000 is $250,000 for a 15-month project

period for one consortium grant. This constitutes 25 percent of the

total project budget.

Anticipated Number of Projects to be Funded: It is

anticipated that up to five individual DD Council expansion studies

and/or at least one consortium DD Council expansion project will be

funded.

CFDA: ADD's CFDA (Code of Federal Domestic Assistance)

number is 93.631--Developmental Disabilities--Projects of National

Significance. This information is needed to complete item 10 on the SF

424.

Fiscal Year 1994 Priority Area 3: Technical Assistance Projects

(This priority area appeared in the February 1994 announcement without

a priority area number designation)

For this priority area, ADD will be awarding funds separately using

the procurement process to provide technical assistance to improve the

functions of the Developmental Disabilities Planning Councils.

Protection and Advocacy Systems, and University Affiliated Programs

have ongoing technical assistance contracts and will not be competing

for funds this fiscal year.

Part V. Instructions for the Development and Submission of Applications

This Part contains information and instructions for submitting

applications in response to this announcement. Application forms are

provided along with a checklist for assembling an application package.

Please copy and use these forms in submitting an application.

Potential applicants should read this section carefully in

conjunction with the information contained within the specific priority

area under which the application is to be submitted. The priority area

descriptions are in Part IV.

A. Required Notification of the State Single Point of Contact

All applications under the ADD priority areas are required to

follow the Executive Order (E.O.) 12372 process, ``Intergovernmental

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

Review of Department of Health and Human Services Program and

Activities.'' Under the Order, States may design their own processes

for reviewing and commenting on proposed Federal assistance under

covered programs.

All States and territories, except Alabama, Alaska, Connecticut,

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

Oklahoma, Oregon, Pennsylvania, South Dakota, Virginia, Washington,

American Samoa and Palau, have elected to participate in the Executive

Order process and have established a State Single Point of Contact

(SPOC). Applicants from these 18 jurisdictions need take no action

regarding E.O. 12372. Applications for projects to be administered by

Federally-recognized Indian Tribes are also exempt from the

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

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

and receive any necessary instructions.

Applicants must submit all required materials to the SPOC 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 and indicate the date of this

submittal (or date SPOC was contact, if no submittal is required) on

the SF 424, item 16a.

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

due date to comment on proposed new or competing continuation awards.

However, because PNS grant applications are due 30 days from the date

of publication, and grants are to be awarded in September 1994, there

is insufficient time to allow for a complete SPOC comment period.

Therefore, we have reduced the comment period to 30 days from the

closing date for applications. These comments are reviewed as part of

the award process. Failure to notify the SPOC can result in delays in

awarding grants.

SPOCs are encouraged to eliminate the submission of routine

endorsements as official recommendations. Additionally, SPOCs are

requested to clearly differentiate between mere advisory comments and

those official State process recommendation which may trigger the

``accommodate or explain'' rule.

When comments are submitted directly to ACF, they should be

addressed to: Department of Health and Human Services, Administration

for Children and Families, Division of Discretionary Grants, Sixth

Floor, 370 L'Enfant Promenade SW., Washington, DC 20447, Attn: 93.631

ADD--Projects of National Significance.

Contact information for each State's SPOC is found at the end of

this Part.

B. Notification of State Developmental Disabilities Planning Councils

A copy of the application must also be submitted for review and

comment to the State Developmental Disabilities Council in each State

in which the applicant's project will be conducted. A list of the State

Developmental Disabilities Councils is included at the end of this

announcement.

C. Deadline for Submittal of Applications

One signed original and two copies of the application must be

submitted on or before August 8, 1994 to: Department of Health and

Human Services, Administration for Children and Families, Division of

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

Washington, DC. 20447, Attn: 93.631 ADD--Projects of National

Significance.

Applications may be mailed or hand-delivered. Hand delivered

applications are accepted during the normal working hours of 8 a.m. to

4:30 p.m., Monday through Friday. Applications shall be considered as

meeting an announced deadline if they are either:

1. Received on or before the deadline date at the ACF Grants Office

specified in this section; or

2. Sent on or before the deadline date and received by ACF in time for

the independent review.

(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 shall not be

acceptable as proof of timely mailing)

Late applications: Applications which do not meet the criteria

stated above are considered late applications. ACF/ADD shall notify

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

current competition.

Extension of deadlines: ACF may extend the deadline for all

applicants due to acts of God, such as floods, hurricanes or

earthquakes; or when there is a widespread disruption of the mails.

However, if the granting agency does not extend the deadline for all

applicants, it may not waive or extend the deadline for any applicants.

D. Instructions for Preparing the Application and Completing

Application Forms

The SF 424, SF 424A, SF 424A, Page 2 and Certifications have been

reprinted for your convenience in preparing the application. You should

reproduce single-sided copies of these forms from the reprinted forms

in the announcement, typing your information onto the copies. Please do

not use forms directly from the Federal Register announcement, as they

are printed on both sides of the page.

Please prepare your application in accordance with the following

instructions:

1. SF 424 Page 1, Application Cover Sheet

Please read the following instructions before completing the

application cover sheet. An explanation of each item is included.

Complete only the items specified.

Top of Page. 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. ``Type of Submission''--Preprinted on the form.

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''--State use only (if applicable).

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

Item 5. ``Applicant Information''.

``Legal Name''--Enter the legal name of applicant organization. For

applications developed jointly, enter the name of the lead organization

only. There must be a single applicant for each application.

``Organizational Unit''--Enter the name of the primary unit within

the applicant organization which will actually carry out the project

activity. Do not use the name of an individual as the applicant. If

this is the same as the applicant organization, leave the

organizational unit blank.

``Address''--Enter the complete address that the organization

actually uses to receive mail, since this is the address to which all

correspondence will be sent. Do not include both street address and

P.O. box number unless both must be used in mailing.

``Name and telephone number of the person to be contacted on

matters involving this application (give area code)''--Enter the full

name (including academic degree, if applicable) and telephone number of

a person who can respond to questions about the application. This

person should be accessible at the address given here and will receive

all correspondence regarding the application.

Item 6. ``Employer Identification Number (EIN)''--Enter the

employer identification number of the applicant organization, as

assigned by the Internal Revenue Service, including, if known, the

Central Registry System suffix.

Item 7. ``Type of Applicant''--Self-explanatory.

Item 8. ``Type of Application''--Preprinted on the form.

Item 9. ``Name of Federal Agency''--Preprinted on the form.

Item 10. ``Catalog of Federal Domestic Assistance Number and

Title''--Enter the Catalog of Federal Domestic Assistance (CFDA) number

assigned to the program under which assistance is requested and its

title. For all of ADD's priority areas, the following should be

entered, ``93.631--Developmental Disabilities: Projects of National

Significance.''

