Office of Community Services; Request for Applications Under the Office of Community Services' Fiscal Year 1995 National Youth Sports Program

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Administration for Children and Families

[Program Announcement No. OCS-95-01]

Office of Community Services; Request for Applications Under the

Office of Community Services' Fiscal Year 1995 National Youth Sports

Program

Agency: Office of Community Services, Administration for Children and

Families, Department of Health and Human Services.

ACTION: Request for applications under the Office of Community

Services' National Youth Sports Program.

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

competing applications will be accepted for new grants pursuant to the

Secretary's discretionary authority under Section 682 of the Community

Services Block Grant Act of 1981, as amended. This Program Announcement

contains forms and instructions for submitting an application.

CLOSING DATE: The closing date for submission of applications is

February 6, 1995.

FOR FURTHER INFORMATION CONTACT: Joseph D. Reid, Director, Division of

Community Discretionary Programs, Office of Community Services,

Administration for Children and Families, 370 L'Enfant Promenade, S.W.,

Washington, D.C. 20447, (202) 401-9345.

This announcement is accessible on the OCS Electronic Bulletin

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

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

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

401-5309.

Table of Contents

Part A--Preamble

1. Legislative authority

2. Definitions of Terms

Part B--Application Prerequisites

1. Eligible applicants

2. Number of grants, grant amount and matching requirements

3. Project period and budget period

4. Administrative costs

5. Program beneficiaries

6. Multiple submittals

Part C--Purpose and Project Requirements

1. Purpose

2. Project Requirements

Part D--Review Criteria

Criteria for review and evaluation of applications submitted under

this Program Announcement.

Part E--Contents of Application and Receipt Process

1. Contents of Application

2. Acknowledgement of Receipt

Part F--Instructions for Completing Application Package

1. SF-424--``Application for Federal Assistance''

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

3. SF-424B--``Assurances--Non-Construction''

4. Restrictions on Lobbying Activities

5. Disclosure of Lobbying Activities--SF-LLL

6. Project Narrative

Part G--Application Procedures

1. Availability of Forms

2. Application Submission

3. Intergovernmental Review

4. Application Consideration

5. Criteria for screening applications

a. Initial screening

b. Pre-rating review

c. Evaluation criteria

Part H--Post Award Information and Reporting Requirements

Part A--Preamble

1. Legislative Authority

Section 682 of the Community Services Block Grant Act, as amended,

authorizes the Secretary of Health and Human Services to make a grant

to an eligible service provider to administer national or regional

programs designed to provide instructional activities for low-income

youth.

2. Definitions of Terms

For purposes of this Program Announcement the following definitions

apply:

--Low-income youth: a youth between the ages of 10 through 16 whose

family income does not exceed the DHHS Poverty Income Guidelines.

--Eligible Provider: A national private nonprofit organization, a

coalition of such organizations, or a private nonprofit organization

applying jointly with a business concern that has demonstrated

experience in operating a program providing instructions to low-income

youth.

--Budget period: The interval of time into which a grant period of

assistance is divided for budgetary and funding purposes.

--Project period: The total time for which a project is approved for

support, including any approved extensions.

Part B--Application Prerequisites

1. Eligible Applicants

OCS will only consider those applications received from entities

which are eligible applicants as specified in Part A 2. of this

announcement. Non-profit organizations must submit proof of their non-

profit status in their applications at the time of submission. Failure

to do so will result in rejection of their applications. The non-profit

agency can accomplish this by providing a copy of the applicant's

listing in the Internal Revenue Service's (IRS) 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, and by providing a copy of the articles of incorporation

bearing the seal of the State in which the corporation or association

is domiciled.

2. Number of Grants, Grant Amount, and Matching Requirements

a. Number of Grants

One grant will be made under this program.

b. Grant Amounts

Twelve million dollars ($12,000,000) has been appropriated for this

program.

c. Matching Requirements

The grants require a match of either cash or third party in-kind of

one dollar for each dollar awarded. For any application requesting

Federal funds in excess of $9,400,000, the applicant must provide cash

or in-kind of one dollar for each Federal dollar requested up to

$9,400,000 and a cash match of 29% of the Federal funds requested in

excess of $9,400,000.

3. Project Period and Budget Period

The project and budget periods must not exceed 12 months, with

significant amount of program activities to be undertaken in the period

covering July and August 1995.

4. Administrative Costs/Indirect Costs

No funds from a grant made under this program may be used for

administrative expenses. To the extent that indirect costs are not

administrative in nature, such costs may be allowed provided the

grantee has negotiated an approved Indirect Cost Rate Agreement which

excludes administrative expenses. However, it should be understood that

indirect costs are part of, and not in addition to, the amount of funds

awarded in the subject grant.

5. Program Beneficiaries

Projects proposed for funding under this announcement must result

in direct benefits targeted toward 10-16 year olds from low-income

families.

Attachment A to this announcement is an excerpt from the most

recently published Poverty Income guidelines. Annual revisions of these

Guidelines are normally published in the Federal Register in February

or early March of each year and are applicable to projects being

implemented at the time of publication. Grantees will be required to

apply the most recent Guidelines throughout the project period. The

Federal Register may be obtained from public libraries, Congressional

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

Printing Office, Washington, D.C. 20402. In addition, it may be

obtained by downloading from the OCS Electronic Bulletin Board. (See

instructions under ``Contact'' at the beginning of this document.)

No other government agency or privately defined poverty guidelines

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

OCS program.

6. Multiple Submittals

An applicant organization should not submit more than one

application under this Program Announcement.

Part C--Purpose and Project Requirements

1. Purpose

The Department of Health and Human Services is committed to

improving the health and physical fitness of young people, particularly

those that are members of low-income families and residents of

economically disadvantaged areas of the United States.

The Department seeks to improve the lives of these young people

through sports skill instruction, counseling in good health practices,

and counseling related to anti-drug and anti-alcohol abuse.

2. Project Requirements

Any instructional activity carried out by an eligible service

provider receiving a grant under this program announcement shall be

carried out on the campus of an institution of higher education (as

defined in section 1201(a) of the Higher Education Act) and shall

include--

a. Access to the facilities and resources of such institution;

b. An initial medical examination and follow-up referral or

treatment, without charge, for youth during their participation in such

activity;

c. At least one nutritious meal daily, without charge, for

participating youth during each day of participation;

d. High quality instruction in a variety of sports (that shall

include swimming and that may include dance and any other high quality

recreational activity) provided by coaches and teachers from

institutions of higher education and from elementary and secondary

schools (as defined in sections 1471(8) and 1471(21) of the Elementary

and Secondary Education Act of 1965); and

e. Enrichment instruction and information on matters relating to

the well-being of youth, to include educational opportunities and study

practices, education for the prevention of drug and alcohol abuse,

health and nutrition, career opportunities, and family and job

responsibilities.

Part D--Review Criteria

Applications which pass the initial screening and pre-rating review

described in Part G 5. will be assessed and scored by reviewers. These

numerical scores will be supported by explanatory statements on a

formal rating form describing major strengths and weaknesses under each

applicable criterion published in this announcement.

The in-depth evaluation and review process will use the criteria

set forth below coupled with the specific requirements described in

Part G.

Applicants should write their project narrative according to the

review criteria using the same sequential order.

Criteria for Review and Evaluation of Applications Submitted Under This

Program Announcement

1. Criterion I: Location and number of institutions of Higher Education

(Maximum: 20 points)

a. Applicant must describe and document the number and location of

Institutions of Higher Education committed to participation in this

program, with special attention to documenting the accessibility of the

schools to economically disadvantaged communities (0-12 points).

b. Applicant must describe in the aggregate the facilities which

will be available on the campuses of the institutions to be used in the

program (swimming pools, medical facilities, food preparation

facilities, etc.) (0-8 points).

2. Criterion II: Adequacy of Work Program (Maximum: 20 Points)

a. Applicant must set forth realistic weekly time targets (for the

summer program) and quarterly time targets (for any extended-year

program activities). The time targets should specify the tasks to be

accomplished in the given timeframes. (0-8 points).

b. Applicant must address the legislatively-mandated activities

found in Part C.2., to include: (1) Project priorities and rationale

for selecting them; (2) project goals and objectives; and (3) project

activities. (0-12 points).

3. Criterion III: Significant and Beneficial Impact (Maximum: 20

points)

a. Applicant proposes to improve nutritional services to the

participating youths (0-5 points).

b. Project incorporates medical examinations along with follow-up

referral or treatment (0-5 points).

c. Project includes counseling, related to anti-drug and anti-

alcohol abuse, by counselors with experience in those areas as a major

element (0-5 points).

d. Project makes use of an existing outreach activity of a

community action agency or some other community-based organization (0-5

points).

4. Criterion IV: Organizational Experience in Program Area and Staff

Responsibilities (Maximum: 30 points)

a. Organizational experience in program area (0-10 points).

Documentation provided indicates that projects previously undertaken

have been relevant and effective and have provided significant benefits

to low-income youth. Information provided should also address the

achievements and competence of the participating institutions.

b. Management history (0-10 points). Applicants must fully detail

their ability to implement sound and effective management practices and

if they have been recipients of other Federal or other governmental

grants, they must also detail that they have consistently complied with

financial and program progress reporting and audit requirements.

Applicants should submit any available documentation on their

management practices and progress reporting procedures. Applicant

should also submit a statement by a Certified or Licensed Public

Accountant as to the sufficiency of the applicant's financial

management system to protect any Federal funds which may be awarded

under this program.

c. Staffing skills, resources and responsibilities (0-10 points).

Applicant must briefly describe the experience and skills of the

proposed project director showing that the individual is not only well

qualified but that his/her professional capabilities are relevant to

the successful implementation of the project. If the key staff person

has not been identified, the application should contain a comprehensive

position description which indicates that the responsibilities assigned

to the project director are relevant to the successful implementation

of the project.

The application must indicate that the applicant and the

subgrantees or delegate institutions have adequate facilities and

resources (i.e. space and equipment) to successfully carry out the work

plan. The application must clearly show that sufficient time of the

project director and other senior staff will be budgeted to assure

timely implementation and oversight of the project and that the

assigned responsibilities of the staff are appropriate to the tasks

identified for the project.