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

project title. The title is generally short and is descriptive of the

project, not the priority area title.

Item 12. ``Areas Affected by Project''--Enter the governmental unit

where significant and meaningful impact could be observed. List only

the largest unit or units affected, such as State, county, or city. If

an entire unit is affected, list it rather than subunits.

Item 13. ``Proposed Project''--Enter the desired start date for the

project and projected completion date.

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 of the Congressional district(s) where

the project will be located. If Statewide, a multi-State effort, or

nationwide, enter ``00.''

Items 15. Estimated Funding Levels. In completing 15a through 15f,

the dollar amounts entered should reflect, for a 17 month or less

project period, the total amount requested. If the proposed project

period exceeds 17 months, enter only those dollar amounts needed for

the first 12 months of the proposed project.

Item 15a. Enter the amount of Federal funds requested in accordance

with the preceding paragraph. This amount should be no greater than the

maximum amount specified in the priority area description.

Items 15 b-e. Enter the amount(s) of funds from non-Federal sources

that will be contributed to the proposed project. Items b-e are

considered cost-sharing or ``matching funds.'' The value of third party

in-kind contributions should be included on appropriate lines as

applicable. For more information regarding funding as well as

exceptions to these rules, see Part III, Sections E and F, and the

specific priority area description.

Item 15f. Enter the estimated amount of program income, if any,

expected to be generated from the proposed project. Do not add or

subtract this amount from the total project amount entered under item

15g. Describe the nature, source and anticipated use of this program

income in the Project Narrative Statement.

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

Item 16a. ``Is Application Subject to Review By State Executive

Order 12372 Process? Yes.''--Enter the date the applicant contacted the

SPOC regarding this application. Select the appropriate SPOC from the

listing provided at the end of Part IV. The review of the application

is at the discretion of the SPOC. The SPOC will verify the date noted

on the application.

Item 16b. ``Is Application Subject to Review By State Executive

Order 12372 Process? No.''--Check the appropriate box if the

application is not covered by E.O. 12372 or if the program has not been

selected by the State for review.

Item 17. ``Is the Applicant Delinquent on any Federal Debt?''--

Check the appropriate box. This question applies to the applicant

organization, not the person who signs as the authorized

representative. Categories of debt include audit disallowances, loans

and taxes.

Item 18. ``To the best of my knowledge and belief, all data in this

application/preapplication are true and correct. The document has been

duly authorized by the governing body of the applicant and the

applicant will comply with the attached assurances if the assistance is

awarded.''--To be signed by the authorized representative of the

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

of this application by this individual as the official representative

must be on file in the applicant's office, and may be requested from

the applicant.

Item 18 a-c. ``Typed Name of Authorized Representative, Title,

Telephone Number''--Enter the name, title and telephone number of the

authorized representative of the applicant organization.

Item 18d. ``Signature of Authorized Representative''--Signature of

the authorized representative named in Item 18a. At least one copy of

the application must have an original signature. Use colored ink (not

black) so that the original signature is easily identified.

Item 18e. ``Date Signed''--Enter the date the application was

signed by the authorized representative.

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

This is a form used by many Federal agencies. For this application,

Sections A, B, C, E and F are to be completed. Section D does not need

to be completed.

Sections A and B should include the Federal as well as the non-

Federal funding for the proposed project covering (1) The total project

period of 15 months or less or (2) the first year budget period, if the

proposed project period exceeds 15 months.

Section A--Budget Summary. This section includes a summary of the

budget. On line 5, enter total Federal costs in column (e) and total

non-Federal costs, including third party in-kind contributions, but not

program income, in column (f). Enter the total of (e) and (f) in column

(g).

Section B--Budget Categories. This budget, which includes the

Federal as well as non-Federal funding for the proposed project, covers

(1) The total project period of 17 months or less or (2) the first year

budget period if the proposed project period exceeds 17 months. It

should relate to item 15g, total funding, on the SF 424. Under column

(5), enter the total requirements for funds (Federal and non-Federal)

by object class category.

A separate budget justification should be included to explain fully

and justify major items, as indicated below. The types of information

to be included in the justification are indicated under each category.

For multiple year projects, it is desirable to provide this information

for each year of the project. The budget justification should

immediately follow the second page of the SF 424A.

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

applicant/grantee staff. Do not include the costs of consultants, which

should be included on line 6h, ``Other.''

Justification: Identify the principal investigator or project

director, if known. Specify by title or name the percentage of time

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

to the project (both Federal and non-Federal) 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.

Justification: Provide a break-down of amounts and percentages that

comprise fringe benefit costs, such as health insurance, FICA,

retirement insurance, etc.

Travel--6c. Enter total costs of out-of-town travel (travel

requiring per diem) for staff of the project. Do not enter costs for

consultant's travel or local transportation, which should be included

on Line 6h, ``Other.''

Justification: Include the name(s) of traveler(s), total number of

trips, destinations, length of stay, transportation costs and

subsistence allowances.

Equipment--Line 6d. Enter the total costs of all equipment to be

acquired by the project. For State and local governments, including

Federally recognized Indian Tribes, ``equipment'' is tangible, non-

expendable personal property having a useful life of more than one year

and an acquisition cost of $5,000 or more per unit. For all other

applicants, the threshold for equipment is $500 or more per unit and

the required useful life is more than two years. The higher threshold

for State and local governments became effective October 1, 1988,

through the implementation of 45 CFR part 92, ``Uniform Administrative

Requirements for Grants and Cooperative Agreements to State and Local

Governments.''

Justification: Equipment to be purchased with Federal funds must be

justified. The equipment must be required to conduct the project, and

the applicant organization or its subgrantees must not have the

equipment or a reasonable facsimile available to 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 expendable

personal property (supplies) other than those included on Line 6d.

Justification: Specify general categories of supplies and their

costs.

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

including (1) procurement contracts (except those which belong on other

lines such as equipment, supplies, etc.) and (2) contracts with

secondary recipient organizations, including delegate agencies. Also

include any contracts with organizations for the provision of technical

assistance. Do not include payments to individuals on this line. If the

name of the contractor, scope of work, and estimated total costs are

not available or have not been negotiated, include on Line 6h,

``Other.''

Justification: Attach a list of contractors, indicating the names

of the organizations, the purposes of the contracts, and the estimated

dollar amounts of the awards as part of the budget justification.