5. Criterion V: Adequacy of Budget (Maximum: 10 points)

Budget is adequate and funds requested are commensurate with the

level of effort necessary to accomplish the goals and objectives of the

program. The estimated cost of the project to the government is

reasonable in relation to the anticipated results.

Part E--Contents of Application and Receipt Process

1. Contents of Application

Each application package should include one signed original and two

additional copies of the following:

a. A signed Application for Federal Assistance (SF-424);

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

c. A signed--Assurances--Non-construction Programs (SF-424B);

d. A Project Narrative consisting of the following elements

preceded by a consecutively numbered Table of Contents that describes

the project in the following order:

(i) Eligibility confirmation.

(ii) Number and location of Institutions of Higher Education

committed to the program and their accessibility to youth from

economically disadvantaged areas.

(iii) Organization experience and staff responsibilities.

(iv) Work program (including Executive Summary)

(v) Appendices, including Bylaws; Articles of Incorporation;

proof of non-profit status; resume of project director; statement by

a Certified or Licensed Public Accountant as to the sufficiency of

the applicant's financial management system to protect Federal

funds; Single Point of Contact comments, if available;

certifications regarding Lobbying, Debarment and Drug Free Workplace

activities.

The total number of pages for the entire application package should

not exceed 50 pages. Applications should be two holed punched at the

top and fastened separately with a compressor slide paper fastener or a

binder clip. The submission of bound applications, or applications

enclosed in binder, is especially discouraged.

Applications must be uniform in composition since OCS may find it

necessary to duplicate them for review purposes. Therefore,

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

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

include organizational brochures or other promotional materials,

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

included.

2. Acknowledgement of Receipt

All applicants will receive an acknowledgement postcard with an

assigned identification number. Applicants are requested to supply a

self-addressed mailing label with their application which can be

attached to this acknowledgement postcard. The assigned identification

number must be referred to in all subsequent communications with ACF

concerning the application. If an acknowledgement is not received

within three weeks after the deadline date, please notify ACF by

telephone (202) 401-9230.

Part F--Instructions for Completing Application Package

It is suggested that the applicant reproduce the SF-424 and SF-

424A, and type your application on the copies. If an item on the SF-424

cannot be answered or does not appear to be related or relevant to the

assistance requested write NA for ``Not Applicable''.

Prepare your application in accordance with the standard

instructions given in Attachments B and C corresponding to the forms,

as well as specific instructions set forth below:

1. SF-424 ``Application for Federal Assistance''

Item Numbers

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

considered ``Applications''; there are no ``Pre-applications''. All

projects are non-construction projects. Check the appropriate box under

``Application''.

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

corresponding to the Employer Identification Number. Where the

applicant is a previous Department of Health and Human Services

grantee, enter the Central Registry System Employee Identification

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

assigned, in the Block entitled ``Federal Identifier'' located at the

top right hand corner of the form.

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

box and specify ``non-profit corporation'' in the space marked

``Other.'' Proof of non-profit status must be included in the

application at the time of submission. This can be accomplished by

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

Services' (IRS) most recent list of tax-exempt organizations in section

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

incorporation bearing the seal of the State in which the corporation or

association is domiciled.

8. For the purposes of this announcement, all applications are

``New''.

9. Enter DHHS-ACF/OCS.

10. The Catalog of Federal Domestic Assistance number for OCS

programs covered under this announcement is 93.570. The title is ``CSBG

Discretionary Awards.''

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

See instructions accompanying this form as well as the instructions

set forth below:

In completing these sections, the ``Federal Funds'' budget entries

will relate to the requested OCS discretionary funds only, and ``Non-

Federal'' will include mobilized funds from all other sources--

applicant, state, local, and other. Federal funds other than requested

OCS discretionary funding should be included in ``Non-Federal''

entries.

The budget forms in SF-424A are only to be used to present grant

costs and major budget categories. Other internal project cost data

must be separate and should appear as part of other project

implementation data. Applicants are reminded that grant funds may not

be utilized for administrative expenses.

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

(OCS) and Non-Federal (mobilized) funds. Section B contains entries for

Federal (OCS) funds only. Clearly identified continuation sheets in SF-

424A format should be used as necessary.

Section A--Budget Summary

Lines 1-4, Col. (a): Line 1 Enter ``CSBG Discretionary''; Col. (b):

Line 1 Enter ``93.570''; Col. (c): and (d); Applicants should leave

columns (c) and (d) blank.

Col. (e)-(g): For line 1, enter in columns (e), (f) and (g) the

appropriate amounts needed to support the project for the budget

period.

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

required, (c), (d), (e), (f), and (g).

Section B--Budget Categories

Allowability of costs are governed by applicable cost principles

set forth in 45 CFR part 74.

Columns (1) and (5): In OCS applications, it is only necessary to

complete Columns (1) and (5). Column 1: Enter the total requirements

for OCS Federal funds by the Object Class Categories of this section:

Personnel-Line 6A: Enter the total costs of salaries and wages of

applicant/grantee staff only. Do not include costs of consultants or

personnel costs of delegate agencies or of specific project(s) or

businesses to be financed by the applicant.

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

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

entered on line 6j. Provide a breakdown of amounts and percentages that

comprise fringe benefit costs.

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

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

justification for requested travel costs.