Whenever the applicant/grantee intends to delegate part or all of the

program to another agency, the applicant/grantee must complete this

section (Section B, Budget Categories) for each delegate agency by

agency title, along with the supporting information. The total cost of

all such agencies will be part of the amount shown on Line 6f. Provide

backup documentation identifying the name of contractor, purpose of

contract, and major cost elements.

Construction--Line 6g. Not applicable. New construction is not

allowable.

Other--Line 6h. Enter the total of all other costs. Where

applicable, such costs may include, but are not limited to: Insurance;

medical and dental costs; noncontractual fees and travel paid directly

to individual consultants; local transportation (all travel which does

not require per diem is considered local travel); 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. Note that costs identified as ``miscellaneous'' and

``honoraria'' are not allowable.

Justification: Specify the costs included.

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

6h.

Indirect Charges--6j. Enter the total amount of indirect charges

(costs). If no indirect costs are requested, enter ``none.'' Generally,

this line should be used when the applicant (except local governments)

has a current indirect cost rate agreement approved by the Department

of Health and Human Services or another Federal agency.

Local and State governments should enter the amount of indirect

costs determined in accordance with HHS requirements. When an indirect

cost rate is requested, these costs are included in the indirect cost

pool and should not be charged again as direct costs to the grant.

In the case of training grants to other than State or local

governments (as defined in title 45, Code of Federal Regulations, part

74), the Federal reimbursement of indirect costs will be limited to the

lesser of the negotiated (or actual) indirect cost rate or 8 percent of

the amount allowed for direct costs, exclusive of any equipment

charges, rental of space, tuition and fees, post-doctoral training

allowances, contractual items, and alterations and renovations.

For training grant applications, the entry under line 6j should be

the total indirect costs being charged to the project. The Federal

share of indirect costs is calculated as shown above. The applicant's

share is calculated as follows:

(a) Calculate total project indirect costs (a*) by applying the

applicant's approved indirect cost rate to the total project (Federal

and non-Federal) direct costs.

(b) Calculate the Federal share of indirect costs (b*) at 8 percent

of the amount allowed for total project (Federal and non-Federal)

direct costs exclusive of any equipment charges, rental of space,

tuition and fees, post-doctoral training allowances, contractual items,

and alterations and renovations.

(c) Subtract (b*) from (a*). The remainder is what the applicant

can claim as part of its matching cost contribution.

Justification: Enclose a copy of the indirect cost rate agreement.

Applicants subject to the limitation on the Federal reimbursement of

indirect costs for training grants should specify this.

Total--Line 6k. Enter the 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. Do not add or subtract

this amount from the total project amount.

Justification: Describe the nature, source, and anticipated use of

program income in the Program Narrative Statement.

Section C--Non-Federal Resources. This section summarizes the

amounts of non-Federal resources that will be applied to the grant.

Enter this information on line 12 entitled ``Totals.'' In-kind

contributions are defined in title 45 of the Code of Federal

Regulations, Secs. 74.51 and 92.24, as ``property or services which

benefit a grant- supported project or program and which are contributed

by non-Federal third parties without charge to the grantee, the

subgrantee, or a cost-type contractor under the grant or subgrant.''

Justification: Describe third party in-kind contributions, if

included.

Section D--Forecasted Cash Needs. Not applicable.

Section E--Budget Estimate of Federal Funds Needed For Balance of

the Project. This section should only be completed if the total project

period exceeds 17 months.

Totals--Line 20. For projects that will have more than one budget

period, enter the estimated required Federal funds for the second

budget period (months 13 through 24) under column ``(b) First.'' If a

third budget period will be necessary, enter the Federal funds needed

for months 25 through 36 under ``(c) Second.'' Columns (d) and (e) are

not applicable in most instances, since ACF funding is almost always

limited to a three-year maximum project period. They should remain

blank.

Section F--Other Budget Information.

Direct Charges--Line 21. Not applicable.

Indirect Charges--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.

Remarks--Line 23. If the total project period exceeds 17 months,

you must enter your proposed non-Federal share of the project budget

for each of the remaining years of the project.

3. Project Summary Description

Clearly mark this separate page with the applicant name as shown in

item 5 of the SF 424, the priority area number as shown at the top of

the SF 424, and the title of the project as shown in item 11 of the SF

424. The summary description should not exceed 300 words. These 300

words become part of the computer database on each project.

Care should be taken to produce a summary description which

accurately and concisely reflects the proposal. It should describe the

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

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

that will result from the proposed project, such as software packages,

materials, management procedures, data collection instruments, training

packages, or videos (please note that audiovisuals should be closed

captioned). The project summary description, together with the

information on the SF 424, will constitute the project ``abstract.'' It

is the major source of information about the proposed project and is

usually the first part of the application that the reviewers read in

evaluating the application.

4. Program Narrative Statement

The Program Narrative Statement is a very important part of an

application. It should be clear, concise, and address the specific

requirements mentioned under the priority area description in Part IV.

The narrative should also provide information concerning how the

application meets the evaluation criteria, using the following

headings:

(a) Objectives and Need for Assistance;

(b) Results and Benefits Expected;

(c) Approach; and

(d) Staff Background and Organization's Experience.

The specific information to be included under each of these

headings is described in Section C of Part III, Evaluation Criteria.

The narrative should be typed double-spaced on a single-side of an

8\1/2\'' x 11'' plain white paper, with 1'' margins on all sides. All

pages of the narrative (including charts, references/footnotes, tables,

maps, exhibits, etc.) must be sequentially numbered, beginning with

``Objectives and Need for Assistance'' as page number one. Applicants

should not submit reproductions of larger size paper, reduced to meet

the size requirement.

The length of the application, including the application forms and

all attachments, should not exceed 60 pages. A page is a single side of

an 8\1/2\'' x 11'' sheet of paper. Applicants are requested not to send

pamphlets, brochures or other printed material along with their

application as these pose xeroxing difficulties. These materials, if

submitted, will not be included in the review process if they exceed

the 60-page limit. Each page of the application will be counted to

determine the total length.

5. Organizational Capability Statement

The Organizational Capability Statement should consist of a brief

(two to three pages) background description of how the applicant

organization (or the unit within the organization that will have

responsibility for the project) is organized, the types and quantity of

services it provides, and/or the research and management capabilities

it possesses. This description should cover capabilities not included

in the Program Narrative Statement. It may include descriptions of any

current or previous relevant experience, or describe the competence of

the project team and its demonstrated ability to produce a final

product that is readily comprehensible and usable. An organization

chart showing the relationship of the project to the current

organization should be included.

6. Part V--Assurances/Certifications

Applicants are required to file an SF 424B, Assurances--Non-

Construction Programs and the Certification Regarding Lobbying. Both

must be signed and returned with the application. Applicants must also

provide certifications regarding: (1) Drug-Free Workplace Requirements;

and (2) Debarment and Other Responsibilities. These two certifications

are self-explanatory. Copies of these assurances/certifications are

reprinted at the end of this announcement and should be reproduced, as

necessary. A duly authorized representative of the applicant

organization must certify that the applicant is in compliance with

these assurances/certifications. A signature on the SF 424 indicates

compliance with the Drug Free Workplace Requirements, and Debarment and

Other Responsibilities certifications, and need not be mailed back with

the application.

In addition, applicants are required under section 162(c)(3) of the

Act to provide assurances that the human rights of all individuals with

developmental disabilities (especially those individuals without

familial protection) who will receive services under projects assisted

under Part E will be protected consistent with section 110 (relating to

the rights of individuals with developmental disabilities). Each

application must include a statement providing this assurance.

For research projects in which human subjects may be at risk, a

Protection of Human Subjects Assurance may be required. If there is a

question regarding the applicability of this assurance, contact the

Office for Research Risks of the National Institutes of Health at (301)

496-7041.

D. Checklist for a Complete Application

The checklist below is for your use to ensure that your application

package has been properly prepared.

--One original, signed and dated application, plus two copies.

Applications for different priority areas are packaged separately;

--Application is from an organization which is eligible under the

eligibility requirements defined in the priority area description

(screening requirement);

--Application length does not exceed 60 pages, unless otherwise

specified in the priority area description.

A complete application consists of the following items in this

order:

--Application for Federal Assistance (SF 424, REV 4-88);

--A completed SPOC certification with the date of SPOC contact entered

in line 16, page 1 of the SF 424 if applicable.

--Budget Information--Non-Construction Programs (SF 424A, REV 4-88);

--Budget justification for Section B--Budget Categories;

--Table of Contents;

--Letter from the Internal Revenue Service, etc. to prove non-profit

status, if necessary;

--Copy of the applicant's approved indirect cost rate agreement, if

appropriate;

--Project summary description and listing of key words;

--Program Narrative Statement (See Part III, Section C);

--Organizational capability statement, including an organization chart;

--Any appendices/attachments;

--Assurances--Non-Construction Programs (Standard Form 424B, REV 4-88);

--Certification Regarding Lobbying; and

--Certification of Protection of Human Subjects, if necessary.

E. The Application Package

Each application package must include an original and two copies of

the complete application. Each copy should be stapled securely (front

and back if necessary) in the upper left-hand corner. All pages of the

narrative (including charts, tables, maps, exhibits, etc.) must be

sequentially numbered, beginning with page one. In order to facilitate

handling, please do not use covers, binders or tabs. Do not include

extraneous materials as attachments, such as agency promotion

brochures, slides, tapes, film clips, minutes of meetings, survey

instruments or articles of incorporation.

(Federal Catalog of Domestic Assistance Number 93.631 Developmental

Disabilities--Projects of National Significance)

Dated: June 30, 1994.

Bob Williams,

Commissioner, Administration on Developmental Disabilities.

Executive Order 12372--State Single Points of Contact

Arizona

Janice Dunn, Arizona State Clearinghouse, 3800 N. Central Avenue,

Fourteenth Floor, Phoenix, Arizona 85012, Telephone: (602) 280-1315,

FAX # (602) 280-1305

Arkansas

Mr. Tracy L. Copeland, Manager, State Clearinghouse Office of

Intergovernmental Services, Department of Finance and

Administration, 1515 W. 7th St., room 412, Little Rock, Arkansas

72203, Telephone: (501) 682-1074, FAX # (501) 682-5206

California

Grants Coordinator, Office of Planning & Research, 1400 Tenth

Street, room 121, Sacramento, California 95814, Telephone: (916)

323-7480, FAX # (916) 323-3018

Colorado

State Single Point of Contact State Clearinghouse, Division of Local

Government, 1313 Sherman Street, room 521, Denver, Colorado 80203,

Telephone: (303) 866-2156, FAX # (303) 866-2251

Delaware

Francine Booth, State Single Point of Contact Executive Department,

Thomas Collins Building, Dover, Delaware 19903, Telephone: (302)

739-3326, FAX # (302) 739-5661

District of Columbia

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

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

Washington, DC 20005, Telephone: (202) 727-6551, FAX # (202) 727-

1617

Florida

Suzanne Traub-Metlay, Florida State Clearinghouse, Intergovernmental

Affairs, Policy Unit, Executive Office of the Governor, The Capitol

(room 1603), Tallahassee, Florida 32399-0001, Telephone: (904) 488-

8114, FAX # (904) 488-9005

Georgia

Charles H. Badger, Administrator, Georgia State Clearinghouse, 254

Washington Street SW., room 401J, Atlanta, Georgia 30334, Telephone:

(404) 656-3855 or (404) 656-3829, FAX # (404) 656-7938

Illinois

Steve Klokkenga, State Single Point of Contact Office of the

Governor, 107 Stratton Building, Springfield, Illinois 62706,

Telephone: (217) 782-1671, FAX # (217) 782-6620

Indiana

Frances E. Williams, State Budget Agency, 212 State House,

Indianapolis, Indiana 46204, Telephone: (317) 232-2972, FAX # (317)

233-3323

Iowa

Steven R. McCann, Division for Community Assistance, Iowa Department

of Economic Development, 200 East Grand Avenue, Des Moines, Iowa

50309, Telephone: (515) 242-4719, FAX # (515) 242-4859

Kentucky

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

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

8204, Telephone: (502) 573-2382, FAX # (502) 573-2512

Maine

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

Augusta, Maine 04333, Telephone: (207) 287-3261, FAX # (207) 287-

6489

Maryland

Mr. Roland E. English III, Chief, State Clearinghouse for

Intergovernmental Assistance, Maryland Office of Planning, 301 W.