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

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

personal property'' means tangible property having a useful life of

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

An applicant may use its own definition of non-expendable personal

property, provided that such a definition would at least include all

tangible personal property as defined in the preceding sentence. (See

Line 21 for additional requirements).

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

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

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 and

specific project(s) to be financed by the applicant.

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

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

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

directly to individual consultants, space and equipment rentals,

printing and publication, computer use, training costs, including

tuition and stipends, training services costs including wage payments

to individuals and supportive services payments, and staff development

costs.

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

6h. Indirect Charges-Lines 6j: Enter the total amount of indirect

costs. This line should be used only when the applicant currently has

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

Services or another Federal agency or is awaiting such approval.

Applicants should enclose a copy of the current rate agreement. If

the applicant organization is in the process of initially developing or

renegotiating a rate, it should immediately, upon notification that an

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

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

principles set forth in the pertinent DHHS Guide for Establishing

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

Office. It should be noted that when an indirect cost rate is

requested, those costs included in the indirect cost pool should not be

also charged as direct costs to the grant.

Totals-Line 6k: Enter the total amounts of Lines 6i and 6j. The

total amount should be shown in Section B, Column 1: Carry totals from

Column 1 to Column 5 for all line items.

Section C--Non-Federal Resources

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

that will be used to support the project. ``Non-Federal'' resources

mean other than OCS funds for which the applicant is applying.

Therefore, mobilized funds from other Federal programs, such as the Job

Training Partnership Act Program, should be entered on these lines.

Provide a brief listing of the non-Federal resources on a separate

sheet and describe whether it is a grantee-incurred cost or a third-

party in-kind contribution.

Line 8: Column (a): Enter the project title. Column (b): Enter the

amount of contributions to be made by the applicant to the project.

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

made from all other sources. Column (e): Enter the total of columns

(b), (c), and (d).

Line 9, 10, and 11 should be left blank.

Line 12: Carry the total of each column of lines 8, (b) through

(e). The amount in Column (e) should be equal to the amount on Section

A, Line 5, column (f).

Section F--Other Budget Information

Line 21: Use this space and continuation sheets as necessary to

fully explain and justify the major items included in the budget

categories shown in Section B. Include sufficient detail to facilitate

determination of allowability, relevance to the project, and cost

benefits. Particular attention must be given to the explanation of any

requested direct cost budget item which requires explicit approval by

the Federal agency. Budget items which require identification and

justification shall include, but not be limited to, the following:

1. Salary amounts and percentage of time worked for those key

individuals who are identified in the project narrative;

2. Any foreign travel;

3. A list of all equipment and estimated cost of each item to be

purchased wholly or in part with grant funds and which meet the

definition of nonexpendable personal property provided on Line 6d,

Section B. Need for equipment must be supported in the program

narrative.

4. Contractual: Major items or groups of smaller items; and

5. Other: Group into major categories all costs for consultants,

local transportation, space, rental, training allowances, staff

training, computer equipment, etc. Provide a complete breakdown of

all costs that make up this category.

Line 22: Enter the type of HHS or other Federal agency approved

indirect cost rate (provisional, predetermined, final or fixed that

will be in effect during the funding period, the estimated amount of

the base to which the rate is applied and the total indirect expense.

Also, enter the date the rate was approved, where applicable. Attach a

copy of the rate agreement if it was negotiated with a Federal agency

other than the Department of Health and Human Services.

Line 23: Provide any other explanations and continuation sheets

required or deemed necessary to justify or explain the budget

information.

3. SF-424B ``Assurances--Non-Construction''

Applicants requesting financial assistance for a non-construction

project must file the Standard Form 424B, ``Assurances: Non-

Construction Programs.'' Applicants must sign and return the Standard

Form 424B (Attachment D) with their applications.

4. Restrictions on Lobbying Activities

Certification for Contracts, Grants, Loans, and Cooperative

Agreements: Fill out, sign and date form found at Attachment H.

5. Disclosure of Lobbying Activities, SF-LLL

Fill out, sign and date form found at Attachment H, if applicable.

6. Project Narrative

The project narrative must address the specific concerns and

requirements mentioned under Parts C and D of this announcement. After

confirmation of eligibility (as required by Part B), the narrative

should follow the order and respond to the content of the criteria

detailed under Part D.

Part G--Application Procedures

1. Availability of Forms

Application for awards under this OCS program must be submitted on

Standard Forms (SF) 424, 424A, and 424B. Part F and Attachments B, C,

and D to this Program Announcement contain all the instructions and

forms required for submitting of applications. The forms may be

reproduced for use in submittal applications. Copies of the Federal

Register containing this Announcement are available at most local

libraries and Congressional District Offices for reproduction. If

copies are not available at these sources they may be obtained by

writing or telephoning the office listed in the section entitled

``Contact'' at the beginning of this Announcement.

2. Application Submission

The date by which applications must be received is indicated under

``Closing Date'' at the beginning of this Announcement.

a. Applications may be mailed to: Department of Health and Human

Services, Administration For Children and Families, Division of

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

Washington, D.C. 20447, ATTN: Maiso Bryant, (Program Announcement No.

OCS-95-01)

b. Hand delivered applications are accepted during the normal

working hours of 8:00 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, ACF Guard

Station, 901 D. Street, S. W., Washington, D. C. 20447.