Preston Street, room 1104, Baltimore, Maryland 21201-2365,

Telephone: (410) 225-4490, FAX # (410) 225-4480

Massachusetts

Karen Arone, State Clearinghouse, Executive Office of Communities

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

Massachusetts 02202, Telephone: (617) 727-7001 ext. 443, FAX # (617)

727-4259

Michigan

Richard S. Pastula, Director, Office of Federal Grants, Michigan

Department of Commerce, P.O. Box 30225, Lansing, Michigan 48909,

Telephone: (517) 373-7356, FAX # (517) 373-6683

Mississippi

Cathy Malette, Clearinghouse Officer, Office of Federal Grant

Management and Reporting, Department of Finance and Administration,

301 West Pearl Street, Jackson, Mississippi 39203, Telephone: (601)

949-2174, FAX # (601) 949-2125

Missouri

Lois Pohl, Federal Assistance Clearinghouse, Office of

Administration, P.O. Box 809, room 760, Truman Building, Jefferson

City, Missouri 65102, Telephone: (314) 751-4834, FAX # (314) 751-

7819

Nevada

Department of Administration, State Clearinghouse, Capitol Complex,

Carson City, Nevada 89710, Telephone: (702) 687-4065, FAX # (702)

687-3983

New Hampshire

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, FAX # (603) 271-1728

New Jersey

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

Jersey Department of Community, Affairs

Please direct all correspondence and questions about

intergovernmental review to: Andrew J. Jaskolka, State Review

Process, Division of Community Resources, CN 814, room 609, Trenton,

New Jersey 08625-0814, Telephone: (609) 292-9025, FAX # (609) 984-

0386

New Mexico

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

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

(505) 827-3640

New York

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

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

North Carolina

Chrys Baggett, Director, N.C. State Clearinghouse, Office of the

Secretary of Admin., 116 West Jones Street, Raleigh, North Carolina

27603-8003, Telephone: (919) 733-7232, FAX # (919) 733-9571

North Dakota

North Dakota Single Point of Contact, Office of Intergovernmental

Assistance, 600 East Boulevard Avenue, Bismarck, North Dakota 58505-

0170, Telephone: (701) 224-2094, FAX # (701) 224-2308

Ohio

Larry Weaver, State Single Point of Contact, State Clearinghouse,

Office of Budget and Management, 30 East Broad Street, 34th Floor,

Columbus, Ohio 43266-0411

Please direct correspondence and questions about intergovernmental

review to: Linda Wise, Telephone: (614) 466-0698, FAX # (614) 466-

5400

Rhode Island

Daniel W. Varin, Associate Director, Department of Administration,

Division of Planning, One Capitol Hill, 4th Floor, Providence, Rhode

Island 02908-5870, Telephone: (401) 277-2656, FAX # (401) 277-2083

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, FAX # (803) 734-

0385

Tennessee

Charles Brown, State Single Point of Contact State Planning Office,

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

Tennessee 37243-0001, Telephone: (615) 741-1676

Texas

Tom Adams, Director, Intergovernmental Coordination, PO Box 13005,

Austin, Texas 78711, Telephone: (512) 463-1771, FAX # (512) 463-1984

Utah

Carolyn Wright, Utah State Clearinghouse, Office of Planning and

Budget, room 116, State Capitol, Salt Lake City, Utah 84114,

Telephone: (801) 538-1535, FAX # (801) 538-1547

Vermont

Nancy McAvoy, State Single Point of Contact, Pavilion Office

Building, 109 State Street, Montpelier, Vermont 05609, Telephone:

(802) 828-3326, FAX # (802) 828-3339

West Virginia

Fred Cutlip, Director, Community Development Division, W. Virginia

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

25305, Telephone: (304) 558-4010, FAX # (304) 558-3248

Wisconsin

Martha Kerner, Section Chief, State/Federal Relations, Wisconsin

Department of Administration, 101 East Wilson Street, 6th Floor, PO

Box 7868, Madison, Wisconsin 53707, Telephone: (608) 266-2125, FAX #

(608) 267-6931

Wyoming

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

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

7574, FAX # (307) 638-8967

Territories (SPOC)

Guam

Mr. Giovanni T. Sgambelluri, Director, Bureau of Budget and

Management Research, Office of the Governor, PO Box 2950, Agana,

Guam 96910, Telephone: 011-671-472-2285, FAX # 011-671-472-2825

Puerto Rico

Norma Burgos/Jose E. Caro, Chairwoman/Director, Puerto Rico Planning

Board, Federal Proposals Review Office, Minillas Government Center,

PO Box 41119, San Juan, Puerto Rico 00940-1119, Telephone: (809)

727-4444, (809) 723-6190, FAX # (809) 724-3270, (809) 724-3103

Northern Mariana Islands

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

the Governor, Saipan, CM, Northern Mariana Islands 96950

Virgin Islands

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

Norregade Emancipation Garden Station, Second Floor, Saint Thomas,

Virgin Islands 00802

Please direct all questions and correspondence about

intergovernmental review to: Linda Clarke, Telephone: (809) 774-

0750, FAX # (809) 776-0069

State Developmental Disabilities Planning Councils

Alabama

Joan B. Hannah, Ed.D., Executive Director, Alabama Developmental

Disabilities Planning Council, 200 Interstate Park Dr., PO Box 3710,

Montgomery, Alabama 36193-5001, (205) 270-4680, 1-800-232-2158, FAX

# (205) 240-3195

Alaska

David Maltman, Director, Govenor's Council on Disabilities and

Special Education, PO Box 240249, Anchorage, Alaska 99524-0249,

(907) 563-5355, FAX # (907) 563-5357

Arizona

Diane Skay, Director, Governor's Council on Developmental

Disabilities, 1717 West Jefferson Street, Site Code 074Z, Phoenix,

Arizona 85007, (602) 542-4049, FAX # (602) 542-5339

Arkansas

Orson Berry, Executive Director, Governor's Developmental

Disabilities, Planning Council, 4815 West Markham, Slot 12, Little

Rock, Arkansas 72205-3867, (501) 661-2589, FAX # (501) 661-2399

California

Roberta A. Marlowe, Ph.D., Executive Director, CA State Council on

Developmental Disabilities, 2000 ``O'' Street, suite 100,

Sacramento, California 95814, (916) 322-8481, FAX # (916) 443-4957

Colorado

Donald St. Louis, Executive Director, Colorado Developmental

Disabilities Planning Council, 777 Grant Street, suite 304, Denver,

Colorado 80203, (303) 894-2345, FAX # (303) 894-2880

Connecticut

Edward T. Preneta, Director, CT Council on Developmental

Disabilities, 90 Pitkin Street, East Hartford, Connecticut 06108,

(203) 725-3829, FAX # (203) 528-3680

Delaware

James F. Linehan, Director, Developmental Disabilities Planning

Council, Department of Administrative Services, Box 1401, Townsend

Building, Dover, Delaware 19901, (302) 739-3333, FAX # (302) 739-

6704

District of Columbia

Carol Boykins, Executive Director, Developmental Disabilities State

Planning Council, 801 N. Capitol St. NE., suite 954, Washington, DC.