An application shall be considered as meeting an announced deadline

if it is either:

a. Received on or before the deadline date at a place specified

in the program announcement, or

b. 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 in

paragraphs a and b above are considered late applications. ACF 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 because of acts of God such as floods, hurricanes, etc., or

when there is a widespread disruption of the mails. However, if ACF

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

extend the deadline for any applicants.

3. Intergovernmental Review

This program is covered under Executive Order 12372,

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

``Intergovernmental Review of Department of Health and Human Services

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

processes for reviewing and commenting on proposed Federal assistance

under covered programs.

All States and Territories except Alabama, Alaska, Colorado,

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 Single Points of Contacts

(SPOCs). Applicants from these nineteen jurisdictions need take no

action regarding E.O. 12372. Applicants for projects to be administered

by Federally-recognized Indian Tribes are also exempt from the

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

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

and receive any necessary instructions. Applicants must submit any

required material to the SPOCs as soon as possible so that the program

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

process. It is imperative that the applicant submit all required

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

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

Form 424, item 16a.

Under 45 CFR 100.8(1)(2), a SPOC has 60 days from the application

deadline date to comment on proposed new or competing continuation

awards.

SPOCs are encouraged to eliminate the submission of routine

endorsements as official recommendations.

Additionally, SPOCs are requested to clearly differentiate between

mere advisory comments and those official State process recommendations

which 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, 6th Floor,

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

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

is included as appendix G of this announcement.

4. Application Consideration

Applications which meet the screening requirements in Section 5

below will be reviewed competitively. Such applications will be

referred to reviewers for a numerical score and explanatory comments

based solely on responsiveness to program guidelines and evaluation

criteria published in this announcement. Applications will be reviewed

by persons outside of the OCS unit which would be directly responsible

for programmatic management of the grant. The results of these reviews

will assist the Director and OCS program staff in considering competing

applications. Reviewers' scores will weigh heavily in funding decisions

but will not be the only factors considered. Applications will

generally be considered in order of the average scores assigned by

reviewers. However, highly ranked applications are not guaranteed

funding since the Director may also consider other factors deemed

relevant including, but not limited to, the timely and proper

completion of projects funded with OCS funds granted in the last five

(5) years; comments of reviewers and government officials; staff

evaluation and input; geographic distribution; previous program

performance of applicants; compliance with grant terms under previous

DHHS grants; audit reports; investigative reports; and applicant's

progress in resolving any final audit disallowances on OCS or other

Federal agency grants. OCS reserves the right to discuss applications

with other Federal or non-Federal funding sources to ascertain the

applicant's performance record.

5. Criteria for Screening Applications

All applications that meet the published deadline for submission

will be screened to determine completeness and conformity to the

requirements of this Announcement. Only those applications meeting the

following requirements will be reviewed and evaluated competitively.

Others will be returned to the applicants with a notation that they

were unacceptable.

a. Initial Screening

(1) The application must contain a completed Standard Form SF-424

signed by an official of the entity applying for the grant who has

authority to obligate the organization legally;

(2) a budget (SF-424A); and

(3) ``Assurances'' (SF-424B) signed by the appropriate official.

b. Pre-Rating Review

Applications which pass the initial screening will be forwarded to

reviewers for analytical comment and scoring based on the criteria

detailed in the Section below and the specific requirements contained

in Part C of this Announcement. Prior to the programmatic review, these

reviewers and/or OCS staff will verify that the applications comply

with this Program Announcement in the following areas:

(1) Eligibility: Applicant meets the eligibility requirements found

in Part A2.

(2) Target Populations: The application clearly targets the

specific outcomes and benefits of the project to low-income

participants as defined in the DHHS Poverty Income Guidelines

(Attachment A).

(3) Grant Amount: The amount of funds requested does not exceed $12

million.

(4) Program Focus: The application addresses the geographic scope

and project requirements described in Part C of this announcement.

c. Evaluation Criteria

Applications which pass the initial screening and pre-rating review

will be assessed and scored by reviewers. Each reviewer will give a

numerical score for each application reviewed. These numerical scores

will be supported by explanatory statements on a formal rating form

describing major strengths and major weaknesses under each applicable

criterion published in this announcement.

Part H--Post Award Information and Reporting Requirements

Following approval of the applications selected for funding, notice

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

made in writing. The official award document is the Financial

Assistance Award which provides the amount of Federal funds approved

for use in the project, the budget period for which support is

provided, and the terms and conditions of the award.

In addition to the General Conditions and Special Conditions (where

the latter are warranted) which will be applicable to grant, the

grantee will be subject to the provisions of 45 CFR part 74 along with

OMB Circulars 122, A-133, and, for institutions of higher education, A-

21.

Grantee will be required to submit progress and financial reports

(SF-269).

Grantee is subject to the audit requirements in 45 CFR part 74.

Applicants requesting financial assistance for a non-construction

project must file the Standard Form 424B, ``Assurances: Non-

Construction Programs.'' Applicants must sign and return the Standard

Form 424B with their applications.

Applicants must provide a certification concerning Lobbying. Prior

to receiving an award in excess of $100,000, applicants shall furnish

an executed copy of the lobbying certification. Applicants must sign

and return the certification with their applications.

Applicants must make the appropriate certification of their

compliance with the Drug-Free Workplace Act of 1988. By signing and

submitting the applications, applicants are providing the certification

and need not mail back the certification with the applications.

Applicants must make the appropriate certification that they are

not presently debarred, suspended or otherwise ineligible for award. By

signing and submitting the applications, applicants are providing the

certification and need not mail back the certification with the

applications.

Copies of the certifications and assurances are located at the end

of this announcement.

Section 319 of Public Law 101-121, signed into law on October 23,

1989, imposes new prohibitions and requirements for disclosure and

certification related to lobbying when an applicant has engaged in

lobbying activities or is expected to lobby in trying to obtain the

grant. It provides limited exemptions for Indian tribes and tribal

organizations. Current and prospective recipients (and their subtier

contractors and/or grantees) are prohibited from using appropriated

funds for lobbying Congress or any Federal agency in connection with

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

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

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

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

appropriated funds for payment to lobbyists, (2) to submit a

declaration setting forth whether payments to lobbyists have been or

will be made out of nonappropriated funds and, if so, the name,

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

lobbyists whom recipients or their subtier contractors or subgrantees

will pay with the nonappropriated funds and (3) to file quarterly up-

dates about the use of lobbyists if an event occurs that materially

affects the accuracy of the information submitted by way of declaration

and certification. The law establishes civil penalties for

noncompliance and is effective with respect to contracts, grants,

cooperative agreements and loans entered into or made on or after

December 23, 1989. See Attachment H for certification and disclosure

forms to be submitted with the applications for this program.

Attachment I indicates the regulations which apply to all

applicants/grantees under the Discretionary Grants Program.

Donald Sykes,

Director, Office of Community Services.

Attachment A--1994 Poverty Income Guidelines for All States Except

Alaska and Hawaii and the District of Columbia

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

Poverty

Size of family unit guideline

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

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

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

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

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

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

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

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

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

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

additional member.

Poverty Income Guidelines for Alaska

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

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

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

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

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

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

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

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

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

additional member.

Poverty Income Guidelines for Hawaii

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

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

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

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

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

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

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

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

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

additional member. (The same increment applies to smaller family sizes

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

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

BILLING CODE 4184-01-P

TN08DE94.000

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.

1. Self-explanatory.

2. Date application submitted to Federal agency (or State if

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

3. State use only (if applicable).

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

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

project, leave blank.

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

which will undertake the assistance activity, complete address of

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

contact on matters related to this application.

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

Internal Revenue Service.

7. Enter the appropriate letter in the space provided.

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

space(s) provided:

``New'' means a new assistance award.

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

budget period for a project with a projected completion date.

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

financial obligation or contingent liability from an existing

obligation.

9. Name of Federal agency from which assistance is being

requested with the 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).

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

Attachement C

TN08DE94.001

TN08DE94.002

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.

Line 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.

Line 6a-i

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

Line 6j

Show the amount of indirect cost.

Line 6k

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

applications for new grants and continuation grants the total amount

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

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

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

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

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

Line 7

Enter the estimated amount of income, if any, expected to be

generated from this project. Do not add or subtract this amount from

the total project amount. Show under the program narrative statement

the nature and source of income. The estimated amount of program

income may be considered by the federal grantor agency in

determining the total amount of the grant.

Section C. Non-Federal-Resources

Lines 8-11

Enter amounts of non-Federal resources that will be used on the

grant. If in-kind contributions are included, provide a brief

explanation on a separate sheet.

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

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

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

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

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

Applicants which are a State or State agencies should leave this

column blank.

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

to be made from all other sources.

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

Line 12

Enter the total for each of Columns (b)-(e). The amount in

Column (e) should be equal to the amount on Line 5, Column (f),

Section A.

Section D. Forecasted Cash Needs

Line 13

Enter the amount of cash needed by quarter from the grantor

agency during the first year.

Line 14

Enter the amount of cash from all other sources needed by

quarter during the first year.

Line 15

Enter the totals of amounts on Lines 13 and 14.

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

the Project

Lines 16-19

Enter in Column (a) the same grant program titles shown in

Column (a), Section A. A breakdown by function or activity is not

necessary. For new applications and continuation grant applications,

enter in the proper columns amounts of Federal funds which will be

needed to complete the program or project over the succeeding

funding periods (usually in years). This section need not be

completed for revisions (amendments, changes, or supplements) to

funds for the current year of existing grants.

If more than four lines are needed to list the program titles,

submit additional schedules as necessary.

Line 20

Enter the total for each of the Columns (b)-(e). When additional

schedules are prepared for this Section, annotate accordingly and

show the overall totals on this line.

Section F. Other Budget Information

Line 21

Use this space to explain amounts for individual direct object-

class cost categories that may appear to be out of the ordinary or

to explain the details as required by the Federal grantor agency.

Line 22

Enter the type of indirect rate (provisional, predetermined,

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

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

the total indirect expense.

Line 23

Provide any other explanations or comments deemed necessary.

Attachment D

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 CFR 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. Sec. 874), and the Contract Work

Hours and Safety Standards Act (40 U.S.C. Secs. 327-333), regarding

labor standards for federally assisted construction subagreements.