20002, (202) 279-6085, FAX # (202) 727-6587

Florida

K. Joseph Krieger, Executive Director, Florida Developmental

Disabilities Planning Council, 820 East Park Avenue, suite I-100,

Tallahassee, Florida 32301, (904) 488-4180, FAX # (904) 922-6702

Georgia

Zebe Schmitt, Executive Director, Governor's Council on

Developmental Disabilities, 2 Peachtree St. NE, room 3-210, Atlanta,

Georgia 30303, (404) 657-2126, FAX # (404) 657-2132, TDD 657-2133

Hawaii

Diana Tizard, Director, State Planning Council on Developmental

Disabilities, Five Waterfront Plaza, 500 Ala Moana Boulevard, suite

5-200, Honolulu, Hawaii 96813, (808) 586-8100, FAX # (808) 586-8129

Idaho

John D. Watts, Director, Idaho State Council on Developmental

Disabilities, 280 North 8th Street, suite 208, Boise, Idaho 83720,

(208) 334-2178, FAX # (208) 334-3417, 800-544-2433 (Idaho only)

Illinois

Rene Christensen-Leininger, Director, Illinois Council on

Developmental Disabilities, 830 S. Spring Street, Springfield, IL

62704, (217) 782-9696, FAX # (217) 524-5339

Joan Asturrizaga, Director, Illinois Council on Developmental

Disabilities, 100 W. Randolph/10-600, Chicago, Illinois, (312) 814-

2080, FAX # (312) 814-7141

Indiana

Ms. Suellen Jackson-Boner, Director, Governor's Planning Council for

People with Disabilities, 143 W. Market Street, Harrison Building,

suite 404, Indianapolis, Indiana 46204, (317) 232-7770/3, FAX #

(317) 233-3712

Iowa

Mr. Jay Brewer, Executive Director, Governor's Planning Council for

Developmental Disabilities, Hoover State Office Building, 1st Floor,

Des Moines, Iowa 50319, (515) 281-7632, FAX # (515) 281-4597

Kansas

Ms. Jane Rhys, Executive Director, Kansas Planning Council on

Developmental Disabilities, 915 Harrison, room 141, Topeka, Kansas

66612, (913) 296-2608/9, FAX # (913) 296-1158

Kentucky

Prudence Reilly, Executive Director, Kentucky Developmental

Disabilities Planning Council, Department for Mental Health and

Mental Retardation Services, 275 East Main Street, Frankfort,

Kentucky 40621, (502) 564-7842, FAX # (502) 564-3844

Louisiana

Clarice Eichelberger, Executive Director, Louisiana State Planning

Council on Developmental Disabilities, PO Box 3455 Bin 14, 1201

Capitol Access, 5th floor, DOT Edition, East Entrance, Baton Rouge,

Louisiana 70821-3455, (504) 342-6804, FAX # (504) 342-4419

Maine

Peter R. Stowell, Executive Director, Maine Developmental

Disabilities Council, Nash Building, Station #139, Augusta, Maine

04333-0139, (207) 287-4213, FAX # (207) 287-4268

Maryland

Susanne Elrod, Executive Director, Maryland State Planning Council

on Developmental Disabilities, One Market Center, Box 10, 300 West

Lexington Street, Baltimore, Maryland 21201-2323, (410) 333-3688,

FAX # (401) 333-6674

Massachusetts

Jody Williams, Executive Director, Massachusetts Developmental

Disabilities Council, 600 Washington Street, room 670, Boston,

Massachusetts 02111, (617) 727-6374, FAX # (617) 727-1174, TDD 617

727-1885

Michigan

Ms. Sharon Tipton, Executive Director, Dept. of Mental Health,

Michigan DD Council, Lewis Cass Building, 6th floor, Lansing,

Michigan 48913, (517) 334-6123, 7240, FAX # (517) 334-7353

Minnesota

Ms. Colleen Wieck, Ph.D., Executive Director, Governor's Planning

Council on Developmental Disabilities, 300 Centennial Office

Building, 658 Cedar Street, St. Paul, Minnesota 55155, (612) 296-

4018, FAX # (612) 296-3698

Mississippi

Ed C. Bell, Staff Director, Mississippi Developmental Disabilities

Planning Council, 1101 Robert E. Lee Building, Jackson, Mississippi

39201, (601) 359-6238, FAX # (601) 359-6295

Missouri

Ms. Kay Conklin, Director, Missouri Planning Council for

Developmental Disabilities, PO Box 687, 1706 East Elm Street,

Jefferson City, Missouri 65102, (314) 751-8611, FAX # (314) 751-9207

Montana

Greg A. Olsen, Executive Director, Developmental Disabilities

Planning and Advisory Council, 111 N. Last Chance Gulch, Arcade

Bldg., Unit C, Box 526, Helena, Montana 59620, (406) 444-1334, FAX #

(406) 444-5999.

Nebraska

Ms. Mary Gordon, Director, Dept. of Health/Developmental

Disabilities, 301 Centennial Mall South, PO Box 95007, Lincoln,

Nebraska 68509, (402) 471-2330, FAX # (402) 471-0383.

Nevada

Donny Loux, Director, DD Council, Dept. of Rehab., 711 S. Stewart,

Carson City, Nevada 89710, (702) 687-4440, FAX # (702) 687-5980.

New Hampshire

Thomas Flayton, (Acting) Executive Director, New Hampshire

Developmental Disabilities Council, The Concord Center--Room 315, PO

Box 315, 10 Ferry Street, Concord, New Hampshire 03301-5022, (603)

271-3236,7,8, FAX # (603) 225-6766.

New Jersey

Ethan B. Ellis, Executive Director, NJ Developmental Disabilities

Planning Council, 32 W. State Street, CN 700, Trenton, New Jersey

08625-0700, (609) 292-3745, FAX # (609) 292-7114.

New Mexico

Chris Isengard, Executive Director, Developmental Disabilities

Planning Council, State of New Mexico, 435 St. Michael's Drive,

Building D, Santa Fe, New Mexico 87501, (505) 827-7590, FAX # (505)

827-7589.

New York

Isabel T. Mills, Executive Director, New York State Developmental

Disabilities Planning Council, 155 Washington Avenue, 2nd Floor,

Albany, New York 12210, (518) 432-8233, FAX # 518-432-8238.

North Carolina

Holly Riddle, Executive Director, North Carolina Council on

Developmental Disabilities, 1508 Western Blvd., Raleigh, North

Carolina 27606-1359, (919) 733-6566, FAX # (919) 733-1863.

North Dakota

Tom Wallner, Director, North Dakota Council on Developmental

Disabilities, c/o Department of Human Services, State Capitol, 600

E. Boulevard Avenue, Bismarck, North Dakota 58505-0250, (701) 224-

3219, FAX # (701) 224-2359.