10. Will comply, if applicable, with flood insurance purchase

requirements of Section 102(a) of the Flood Disaster Protection Act

of 1973 (P.L. 93-234) which requires recipients in a special flood

hazard area to participate in the program and to purchase flood

insurance if the total cost of insurable construction and

acquisition is $10,000 or more.

11. Will comply with environmental standards which may be

prescribed pursuant to the following: (a) institution of

environmental quality control measures under the National

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

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

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

evaluation of flood hazards in floodplains in accordance with EO

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

management program developed under the Coastal Zone Management Act

of 1972 (16 U.S.C. Secs. 1451 et seq.); (f) conformity of Federal

actions to State (Clear Air) Implementation Plans under Section

176(c) of the Clear Air Act of 1955, as amended (42 U.S.C. Sec. 7401

et seq.); (g) protection of underground sources of drinking water

under the Safe Drinking Water Act of 1974, as amended, (P.L. 93-

523); and (h) protection of endangered species under the Endangered

Species Act of 1973, as amended, (P.L. 93-205).

12. Will comply with the Wild and Scenic Rivers Act of 1968 (16

U.S.C. Secs. 1271 et seq.) related to protecting components or

potential components of the national wild and scenic rivers system.

13. Will assist the awarding agency in assuring compliance with

Section 106 of the National Historic Preservation Act of 1966, as

amended (16 U.S.C. 470), EO 11593 (identification and protection of

historic properties), and the Archaeological and Historic

Preservation Act of 1974 (16 U.S.C. 469a-1 et seq.).

14. Will comply with P.L. 93-348 regarding the protection of

human subjects involved in research, development, and related

activities supported by this award of assistance.

15. Will comply with the Laboratory Animal Welfare Act of 1966

(P.L. 89-544, as amended, 7 U.S.C. 2131 et seq.) pertaining to the

care, handling, and treatment of warm blooded animals held for

research, teaching, or other activities supported by this award of

assistance.

16. Will comply with the Lead-Based Paint Poisoning Prevention

Act (42 U.S.C. Secs. 4801 et seq.) which prohibits the use of lead

based paint in construction or rehabilitation of residence

structures.

17. Will cause to be performed the required financial and

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

18. Will comply with all applicable requirements of all other

Federal laws, executive orders, regulations and policies governing

this program.

Signature of authorized certifying official: ________

Title: ________________

Applicant organization: __________

Date submitted: __________

BILLING CODE 4184-01-C

Attachment E

TN08DE94.003

TN08DE94.004

BILLING CODE 4184-01-C

Attachment F

Certification Regarding Debarment, Suspension, and Other Responsibility

Matters--Primary Covered Transactions

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

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

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

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

declared ineligible, or voluntarily excluded from covered transactions

by any Federal Department or agency;

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

convicted of or had a civil judgment rendered against them for

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

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

transaction or contract under a public transaction; violation of

Federal or State antitrust statutes or commission of embezzlement,

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

making false statements, or receiving stolen property;

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

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

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

this certification; and

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

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

terminated for cause or default.

The inability of a person to provide the certification required

above will not necessarily result in denial of participation in this

covered transaction. If necessary, the prospective participant shall

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

certification or explanation will be considered in connection with the

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

enter into this transaction. However, failure of the prospective

primary participant to furnish a certification or an explanation shall

disqualify such person from participation in this transaction.

The prospective primary participant agrees that by submitting this

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

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

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

lower tier covered transactions and in all solicitations for lower tier

covered transactions.

Certification Regarding Debarment, Suspension, Ineligibility and

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

Lower Tier Participants)

By signing and submitting this lower tier proposal, the prospective

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

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

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

declared ineligible, or voluntarily excluded from participation in this

transaction by any federal department or agency.

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

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

an explanation to this proposal.

The prospective lower tier participant further agrees by submitting

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

Regarding Debarment, Suspension, Ineligibility, and Voluntary

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

all lower tier covered transactions and in all solicitations for lower

tier covered transactions.

Attachment G

Executive Order 12372--State Single Points of Contact

Arizona

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

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

Arkansas

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

Intergovernmental Services, Department of Finance and Administration,

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

California

Glenn Stober, Grants Coordinator, Office of Planning and Research, 1400

Tenth Street, Sacramento, California 95814, Telephone (916) 323-7480

Delaware

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

Department, Thomas Collins Building, Dover, Delaware 19903, Telephone

(302) 736-3326

District of Columbia

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

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

Washington, D.C. 20005, Telephone (202) 727-6551

Florida

Florida State Clearinghouse, Intergovernmental Affairs Policy Unit,

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

Capitol, Tallahassee, Florida 32399-0001, Telephone (904) 488-8441

Georgia

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

Washington Street, S.W., Atlanta, Georgia 30334, Telephone (404) 656-

3855

Illinois

Steve Klokkenga, State Single Point of Contact, Office of Governor, 107

Stratton Building, Springfield, Illinois 62706, Telephone (217) 782-

1671

Indiana

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

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

Iowa

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

of Economic Development, 200 East Grand Avenue, Des Moines, Iowa 50309,

Telephone (515) 281-3725

Kentucky

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

1024 Capitol Center Drive, Frankfort, Kentucky 40601, Telephone (502)

564-2382

Maine

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

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

Maryland

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

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

2365, Telephone (301) 225-4490

Massachusetts

Karen Arone, State Clearinghouse, Executive Office of Communities and

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

02202, Telephone (617) 727-7001

Michigan

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

Michigan 48909, Telephone (517) 373-7356

Mississippi

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

Management and Reporting, 301 West Pearl Street, Jackson, Mississippi

39203, Telephone (601) 960-2174

Missouri

Ms. Lois Pohl, Federal Assistance Clearinghouse, Office of

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

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

Nevada

Department of Administration, State Clearinghouse, Capitol Complex,

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

Sparks, Clearinghouse Coordinator

New Hampshire

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

Planning, Attn: Intergovernmental Review, Process/James E. Bieber, 2\1/

2\ Beacon Street, Concord, New Hampshire 03301, Telephone (603) 271-

2155

New Jersey

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

N.J. Department of Community Affairs, Trenton, New Jersey 08625-0803,

Telephone (609) 292-6613. Please direct correspondence and questions

to: Andrew J. Jaskolka, State Review Process, Division of Community

Resources, CN 814, Room 609, Trenton, New Jersey 08625-0803, Telephone

(609) 292-9025

New Mexico

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

Bataan Memorial Building, Santa Fe, New Mexico 87503, Telephone (505)

827-3640, FAX (505) 827-3006

New York

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

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

North Carolina

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

State Clearinghouse, 116 W. Jones Street, Raleigh, North Carolina

27603-8003, Telephone (919) 733-7232

North Dakota

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

Office of Management and Budget, 600 East Boulevard Avenue, Bismarck,

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

Ohio

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

Coordinator, State Clearinghouse, Office of Budget and Management, 30

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

(614) 466-0698

Rhode Island

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

Department of Administration, Division of Planning, 265 Melrose Street,

Providence, Rhode Island 02907, Telephone (401) 277-2656. Please direct

correspondence and questions to: Review Coordinator, Office of

Strategic Planning

South Carolina

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

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

Carolina 29201, Telephone (803) 734-0494

Tennessee

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

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

Tennessee 37219, Telephone (615) 741-1676

Texas

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

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

Utah

Utah State Clearinghouse, Office of Planning and Budget, ATTN; Carolyn

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

(810) 538-1535

Vermont

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

Coordination, Pavilion Office Building, 109 State Street, Montpelier,

Vermont 05602, Telephone (801) 828-3326

West Virginia

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

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

Virginia 25305, Telephone (304) 348-4010

Wisconsin

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

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

Wisconsin 53707, Telephone (608) 266-0267

Wyoming

Sheryl Jeffries, State Single Point of Contact, Herschler Building, 4th

Floor, East Wing, Cheyenne, Wyoming 82002, Telephone (307) 777-7574

Guam

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

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

Telephone (671) 472-2285

Northern Mariana Islands

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

the Governor. Saipan, CM, Northern Mariana Islands 96950

Puerto Rico

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

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

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

Virgin Islands

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

Norregade Emancipation Garden Station, Second Floor, Saint Thomas,

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

Telephone (809) 774-0750

Attachment H

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 then 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 a Member of Congress,

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

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

cooperative agreement, the undersigned shall complete and submit 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 or 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 to any person for influencing or

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

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

Member of Congress in connection with this commitment providing for the

United States to insure or guarantee a loan, the undersigned shall

complete and submit Standard Form-LLL, ``Disclosure Form to Report

Lobbying,'' in accordance with its instructions.

Submission of this statement is a prerequisite for making or

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

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

subject to a civil penalty or 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

TN08DE94.005

BILLING CODE 4184-01-C

Attachment I

The following DHHS regulations apply to all applicants/grantees

under the National Youth Sports Program:

Title 45 of the Code of Federal Regulations

Part 16--Procedures of the Departmental Grant Appeals Board

Part 74--Administration of Grants (non-governmental)

Part 74--Administration of Grants (state and local governments and

Indian Tribal affiliates):

Sections 74.62(a) Non-Federal Audits

74.173 Hospitals

74.174(b) Other Nonprofit Organizations

74.304 Final Decisions in Disputes

74.710 Real Property, Equipment and Supplies

74.715 General Program Income

Part 75--Informal Grant Appeal Procedures

Part 76--Debarment and Suspension form Eligibility for Financial

Assistance

Subpart F--Drug Free Workplace Requirements

Part 80--Non-discrimination Under Programs Receiving Federal Assistance

through the Department of Health and Human Services--Effectuation of

Title VI of the Civil Rights Act of 1964

Part 81--Practice and Procedures for hearings under Part 80 of this

Title

Part 84--Non-discrimination on the Basis of Handicap in Programs

Part 86--Nondiscrimination on the basis of sex in the admission of

individuals to training programs

Part 91--Non-discrimination on the Basis of Age in Health and Human

Services Programs or Activities Receiving Federal Financial Assistance

Part 92--Uniform Administrative Requirements for Grants and Cooperative

Agreements to States and Local Governments Federal Register, March 11,

1988)

Part 93--New Restrictions on Lobbying

Part 100--Intergovernmental Review of Department of Health and Human

Services Programs and Activities

[FR Doc. 94-30139 Filed 12-7-94; 8:45 am]

BILLING CODE 4184-01-P