Ohio

Mr. Ken Campbell, Executive Director, Ohio Developmental

Disabilities, Planning Council, Department of Mental Retardation/

Developmental Disabilities, 8 East Long Street, 6th Floor, Columbus,

Ohio 43266-0523, (614) 466-5205, FAX # (614) 466-0298.

Oklahoma

Ann Trudgeon, Director, Developmental Disabilities Planning Council,

Department of Human Services, PO Box 25352, Oklahoma City, Oklahoma

73125-0352, (405) 521-4984(5), FAX # (405) 521-6684.

Oregon

Charlotte Duncan, Executive Director, Oregon Developmental

Disabilities Planning Council, 540 24th Place NE, Salem, Oregon

97301-4517, (503) 373-7555, FAX # (503) 373-7172.

Pennsylvania

David B. Schwartz, Executive Director, Developmental Disabilities

Planning Council, Forum Building, Room 569, Commonwealth Avenue,

Harrisburg, Pennsylvania 17120, (717) 787-6057.

Rhode Island

Marie V. Citrone, Executive Director, Rhode Island Developmental

Disabilities Council, State Executive Department, 600 New London

Avenue, Cranston, Rhode Island 02920-3028, (401) 464-3191, FAX #

(401) 464-3570.

South Carolina

Charles Lang, Interim Executive Director, South Carolina

Developmental Disabilities, Planning Council, Edgar Brown Building,

Room 372, 1205 Pendleton Street, Columbia, South Carolina 29201-

3731, (803) 734-0465, FAX # (803) 734-0356.

South Dakota

Charles A. Anderson, Director, South Dakota Governor's Planning

Council on Developmental Disabilities, Hillsview Plaza, c/o 500 East

Capitol, Pierre, South Dakota 57501-5070, (605) 773-6415, FAX #

(605) 773-5483.

Tennessee

Wanda Willis, Director, Developmental Disabilities Planning Council,

Department of Mental Health and Mental Retardation, 706 Church

Street, 3rd Floor, Doctor's Building, Nashville, Tennessee 37219-

5393, (615) 741-9791, FAX # (615) 741-0770.

Texas

Roger A. Webb, Executive Director, Texas Planning Council for

Developmental Disabilities, 4900 North Lamar Blvd., Austin, Texas

78751-2399, (512) 483-4080, FAX # (512) 483-4097.

Utah

Catherine E. Chambless, Director, Utah Governor's Council for People

with Disabilities, PO Box 1958, Salt Lake City, Utah 84110-1958,

(801) 533-4128, FAX # (801) 533-5302.

Vermont

Thomas A. Pombar, Executive Secretary, Vermont Developmental

Disabilities Council, Waterbury Office Complex, 103 South Main

Street, Waterbury, Vermont 05671-1534, (802) 241-2612, FAX # (802)

241-2979.

Virginia

Sandy Reen, Director, Virginia Board for People with Disabilities,

Post Office Box 613, Richmond, Virginia 23205-0613, (804) 786-0016,

FAX # (804) 786-1118.

Washington

Edward M. Holen, Executive Director, Developmental Disabilities

Planning Council, Department of Community Development, 906 Columbia

St., SW, Post Office Box 48314, Olympia, Washington 98504-8314,

(206) 753-3908, 1-800-634-4473, FAX # (206) 586-2424.

West Virginia

Julie Pratt, Director, West Virginia Developmental Disabilities,

Planning Council, 1601 Kanawha Blvd., West--Suite 200, Charleston,

West Virginia 25312-2500, (304) 558-0416 (Voice), (304) 558-2376

(TDD), FAX # (304) 558-0941.

Wisconsin

Ms. Jayn Wittenmyer, Executive Director, Council on Developmental

Disabilities, State of Wisconsin, 722 Williamson Street, PO Box

7851, Madison, Wisconsin 53707-7851, (608) 266-7826, FAX # (608)

267-3906.

Wyoming

Sharron C. Kelsey, Executive Director, Governor's Planning Council

on Developmental Disabilities, 122 West 25th Street, Herschler

Bldg., First Floor East, Cheyenne, Wyoming 82002, (307) 777-7230, 1-

800-442-4333 (in-state-only), FAX # (307) 777-5690.

National Office

Ms. Susan Ames-Zierman, Executive Director, National Association of

Developmental Disabilities Councils (NADDC), 1234 Massachusetts

Avenue, NE., Suite 103, Washington, DC 20005, (202) 347-1234, FAX #

(202) 347-4023.

TERRITORIES (DDCs)

American Samoa

Henry Sesepasara, Executive Director, American Samoa Developmental

Disabilities Council, PO Box 184, Pago Pago, American Samoa 96799,

(684) 633-2919, FAX # (684) 633-1139

Commonwealth of the Northern Mariana Islands

Juanita S. Malone, CNMI DD Council, PO Box 2565, Saipan, MP 96950,

(011) 670-323-3014/16, FAX # (011) 670-322-4168.

Government of Federated State of Micronesia

Yosiro Suta, Gov't of Federated States, of Micronesia, Dept of Ed.,

Palikir, Pohnpei, FM 96941, (691) 320-2609, FAX # (691) 320-5500.

Guam

Frances Limitiaco Standing Soldier, Executive Director, Guam

Developmental Disabilities Council, 122 IT&E Plazza, Rm. 201,

Harmon, Guam 96911, (671) 646-9468, 9469, FAX # (671) 649-7672, TDD

671-649-3911.

Northern Mariana Islands

Juanita S. Malone, Executive Director, Developmental Disabilities

Council, Department of Education, PO Box 2565, Saipan, CM 96950, W

(670) 322-3014, H (670) 322-1398.

Puerto Rico

Maria Luisa Mendia, Executive Director, Puerto Rico Developmental

Disabilities State Council, PO Box 9543, Santurce, Puerto Rico

00908, (809) 722-0595, FAX # (809) 721-3622.

Virgin Islands

Mark Vinzant, Director, VI Developmental Disabilities Council, P.O.

Box 2671 Kings Hill, St. Croix, U.S. Virgin Islands 00850-9999,

(809) 772-2133

Western Carolina Islands (Trust Territories of the Pacific)

Minoru Ueki, MD, Trust Territory Health Council, MacDonald Memorial

Hospital KOROR, Palau. WCI 96940

BILLING CODE 4184-01-P

TN07JY94.000

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 the applicant, name of primary organizational

unit which will undertake the assistance activity, complete address

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

contact on matters related to this application.

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

Internal Revenue Service.

7. Enter the appropriate letter in the space provided.

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

space(s) provided:

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

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

budget period for a project with a projected completion date.

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

financial obligation or contingent liability from an existing

obligation.

9. Name of Federal agency from which assistance is being

requested with this application.

10. Use the Catalog of Federal Domestic Assistance number and

title of the program under which assistance is requested.

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

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

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

projects), attach a map showing project location. For

preapplications, use a separate sheet to provide a summary

description of this project.

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

State, counties, cities).

13. Self-explanatory.

14. List the applicant's Congressional District and any

District(s) affected by the program or project.

15. Amount requested or to be contributed during the first

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

contributions should be included on appropriate lines as applicable.

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

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

amounts in parentheses. If both basic and supplemental amounts are

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

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

15.

16. Applicants should contact the State Single Point of Contact

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

application is subject to the State intergovernmental review

process.

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

person who signs as the authorized representative. Categories of

debt include delinquent audit disallowances, loans and taxes.

18. To be signed by the authorized representative of the

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

sign this application as official representative must be on file in

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

this authorization be submitted as part of the application.)

BILLING CODE 4184-01-P

TN07JY94.001

TN07JY94.002

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 on each line in

Column (b).

For applications pertaining to multiple programs where one or

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

separate sheet for each program requiring the breakdown. Additional

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

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

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

programs.

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

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

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

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

for the first funding period (usually a year).

For continuing grant program applications, submit these forms

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

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

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

only if the Federal grantor agency instructions provide for this.

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

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

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

For supplemental grants and changes to existing grants, do not

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

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

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

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

which includes the total previous authorized budgeted amounts plus

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

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

Columns (e) and (f).

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

Section B Budget Categories

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

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

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

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

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

Federal and non-Federal) by object class categories.

Lines 6a-i--Show the 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

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

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

brief explanation on a separate sheet.

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

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

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

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

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

Applicants which are a State or State agencies should leave this

column blank.

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

to be made from all other sources.

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

Line 12--Enter the total for each of Columns (b)-(e). The amount

in Column (e) should be equal to the amount on Line 5, Column (f),

Section A.

Section D. Forecasted Cash Needs

Line 13--Enter the amount of cash needed by quarter from the

grantor agency during the first year.

Line 14--Enter the amount of cash from all other sources needed

by quarter during the first year.

Line 15--Enter the totals of amounts on Lines 13 and 14.

Section E. Budget Estimates of Federal Funds Needed for Balance of the

Project

Line 16-19--Enter in Column (a) the same grant program titles

shown in Column (a), Section A. A breakdown by function or activity

is not necessary. For new applications and continuation grant

applications, enter in the proper columns amounts of Federal funds

which will be needed to complete the program or project over the

succeeding funding periods (usually in years). This section need not

be completed for revisions (amendments, changes, or supplements) to

funds for the current year of existing grants.

If more than four lines are needed to list the program titles,

submit additional schedules as necessary.

Line 20--Enter the total for each of the Columns (b)-(e). When

additional schedules are prepared for this Section, annotate

accordingly and show the overall totals on this 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 Safe Drinking Water Act of 1974, as amended, (P.L. 93-

523); and (h) protection of endangered species under the Endangered

Species Act of 1973, as amended, (P.L. 93-205).

12. Will comply with the Wild and Scenic Rivers Act of 1968 (16

U.S.C. Secs. 1271 et seq.) related to protecting components or

potential components of the national wild and scenic rivers system.

13. Will assist the awarding agency in assuring compliance with

Section 106 of the National Historic Preservation Act of 1966, as

amended (16 U.S.C. 470), EO 11593 (identification and protection of

historic properties), and the Archaeological and Historic

Preservation Act of 1974 (16 U.S.C. 469a-1 et seq.).

14. Will comply with P.L. 93-348 regarding the protection of

human subjects involved in research, development, and related

activities supported by this award of assistance.

15. Will comply with the Laboratory Animal Welfare Act of 1966

(P.L. 89-544, as amended, 7 U.S.C. 2131 et seq.) pertaining to the

care, handling, and treatment of warm blooded animals held for

research, teaching, or other activities supported by this award of

assistance.

16. Will comply with the Lead-Based Paint Poisoning Prevention

Act (42 U.S.C. Secs. 4801 et seq.) which prohibits the use of lead

based paint in construction or rehabilitation of residence

structures.

17 Will cause to be performed the required financial and

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

18. Will comply with all applicable requirements of all other

Federal laws, executive orders, regulations and policies governing

this program.

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Signature of Authorized Certifying Official

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Title

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Applicant Organization

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Date Submitted

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TN07JY94.003

TN07JY94.004

BILLING CODE 4184-01-C

Appendix C

Certification Regarding Debarment, Suspension, and Other

Responsibility Matters--Primary Covered Transactions

By signing and submitting this proposal, the applicant, defined

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

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

principals:

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

debarment, declared ineligible, or voluntarily excluded from covered

transactions by any Federal Department or agency;

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

convicted of or had a civil judgment rendered against them for

commission of fraud or a criminal offense in connection with

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

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

violation of Federal or State antitrust statutes or commission of

embezzlement, theft, forgery, bribery, falsification or destruction

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

(c) are not presently indicted or otherwise criminally or

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

with commission of any of the offenses enumerated in paragraph

(1)(b) of this certification; and

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

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

local) terminated for cause or default.

The inability of a person to provide the certification required

above will not necessarily result in denial of participation in this

covered transaction. If necessary, the prospective participant shall

submit an explanation of why it cannot provide the certification.

The certification or explanation will be considered in connection

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

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

prospective primary participant to furnish a certification or an

explanation shall disqualify such person from participation in this

transaction.

The prospective primary participant agrees that by submitting

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

Regarding Debarment, Suspension, Ineligibility, and Voluntary

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

modification in all lower tier covered transactions and in all

solicitations for lower tier covered transactions.

Certification Regarding Debarment, Suspension, Ineligibility and

Voluntary Exclusion--Lower Tier Covered Transactions

(To Be Supplied to Lower Tier Participants)

By signing and submitting this lower tier proposal, the

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

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

principals:

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

debarment, declared ineligible, or voluntarily excluded from

participation in this transaction by any federal department or

agency.

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

certify to any of the above, such prospective participant shall

attach an explanation to this proposal.

The prospective lower tier participant further agrees by

submitting this proposal that it will include this clause entitled

``Certification Regarding Debarment, Suspension, Ineligibility, and

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

modification in all lower tier covered transactions and in all

solicitations for lower tier covered transactions.

Appendix D

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 completer 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 of 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

TN07JY94.005

[FR Doc. 94-16315 Filed 7-6-94; 8:45 am]

BILLING CODE 4184-01-C